Which entity typically requires written notice before termination of service in ALFs?

In Assisted Living Facilities (ALFs), state agencies play a crucial role in regulating the standards of care and operations, including the circumstances under which services may be terminated. These agencies are responsible for ensuring that facilities comply with state laws and regulations that protect residents' rights. As part of these regulations, they often require that residents receive written notice before the termination of services. This requirement ensures that residents are informed of changes that will affect their living conditions, providing them with the opportunity to make alternative arrangements if necessary. This helps to maintain transparency and accountability within the care system.

While residents, administrators, and family members may also have roles in the process or specific rights related to service termination, it is the state agencies that set the mandated requirements for written notifications to ensure compliance with legal standards and ethical treatment of residents.