About Assisted Living in Vermont

A place that takes pride in preserving small town New England charm, Vermont is the 49th least populated state in the nation. While the cost of living is above the national average, it is slightly lower than the surrounding states. Other disadvantages include a high income tax, higher than average nursing home and assisted living costs, and social security income is taxed.

What Options are Available for Assisted Living?

In the state of Vermont an assisted living residence is a program that combines house, heath, and supportive services to support independence within a home-like setting, promoting self-direction and active participation in decision making.

Assisted living providers must disclose all service plans and rates, as well as all programs, policies, and physical plant features, to the resident prior to admission.

All residences must meet National Fire Protection Association and Department of Public Safety rules regarding the use of smoke detectors, carbon monoxide detectors, and automatic sprinkler systems.

What are the Alzheimer’s Requirements for Assisted Living Residences in Vermont?

Special Care Units must meet licensing requirements and request approval in order to admit residents with Alzheimer’s or other cognitive impairments. Special Care Staff must have access to the administrator at all times, and at least 1 personal care assistant must be on site and available 24-hours a day to meet residents’ needs. An RN or licensed practical nurse must also be on site to oversee all service plans.

Senior Assisted Living Details and Costs for Cities in Vermont

Listed below are some of the larger cities in Vermont. Each city link provides details on senior care facilities, independent living, senior apartments and homes, as well as Alzheimer's care facilities. City pages may include details on costs, amenities, services provided, as well as other useful information.

What Training is Required for Assisted Living Residence Staff?

All staff must complete an orientation on the principles and philosophy of assisted living, as well as complete annual training. Staff who have direct care responsibilities must complete training in communication skills, dealing with individuals with Alzheimer’s and other cognitive impairments.

Is an Assessment Required Before Move-In?

Vermont requires the use of the Vermont Residential Care Home/Assisted Living Residence Tool to be used for assessing potential residents prior to admission.

What Care is Available in an Assisted Living Residence?

  • 24-hour supervision.
  • Assistance with personal activities and instrumental activities of daily living (IADLs).
  • Nursing assessment, health monitoring, routine nursing, and intermittent skilled nursing services.
  • Supervision and services for residents with dementia or other cognitive impairments.
  • Medication management, administration, and assistance.
  • Access to ancillary services for medical-related care, maintenance and equipment, barber/beauty services, and social/recreational opportunities.

Residents may contract licensed 3rd party healthcare providers.

How is Medication Managed?

If a resident is unable to self-administer medication they may receive assistance or administration from a trained staff member upon the delegation from a registered nurse.

What are the Bathroom Requirements for an Assisted Living Residence?

All resident units must have a private bathroom.

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

Assisted living facility can only admit residents whose needs can be met by the facility, and they may not admit or retain residents who are an immediate threat to themselves or others. Depending on the residence there may be other criteria for discharge, including 24-hour nursing care, requiring dependence for ADLs (activities of daily living), severe cognitive decline, stage III or IV pressure sores, and more.

Is an Assisted Living Residence Covered by Medicaid in the State of Vermont?

Yes. There are 2 programs that cover assisted living services in the state: The Assistive Community Care Services Program and The Choices for Care 1115 Program.

Who can I contact for more information?

Vermont Department of Disabilities, Aging, and Independent Living, Division of Licensing & Protection
Fran Keller
(802) 871-3317