National Survey of Residential Care Facilities: Sample Frame Construction and Benchmarking Report. National Survey of Residential Care Facilities: Sample Frame Construction and Benchmarking Report : Table 15

04/15/2010

: Table 15

StateAgencyAgency PhoneAgency ContactTitleAgency Address Contact PhoneAgency Web SiteLicensure Team
AlabamaDepartment of Public Health, Bureau of Health Provider Standards(334) 206-5300Ms. Diane A. Mann Director The RSA Tower P.O. Box 303017 201 Monroe Street Montgomery, AL 36104 Phone: (334) 206-5366http://adph.orgAssisted Living Facilities
AlaskaDepartment of Health and Social Services, Division of Public Health(907) 269-3640Ms. Jerri Van Sandt Assisted Living Licensing Unit Manager 619 E. Ship Creek Avenue Suite 232 Anchorage, AK 99501 Phone: (907) 269-3645http://www.hss.state.ak.us/dph/CL/ALL/default.htmAssisted Living Homes
ArizonaDepartment of Health Services, Division of Licensing Services(602) 364-2639Mr. Larry Martens, LPN, BS Program Manager 150 N. 18th Avenue Phoenix, AZ 85007 Phone: (602) 364-2639http://www.azdhs.govAssisted Living Facilities, Adult Foster Care Facilities, Residential Care Institutions (none currently licensed)
ArkansasDepartment of Health and Human Services, Office of Long Term Care, Division of Medical Services(501) 682-8468Mr. Jim Hicks Manager of Residential Care Facilities P.O. Box 8059 Mail Slot 8409 Little Rock, AR 72203-1437 Phone: (501) 682-6970http://www.state.ar.us/dhs/ading/assistedliving.htmlAssisted Living Facilities, Residential Care Facilities
CaliforniaDepartment of Social Services, Community Care Licensing Division Mr. Jeff Hiratsuka Deputy Director 744 P Street MS 19-50 Sacramento, CA 95814 Phone: 916-657-2346http://www.ccld.ca.govResidential Care Facilities for the Elderly
ColoradoDepartment of Public Health & Environment, Health Facilities Division(303) 692-2800Mr. Terry Zamell Program Manager 4300 Cherry Creek Drive S. Denver, CO 80246-1530 Phone: (303) 692-2884http://www.healthfacilities.infoAssisted Living Residences
ConnecticutDepartment of Public Health, Facility Licensing & Investigations Section(860) 509-7400Mr. Irvin Moy Public Health Services Manager 410 Capitol Avenue Hartford, CT 06134 Phone: (860) 509-5479http://www.dph.state.ct.usResidential Care Homes
DelawareDepartment of Health & Social Services, Division of Long Term Care Residents Protection Mr. Robert Smith Licensing and Certification Chief 3 Mill Road Suite 308 Wilmington, DE 19806 Phone: 302-577-6661http://dhss.delaware.gov/dhss/dltcrp/licfac.htmlAssisted Living Facilities, Group Home Facility for Persons with AIDS, and Rest Residential Homes
District of ColumbiaDepartment of Health, Health Regulation Administration(202) 442-5888Ms. Valerie Ware Program Manager 825 North Capitol Street, NE Washington, DC 20002 Phone: (202) 442-4733http://hrla.doh.dc.gov/hrla/cwp/view,a,1384,q,573800,hrlaNav,%7C33257%7C.aspCommunity Residence Facilities and Assisted Living Facilities
FloridaAgency for Health Care Administration, Division of Health Quality Assurance, Bureau of Long Term Care Services(850) 487-2515Mr. Bernard Hudson Unit Manager, Long Term Care Long Term Care Section Mail Stop #33 2727 Mahan Drive Tallahassee, FL 32308 Phone: (850) 488-5861http://ahca.myflorida.com/MCHQ/Long_Term_Care/Assisted_living/alf.shtmlAssisted Living Facilities, Adult Family Care Facilities
GeorgiaDepartment of Human Resources, Office of Regulatory Services, Personal Care Home Program(404) 657-5856Ms. Victoria Flynn Director Two Peachtree Street, NW Atlanta, GA 30303-3142 Phone: (404) 657-5718http://www.ors.dhr.georgia.govPersonal Care Homes
HawaiiDepartment of Health, Office of Health Care Assurance(808) 586-4080Mr. Keith Ridley Chief 1250 Punchbowl Street Honolulu, HI 96813 Phone: (808) 586-4080http://www.state.hi.us/doh/resource/ohcaAssisted Living Facilities, Adult Residential Care Homes
IdahoDepartment of Health and Welfare, Licensing and Certification(208) 334-6626Ms. Jamie Simpson, MBA, QMRP Supervisor P.O. Box 83720 3232 Elder Street Boise, ID 83720-0036 Phone: (208) 334-6626http://www.healthandwelfare.idaho.gov/SITE/4332/DEFAULT.ASPXResidential Care Facility/Assisted Living
IllinoisDepartment of Public Health, Division of Assisted Living, Bureau of Long Term Care(217) 782-2913 2448Mr. Richard L. Dees Assistant Deputy Director 5th Floor 535 West Jefferson Street Springfield, IL 62761 Phone: (217) 782-2913http://www.idph.state.il.usAssisted Living/Shared Housing Establishments, Shelter Care Facilities
IndianaDepartment of Health, Division of Long Term Care(317) 233-7442Ms. Miriam Buffington Program Manager 2 North Meridian Street Indianapolis, IN 46204-1864 Phone: (317) 233-7613http://www.in.gov/isdh/20227.htmResidential Care Facilities
IowaDepartment of Inspections and Appeals, Division of Health Facilities, Adult Services Bureau(515) 281-7039Ms. Rose Bocella Quality Coordinator Lucas State Office Building 321 East 12th Street Des Moines, IA 50319-0083 Phone: (515) 281-5077https://dia-hfd.iowa.gov/DIA_HFD/Home.doAssisted Living Programs, Assisted Living Programs for People with Dementia, Elder Group Homes, Residential Care Facilities
KansasDepartment on Aging, Licensure, Certification and Evaluation Commission(785) 296-1253Ms. Susan Fout Director of the Mental Health and Residential Care Facilities Division New England Building 503 S. Kansas Avenue Topeka, KS 66603 Phone: (785) 296-6029http://www.agingkansas.orgAssisted Living Facilities, Home Plus, and Residential Health Care Facilities
KentuckyDivision of Health Care(502) 564-6546Ms. Mary Curlin Director, Division of Health Care 275 E. Main Street, 5 E-A Frankfort, KY 40621-0001 Phone: (502) 564-6930http://chfs.ky.gov/os/oig/dhcfs.htmPersonal Care Homes
KentuckyCabinet for Health & Family Services, Department for Aging & Independent Living(502) 564-6930Ms. Phyllis Sosa Acting Director, Long Term Living, Division of Operations and Support 275 E. Main Street Frankfort, KY 40621-0001 Phone: (502) 564-6930http://www.chs.ky.gov/agingAssisted Living Communities
LouisianaDepartment of Social Services, Bureau of Residential Licensing(225) 342-9734Ms. Yvonne D. Stewart Licensing Manager P.O. Box 3078 627 N. 4th Street, 1st Floor Baton Rouge, LA 70821 Phone: (225) 342-9640http://www.louisiana.gov/Adult Residential Care Facilities
MaineDepartment of Health and Human Services, Division of Licensing and Regulatory Services, Assisted Housing Program(207) 287-9300Mr. Todd Beaulieu Licensing Manager 221 State Street Augusta, ME 04333 Phone: (207) 287-9300http://www.maine.gov/dhhs/dlrsAssisted Living Programs and Residential Care Facilities
MarylandDepartment of Health and Mental Hygiene, Office of Health Care Quality(410) 402-8217Ms. Roslyn Tyson Assisted Living Licensure Coordinator 201 W. Preston Street Baltimore, MD 21201 Phone: (410) 402-8189http://www.dhmh.state.md.us/ohcqAssisted Living Programs
MassachusettsExecutive Office of Elder Affairs(617) 727-7750Mr. Duamarius Stukes Director, Housing and Assisted Living Programs One Ashburton Place, 5th Floor Boston, MA 02108 Phone: (617) 222-7465http://www.state.ma.us/elderAssisted Living Residences, Residential Care Homes (Rest Homes)
MichiganDepartment of Human Services, Bureau of Children and Adult Licensing(517) 373-8580Ms. Deborah J. Wood Division Director P.O. Box 30037 235 S. Grand Avenue Lansing, MI 48909 Phone: (517) 335-6483http://www.michigan.gov/afchfaHomes for the Aged and Adult Foster Care Homes
MinnesotaDepartment of Health, Licensing and Certification Program(651) 201-4101Ms. Mary Absolon Program Manager P.O. Box 64900 85 E. Seventh Place, Suite 300 St. Paul, MN 55164-0975 Phone: (651) 201-4100http://www.health.state.mn.usClass A and F Home Care Provider Agencies
MississippiDepartment of Health, Bureau of Health Facilities Licensure and Certification(601) 364-1110Ms. Marilynn Winborne Bureau Director 570 East Woodrow Wilson Drive Jackson, MS 39216 Phone: (601) 364-1110http://www.msdh.state.ms.usPersonal Care Homes Residential Living and Personal Care Homes Assisted Living
MissouriDepartment of Health and Senior Services, Division of Regulation and Licensure, Section for Long Term Care Regulation(573) 526-3050Ms. Shelly Williamson Interim Administrator P.O. Box 570 Jefferson City, MO 65102 Phone: (573) 526-8524http://www.dhss.mo.gov/showmelongtermcare/longtermcare.htmlAssisted Living Facilities and Residential Care Facilities
MontanaDepartment of Public Health and Human Services, Quality Assurance Division, Bureau of Licensure(406) 444-2676Ms. Jan Kiely Health Care Facility Program Manager P.O. Box 202905 555 Fuller Avenue Helena, MT 59620 Phone: (406) 444-1575http://www.dphhs.mt.govAssisted Living Facilities
NebraskaDepartment of Health and Human Services, Division of Public Health, Office of Long Term Care Facilities, Licensure Unit(402) 471-2133Ms. Eve Lewis Section Administrator P.O. Box 94986 301 Centennial Mall S. Lincoln, NE 68509-5026 Phone: (402) 471-3324http://www.hhs.state.ne.us/crl/Medfac/ALF/alf.htmAssisted-Living Facilities
NevadaDivision of Health, Bureau of Health Care Quality and Compliance, Licensure & Certification(775) 687-4475Ms. Patricia Chambers, RN 4150 Technology Way Carson City, NV 89706-2009 Phone: (775) 687-4475http://www.health.nv.gov/HCQC.htmAdult Group Care--Assisted Living, Residential Group Care; Adult Group Care for Alzheimers Disease--Residents with Dementia
New HampshireDepartment of Health and Human Services, Division of Public Health, Office of Operations Support, Health Facilities Administration(603) 271-4680Mr. John Martin 129 Pleasant Street Concord, NH 03301-3857 Phone: (603) 271-5321http://www.dhhs.nh.gov/DHHS/BHFA/default.htmAssisted Living Residences--Supported Residential Health Care and Assisted Living Residences--Residential Care
New JerseyDepartment of Health and Senior Services, Division of Long Term Care Systems, Office of Certificate of Need and Health Care Facility Licensure(609) 633-9034Ms. Barbara Goldman Assistant Director P.O. Box 360 Trenton, NJ 08625-0360 Phone: (609) 984-8185http://www.state.nj.us/healthAssisted Living Residences, Comprehensive Personal Care Homes and Residential Health Care Facilities
New MexicoDepartment of Health, Division of Health Improvement, Health Facility Licensing and Certification Bureau(505) 476-9025Ms. Amber Espinosa-Trujillohttp://dhi.health.state.nm.us/fjlc/index.phpAdult Residential Care Facilities
New YorkDepartment of Health, Adult Care(518) 408-1133Ms. Mary Hart Director Corning Tower Empire State Plaza Albany, NY 12237 Phone: (518) 408-1600http://www.health.state.ny.usAssisted Living Residences (Adult Care Homes and Facilities, Enriched Housing), Enriched Housing Program and Assisted Living Program
North CarolinaDepartment of Health and Human Services, Division of Health Service Regulation, Adult Care Licensure Section(919) 855-3765Ms. Barbara Ryab Chief 2708 Mail Service Center 805 Biggs Drive Raleigh, NC 27699-2708 Phone: (919) 855-3765http://www.ncdhhs.gov/aging/agh.htmAdult Care Homes (Family Care Homes)
North DakotaDepartment of Health, Division of Health Facilities(701) 328-2352Dr. Darleen Bartz 600 E. Boulevard Avenue, Dept 325 Bismarck, ND 58505-0250 Phone: (701) 328-2352http://www.health.state.nd.us/Basic Care Facility
North DakotaDepartment of Human Services, Assisted Living Facilities(701) 328-2321Dr. Lianne Deal 600 E. Boulevard Avenue, Dept 325 Bismarck, ND 58505-0250 Phone: (701) 328-4893http://www.nd.gov/dhs/services/medicalserv/medicaid/assisted-living.htmlAssisted Living Facility
OhioDepartment of Health, Division of Quality Assurance Ms. Rebecca Maust Chief P.O. Box 118 246 N. High Street Columbus, OH 43216-0118 Phone: (614) 466-7857http://www.odh.ohio.gov/odhPrograms/ltc/rcfacal/rcfac1.aspxResidential Care Facilities and Adult Care Facilities
OklahomaDepartment of Health, Protective Health Services, Licensure(405) 271-6868Ms. Darlene Simmons 1000 N.E. 10th, Room 1011 Oklahoma City, OK 73117-1299 Phone: (405) 271-6868http://www.ok.gov/health/Protective_Health/Health_Resources_Development_Service/Health_Facility_Systems_/Continuum_of_Care_Facility_and_Assisted_Living_Center_Licensure/Assisted Living Centers and Residential Care Homes
OregonDepartment of Human Services, Health Care Licensure and Certification Section(971) 673-0540Mr. Dennett Taber 800 N.E. Oregon Street, Suite 305 Portland, OR 97232 Phone: (503) 945-5793http://www.oregon.gov/DHS/spwpd/index.shtmlResidential Care Facilities and Assisted Living Facilities
OregonDepartment of Human Services, Seniors and People with Disabilities(503) 945-5793Ms. Sylvia Rieger 800 N.E. Oregon Street, Suite 305 Portland, OR 97232 Phone: (503) 945-5793http://www.oregon.gov/DHS/spwpd/index.shtmlAdult Foster Cares
PennsylvaniaDepartment of Public Welfare, Bureau of Adult Residential Licensure(717) 783-3670Ms. Tara Pride P.O. Box 2675 Harrisburg, PA 17105-2675 Phone: (717) 346-8116http://www.dpw.state.pa.us/about/OLTL/Personal Care Homes
Rhode IslandDepartment of Health Facilities, Division of Health Facilities Regulation(401) 222-2566Mr. Richard Yacino Chief 3 Capitol Hill Providence, RI 02908-5097 Phone: (401) 222-4537http://www.health.ri.gov/Assisted Living Residences
South CarolinaDepartment of Health and Environmental Control, Division of Health Licensing, Bureau of Certification(803) 545-4370Mr. Shelton Elliott 2600 Bull Street Columbia, SC 29201 Phone: (803) 545-4227http://www.scdhec.gov/healthy-living.htmCommunity Residential Care Facilities
South DakotaDepartment of Health, Office of Health Care Facilities Licensure and Certification(605) 773-3356Ms. Rosemary Connot 600 East Capitol Avenue Pierre, SD 57501-2536 Phone: (605) 842-2969http://www.state.sd.us/doh/Facility/levels.htmAssisted Living Centers, Adult Foster Care Homes
TennesseeDepartment of Health, Division of Health Care Facilities, Licensure Unit(615) 741-7221Ms. Bobbie Woodard Supervisor N. Cordell Hull Building, 3rd Floor 425 5th Avenue Nashville, TN 37247-0508 Phone: (615) 741-7189http://health.state.tn.us/Hcf/index.htmAssisted-Care Living Facilities and Homes for the Aged
TexasDepartment of Aging and Disability Services(512) 438-2630Ms. Dotty Acosta 701 W. 51st Street Austin, TX 78751 Phone: (512) 438-2170http://www.dads.state.tx.us/Assisted Living Facilities
UtahDepartment of Health, Bureau of Health Facility Licensing, Certification and Resident Assessment(801) 538-6158Mr. Joel Hoffman Director P.O. Box 16990 288 N. 1460 West Salt Lake City, UT 84116-0990 Phone: (435) 251-8955http://www.health.utah.gov/licensing/Assisted Living Facilities
VermontAgency of Human Services, Department of Disabilities, Aging, and Independent Living, Division of Licensing & Protection(802) 241-2345Ms. Frances Keeler Director 102 S. Main Street, Weeks Building Waterbury, VT 05671-1601 Phone: (802) 241-2358http://www.dail.vermont.govAssisted Living Residences and Residential Care Facilities
VirginiaDepartment of Social Services, Division of Licensing Programs(804) 726-7157Ms. Judy McGreal 7 N. 8th Street Richmond, VA 23219-3001 Phone: (804) 726-7157http://www.dss.state.va.us/Assisted Living Facilities
WashingtonDepartment of Social and Health Services, Aging and Disability Services Administration(360) 725-2300Mr. Denny McKee P.O. Box 45130 Olympia, WA 98504-5130 Phone: (360) 725-2348http://www.adsa.dshs.wa.govBoarding Homes, Adult Family Homes, and Assisted Living Facilities
West VirginiaDepartment of Health and Human Resources, Bureau for Public Health, Office of Health Facilities Licensure and Certification(304) 558-0050Ms. Sharon Kirk Program Manager Capitol and Washington Street 1 Davis Square, Suite 101 Charleston, WV 25301 Phone: (304) 558-3151http://www.wvdhhr.org/ohflac/Residential/Contact.aspxAssisted Living Residences
WisconsinDepartment of Health Services, Division of Quality Assurance, Bureau of Assisted Living(608) 266-8598Mr. Kevin Coughlin 1 W. Wilson Street Madison, WI 53703 Phone: (920) 448-5255http://dhfs.wisconsin.gov/bqaconsumer/AssistedLiving/AsLivindex.htmCommunity Based Residential Facilities, Adult Family Care, and Residential Care Apartment Complexes
WyomingDepartment of Health, Aging Division, Office of Healthcare Licensing and Surveys(307) 777-7123Ms. Jean McLlean Survey Agent 401 Hathaway Building Cheyenne, WY 82002 Phone: (307) 777-7123http://wdh.state.wy.us/ohls/index.htmlAssisted Living Facilities, Adult Foster Homes, Boarding Homes