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Admission, assessments and discharge in Colorado assisted living

What a Colorado Springs ALR must do before someone moves in, and the notice it owes before asking them to leave.

Quick answer

The ALR must complete a comprehensive pre-admission assessment and another at move-in, make its required disclosures, and sign a written resident agreement covering services, charges and the rules of the house.

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Last verified: November 2026

What happens before someone moves into a Colorado assisted living residence?

The ALR must complete a comprehensive pre-admission assessment and another at move-in, make its required disclosures, and sign a written resident agreement covering services, charges and the rules of the house.

Colorado does not mandate one assessment form, so each residence uses its own. The assessment should cover communication, diagnoses, diet, sleep, fall history, safety awareness, the help needed with each daily activity, and spiritual and cultural preferences. Bring the hospital discharge summary or the doctor's latest notes; an assessment built from a ten-minute conversation in the lobby will miss things.

What must a Colorado ALR disclose to a new resident?

The required disclosures include staffing levels, whether the building is sprinklered, any door alarms or egress devices, how residents' whereabouts are monitored, smoking rules, and where the most recent CDPHE inspection report can be read.

The inspection disclosure is the useful one. Ask to see the latest survey in the building, then compare it with the CDPHE record on our facility page. If the residence offers a secure environment, Part 25.4 adds a dementia-specific disclosure (see our secure environment guide).

How much notice must a Colorado Springs ALR give before a discharge?

Thirty calendar days of written notice, under Chapter 7; shorter notice is allowed only when the resident needs care the residence cannot provide or poses a danger to self or others, and then with as much notice as is reasonable.

Copies of a discharge notice go to the long-term care ombudsman, and CDPHE publishes an ALR Involuntary Discharge Notification Form for residents who want to contest a discharge. In the Pikes Peak region the ombudsman program runs through the Pikes Peak Area Agency on Aging at (719) 471-2096. Call early: the ombudsman can often negotiate more time or a care plan change before a move becomes unavoidable.

What are the usual reasons a Colorado ALR asks a resident to leave?

Care needs the residence is not able or licensed to meet, behavior that endangers the resident or others, wandering in a building without a secure environment, and unpaid charges are the reasons families meet most often.

Read the resident agreement for the exact list before signing. Ask what the residence did the last time a resident's needs outgrew its services, how much warning that family had, and whether its sister communities or a secure wing can take residents who need more. A building with an attached memory care neighborhood or a nursing home on the same campus can turn a discharge into a hallway move.

Side by side

Colorado admission and discharge rulesThey leave to the contract
AssessmentRequire a comprehensive pre-admission and move-in assessmentPrescribe a single statewide form
NoticeRequire 30 calendar days' written discharge notice in ordinary casesFix how much rent rises each year
OversightSend discharge notices to the ombudsmanGuarantee a Medicaid bed if money runs out
DisclosureRequire staffing and inspection-report disclosuresSet a minimum staffing ratio

Drawn from 6 CCR 1011-1 Chapter 7, CDPHE and HCPF publications, CareScout, CMS, the VA and the Pikes Peak Area Agency on Aging; our editorial standards explain how we check them.

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