In Oklahoma, the license families see for assisted living is "Assisted Living Center", issued by the Oklahoma State Department of Health, Protective Health Services, Long Term Care Service. The center must complete an admission assessment within 30 days before admission or at the time of admission, coordinated and signed by a registered nurse or the resident's personal physician. A center must give at least 30 days' written notice before ending a residency, with exceptions for immediate health needs or physical safety.
Key facts
- The median monthly cost of assisted living in Oklahoma was $6,150 in CareScout's 2025 Cost of Care Survey, or $73,800 a year, $50 below the national median of $6,200 a month. (CareScout, 2026)
- Oklahoma's Medicaid ADvantage waiver can pay for assisted living services, but only in ADvantage-certified assisted living centers, and a waiting list applies when its limited slots are full. (Oklahoma Health Care Authority, 2026)
- Oklahoma's assisted living rules do not list a tuberculosis test for new residents. (Okla. Admin. Code 310, 2023)
- Certified medication aides, who may work in assisted living centers, can give insulin after Department-approved advanced diabetes training, with a physician or nurse on site if the person's diabetes is new or unstable or sliding-scale orders are unclear. (Okla. Admin. Code 310, 2023)
- A center that offers special dementia care must file a standardized disclosure form with the state and post it on its website, covering staffing, training, discharge criteria and fees. (Okla. Admin. Code 310, 2023)
Oklahoma calls assisted living an assisted living center, a home or establishment serving two or more unrelated people who need personal care or nursing supervision. The Oklahoma State Department of Health licenses these centers under the Continuum of Care and Assisted Living Act (63 O.S. 1-890.1 and following) and Oklahoma Administrative Code chapter 310:663, and a continuum of care facility pairs an assisted living center with a nursing facility. Residential care homes are a separate license, and the facts below cover the assisted living center license.
Rules change and communities can set stricter policies. Before you sign, confirm the details with the community and the Oklahoma State Department of Health, Protective Health Services, Long Term Care Service. This page is general information, not legal advice.
The rules at a glance
| Medical assessment before move-in | The center must complete an admission assessment within 30 days before admission or at the time of admission, coordinated and signed by a registered nurse or the resident's personal physician. A comprehensive assessment is due within 14 days after admission and every 12 months after that. [3][4] More on this |
|---|---|
| TB test | Oklahoma's assisted living rules do not list a tuberculosis test for new residents. The required admission assessment covers disease diagnosis and infections, so ask the center whether its own policy asks for a TB test. [5] More on this |
| Notice before a move-out | A center must give at least 30 days' written notice before ending a residency, with exceptions for immediate health needs or physical safety. Inappropriate placement includes needs beyond its care, a physician's finding that restraints are needed, or a threat to self or others; for other reasons, the resident may ask the state for a hearing within 10 business days. [6][7] More on this |
| Who may give medications | Certified medication aides, who may work in assisted living centers, can give insulin after Department-approved advanced diabetes training, with a physician or nurse on site if the person's diabetes is new or unstable or sliding-scale orders are unclear. Unlicensed staff who give any medications must have completed a Department-approved training program. [9][10][8] More on this |
| Memory care and dementia | A center that offers special dementia care must file a standardized disclosure form with the state and post it on its website, covering staffing, training, discharge criteria and fees. A center with a unit designed to limit residents' access to outside areas needs at least two staff awake on every shift and one direct care staff awake in the unit. [11][12][13] |
| Long-term care ombudsman | Oklahoma's Long-Term Care Ombudsman Program, a division of the Attorney General's office, serves residents of nursing homes, assisted living and similar adult care homes, and complaints can be made at 1-800-211-2116. [14] Official page More on this |
| Medicaid help | Oklahoma's Medicaid ADvantage waiver can pay for assisted living services, but only in ADvantage-certified assisted living centers, and a waiting list applies when its limited slots are full. The member pays room and board, which an ADvantage center may charge at no more than 90 percent of the SSI Federal Benefit Rate. [15][16][17] Official page More on this |
What assisted living costs in Oklahoma
The median monthly cost of assisted living in Oklahoma was $6,150 in CareScout's 2025 Cost of Care Survey, or $73,800 a year, $50 below the national median of $6,200 a month. [18]
A median is the middle of the rates communities reported, so many charge more or less. Rates differ between regions and by the care a resident needs, so ask each community for its full fee list in writing. More: assisted living costs in every state, a monthly budget and the costs that aren't in the base rate.
How to check a community in Oklahoma
The Oklahoma State Department of Health's Long Term Care Surveys site lets families search licensing surveys and complaint investigations for assisted living centers. Questions go to Long Term Care Services at (405) 426-8200 or ltc@health.ok.gov. Search Oklahoma's records. [2][1]
The licensing agency: Oklahoma State Department of Health, Protective Health Services, Long Term Care Service. [1] Our guide on how to read an inspection report explains what to look for.
Put Oklahoma's paperwork on a date
Parent Move Plan counts every task back from the move-in day, including the medical assessment and TB screening the community will ask for, so nothing lands in the last week.
Get your first 3 days freeFrequently asked questions
How much does assisted living cost in Oklahoma?
The median monthly cost of assisted living in Oklahoma was $6,150 in CareScout's 2025 Cost of Care Survey, or $73,800 a year, $50 below the national median of $6,200 a month. A median is the middle of the rates communities reported, so many charge more or less, and rates differ between regions and by the care a resident needs.
What medical assessment does Oklahoma require before moving into assisted living?
The center must complete an admission assessment within 30 days before admission or at the time of admission, coordinated and signed by a registered nurse or the resident's personal physician. A comprehensive assessment is due within 14 days after admission and every 12 months after that.
Does Oklahoma require a TB test for assisted living?
Oklahoma's assisted living rules do not list a tuberculosis test for new residents. The required admission assessment covers disease diagnosis and infections, so ask the center whether its own policy asks for a TB test.
How much notice must an assisted living community in Oklahoma give before a move-out?
A center must give at least 30 days' written notice before ending a residency, with exceptions for immediate health needs or physical safety. Inappropriate placement includes needs beyond its care, a physician's finding that restraints are needed, or a threat to self or others; for other reasons, the resident may ask the state for a hearing within 10 business days.
Who can give medications in assisted living in Oklahoma?
Certified medication aides, who may work in assisted living centers, can give insulin after Department-approved advanced diabetes training, with a physician or nurse on site if the person's diabetes is new or unstable or sliding-scale orders are unclear. Unlicensed staff who give any medications must have completed a Department-approved training program.
Who can help with a complaint about assisted living in Oklahoma?
Oklahoma's Long-Term Care Ombudsman Program, a division of the Attorney General's office, serves residents of nursing homes, assisted living and similar adult care homes, and complaints can be made at 1-800-211-2116.
Does Medicaid pay for assisted living in Oklahoma?
Oklahoma's Medicaid ADvantage waiver can pay for assisted living services, but only in ADvantage-certified assisted living centers, and a waiting list applies when its limited slots are full. The member pays room and board, which an ADvantage center may charge at no more than 90 percent of the SSI Federal Benefit Rate.
Sources
- Oklahoma State Department of Health: Long Term Care Service (2026) (checked October 22, 2026)
- Oklahoma State Department of Health: Long Term Care Surveys, Provider Survey/Inspection Search (2026) (checked October 22, 2026)
- Okla. Admin. Code 310:663-5-2, Timeframes for completing assessment (via Cornell LII; text matches the OSDH official copy of chapter 663 dated May 2023), 2023 (checked October 22, 2026)
- Okla. Admin. Code 310:663-5-4, Conduct of assessment (via Cornell LII; text matches the OSDH official copy of chapter 663 dated May 2023), 2023 (checked October 22, 2026)
- Okla. Admin. Code 310:663-5-3, Description of resident assessment form (via Cornell LII; text matches the OSDH official copy of chapter 663 dated May 2023), 2023 (checked October 22, 2026)
- Okla. Admin. Code 310:663-3-5, Involuntary termination of residency (via Cornell LII; text matches the OSDH official copy of chapter 663 dated May 2023), 2023 (checked October 22, 2026)
- Okla. Admin. Code 310:663-3-4, Appropriateness of placement in assisted living center (via Cornell LII; text matches the OSDH official copy of chapter 663 dated May 2023), 2023 (checked October 22, 2026)
- Okla. Admin. Code 310:663-9-2, Medication staffing (via Cornell LII; text matches the OSDH official copy of chapter 663 dated May 2023), 2023 (checked October 22, 2026)
- Okla. Admin. Code 310:677-13-7, Skills and functions, certified medication aides (via Cornell LII), 2023 (checked October 22, 2026)
- Okla. Admin. Code 310:677-13-2, Deemed to meet state certification requirements, certified medication aides (via Cornell LII), 2006 (checked October 22, 2026)
- Okla. Admin. Code 310:673-3-1, Disclosure and posting requirement, Alzheimer's dementia special care disclosure (via Cornell LII), 2023 (checked October 22, 2026)
- Okla. Admin. Code 310:673-3-2, Description of standardized disclosure form (via Cornell LII), 2023 (checked October 22, 2026)
- Okla. Admin. Code 310:663-9-6, Minimum staff for services (via Cornell LII; text matches the OSDH official copy of chapter 663 dated May 2023), 2023 (checked October 22, 2026)
- Oklahoma Attorney General: Long-Term Care Ombudsman (2026) (checked October 22, 2026)
- Oklahoma Health Care Authority: OAC 317:35-17-3, ADvantage program services (revised 09-01-26), 2026 (checked October 22, 2026)
- Oklahoma Health Care Authority: OAC 317:30-5-764, Reimbursement, ADvantage assisted living services (revised 09-01-26), 2026 (checked October 22, 2026)
- Oklahoma Human Services: Assisted Living Service Option (2026) (checked October 22, 2026)
- CareScout: Cost of Care Survey 2025, Ranked Median Costs by State (2026) (checked October 22, 2026)