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Vermont Assisted Living Facilities

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Vermont assisted living facilities are listed by city below. We recommend you search by ZIP code to include nearby facilities. However, you may choose a city to view all assisted living options in that area.


Cost of Vermont Assisted Living Facilities

According to the 2015 Genworth Financial cost of care survey, the average cost of assisted living in Vermont is $4,020 per month.

The monthly base rate for Vermont assisted living is typically lower when compared to neighboring states. Vermont is also more expensive compared to the national average.

This cost is the base cost for a one-bedroom assisted living unit in Vermont. Additional fees beyond the base rate may apply.

More info on Assisted Living Costs

Monthly Costs Compared to Neighboring States

New York$4,100
New Hampshire$5,103

Assisted Living Regulations

Vermont defines an assisted living facility as a residence in a homelike setting that combines housing, health care services and personal care services to allow residents to maintain their independence as long as possible. Individuality, privacy and dignity must be key components of any assisted living facility program.

Vermont Assisted Living Facilities Scope of Care

In Vermont, assisted living services must provide these services, although they are not limited to these: 1) 24-hour staff supervision to meet emergencies, and scheduled and unscheduled needs; (2) Assistance with all personal care activities and IADL's; (3) Nursing assessment, health monitoring, routine nursing tasks, and intermittent skilled nursing services; (4) Appropriate supervision and services for residents with dementia or related issues. If a resident needs additional health care services, a resident can contract with a home health care service for more regular nursing care, as long as such care does not prove to be a detriment to other residents. Facilities must facilitate access beauty salons, social and recreation needs, hospice and adaptive equipment as needed.

Vermont Assisted Living Admission Requirements

A facility cannot take a resident if the facility does not have the resources to care that resident's needs. If a facility has the capacity to accept such admission, it may accept residents who need 24-hour on-site nursing care, are dependent in four or more activities of daily living, have severe cognitive decline, have stage III or IV pressure sores, or have a medically unstable condition. Facilities may not accept a resident who is a threat to himself or others.

Vermont Assisted Living Care Plan Requirements

All new residents' needs must be assessed at intake with the Vermont Residential Care Home/Assisted Living Residence Assessment Tool. A resident's service plan is derived from the assessment.

Vermont Assisted Living Medication Management Requirements

Medication assistance must be offered by all assisted living facilities in Vermont.

Vermont Assisted Living Facility Requirements

Each resident unit must have a locking door, a private bedroom and bath, kitchen area and living space. Private residences must have a minimum of 225 square feet of space, but only 160 in pre-existing buildings. No more than two residents are permitted per residence unit, and all residents may have a private unit unless sharing a unit is requested. Private bathrooms are required.

Vermont Assisted Living Staffing Requirements

Direct care staff must be sufficient in number to meet the needs of the residents. Staff must have access to an administrator or designee at all times. An RN or LPN must supervise care plans and direct care staff must be present 24 hours a day. Al staff must be at least 18 years old and receive continuing education in a variety of areas. The administrator must meet certain education and/or training standards and complete an additional 20 hours of continuing education a year.

Vermont Assisted Living Medicaid Policy

Anyone who qualifies for Medicaid and is in need of assisted level care can receive the Assistive Community Care Services Program, a Medicaid state plan service that pays for services below nursing home level of care. The Choices for Care 1115 Program may provide additional funding if residents meet nursing home level of care requirements.

Vermont Alzheimer's Unit Requirements

If a Vermont assisted living facility has an Alzheimer's unit, then certain written disclosures are required. Additionally, staff who work in the unit must have specific training for working with that population. At least one specially trained staff person must be present in the unit at all times. Additional policies apply to these units.

Vermont Medicaid Coverage of Assisted Living and Related Services

The State of Vermont pays for services in non-nursing home, residential care facilities. The Medicaid program is called the Choices for Care Medicaid Waiver.

The Choices for Care through the Vermont Medicaid waiver is intended to help older residents that need a high level of care. It is designed to help them remain at home or in their community instead of a nursing home. The waiver is also referred to as the 1115 Long-Term Care Medicaid Waiver and the Vermont Medicaid is sometimes referred to the Green Mountain Care.

Individuals have an option to self-direct their care through the Flexible Choices program. The program gives cash to the elderly in place of care services which they can apply hiring their own caregivers and other care services. Flexible Choices allows individuals to employ family caregivers instead of nursing home personnel which is less costly to the state.

Choices for Care Services and Benefits

Each individual is approved for a specific suite of care and support services. The waiver also includes an Enhanced Residential Care (ERC) option that provides services in assisted living residences.

The services of the Medicaid waiver include the following:

- Adult Day Care

- Assistive Technology and Devices

- Case Management

- Companion Services

- Home Modifications

- Personal Care

- Personal Emergency Response System

- Respite Care

How to apply - the waiver is available in all Vermont counties but there may be a waiting list for services. Learn more on the Division of Disability and Aging Services webpage. You can visit your local VT Area Agency on Aging or apply online.

Individuals living with dementia or Alzheimer's can find help through Vermont's Dementia Respite Care Grants.

What is the best number to call to get started? 1- 802-871-3069

Is there a website?

Vermont Department of Disabilities, Aging, and Independent Living, Division of Licensing & Protection Phone (802) 871-3317

Contact: Fran Keeler Phone (802) 871-3317


Web Site:

Vermont Contacts

Vermont Department of Disabilities, Aging, and Independent Living, Division of Licensing & Protection

Phone: (802) 241-2345

Fran Keeler
Phone: (802) 241-2345

Much of the information above was adapted from the National Center of Assisted Living 2010 Regulatory Review.

License information source: Vermont Department of Disabilities, Aging, and Independent Living

Vermont Assisted Living Facilities by City