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New Mexico

Residential assisted living licensing rules and official state resources

Licensure term
Assisted Living Facilities for Adults
Resident capacity
2+ (for maximums verify with city)
Staff ratios
The minimum staff-to-resident ratio is one direct care worker for 15 or fewer residents
Cost of licensing
300.0
Bedroom square footage
Facilities with four (4) or more residents shall provide accessibility to residents with disabilities in accordance with the state building code and the American Disabilities Act.
Memory care
MEMORY CARE UNITS: An assisted living facility that provides a memory care unit to serve residents with dementia shall comply with the provisions of subsection A-J below in addition to the rules applicable to all assisted living facilities, 7.8.2 NMAC.

Full requirements

License Application
To request the application packet, you must submit a letter of intent describing the type of facility you plan to open.
Regulatory Agency
New Mexico Department of Health, Division of Health Improvement, Health Facility Licensing and Certification Bureau
Contact Phone Number
Bureau Chief Mike Santillanes 505-476-9025
Licensure Term(s)
Assisted Living Facilities for Adults
Census Requirements
2+ (for maximums verify with city)
Qualifications for Managers
Facilities must employ an administrator who is responsible for daily operations; direct care staff to provide personal care assistance and supervision; and a licensed nurse if the facility provides medication administration. In addition, a licensed nurse or physician extender must be available to review health evaluations and ISPs.
Qualifications for Caregivers
Direct care staff must complete 16 hours of supervised training prior to providing unsupervised care and 12 hours of training annually. Training must include fire safety; first-aid; resident confidentiality; residents' rights; reporting requirements for abuse, neglect, and exploitation; infection control; transportation safety for assisting residents and operating vehicles to transport residents; and methods for providing quality resident care. For facilities offering hospice services, all staff must receive 6 hours of hospice training plus 1 additional hour for each hospice resident's ISP.
Staff Ratios
The minimum staff-to-resident ratio is one direct care worker for 15 or fewer residents
Cost of Licensing
300.0
Square Footage Requirements
Facilities with four (4) or more residents shall provide accessibility to residents with disabilities in accordance with the state building code and the American Disabilities Act.
Bathrooms Required
A minimum of one toilet, sink, and bathing unit must be provided for every eight residents.
Memory Care Requirements
MEMORY CARE UNITS: An assisted living facility that provides a memory care unit to serve residents with dementia shall comply with the provisions of subsection A-J below in addition to the rules applicable to all assisted living facilities, 7.8.2 NMAC. A. Additional definitions: The following definitions, in addition to those in 7.8.2.7 NMAC, shall apply. (1) “Alzheimer’s” means a brain disorder that destroys brain cells, causing problems with memory, thinking and behavior that are severe enough to affect work, lifelong hobbies or social life. Alzheimer’s gets progressively worse and is fatal. (2) “Care coordination agreement requirement” means a written document that outlines the care and services that are provided by other outside agencies for assisted living residents that require additional care and services. (3) “Dementia” means loss of memory and other mental abilities severe enough to interfere with daily life. It is caused by changes in the brain. (4) “Memory care unit” means an assisted living facility or part of or an assisted living facility that provides added security, enhanced programming and staffing appropriate for residents with a diagnosis of dementia, Alzheimer’s disease or other related disorders causing memory impairments and for residents whose functional needs require a specialized program. (5) “Secured environment” means locked (secured/monitored) doors/fences that restrict access to the public way for residents who require a secure unit. B. Care coordination requirement. An assisted living facility that accepts residents with memory issues shall determine which additional services and care requirements are relevant to the resident and disease process.
Memory Care Requirements (continued)
(1) The medical diagnosis and ISP shall be utilized in the determination of the need for additional services. (2) The assisted living facility shall ensure the coordination of services and shall have evidence of an agreement of care coordination for all services provided in the facility by an outside health care provider. C. Employee training. In addition to the training requirements for all assisted living facilities, pursuant to 7.8.2.17 NMAC, all employees assisting in providing care for memory unit residents shall have a minimum of twelve