Domiciliary Care Facilities for Adults

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Abstract
A content analysis was conducted on ninety-eight sets of state regulations governing long-term residential facilities for adults without nursing. While most regulations contained a substantial number of physical requirements, many lacked a number of other types of requirements affecting residents' health, safety, and well-being. Sizable percentages of regulations did not include requirements in the areas of standards enforcement, staff training, services to residents, residents' rights, and relocation of residents. Regulations with more requirements were positively associated with the size of the facilities being regulated, with licensing (as opposed to certification or approval), and with regulation of facilities serving those in need of personal care, the elderly, the physically handicapped, and the mentally retarded. The number of requirements included in a set of regulations was not related to the type of state agency doing the regulating, to association with nursing home regulations, or to how recently the regulations were adopted or revised.

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