Which agency ultimately determines the bed capacity of an ALF?

The Agency for Health Care Administration primarily oversees the regulation and licensing of assisted living facilities (ALFs), including their bed capacity. This agency is responsible for ensuring that these facilities meet health and safety standards, which includes determining the maximum number of beds that can be safely accommodated based on facility design, staffing levels, and available services.

While the Local Zoning Office may have input regarding land use and zoning regulations that can affect where ALFs are located and how many may operate within a given area, the actual authority to establish the operational capacity of these facilities lies with the Agency for Health Care Administration.

The Department of Elder Affairs plays a critical role in advocating for the elderly population and providing resources, whereas the Long Term Care Ombudsman focuses on advocating for residents’ rights and quality of care in long-term care facilities. However, these agencies do not set the bed capacity for ALFs.