In Wyoming, the license families see for assisted living is "Assisted Living Facility (ALF)", issued by the Wyoming Department of Health, Office of Healthcare Licensing and Surveys. A resident may be admitted only with a history and physical from a physician or physician extender, such as an advanced registered nurse practitioner or physician assistant, done within 90 days before admission. A facility must give 30 days' written notice before a facility-initiated discharge, with exceptions for imminent danger or care needs above assisted living.
Key facts
- The median monthly cost of assisted living in Wyoming was $5,325 in CareScout's 2025 Cost of Care Survey, or $63,900 a year, $875 below the national median of $6,200 a month. (CareScout, 2026)
- Wyoming's Community Choices Waiver (CCW) can pay for assisted living facility services, but not room and board, for people who need nursing facility level of care, and enrollment can be capped with a waiting list. (Wyoming Department of Health, 2026)
- Admission orders must include an order for TB screening, along with influenza and pneumococcal vaccine status, but the rule does not say which TB test to use or when it must be done. (Wyo. Code R. 048-12 § 12-7, 2020)
- Unlicensed staff can only assist with oral medications, such as reminders, opening containers and observing the resident take the dose, and the rule does not list injections among these tasks. (Wyo. Code R. 048-12 § 12-7, 2020)
- A facility with a secure dementia unit holds a Level 2 license, which requires a licensed nurse on duty at least 8 hours a day and a licensed nurse or CNA in the unit at all times. (Wyo. Code R. 048-12 § 12-10, 2020)
Wyoming calls assisted living an assisted living facility (ALF), a non-institutional dwelling that provides limited nursing care, personal care and boarding home care, but not habilitative care, for people not related to the owner. The Wyoming Department of Health licenses ALFs at Level 1 (no secure unit) or Level 2 (with a secure dementia unit); the facts below cover both, and the dementia fact explains what Level 2 adds.
Rules change and communities can set stricter policies. Before you sign, confirm the details with the community and the Wyoming Department of Health, Office of Healthcare Licensing and Surveys. This page is general information, not legal advice.
The rules at a glance
| Medical assessment before move-in | A resident may be admitted only with a history and physical from a physician or physician extender, such as an advanced registered nurse practitioner or physician assistant, done within 90 days before admission. A registered nurse must also complete the state's ALF 102 screening form, which is valid only if done within 45 days before admission and nothing has changed. [3][2] More on this |
|---|---|
| TB test | Admission orders must include an order for TB screening, along with influenza and pneumococcal vaccine status, but the rule does not say which TB test to use or when it must be done. [3] More on this |
| Notice before a move-out | A facility must give 30 days' written notice before a facility-initiated discharge, with exceptions for imminent danger or care needs above assisted living. Allowed reasons are loss of the facility's license, needs it cannot meet, a pattern of not following agreements, nonpayment, or imminent danger; a resident who objects can ask for an informal conference within 10 days. [3] More on this |
| Who may give medications | Unlicensed staff can only assist with oral medications, such as reminders, opening containers and observing the resident take the dose, and the rule does not list injections among these tasks. A registered nurse must supervise and manage all medication administration. [3] More on this |
| Memory care and dementia | A facility with a secure dementia unit holds a Level 2 license, which requires a licensed nurse on duty at least 8 hours a day and a licensed nurse or CNA in the unit at all times. Staff there need 12 hours of dementia training a year, and a resident needs a placement assessment first. [4][2] |
| Long-term care ombudsman | Wyoming's Long-Term Care Ombudsman Program, run by the Department of Health with regional ombudsmen, takes complaints from assisted living residents and can be reached at 307-287-7757. [6][3] Official page More on this |
| Medicaid help | Wyoming's Community Choices Waiver (CCW) can pay for assisted living facility services, but not room and board, for people who need nursing facility level of care, and enrollment can be capped with a waiting list. Applicants must be 65 or older, or 19 to 64 and disabled, and residents pay room and board under their lease. [7][8] Official page More on this |
What assisted living costs in Wyoming
The median monthly cost of assisted living in Wyoming was $5,325 in CareScout's 2025 Cost of Care Survey, or $63,900 a year, $875 below the national median of $6,200 a month. [9]
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 Wyoming
The Office of Healthcare Licensing and Surveys posts facility inspection reports online, and each assisted living facility must display its license in a public area and post its survey results. Questions and complaints can go to the office at (307) 777-7123. Search Wyoming's records. [1][5]
The licensing agency: Wyoming Department of Health, Office of Healthcare Licensing and Surveys. [1][2] Our guide on how to read an inspection report explains what to look for.
Put Wyoming'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 Wyoming?
The median monthly cost of assisted living in Wyoming was $5,325 in CareScout's 2025 Cost of Care Survey, or $63,900 a year, $875 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 Wyoming require before moving into assisted living?
A resident may be admitted only with a history and physical from a physician or physician extender, such as an advanced registered nurse practitioner or physician assistant, done within 90 days before admission. A registered nurse must also complete the state's ALF 102 screening form, which is valid only if done within 45 days before admission and nothing has changed.
Does Wyoming require a TB test for assisted living?
Admission orders must include an order for TB screening, along with influenza and pneumococcal vaccine status, but the rule does not say which TB test to use or when it must be done.
How much notice must an assisted living community in Wyoming give before a move-out?
A facility must give 30 days' written notice before a facility-initiated discharge, with exceptions for imminent danger or care needs above assisted living. Allowed reasons are loss of the facility's license, needs it cannot meet, a pattern of not following agreements, nonpayment, or imminent danger; a resident who objects can ask for an informal conference within 10 days.
Who can give medications in assisted living in Wyoming?
Unlicensed staff can only assist with oral medications, such as reminders, opening containers and observing the resident take the dose, and the rule does not list injections among these tasks. A registered nurse must supervise and manage all medication administration.
Who can help with a complaint about assisted living in Wyoming?
Wyoming's Long-Term Care Ombudsman Program, run by the Department of Health with regional ombudsmen, takes complaints from assisted living residents and can be reached at 307-287-7757.
Does Medicaid pay for assisted living in Wyoming?
Wyoming's Community Choices Waiver (CCW) can pay for assisted living facility services, but not room and board, for people who need nursing facility level of care, and enrollment can be capped with a waiting list. Applicants must be 65 or older, or 19 to 64 and disabled, and residents pay room and board under their lease.
Sources
- Wyoming Department of Health: Healthcare Licensing and Surveys (page read 2026) (checked October 22, 2026)
- Wyo. Code R. 048-12 § 12-4, Definitions, Program Administration of Assisted Living Facilities (via Cornell LII), 2020 (checked October 22, 2026)
- Wyo. Code R. 048-12 § 12-7, Assisted Living Facility (ALF) Core Services (via Cornell LII), 2020 (checked October 22, 2026)
- Wyo. Code R. 048-12 § 12-10, Secure Dementia Units (via Cornell LII), 2020 (checked October 22, 2026)
- Wyoming Department of Health: Rules and Regulations for Licensure of Assisted Living Facilities, ch. 4, § 5 (official PDF), 2001 (checked October 22, 2026)
- Wyoming Department of Health: Long-Term Care Ombudsman Program (page copyright 2026) (checked October 22, 2026)
- Wyoming Department of Health: Community Choices Waiver Provider Manual (July 1, 2026) (checked October 22, 2026)
- Wyoming Department of Health: Medicaid Rules ch. 34, Community Choices Waiver, §§ 5, 6 and 12 (official PDF), 2024 (checked October 22, 2026)
- CareScout: Cost of Care Survey 2025, Ranked Median Costs by State (2026) (checked October 22, 2026)