Assisted living facility minimum staffing requirements by US state — how many staff must be on duty, and what that guarantees

State-by-state comparison of minimum staffing requirements for assisted living facilities (distinct from nursing homes/skilled nursing facilities, which run under a separate federal-plus-state regime). Assisted living regulation is entirely state-run — there is no federal minimum — and states take genuinely different regulatory approaches, not just different numbers on the same form: North Carolina sets a headcount rule that scales by facility census (13-20 residents requires an administrator or manager within 500 feet plus at least one awake staff member per shift, with specific carve-outs for when housekeeping duties may or may not be combined with care duties); Georgia sets a flat always-present rule (at least two trained staff present at all times any resident is present, with at least one per occupied floor), a 1:15 waking / 1:20 non-waking awake direct-care ratio, banded on-site nurse hours, and separate continuing-education hour requirements (24 hours in year one, 16 hours annually after); Florida runs a facility-size-banded staff-hours-per-week table (total weekly staff hours required scale with combined resident/day-care/respite census, with an incremental add-on above 95); Pennsylvania sets hours per resident per day rather than a facility total (1 hour for a mobile resident, 2 hours for a resident with mobility needs, at least 75% of it in waking hours); California's only real number is at night, banded by census from 'a qualified person on call on the premises' under 16 residents up to one extra awake staff member per further 100; Texas splits the night rule by licence type rather than size (Type B night staff must be awake whatever the bed count, Type A only in a large facility); and Virginia, Washington and Minnesota state no number at all, requiring staffing 'sufficient' or 'adequate' against each resident's own assessment or service agreement, with a single awake or available responder as the floor. One record per distinct rule, so a facility of a given size can be looked up directly. Answers 'how many caregivers are legally required to be on duty at my parent's assisted living facility', and 'what's the difference between assisted living staffing rules and nursing home staffing rules'.

Records85

Sources12

Verified2026-10-11

Review by2027-08-18

Licenceunknown

The data

State	Which rule this is	Type of staffing rule	Minimum staffing requirement	Awake/awake-on-duty requirement	Regulatory citation	Staff training or continuing education requirement
California	facilities above 200 residents — what each further 100 residents adds at night	census-banded minimum staff on duty	Every additional 100 residents, or fraction thereof, shall require an additional one (1) staff person on duty, on the premises and awake.	an additional one (1) staff person on duty, on the premises and awake	Cal. Code Regs. Tit. 22, § 87415
California	facilities caring for 16 to 100 residents — night supervision	census-banded minimum staff on duty	In facilities caring for sixteen (16) to one hundred (100) residents at least one employee shall be on duty on the premises, and awake. Another employee shall be on call, and capable of responding within ten minutes.	at least one employee shall be on duty on the premises, and awake	Cal. Code Regs. Tit. 22, § 87415
California	facilities caring for 101 to 200 residents — night supervision	census-banded minimum staff on duty	In facilities caring for one hundred one (101) to two hundred (200) residents, one employee shall be on call, on the premises; one employee shall be on duty on the premises and awake; and one employee shall be on call and capable of responding within 10 minutes.	one employee shall be on duty on the premises and awake	Cal. Code Regs. Tit. 22, § 87415
California	facilities caring for fewer than 16 residents — night supervision	census-banded minimum staff on duty	In facilities caring for less than sixteen (16) residents, there shall be a qualified person on call on the premises.		Cal. Code Regs. Tit. 22, § 87415
California	facilities required to have a signal system — where night staff must be, and when they must be awake	flat presence requirement	at least one night staff person shall be located to enable immediate response to the signal system. If the signal system is visual only, that person shall be awake.	If the signal system is visual only, that person shall be awake.	Cal. Code Regs. Tit. 22, § 87415
California	initial and annual training for staff who assist residents with activities of daily living	training requirement	All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69.		Cal. Code Regs. Tit. 22, § 87411	initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69
California	minimum age of anyone who supervises employees or supervises or cares for residents	flat presence requirement	All persons who supervise employees or who supervise or care for residents shall be at least eighteen (18) years of age.		Cal. Code Regs. Tit. 22, § 87411
California	office, kitchen, housekeeping, laundry and maintenance work — staff who must be employed on top of the care staff	counting rule	Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds.		Cal. Code Regs. Tit. 22, § 87411
California	residential care facilities for the elderly — personnel sufficient in numbers and competent, with no minimum number stated	acuity-based sufficiency standard	Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.		Cal. Code Regs. Tit. 22, § 87411
California	the hours that count as night supervision, and what the staff providing it must know	flat presence requirement	The following persons providing night supervision from 10:00 p.m. to 6:00 a.m. shall be familiar with the facility's planned emergency procedures		Cal. Code Regs. Tit. 22, § 87415
California	when the licensing agency may require staffing above the level the facility has set	agency-directed increase	The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services.		Cal. Code Regs. Tit. 22, § 87411
Florida	0-5 total combined residents, day care participants and respite care residents — minimum staff hours per week	weekly staff-hours table	168		Fla. Admin. Code Ann. R. 59A-36.010
Florida	6-15 total combined residents, day care participants and respite care residents — minimum staff hours per week	weekly staff-hours table	212		Fla. Admin. Code Ann. R. 59A-36.010
Florida	16-25 total combined residents, day care participants and respite care residents — minimum staff hours per week	weekly staff-hours table	253		Fla. Admin. Code Ann. R. 59A-36.010
Florida	26-35 total combined residents, day care participants and respite care residents — minimum staff hours per week	weekly staff-hours table	294		Fla. Admin. Code Ann. R. 59A-36.010
Florida	36-45 total combined residents, day care participants and respite care residents — minimum staff hours per week	weekly staff-hours table	335		Fla. Admin. Code Ann. R. 59A-36.010
Florida	46-55 total combined residents, day care participants and respite care residents — minimum staff hours per week	weekly staff-hours table	375		Fla. Admin. Code Ann. R. 59A-36.010
Florida	56-65 total combined residents, day care participants and respite care residents — minimum staff hours per week	weekly staff-hours table	416		Fla. Admin. Code Ann. R. 59A-36.010
Florida	66-75 total combined residents, day care participants and respite care residents — minimum staff hours per week	weekly staff-hours table	457		Fla. Admin. Code Ann. R. 59A-36.010
Florida	76-85 total combined residents, day care participants and respite care residents — minimum staff hours per week	weekly staff-hours table	498		Fla. Admin. Code Ann. R. 59A-36.010
Florida	86-95 total combined residents, day care participants and respite care residents — minimum staff hours per week	weekly staff-hours table	539		Fla. Admin. Code Ann. R. 59A-36.010
Florida	a First Aid and CPR certified staff member must be in the facility at all times	flat presence requirement	A staff member who has completed courses in First Aid and Cardiopulmonary Resuscitation (CPR) and holds a currently valid card documenting completion of such courses must be in the facility at all times		Fla. Admin. Code Ann. R. 59A-36.010	completed courses in First Aid and Cardiopulmonary Resuscitation (CPR) and holds a currently valid card documenting completion of such courses
Florida	enough qualified staff regardless of the minimum hours table, including apartment-style facilities	flat presence requirement	all facilities, including those composed of apartments, must have enough qualified staff to provide resident supervision, and to provide or arrange for resident services in accordance with the residents' scheduled and unscheduled service needs, resident contracts, and resident care standards		Fla. Admin. Code Ann. R. 59A-36.010
Florida	facilities co-located with a nursing home may share staff, but the hours count only once	counting rule	Facilities that are co-located with a nursing home may use shared staffing provided that staff hours are only counted once for the purpose of meeting either assisted living facility or nursing home minimum staffing ratios		Fla. Admin. Code Ann. R. 59A-36.010
Florida	facilities with 17 or more residents — a staff member must be awake around the clock	flat presence requirement	In facilities with 17 or more residents, there must be at least one staff member awake at all hours of the day and night	In facilities with 17 or more residents, there must be at least one staff member awake at all hours of the day and night	Fla. Admin. Code Ann. R. 59A-36.010
Florida	independent living residents are excluded from the census used to compute minimum staff hours	counting rule	are not counted as residents for purposes of computing minimum staff hours		Fla. Admin. Code Ann. R. 59A-36.010
Florida	limited mental health, extended congregate care and limited nursing services licences carry extra staffing rules	additional rules for special licences	Facilities holding a limited mental health, extended congregate care, or limited nursing services license must also comply with the staffing requirements of rules		Fla. Admin. Code Ann. R. 59A-36.010
Florida	maintenance, clerical and food preparation staff do not count towards the minimum staffing hours	counting rule	Staff whose duties are exclusively building or grounds maintenance, clerical, or food preparation do not count towards meeting the minimum staffing hours requirement		Fla. Admin. Code Ann. R. 59A-36.010
Florida	more than 95 total combined residents, day care participants and respite care residents — incremental staff hours above the table	weekly staff-hours table	For every 20 total combined residents, day care participants, and respite care residents over 95 add 42 staff hours per week		Fla. Admin. Code Ann. R. 59A-36.010
Florida	one staff member with access to facility and resident records must be present whenever residents are in the facility	flat presence requirement	At least one staff member who has access to facility and resident records in case of an emergency must be in the facility at all times when residents are in the facility		Fla. Admin. Code Ann. R. 59A-36.010
Florida	only staff actually on the job count towards the minimum staffing hours	counting rule	Only on-the-job staff may be counted in meeting the minimum staffing hours. Vacant positions or absent staff may not be counted		Fla. Admin. Code Ann. R. 59A-36.010
Florida	staffing above the minimum when the agency finds supervision or care inadequate	agency-directed increase	The facility must immediately increase staff above the minimum levels established in paragraph (a), if the agency determines that adequate supervision and care are not being provided to residents		Fla. Admin. Code Ann. R. 59A-36.010
Florida	temporary absence of the administrator or manager of more than 48 hours	flat presence requirement	a staff member who is at least 21 years of age must be physically present and designated in writing to be in charge of the facility		Fla. Admin. Code Ann. R. 59A-36.010
Florida	when the administrator or manager's own hours count towards the required staffing hours	counting rule	The administrator or manager's time may be counted for the purpose of meeting the required staffing hours, provided the administrator or manager is actively involved in the day-to-day operation of the facility		Fla. Admin. Code Ann. R. 59A-36.010
Florida	written 24-hour work schedule the facility must keep and show to residents on request	staffing records and disclosure	The facility must maintain a written work schedule that reflects its 24-hour staffing pattern for a given time period		Fla. Admin. Code Ann. R. 59A-36.010
Georgia	annual continuing education hours from the second year of employment onwards	training requirement			Ga. Comp. R. & Regs. R. 111-8-63-.09	a minimum of sixteen (16) hours of job-related continuing education
Georgia	at least two trained staff present at all times any residents are present, one per occupied floor	flat presence requirement	must be present in the assisted living community at all times any residents are present, with at least one staff person on each occupied floor		Ga. Comp. R. & Regs. R. 111-8-63-.09
Georgia	average monthly minimum awake direct care staff-to-resident ratio, waking and non-waking hours	staff-to-resident ratio	an average monthly minimum on-site staff to resident ratio of one awake direct care staff person per 15 residents during waking hours and one awake direct care staff person per 20 residents during non-waking hours where the residents have minimal care needs	one awake direct care staff person per 15 residents during waking hours and one awake direct care staff person per 20 residents during non-waking hours	Ga. Comp. R. & Regs. R. 111-8-63-.09
Georgia	communities with 31 to 60 residents — on-site registered or licensed practical nurse hours	banded professional coverage hours	For communities with 31 to 60 residents, a minimum of 16 hours per week		Ga. Comp. R. & Regs. R. 111-8-63-.09
Georgia	communities with 61 to 90 residents — on-site registered or licensed practical nurse hours	banded professional coverage hours	For communities with 61 to 90 residents, a minimum of 24 hours per week		Ga. Comp. R. & Regs. R. 111-8-63-.09
Georgia	communities with more than 90 residents — on-site registered or licensed practical nurse hours	banded professional coverage hours	For communities with more than 90 residents, a minimum of 40 hours per week		Ga. Comp. R. & Regs. R. 111-8-63-.09
Georgia	communities with one to 30 residents — on-site registered or licensed practical nurse hours	banded professional coverage hours	For communities with one to 30 residents, a minimum of 8 hours per week		Ga. Comp. R. & Regs. R. 111-8-63-.09
Georgia	continuing education hours required during the first year of employment as a direct care worker	training requirement			Ga. Comp. R. & Regs. R. 111-8-63-.09	a total of at least twenty-four (24) hours of continuing education within the first year of employment as a direct care worker
Georgia	initial training deadline for all staff, whatever their role	training requirement			Ga. Comp. R. & Regs. R. 111-8-63-.09	receives training within the first 60 days of employment
Georgia	initial training deadline for staff providing hands-on personal services, including first aid and CPR certification	training requirement			Ga. Comp. R. & Regs. R. 111-8-63-.09	receive training within the first 60 days of employment
Georgia	minimum age of the on-site manager and responsible staff persons	flat presence requirement	The on-site manager and responsible staff persons must be at least 21 years of age and responsible for supervising the provision of care by all other staff		Ga. Comp. R. & Regs. R. 111-8-63-.09
Georgia	staff who may not be counted towards the minimum staffing ratios	counting rule	Staff, such as cooks and maintenance staff, who do not receive on-going direct care training and whose job duties do not routinely involve the oversight or delivery of direct personal care to the residents, must not be counted towards these minimum staffing ratios		Ga. Comp. R. & Regs. R. 111-8-63-.09
Georgia	staffing plans and monthly work schedules showing planned and actual coverage	staffing records and disclosure	must develop and maintain accurate staffing plans that take into account the specific needs of the residents and monthly work schedules for all employees, including relief workers, showing planned and actual coverage for each day and night		Ga. Comp. R. & Regs. R. 111-8-63-.09
Georgia	two on-site direct care staff on the premises 24 hours per day whenever residents are present	flat presence requirement	At least two on-site direct care staff persons must be on the premises 24 hours per day providing supervision whenever residents are present, with at least one staff person on each occupied floor		Ga. Comp. R. & Regs. R. 111-8-63-.09
Minnesota	nurse cover — the on-call registered nurse staff must be able to reach	flat professional coverage requirement	provide staff access to an on-call registered nurse 24 hours per day, seven days per week		144G.41
Minnesota	the awake person who must be available 24 hours a day to answer resident requests, and how far away they may be	flat presence requirement	ensure that one or more persons are available 24 hours per day, seven days per week, who are responsible for responding to the requests of residents for assistance with health or safety needs	Such persons must be: (i) awake; (ii) located in the same building, in an attached building, or on a contiguous campus with the facility in order to respond within a reasonable amount of time	144G.41
Minnesota	the staffing plan every assisted living facility must develop, and how often it must be re-evaluated	acuity-based sufficiency standard	develop and implement a staffing plan for determining its staffing level that: (i) includes an evaluation, to be conducted at least twice a year, of the appropriateness of staffing levels in the facility		144G.41
North Carolina	all adult care homes — duty to staff to the resident census, and never to leave residents alone	census-banded minimum staff on duty	Adult care homes shall staff based on the facility's resident census and provide staffing to meet the care and supervision needs of the residents in accordance with the rules of this Subchapter		10A NCAC 13F .0605
North Carolina	all adult care homes — required supervisors and aides per shift must be posted where residents and visitors can see them	staffing records and disclosure	The facility shall post daily staffing information in a location accessible to residents and visitors in accordance with G.S. 131D-4.3(a)(5)		10A NCAC 13F .0605
North Carolina	census of greater than 12 but less than 21 residents — administrator or manager presence	census-banded minimum staff on duty	there shall be an administrator or manager in the facility or within 500 feet of the facility with a means of two-way telecommunication at all times		10A NCAC 13F .0607
North Carolina	census of greater than 12 but less than 21 residents — one awake staff member on every shift when the administrator or manager is not on duty	census-banded minimum staff on duty	there shall be at least one awake staff member on duty on the first, second, and third shifts	there shall be at least one awake staff member on duty on the first, second, and third shifts	10A NCAC 13F .0607
North Carolina	census of greater than six but less than 13 residents — administrator or manager presence	census-banded minimum staff on duty	there shall be an administrator or manager in the facility or within 500 feet of the facility with a means of two-way telecommunication at all times		10A NCAC 13F .0606
North Carolina	census of greater than six but less than 13 residents — staff on duty when the administrator or manager is not on duty	census-banded minimum staff on duty	there shall be at least one staff member on-duty on the first and second shifts and at least one staff member available within the building, who need not be on-duty, on third shift	If there are residents in the facility who are disoriented or known to have wandering behavior, there shall be at least one staff member on-duty and awake at all times	10A NCAC 13F .0606
North Carolina	cluster of adjacent facilities each with capacity or census of 12 or fewer residents	census-banded minimum staff on duty	When there is a cluster of up to six licensed facilities located adjacently, there shall be at least one administrator or manager who lives within 500 feet of each of the facilities with a means of two- way telecommunication at all times		10A NCAC 13F .0606
North Carolina	one staff member per shift assigned to personal care, barred from food service and restricted in housekeeping duties (7 to 12 residents)	census-banded minimum staff on duty	Each facility shall assign at least one staff member per shift to provide personal care services and supervision of residents as needed by the residents		10A NCAC 13F .0606
North Carolina	one staff member per shift assigned to personal care, barred from food service and restricted in housekeeping duties (13 to 20 residents)	census-banded minimum staff on duty	Each facility shall assign at least one staff member per shift to provide personal care services and supervision of residents as needed by the residents		10A NCAC 13F .0607
North Carolina	second staff member required when the administrator or manager is on duty on the first or second shifts	census-banded minimum staff on duty	another staff member (i.e., co-administrator, manager or aide) shall be in the building or within 500 feet of the facility with a means of two-way telecommunication at all times		10A NCAC 13F .0606
North Carolina	second staff member required when the administrator or manager is on duty within the facility	census-banded minimum staff on duty	another staff member (i.e. co-administrator, manager or aide) shall be in the building or within 500 feet of the facility with a means of two-way telecommunication at all times and available to assist if needed		10A NCAC 13F .0607
North Carolina	written plan of operation naming the staff involved and the time estimated for each duty	staffing records and disclosure	The administrator shall prepare a plan of operation for each licensed facility specifying the staff involved, their regularly assigned duties and the amount of time estimated to be spent for each duty		10A NCAC 13F .0606
Pennsylvania	a direct care staff person aged 21 or over present whenever any resident is in the residence	flat presence requirement	At all times one or more residents are present in the residence, a direct care staff person who is 21 years of age or older shall be present in the residence.		55 Pa. Code § 2800.57
Pennsylvania	hours of assisted living services owed per day to each mobile resident	per-resident service hours per day	at least 1 hour per day of assisted living services to each mobile resident		55 Pa. Code § 2800.57
Pennsylvania	hours of assisted living services owed per day to each resident who has mobility needs	per-resident service hours per day	at least 2 hours per day of assisted living services to each resident who has mobility needs		55 Pa. Code § 2800.57
Pennsylvania	how much of the required per-resident service time must fall in waking hours	counting rule	At least 75% of the assisted living service hours specified in subsections (b) and (c) shall be available during waking hours.		55 Pa. Code § 2800.57
Texas	all assisted living facilities — staffing ratios set by the facility from residents' service plans, not by the state	acuity-based sufficiency standard	A facility must develop and implement staffing policies, which require staffing ratios based upon the needs of the residents, as identified in their service plans.		26 Tex. Admin. Code § 553.253
Texas	an attendant in the facility whenever residents are in it, and the minimum age or education of a full-time attendant	flat presence requirement	An attendant must be in the facility at all times when residents are in the facility.		26 Tex. Admin. Code § 553.253
Texas	orientation every staff member must complete before taking on any job responsibilities	training requirement	All staff members must complete four hours of orientation before assuming any job responsibilities.		26 Tex. Admin. Code § 553.253	four hours of orientation before assuming any job responsibilities
Texas	supervised on-the-job training an attendant must complete after orientation	training requirement	Attendants must complete 16 hours of on-the-job supervision and training within the first 16 hours of employment following orientation.		26 Tex. Admin. Code § 553.253	16 hours of on-the-job supervision and training within the first 16 hours of employment following orientation
Texas	the 24-hour staffing pattern a facility must disclose before admission and post monthly	staffing records and disclosure	Prior to admission, a facility must disclose, to prospective residents and their families, the facility's normal 24-hour staffing pattern		26 Tex. Admin. Code § 553.253
Texas	the manager's own hours, and how many facilities or residents one manager may cover	counting rule	The manager must be on duty 40 hours per week and may manage only one facility, except for managers of small Type A facilities, who may have responsibility for no more than 16 residents in no more than four facilities.		26 Tex. Admin. Code § 553.253
Texas	Type A facilities — night shift, and whether staff must be awake depends on facility size	census-banded minimum staff on duty	Type A facility: Night shift staff in a small facility must be immediately available. In a large facility, the staff must be immediately available and awake.	In a large facility, the staff must be immediately available and awake.	26 Tex. Admin. Code § 553.253
Texas	Type B facilities — night shift staff must be awake whatever the size of the facility	flat presence requirement	Type B facility: Night shift staff must be immediately available and awake, regardless of the number of licensed beds.	Night shift staff must be immediately available and awake, regardless of the number of licensed beds.	26 Tex. Admin. Code § 553.253
Virginia	all assisted living facilities — staffing judged against resident assessments and individualised service plans, with no minimum number stated	acuity-based sufficiency standard	staff adequate in knowledge, skills, and abilities and sufficient in numbers to provide services to attain and maintain the physical, mental, and psychosocial well-being of each resident as determined by resident assessments and individualized service plans		22VAC40-73-280
Virginia	buildings of 19 or fewer residents licensed for residential living care only — when the night staff member need not be awake	census-banded minimum staff on duty	For a facility licensed for residential living care only, in buildings that house 19 or fewer residents, the staff member on duty does not have to be awake during the night	the staff member on duty does not have to be awake during the night if (i) none of the residents have care needs that require a staff member awake at night	22VAC40-73-280
Virginia	one awake direct care staff member per building, whenever any resident is present	flat presence requirement	At least one direct care staff member shall be awake and on duty at all times in each building when at least one resident is present.	At least one direct care staff member shall be awake and on duty at all times in each building when at least one resident is present.	22VAC40-73-280
Virginia	staff who must be on the premises at all times to carry out the fire and emergency evacuation plan	flat presence requirement	An adequate number of staff persons shall be on the premises at all times to implement the approved fire and emergency evacuation plan.		22VAC40-73-280
Virginia	the written staffing plan every facility must maintain, tied to actual resident acuity	staffing records and disclosure	a written plan that specifies the number and type of direct care staff required to meet the day-to-day, routine direct care needs and any identified special needs for the residents in care		22VAC40-73-280
Washington	all assisted living facilities — staffing sufficient for each resident's negotiated service agreement, with no minimum number stated	acuity-based sufficiency standard	Each assisted living facility must provide sufficient, trained staff persons to: (a) Furnish the services and care needed by each resident consistent with their negotiated service agreement; (b) Maintain the assisted living facility free of safety hazards; and (c) Implement fire and disaster plans.		WAC 388-78A-2450
Washington	one caregiver aged 18 or over, CPR and first-aid certified, present whenever residents are on the premises and on off-site activities	flat presence requirement	Ensure at least one caregiver, who is 18 years of age or older and has current cardiopulmonary resuscitation and first-aid cards, is present and available to assist residents at all times		WAC 388-78A-2450
Washington	weekly staffing schedules the facility must document and keep	staffing records and disclosure	Document and retain for 12 weeks, weekly staffing schedules, as planned and worked		WAC 388-78A-2450
Washington	who may provide resident care and services at all	counting rule	Ensure all resident care and services are provided only by staff persons who have the training, credentials, experience, and other qualifications necessary to provide the care and services		WAC 388-78A-2450

Where this came from

Every record above links the page it was taken from and quotes the sentence that states it. These are the 12 sources this dataset was assembled from.

law.cornell.eduhttps://www.law.cornell.edu/regulations/california/22-CCR-87415
law.cornell.eduhttps://www.law.cornell.edu/regulations/california/22-CCR-87411
law.cornell.eduhttps://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-59A-36-010
law.cornell.eduhttps://www.law.cornell.edu/regulations/georgia/Ga-Comp-R-Regs-R-111-8-63-.09
revisor.mn.govhttps://www.revisor.mn.gov/statutes/cite/144G.41
reports.oah.state.nc.ushttp://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0605.pdf
reports.oah.state.nc.ushttp://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0607.pdf
reports.oah.state.nc.ushttp://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0606.pdf
pacodeandbulletin.govhttps://www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/055/chapter2800/s2800.57.html&d=reduce
law.cornell.eduhttps://www.law.cornell.edu/regulations/texas/26-Tex-Admin-Code-SS-553-253
law.lis.virginia.govhttps://law.lis.virginia.gov/admincode/title22/agency40/chapter73/section280/
app.leg.wa.govhttps://app.leg.wa.gov/WAC/default.aspx?cite=388-78A-2450

Machine-readable

data.jsonThe whole dataset — every record with its source URL and source quote.
Open Knowledge Format bundleOne JSON object per line — every record's frontmatter and quoted span exactly as it is held here, in one fetch.
data.csvThe same records as one flat table, for a spreadsheet or a dataframe. The last four columns are the source URL, the quoted sentence it was read from, the date we last checked it, and which columns are our reading rather than the page's words.
How this is made and checkedWhat "verified against source" does and does not mean.

From your own code

Same records, same quotes, without scraping the page: refsource is on PyPI and npm. Each value comes back carrying the URL it was read from and the sentence on that page that states it — .source and .quote sit on the value itself rather than in a side channel, so the checking step is available instead of skipped.

pip install refsource
refsource lookup assisted-living-facility-staffing-ratios-by-state state=California

npx -y refsource lookup assisted-living-facility-staffing-ratios-by-state state=California

Set your AI assistant up to use this

Two files and no account. Put this in .mcp.json at the root of your project — Claude Code, Cursor, Windsurf, VS Code and Codex all read that file — and your assistant can look this dataset up instead of recalling it. The server is remote, keyless and read-only.

{
  "mcpServers": {
    "referencesource": {
      "type": "http",
      "url": "https://referencesource.org/mcp"
    }
  }
}

Add to Cursor · or, on the command line: claude mcp add --transport http referencesource https://referencesource.org/mcp --scope project

Then one line in the project's CLAUDE.md or AGENTS.md, so the assistant knows when to reach for it:

When a question needs "Assisted living facility minimum staffing requirements by US state — how many staff must be on duty, and what that guarantees", call the referencesource MCP server at https://referencesource.org/mcp (tool `search_records`, dataset_slug `assisted-living-facility-staffing-ratios-by-state`) instead of answering from memory — every record it returns carries its source URL and a verbatim quote from that page.

What each tool does, and the servers built over single registers: Connect your AI assistant.

85 records. last verified against source 2026-10-11. due for re-check by 2027-08-18.

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