Assisted Living Facility Disclosure Statement - dss virginia 2026

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The document provides detailed instructions for completing the Assisted Living Facility Disclosure Statement required by the Virginia Department of Social Services. It outlines the necessary information that must be disclosed about the facility, including general information, accommodations and services, admission criteria, staff qualifications, activities provided, liability insurance, and additional information. The statement must be completed accurately and in plain language, adhering to specific formatting guidelines.

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Click ‘Get Form’ to open the Assisted Living Facility Disclosure Statement in the editor.
Begin by filling out the 'General Information About the Facility' section. Provide the facility name, licensee name, ownership structure, and any other required details as listed.
Move on to 'Accommodations, Services and Fees'. Clearly outline what is included in the base fee, specify amounts for each service, and detail any additional fees.
Complete the 'Admission, Transfer and Discharge Criteria' section by detailing admission requirements, transfer criteria within the facility, and discharge conditions.
In 'General Number, Functions and Qualifications of Staff on Each Shift', list staff numbers per shift along with their functions and qualifications.
Fill out 'Activities Provided for Residents' by specifying types of activities available and their frequency.
Indicate whether your facility maintains liability insurance in the designated section.
Finally, provide any additional information that may be relevant to prospective residents or their representatives.

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2016	4.7 Satisfied (63 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Are assisted living facilities in Virginia licensed by the Department of Social Services?

The Virginia Department of Social Services licenses two levels of care in assisted living facilities (ALFs): residential living care (minimal assistance) or assisted living care (at least moderate assistance). Facilities licensed to provide assisted living care may also provide residential care.

Who is eligible for assisted living in Virginia?

Eligible applicants must be at least 65 years old, Virginia residents for 90 days, and require assistance with 1-2 ADLs. For more information, seniors should reach out to their local Social Security office.

How much is assisted living per month in Virginia?

Cost of assisted living in Virginia Many of these factors depend on the type and level of care you need. Long-term care financial company Genworth reported in 2024 that the average cost of assisted living in Virginia is $6,050 per month. This cost has increased by 15.24% since the last report in 2021.

Does Social Security pay for assisted living in Virginia?

The state of Virginia has an Optional Social Security supplement called an Auxiliary Grant (for assisted living or adult foster home residents). This grant helps persons who are SSI-eligible to afford the cost of non-nursing home based residential care, such as assisted living communities or adult foster family homes.

Who qualifies for VA benefits for assisted living?

Veterans and their surviving spouses, children, and in some cases, parents, may qualify for VA benefits that can be used to pay for assisted living. Eligibility requirements vary by program and may include income and net worth limits, wartime service, disability rating, toxic exposure, or other factors.

va assisted living regulations

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How do I file a complaint against an assisted living facility in Virginia?

Complaints against an assisted living facility should be made to the Department of Social Services. Complaints against a mental health or substance abuse treatment program should be made to the Department of Behavioral Health and Developmental Services.

How do you qualify for assisted living in Virginia?

Commonwealth Coordinated Care Plus Medicaid Waiver They must be age 65 or older. They must have a medical or nursing need. For single residents, monthly income not exceed $2,250 (in 2018), and countable assets must be worth $2,000 or less.

Assisted Living Facility Disclosure Statement - dss virginia 2026

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How to use or fill out Assisted Living Facility Disclosure Statement - dss virginia with our platform

See more Assisted Living Facility Disclosure Statement - dss virginia versions

Complete this form in 5 minutes or less

Got questions?

Are assisted living facilities in Virginia licensed by the Department of Social Services?

Who is eligible for assisted living in Virginia?

How much is assisted living per month in Virginia?

Does Social Security pay for assisted living in Virginia?

Who qualifies for VA benefits for assisted living?

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How do I file a complaint against an assisted living facility in Virginia?

How do you qualify for assisted living in Virginia?

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