In Utah, the license families see for assisted living is "Assisted Living Facility (Type I and Type II)", issued by the Utah Department of Health and Human Services, Division of Licensing and Background Checks, Office of Licensing. A signed and dated resident assessment must be completed before admission and at least every six months after, by a licensed health care professional: a registered nurse, physician assistant, advanced practice registered nurse or physician. A facility must give written notice at least 30 days before a transfer or discharge, with shorter notice allowed for safety or health risks, urgent medical needs, or a stay under 30 days.
Key facts
- The median monthly cost of assisted living in Utah was $5,475 in CareScout's 2025 Cost of Care Survey, or $65,700 a year, $725 below the national median of $6,200 a month. (CareScout, 2026)
- Utah's New Choices Waiver can pay for services in licensed assisted living facilities, but only for people already living in one for a minimum stay, listed as 365 days in the state's 2025 fact sheet. (Utah Medicaid, 2026)
- Utah's assisted living rule does not require a TB test for new residents. (Utah Admin. Code R432-270-10, 2025)
- Facility staff may administer medications only for a resident assessed as unable to self-administer or self-direct, and only after delegation by a licensed health care professional that follows the Nurse Practice Act. (Utah Admin. Code R432-270-18, 2025)
- A type II facility with an approved secure unit may admit a resident with Alzheimer's or dementia who can exit the facility with limited help from one person. (Utah Admin. Code R432-270-15, 2025)
Utah licenses assisted living facilities as Type I (every resident can exit without help from another person) or Type II (residents can exit only with limited help from one person) under Utah Administrative Code R432-270, through the Office of Licensing in the Department of Health and Human Services. The facts below cover both types, and say so where a rule applies to only one.
Rules change and communities can set stricter policies. Before you sign, confirm the details with the community and the Utah Department of Health and Human Services, Division of Licensing and Background Checks, Office of Licensing. This page is general information, not legal advice.
The rules at a glance
| Medical assessment before move-in | A signed and dated resident assessment must be completed before admission and at least every six months after, by a licensed health care professional: a registered nurse, physician assistant, advanced practice registered nurse or physician. It must use a form approved by the Office of Licensing and state that the resident meets the facility's admission and level of assistance criteria. [6] More on this |
|---|---|
| TB test | Utah's assisted living rule does not require a TB test for new residents. It bars admitting or keeping a person with active tuberculosis or certain other chronic communicable diseases, and it requires staff to be skin-tested for TB within two weeks of hiring. [7][16] More on this |
| Notice before a move-out | A facility must give written notice at least 30 days before a transfer or discharge, with shorter notice allowed for safety or health risks, urgent medical needs, or a stay under 30 days. Allowed reasons are closure, breaking written rules, nonpayment, the resident's wish to move, or needs the facility cannot meet. [8][9] More on this |
| Who may give medications | Facility staff may administer medications only for a resident assessed as unable to self-administer or self-direct, and only after delegation by a licensed health care professional that follows the Nurse Practice Act. The rule does not say whether unlicensed staff may give insulin injections, but a resident assessed as independent may give their own injections. [10] More on this |
| Memory care and dementia | A type II facility with an approved secure unit may admit a resident with Alzheimer's or dementia who can exit the facility with limited help from one person. Each secure-unit resident needs a signed agreement that records consent to controlled exits, and at least one direct-care staff member must be in the unit at all times. [11] |
| Long-term care ombudsman | Utah's Long-Term Care Ombudsman Program, part of the Division of Aging and Adult Services, advocates for residents of nursing homes and assisted living facilities, and the state ombudsman office can be reached at 385-222-1273. Which local ombudsman helps depends on the county. [12][13] Official page More on this |
| Medicaid help | Utah's New Choices Waiver can pay for services in licensed assisted living facilities, but only for people already living in one for a minimum stay, listed as 365 days in the state's 2025 fact sheet. Applicants must need nursing facility level of care and afford the room and board, and the waiver serves a limited number of people. [14][15] Official page More on this |
What assisted living costs in Utah
The median monthly cost of assisted living in Utah was $5,475 in CareScout's 2025 Cost of Care Survey, or $65,700 a year, $725 below the national median of $6,200 a month. [17]
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 Utah
The Division's Find a facility page searches licensing records for regulated programs, including health facilities, and shows only the prior 36 months of compliance history. Concerns about a licensed facility can be reported through the Office of Licensing's online form or at (801) 890-2007. Search Utah's records. [3][4]
The licensing agency: Utah Department of Health and Human Services, Division of Licensing and Background Checks, Office of Licensing. [2][1][5] Our guide on how to read an inspection report explains what to look for.
Put Utah'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 Utah?
The median monthly cost of assisted living in Utah was $5,475 in CareScout's 2025 Cost of Care Survey, or $65,700 a year, $725 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 Utah require before moving into assisted living?
A signed and dated resident assessment must be completed before admission and at least every six months after, by a licensed health care professional: a registered nurse, physician assistant, advanced practice registered nurse or physician. It must use a form approved by the Office of Licensing and state that the resident meets the facility's admission and level of assistance criteria.
Does Utah require a TB test for assisted living?
Utah's assisted living rule does not require a TB test for new residents. It bars admitting or keeping a person with active tuberculosis or certain other chronic communicable diseases, and it requires staff to be skin-tested for TB within two weeks of hiring.
How much notice must an assisted living community in Utah give before a move-out?
A facility must give written notice at least 30 days before a transfer or discharge, with shorter notice allowed for safety or health risks, urgent medical needs, or a stay under 30 days. Allowed reasons are closure, breaking written rules, nonpayment, the resident's wish to move, or needs the facility cannot meet.
Who can give medications in assisted living in Utah?
Facility staff may administer medications only for a resident assessed as unable to self-administer or self-direct, and only after delegation by a licensed health care professional that follows the Nurse Practice Act. The rule does not say whether unlicensed staff may give insulin injections, but a resident assessed as independent may give their own injections.
Who can help with a complaint about assisted living in Utah?
Utah's Long-Term Care Ombudsman Program, part of the Division of Aging and Adult Services, advocates for residents of nursing homes and assisted living facilities, and the state ombudsman office can be reached at 385-222-1273. Which local ombudsman helps depends on the county.
Does Medicaid pay for assisted living in Utah?
Utah's New Choices Waiver can pay for services in licensed assisted living facilities, but only for people already living in one for a minimum stay, listed as 365 days in the state's 2025 fact sheet. Applicants must need nursing facility level of care and afford the room and board, and the waiver serves a limited number of people.
Sources
- Utah Division of Licensing and Background Checks: Health facilities rules and license types (2026) (checked October 22, 2026)
- Utah Division of Licensing and Background Checks: Health facilities information (2026) (checked October 22, 2026)
- Utah Division of Licensing and Background Checks: Find a facility (2026) (checked October 22, 2026)
- Utah Division of Licensing and Background Checks: Concerns and incidents (2026) (checked October 22, 2026)
- Utah Admin. Code R432-270-4, Licensing (Utah Office of Administrative Rules, current rule), 2025 (checked October 22, 2026)
- Utah Admin. Code R432-270-12, Resident Assessment (Utah Office of Administrative Rules, current rule), 2025 (checked October 22, 2026)
- Utah Admin. Code R432-270-10, Admissions (Utah Office of Administrative Rules, current rule), 2025 (checked October 22, 2026)
- Utah Admin. Code R432-270-11, Transfer or Discharge Requirements (Utah Office of Administrative Rules, current rule), 2025 (checked October 22, 2026)
- Utah Code 26B-2-237, Transfer or discharge from an assisted living facility (effective 5/6/2026), 2026 (checked October 22, 2026)
- Utah Admin. Code R432-270-18, Medication Administration (Utah Office of Administrative Rules, current rule), 2025 (checked October 22, 2026)
- Utah Admin. Code R432-270-15, Secure Units (Utah Office of Administrative Rules, current rule), 2025 (checked October 22, 2026)
- Utah Division of Aging and Adult Services: Long Term Care Ombudsman (2026) (checked October 22, 2026)
- Utah Division of Aging and Adult Services: Ombudsman Locations (2026) (checked October 22, 2026)
- Utah Medicaid: New Choices Waiver (2026) (checked October 22, 2026)
- Utah Medicaid: New Choices Waiver General Information fact sheet (Internet Archive copy of Feb. 23, 2025), 2025 (checked October 22, 2026)
- Utah Admin. Code R432-270-8, Personnel (Utah Office of Administrative Rules, current rule), 2025 (checked October 22, 2026)
- CareScout: Cost of Care Survey 2025, Ranked Median Costs by State (2026) (checked October 22, 2026)