About Assisted Living in Alaska

While the state of Alaska doesn’t collect sales, use, or income taxes, over 60 municipalities impose a local sales tax. The cost of living is well below the national average, and many cities will allow seniors to be exempt from part or all of their property taxes. With proceeds from the Alaska Permanent Fund, permanent residents are paid to stay in the state, utilizing royalties from oil and mineral revenues.

What Options are Available for Assisted Living?

In the state of Alaska, assisted living homes provide care to the elderly in a “home-like” environment. The type of care is based on the individual’s needs and is not limited to physical disability and assistance with activities of daily living (ADLs) - mental health assistance is also available.

Every assisted living home must have a smoke detector and carbon monoxide detector in bedrooms and on each level of the home. Whether or not the home has a sprinkler systems in place is determined by occupancy and will vary by municipality.

Evacuation drills are required quarterly for each shift of employees, and homes of 6 or more must complete a fire inspection every 2 years and follow inspector recommendations.

What are the Alzheimer’s Requirements for Assisted Living Homes in Alaska?

Alaska does not have specific requirements for residents with Alzheimer’s. Any home that cares for residents with cognitive delays or similar disabilities is required to have a department-approved delayed exit or alarm system to alert staff if someone exits the home.

Senior Assisted Living Details and Costs for Cities in Alaska

The listings below are some of the larger cities in Alaska. Each city page provides details on assisted living housing, independent living, senior apartments and homes, and memory care facilities. City pages may include details on amenities, services offered among other information.

What Training is Required for Assisted Living Home Staff?

Assisted living home staff require no special training and can be as young as 16 years old, working in a non-supervisory role. Care providers can work without direct supervision at 18 years old. At 21 years old the employee may supervise other care providers.

Is an Assessment Required Before Move-In?

An assessment is required to develop a service plan for the resident. No specific form is required.

What Care is Available in Assisted Living Homes?

  • Assistance with ADLs.
  • Intermittent nursing services.
  • Skilled nursing care by arrangement.

A resident that needs skilled nursing care for 45 days or more can receive assistance from a licensed nurse upon the approval of the assisted living home and under the condition that the arrangements don’t interfere with the services provided to other residents living in the home. A licensed nurse can assign non-invasive routine tasks to facility staff to provide assistance if needed.

How is Medication Managed?

If resident’s assisted living plan includes self-medication the facility may supervise the administration of medicine.

What are the Bathroom Requirements for Assisted Living Homes?

A minimum of 1 sink, toilet, and shower or bathtub is required for every 6 residents.

What are the Move-In or Move-Out Requirements?

Assisted living homes can only admit residents whose needs can be met by the facility, and they may not admit or retain residents who:

  • Require 24-hour skilled nursing care that lasts more than 45 consecutive days.

If a physician approves that the resident’s needs are being met, terminally ill residents may remain in the facility. To terminate a residents service contract the assisted living home must provide 30-days’ notice.

Is an Assisted Living Home Covered by Medicaid in the State of Alaska?

Yes. A Medicaid home and community-based services waiver covers services, and a tiered payment system is used for reimbursement.

Who can I contact for more information?

Division of Health Care Service
Renee Gayhart
(907) 269-3640