About Assisted Living in Rhode Island

Rhode Island may be small, but it has a big heart. Aside from 100s of miles of coastline with granite cliffs and beaches, the state offers a slew of art museums and Colonial Era structures that transport you to a another time. The overall cost of living is significantly higher than the national average, but it’s still less expensive than neighboring New England states.

What Options are Available for Assisted Living?

In the state of Rhode Island, an assisted living residence is a public or privately operated residence that provides personal assistance to meet the changing needs and preferences of its residents. Each residence must disclose information regarding ownership, policies, procedures, fees, and services, as well as any terms and discharge criteria to potential residents, family, or acting agents early in the decision making process for consideration.

All facilities must have sprinklers and smoke detectors according to National Fire Protection Association standards.

What are the Alzheimer’s Requirements for an Assisted Living Residence in Rhode Island?

Residences that offer service with Alzheimer’s disease and other cognitive impairments must disclose the type of services in addition to regular assisted living services to potential residents as well as the licensing agency for review. The form should cover the residence’s philosophy, assessment and service plan, staff training, physical environment, resident activities, family role in care, and program costs.

Senior Assisted Living Details and Costs for Cities in Rhode Island

The listings below are some of the larger cities in Rhode Island. Each city listing page provides details on assisted living housing, independent living, senior group homes, and memory care. City pages may include details on costs, amenities, services provided, among other information.

What Training is Required for Assisted Living Residence Staff?

All assisted living residence employees are required to receive at least 2 hours of orientation and training within the first 30 days of employment in fire and emergency procedures, recognition and reporting of abuse, assisted living philosophy, resident’s rights, and confidentiality. Direct care staff must also complete at least 10 hours of training in basic sanitation, food service, medical emergency procedures, aging related behaviors, personal assistance, safety, record keeping, service plans, reporting, and knowledge of cultural differences. Appropriate ongoing in-service training is required.

Alzheimer’s and dementia care require an additional 12 hours of orientation and training within the first 30 days of employment, including understanding various dementias, effective communication, and managing behavior.

Is an Assessment Required Before Move-In?

A comprehensive assessment of the resident’s health, physical, social, functional, activity, and cognitive needs and preferences must be conducted by a registered nurse prior to move-in.

What Care is Available in an Assisted Living Residence?

  • Assistance with activities of daily living (ADLs).
  • Arrangement of support services.
  • Monitoring of recreational, social, and personal activities.

Skilled nursing care or therapy is available from a licensed health care provider for temporary illness or injury up to 45 days. This may be extended upon the approval of the Department or if the resident is under licensed hospice care.

How is Medication Managed?

Facilities are classified by how they manage medications. Level M1 residences have one or more residents who require central storage and/or administration of medication, requiring licensed staff or registered medication aides to administer medicine and monitor health. Level M2 residences require assistance with self-administration of medication.

What are the Bathroom Requirements for an Assisted Living Residence?

Assisted living residences require 1 toilet for every 8 residents, and 1 bathtub or shower for every 10.

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

Since residences are licensed based on their level of services, only residents meeting those criteria may move in. 30 days advance written notice is required for a residence to request an individual to move out—it must also include a statement or reason for the request, the effective date of termination, the resident’s right to appeal, and the name and address of the state ombudsperson’s office.

In the case of a life-threatening emergency or non-payment, the 30-day notice is not required.

Is Assisted Living Covered by Medicaid in the State of Rhode Island?

Yes. Medicaid home and community-based waivers cover services in assisted living for residents relocating from nursing homes and the another for elderly and adults with physical disabilities.

Who can I contact for more information?

Department of Health Facilities, Regulation Division
Andrew Powers
(401) 222-2566