Maryland

Residential assisted living licensing rules and official state resources

Licensure term: Assisted Living Program (encompasses residential and larger facilities)
Resident capacity: Depends on county - appears no set limitation as long as regulations are met and zoning approval is received.
Staff ratios: There must be a sufficient number of staff with qualifications to meet the 24-hour scheduled and unscheduled needs of the residents.
Cost of licensing: The non-refundable application fee for 2 years: $100 for 1-4 beds $150 for 5-15 beds $250 for 15-49 beds
Bedroom square footage: An assisted living program shall provide at minimum 80 sq ft of functional space for single resident, and 120 sq ft of space for a double occupancy room. No more than two residents may share a room.
Memory care: https://health.maryland.gov/ohcq/Pages/Assisted-Living-Programs.aspx

Full requirements

Regulatory Agency: Maryland Department of Health and Mental Hygiene : Office of Health Care Quality
Contact Phone Number: 410-402-8217
Licensure Term(s): Assisted Living Program (encompasses residential and larger facilities) 3 levels of Care: Level 1 = low level of care, Level 2 = moderate level of care, Level 3 = high level of care
Census Requirements: Depends on county - appears no set limitation as long as regulations are met and zoning approval is received. 1-16 residents (17+ additional requirements) Verify with your city.*
Staff Ratios: There must be a sufficient number of staff with qualifications to meet the 24-hour scheduled and unscheduled needs of the residents.
Cost of Licensing: The non-refundable application fee for 2 years: $100 for 1-4 beds $150 for 5-15 beds $250 for 15-49 beds Annual Licensing fee: $50 for 1-4 beds, $75 for 5-15 beds, $125 for 16-49 beds.
Square Footage Requirements: An assisted living program shall provide at minimum 80 sq ft of functional space for single resident, and 120 sq ft of space for a double occupancy room. No more than two residents may share a room.
Bathrooms Required: Buildings with one to eight occupants shall have a minimum ratio of one toilet to four occupants. Buildings with nine or more occupants shall have a minimum ratio of one toilet to four occupants and a minimum of one toilet for each floor on which a resident room is located.