About Assisted Living in Maine

While parts of Maine, especially along the coast, have a staggeringly higher cost of living than the national average, further inland offers a whole other level of affordability and low rates of violent crime. While it may be slightly over the national average, it’s still more affordable than any other state in New England. State income and property taxes may be on the high side, but retirees can earn property tax credits for performing volunteer services.

What Options are Available for Assisted Living?

In the state of Maine an Assisted Housing Program includes both Assisted Living Programs and Residential Care Facilities. Programs are offered at different levels, providing services to residents in private apartments in buildings that provide a common dining area. These services are either provided directly by the program or indirectly through 3rd party contracts. A Residential Care Facility may provide assistance with activities of daily living (ADLs) and instrumental activities of daily living (IADLs).

Facilities are required to have a standardized contract for new admissions that outlines services and costs, as well as the facilities grievance procedure, tenancy obligations, admissions policy, and resident rights.

Depending on the type of facility and when it was built, life safety standards are governed by the state fire marshal and National Fire Protection Association.

What are the Alzheimer’s Requirements for Assisted Living Programs and Residential Care Facilities in Maine?

All facilities offering Alzheimer’s and dementia care must offer special weekly activities involving gross motor skills, self-care, as well as social, outdoor, spiritual, and sensory enhancement. Special facilities also have design regulations to ensure a safe environment for residents and staff.

Senior Assisted Living Details and Costs for Cities in Maine

Listed below are some of the larger cities in Maine. Each city page provides details on senior assisted living options, independent living, senior group homes, and memory care. Details may include costs, amenities and services offered, medical care, as well as other useful information.

What Training is Required for Assisted Living Programs and Residential Care Facility Staff?

For Level IV facilities direct-care staff must complete a 50-hour standardized training course called Personal Support Specialist. If staff administers medication they must complete a 40-hour standardized medication course.

Facility employees working in Alzheimer’s and dementia units are required to complete pre-service training.

Is an Assessment Required Before Move-In?

Residents of Level III & IV Residential Care Facilities are required to be assessed within 30 calendar days of admission. Reassessment should be completed yearly or more frequently if there is a significant change in the resident’s condition. Assisted Living Programs require reassessment at least every 6 months.

What Care is Available in an Assisted Living Programs and Residential Care Facilities?

  • Personal supervision.
  • Protection from environmental hazards.
  • Assistance with ADLs and IADLs.
  • Administration of medications.
  • Nursing services

Assisted living services can be provided indirectly by 3rd party service providers, including private employees, entities, and agencies.

How is Medication Managed?

Administration of medication is permitted, and certain injections may be administered by a trained medication aide.

What are the Bathroom Requirements for an Assisted Living Programs and Residential Care Facility?

At least 1 toilet is required for every 6 residents, and 1 bathtub or shower for every 15.

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

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

  • Displays destructive behavior, damaging physical property.
  • Does not pay for services.
  • Becomes a direct threat to the health and safety of others.

Is Assisted Living and Residential Care Covered by Medicaid in the State of Maine?

Yes. A Medicaid home and community-based services waiver and a state plan option cover assisted living services.

Who can I contact for more information?

Department of Health and Human Services, Division of Licensing and Regulatory Services, Medical Facilities Unit
Jacquelyn Downing
(207) 287-9300