About Your Long-Term Care Guide

Long-term care is a broad-based term used to describe the many facilities and services that specialize in at-home and residential care. From independent living to assisted living to nursing home care, today's long-term care providers present various options to fulfill the care needs for seniors as well as for people of any age with chronic conditions and diseases and/or disabilities. Much of this guide focuses on today's senior population as it comprises most of the market for long-term care services. However, the guide's purpose is to help everyone currently or potentially associated with long-term care options including those who have illnesses or disabilities and the caregivers in their family and circle of friends to:

  • become more aware of the different types of care available
  • learn some of the best ways to search for the answers to care levels and facility types
  • locate professionals equipped to help in the search and placement processes
  • learn about residents' and patients' rights as set forth by the Commonwealth and other concerned health-related organizations
  • learn how to work through some of the challenges faced in making a decision involving long-term care and
  • learn some of the industry terms to enhance a clear understanding of all options.

The five types of licensed care services and facilities covered are:

  • Home Care and Community Based Care
  • Adult Day Care
  • Continuing Care Retirement Communities
  • Assisted Living Facilities
  • Nursing Homes
To provide the best service and appropriate level of care to the individual resident as well as prepare programs that contribute positively to the overall well-being of an assisted living facility's population, it is important for each facility to have a thorough understanding of each resident's physical and emotional needs. Therefore, as with other long-term care services and facilities, assisted living facilities require that an assessment be conducted prior to admission as part of the admission process. The assessment is reviewed and a reassessment is performed at least once a year and whenever there is a significant change in the resident's condition.

Homes that accept non-ambulatory residents are required to meet special building code requirements. Depending on a facility's compliance levels under the Uniform Statewide Building Code, assisted living facility residents may be:

  • ambulatory--in response to an emergency physically and mentally capable of exiting the facility without assistance
  • non-ambulatory--unable to exit the facility in an emergency without the assistance of another person.

When a resident is admitted from an institution for people with developmental disabilities or mental illnesses, an agreement between the assisted living facility and the local community services board, a state mental health clinic or a private facility or physician for the provision of appropriate services is required.


In a small, assisted living facility, staff members may do double duty, filling several roles depending on need; in large complexes, staffing may be quite extensive. Regardless of size, five critical areas must be adequately staffed to meet state requirements:

  • administrators who are responsible for the management of the home
  • aides and companions who assist the residents with daily activities
  • maintenance and housekeeping staff
  • food service personnel and
  • activities planners and facilitators

Rights and Responsibilities of Residents

We encourage you to review the Rights and Responsibilities document for assisted living facilities. It is part of the Code of Virginia. Facilities must make a copy available in an easily accessible place for review. The facility must also make its policies and procedures for implementing the Rights and Responsibilities available and accessible to the general public as well as residents, relatives and agencies. Read about your rights and responsibilities in this guide, then compare it to the assisted living facility's version.

Updated on: 5/21/2021