Michigan

Residential assisted living licensing rules and official state resources

Licensure term: Adult Foster Care Group Homes - Small Group Home (AS), Medium Group Home (AM), Large Group Home (AL)
Resident capacity: Small Group Home (AS)
Staff ratios: No minimum ratios.
Cost of licensing: Small Group Home 1 – 6 $105.00
Bedroom square footage: A single resident room shall have at least 80 square feet of usable floor space.
Memory care: No explicitly separate requirements can be found for those who serve residents with Alzheimer's or dementia related diseases. However, it should be taken into consideration that the staff needs to be able to handle the level of care needed by each resident at all times.

Full requirements

Regulatory Agency: Michigan Department of Licensing and Regulatory Affairs
Contact Phone Number: 866-685-0006
Licensure Term(s): Adult Foster Care Group Homes - Small Group Home (AS), Medium Group Home (AM), Large Group Home (AL)
Census Requirements: Small Group Home (AS) May be licensed for 1-6 residents depending on available space, as well as the number of occupants of the home and the number of toilets in the home. There are no zoning restrictions. Requires an interconnected smoke detection system installed according to the manufacturer's specifications and the NFPA 101, Life Safety Code of 1988, powered by the building's electrical system. Medium Group Home (AM) May be licensed for 7-12 residents depending on available space, as well as the number of occupants of the homes and the number of toilets in the home. Approval from the local zoning authority is required. Bureau of Fire Services (BFS) rules apply and are enforced by the BFS. Newly licensed homes require a sprinkler system; existing homes that undergo a change of ownership/licensee do not require a sprinkler system if the new license application is made within 60 days of the previous license expiration and the license category is not changed. Local health departments complete inspections of group homes with private water supply and/or sewage disposal systems. Large Group Home (AL) May be licensed for 13-20 residents depending on available space. Approval from the local zone authority is required. Bureau of Fire Services (BFS) rules apply and are enforced by the BFS. A sprinkler system is required for all large group homes. Local health departments complete inspections of group homes with private water supply and/or sewage disposal systems.
Qualifications for Managers: (1) The owner, operator, and governing body of a home shall do all of the following: (a) Assume full legal responsibility for the overall conduct and operation of the home. (b) Assure that the home maintains an organized program to provide room and board, protection, supervision, assistance, and supervised personal care for its residents. (c) Assure the availability of emergency medical care required by a resident. (d) Appoint a competent administrator who is responsible for operating the home in accordance with the established policies of the home. (2) An administrator shall meet all of the following requirements: (a) Be at least 18 years old. (b) Have education, training, and/or experience related to the population served by the home. (c) Be capable of assuring program planning, development, and implementation of services to residents consistent with the home's program statement and in accordance with the residents' service plan and agreements. (3) A licensee who meets the qualifications of an administrator may serve as an administrator.
Qualifications for Caregivers: (3) The home shall designate 1 person on each shift to be supervisor of resident care during that shift. The supervisor of resident care shall be fully dressed, awake, and on the premises when on duty. (4) The supervisor of resident care on each shift shall do all of the following: (a) Assure that residents are treated with kindness and respect. (b) Protect residents from accidents and injuries. (c) Be responsible for safety of residents in case of emergency. (5) The home shall have adequate and sufficient staff on duty at all times who are awake, fully dressed, and capable of providing for resident needs consistent with the resident service plans. (6) The home shall establish and implement a staff training program based on the home's program statement, the residents service plans, and the needs of employees, such as any of the following: (a) Reporting requirements and documentation. (b) First aid and/or medication, if any. (c) Personal care. (d) Resident rights and responsibilities. (e) Safety and fire prevention. (f) Containment of infectious disease and standard precautions. (g) Medication administration, if applicable. (7) The home's administrator or its designees are responsible for evaluating employee competencies.
Staff Ratios: No minimum ratios.
Cost of Licensing: Small Group Home 1 – 6 $105.00 Small Group Home 7 – 12 $135.00 Large Group Home 13 – 20 $170.00
Square Footage Requirements: A single resident room shall have at least 80 square feet of usable floor space. A multi-bed resident room shall have at least 70 square feet of usable floor space per licensed bed.
Bathrooms Required: One toilet, sink and shower shall be provided for every eight (8) people using it, including live in staff and residents.
Memory Care Requirements: No explicitly separate requirements can be found for those who serve residents with Alzheimer's or dementia related diseases. However, it should be taken into consideration that the staff needs to be able to handle the level of care needed by each resident at all times.