Sample Assisted Living Admission Agreement

Assisted living facilities are becoming a popular option for individuals who require assistance with activities of daily living but do not need the 24-hour medical care provided by nursing homes. When choosing an assisted living facility, individuals and families should carefully review the admission agreement to ensure they fully understand the terms and conditions of the arrangement. In this article, we’ll discuss a sample assisted living admission agreement and what it covers.

Firstly, it’s essential to note that each assisted living facility has its own unique admission agreement. However, most of them include similar or identical clauses, which will be outlined in this article.

Resident Information and Rights

The agreement typically begins with a section outlining the resident`s personal information, including their name, date of birth, and any medical conditions that require attention by the facility staff. Also, the admission agreement may state the resident`s right to self-determination, including their right to make decisions about their own care, refuse treatment, and manage their own medication.

Fees and Payment

Assisted living facilities charge fees for services rendered, and the admission agreement outlines these fees and the services included. The fees may include rent, meals, housekeeping, maintenance, and personal care. The agreement may also outline payment terms, such as the method of payment, frequency of billing, and late payment fees.

Services and Accommodations

The admission agreement should detail the services and accommodations provided by the facility, such as the number of meals per day, laundry services, housekeeping, and personal care. It should also provide information on the various levels of care available and the associated costs.

Health Care Services

The agreement should specify the types of health care services provided by the assisted living facility, such as medication management, medical monitoring, and health assessments. It should also outline the facility`s protocols for handling medical emergencies, including contacting emergency services if necessary.

Resident Responsibilities

The admission agreement may include a section outlining the resident`s responsibilities, such as adhering to the facility`s policies, respecting the rights and privacy of other residents, and maintaining their own health and safety.

Termination of Agreement

The agreement should include provisions for the termination of the agreement, including notice requirements, reasons for termination, and refund policies.


Choosing an assisted living facility can be an emotional and stressful process, and reviewing the admission agreement is critical to ensuring a successful stay. Families and residents should carefully read through the agreement, ask questions, and be comfortable with the terms and conditions before signing. This sample assisted living admission agreement outlines some of the important clauses that families and residents should consider when choosing an assisted living facility.