Colorado Assisted Living Facilities
Cost of Colorado Assisted Living Facilities
According to the 2015 Genworth Financial cost of care survey, the average cost of assisted living in Colorado is $3,750 per month.
The monthly base rate for Colorado assisted living is typically higher when compared to neighboring states. Colorado is also more expensive compared to the national average.
This cost is the base cost for a one-bedroom assisted living unit in Colorado. Additional fees beyond the base rate may apply.
Monthly Costs Compared to Neighboring States
Assisted Living Regulations
Colorado defines Assisted Living Facility as Assisted Living Residence. Assisted living residences are residential facilities that make healthcare and living available to three or more adults who are unrelated to the owner, through an agreement between the provider and the resident, room and board and at least the following services: personal services; protective oversight; social care due to impaired capacity to live independently; and regular supervision available 24-hours per day, though not to the extent that regular 24-hour medical nursing care is required. There must be documentation that the following has been disclosed upon admission, unless otherwise specified, to the resident or the resident's legal representative as appropriate: the facility's policies and procedures; the method of determining staffing requirements based on resident needs and how often certified or licensed health professionals are available onsite; types of daily activities, whether the facility has automatic fire sprinkler systems; if the facility uses restrictive egress alert devices and the types of behaviors exhibited by those needing such devices; availability of first aid certified staff; and the facility policy on CPR and lift assistance.
Colorado Assisted Living Facility Scope of Care
In Colorado, the facility must make available through a resident agreement, the following services: a physically safe and sanitary environment; room and board; personal services; protective supervision, and social care. A facility is permitted to contract with home health agencies for services beyond what it provides. Any resident may enter into a contract with an agency for additional services.
Colorado Assisted Living Admission Requirements
A facility is not allowed to admit or keep any resident requiring a level of care or type of service that the facility is unable to provide; is totally bedridden with limited potential for improving; needs medical or nursing services 24-hours a day; needs restraints; has a communicable disease or infection; or has a substance abuse problem - unless it is no longer acute and a physician determines it to be manageable. A facility may keep a resident that becomes bedridden while residing there if there is documentation of the following: an order from a physician listing services required to meet the health needs; ongoing assessment and monitoring by a licensed or certified home health agency or hospice; and adequate staffing by people trained in caring for bedridden residents.
Colorado Assisted Living Care Plan Requirements
There is no standard required assessment form for Colorado. Regulations require a comprehensive pre-admission assessment of the residents' physical, health, social needs, preferences, and ability to care for themselves.
Colorado Assisted Living Medication Management Requirements
All medication is the property of the resident and no resident is required to surrender their right to keep or self-administer their personal medication, unless otherwise detailed in the resident's care plan. Unless licensed to provide services specifically for the mentally ill, or if a physician or authorized medical professional determined that the resident lacks capacity to possess or administer medication safely. For residents unable to self-administer medications, medications must be given by a qualified staff member. A qualified medication aide is permitted to administer oral, inhalant, topical, vaginal, and rectal medications, but not injections.
Colorado Assisted Living Facility Requirements
Private resident units have to be at least 100 square feet, and double occupancy resident units must be at least 60 square feet per resident. Two residents are allowed per resident unit. For those facilities licensed before July 1, 1986, up to four residents are allowed per room, until either a substantial remodeling or change of ownership occurs. Shared bathrooms are allowed with at least one full bathroom for six residents.
Colorado Assisted Living Staffing Requirements
In Colorado, it is required that staffing must be adequate to meet the needs of the residents. In Adult Congregate Living, the staffing ratio is one to six. Facility operators must be at least 21 years old and meet the minimum educational, training, and work experience standards in one of these areas; completing a Department of Public Health approved program or having documented job-related experience or education. The department may require additional training so that all required components of the training curriculum are met. Administrators must have the equivalent of 30 hours of training in 15 required topics, and 15 hours of training relating to the needs of residents served by the facility. Staff will be given on-the-job training, or have work-related experience. Before providing direct care, the facility must provide training on specific needs of the population served; resident rights; first aid and injury response, and procedures for providing lift assistance; care and services for current residents; and the facility's medication administration program. Within one month of hire the facility must provide training on assessment skills; infection control; identifying and dealing with difficult situations and behaviors; and health emergency response. There must be one staff member at all times certified in adult first aid.
Colorado Assisted Living Medicaid Policy
A Medicaid home and community-based services waiver covers health care services in alternative care facilities. Facilities are reimbursed at a rate based on the resident's level of income.
Colorado Medicaid Coverage of Assisted Living and Related Services
The State of Colorado pays for assisted living through the Elderly, Blind and Disabled Waiver. In this state, assisted living is labeled alternative care facilities.
The Elderly, Blind and Disabled Medicaid Waiver is designed to help the elderly who have functional impairments which qualify them to receive nursing home care. Individuals can elect to receive needed care services at home instead of in a nursing home facility. They also have the option to self-direct their own care services. In other words, they can hire and manage their own care providers. For more information, please visit the Colorado Consumer Directed Attendant Support Services (CDASS) Program. http://www.payingforseniorcare.com/cash-and-counseling/co-cdass-program.html
Services and Benefits of the Elderly, Blind and Disabled Waiver include:
- Adult Day Care / Adult Day Health Care
- Alternative Care Facilities
- Assistive Technology
- Community Transition Services
- Consumer Directed Attendant Support
- Counseling and Therapeutic Services
- Dental Services
- Personal Emergency Response System (PERS)
- Home Modifications to Increase Access
- Homemaker Services
- In Home Support Services
- Non-Medical Transportation Coordination and Assistance
- Personal Care
- Respite Care for Family Caregivers
The Colorado Elderly, Blind and Disabled Waiver is available statewide. All submissions are managed by county Medicaid agencies. To locate the agency in your Colorado County, click here.
The State of Colorado has eleven additional Medicaid waiver programs. There are four that help individuals with intellectual and/or developmental disabilities.
Here is the list of all Colorado Medicaid Waivers:
Waiver for Persons Developmentally Disabled designed for individuals with developmental disabilities age 18 and older and cannot be living with his or her family.
Supported Living Services Waiver is designed for individuals with developmental disabilities supported living in the home or community, 18 or older. The support services are for adults who can live independently with limited supports. It also applies to persons needing extensive support and currently getting help from others, like family.
Children with Autism Waiver - designed for children, aged birth through 5, with a medical diagnosis of Autism in significant need due to the severity of their disability. The waiver is handled by Colorado's Health Care Policy and Financing Agency.
Children's Extensive Support Waiver is designed for children, birth through 17, with developmental disabilities or delays in need due to the severity of their disability. This program serves children with significant medical and/or behavioral needs. These children are at high risk of out-of-home placement and require near constant supervision due to one or more: (1.) self-injurious or self-endangering behavior or medical condition which, without intervention, will result in a life threatening condition or situation; (2.) a demonstrated pattern of serious aggression toward self, others or property; or (3.) constant vocalizations which are a significant disruption to family life.
Children's HCBS Waiver - for disabled children, birth through age 17, who would otherwise be ineligible for Medicaid due to excess parental income and/or resources. This age group must be at risk of nursing facility or hospital placement.
Children's Habilitation Residential Program Waiver is intended to provide residential services for children and youth, ages birth to 21, in foster care who have a developmental disability and extraordinary needs and have a risk for institutionalization.
HCBS Waiver for individuals with Brain Injury - planned for persons, ages 16 through 64) to provide a home or community based alternative to hospital or specialized nursing facility.
HCBS Waiver for Individuals with Mental Illness is directed to deliver a home or community based alternative to nursing facility care for persons with major mental illness. For ages 18 and older.
HCBS Waiver for Persons Living with AIDS delivers a home or community based alternative to hospital or nursing facility care for persons living with HIV/AIDS. No age restriction.
HCBS Waiver for Persons who are Elderly, Blind and Disabled offers a home or community based alternative to nursing facility care for elderly, blind, and disabled persons. For ages 18 and older.
Pediatric Hospice Waiver (HOPEFUL Program) allows access to Medicaid services for children with a life-limiting illness. The HCBS Pediatric Hospice Waiver (HCBS PHW) is for children from birth to age nineteen with a medical diagnosis of a life-limiting illness who meet the institutional level of care for inpatient hospitalization.
Department of Public Health Phone (303) 692-2800
Contact: Terry Zamell Phone (303) 692-2884
Web Site: http://www.healthfacilities.info
What is the best number to call to get started in Colorado? Phone: (303) 866-7450 or 303 866-7904
Is there a website? http://www.colorado.gov/hcpf
Colorado Department of Public HealthPhone: (303) 692-2800
Phone: (303) 692-2884
Much of the information above was adapted from the National Center of Assisted Living 2010 Regulatory Review.
License information source: Colorado Department of Public Health and Environment
Colorado Assisted Living Facilities by City
- What is Assisted Living?
- Who Lives in Assisted Living?
- Services Provided
- Staff and Administration
- Quiz: What type of care is right for me?
- Talking to a Parent
- Assisted Living Costs
- Ways to Pay for Assisted Living
- Putting Together a Financial Plan
- If You Can't Afford Assisted Living
- Planning Your Social Security to Better Pay for Retirement
- Prescription Drug Assistance
- Choosing an Assisted Living Facility
- Moving Out of the Family Home
- Moving Into an Assisted Living Community
- Resident Activities
- Resident Health
- Medication Management and Adherence Education
- How Tech Advanced are Facilities?