---
type: "Bill"
title: "AN ACT relating to long-term care facilities."
description: "Amend KRS 194A.700 to delete, amend, and add definitions; amend KRS 194A.703 to replace \"client\" with \"resident\" and to include requirements for living units in a dementia care unit; amend KRS 194A.705 to allow assisted living communities to provide additional services; amend KRS 194A.707 to change the administrative procedure process of assisted living communities, to add a biennial review process, and to change the certification process to a licensure process; amend KRS 194A.709 to remove the requirement of reporting to the Division of Health Care and to make technical language changes; amend KRS 194A.711 to revise the criteria to be met by residents in an assisted living community; amend KRS 194A.717 to include staffing needs pursuant to an assisted living community's service plan; amend KRS 194A.719 to require orientation education prior to independently working with residents; amend KRS 194A.727 to clarify which businesses can be licensed as an assisted living community; create multiple new sections of KRS 194A.700 to 194A.729 to provide requirements for the cabinet to consider when an applicant is seeking a license as an assisted living community with dementia care; for when a licensee chooses to voluntary relinquishment of a license as an assisted living community with dementia care; to list the responsibilities of an assisted living community with dementia care; to require continuing education training for assisted living managers of an assisted living community with dementia care; to require assisted living communities with dementia care to develop and implement additional policies; to provide staffing requirements for individuals employed in assisted living communities with dementia care; to include additional services an assisted living community with dementia care must provide; to list training requirements for staff working in dementia care units; to establish two categories of licensure for assisted living communities and to require assisted living communities to obtain a license from the cabinet to operate as a dementia care unit; to allow licensed personal care homes, under specific circumstances, to be licensed as an assisted living community or assisted living community with dementia care; to establish the rules for fines and violations of an assisted living community; amend KRS 216.510 and 216.535 to expand the definition of \"long-term care facilities\" to include assisted living communities; amend KRS 216.535 to amend the definition of \"long-term care ombudsman\" to exclude assisted living communities; amend KRS 216.530 to amend the inspection period for assisted living communities, personal care homes, and specialized personal care homes; amend KRS 216.557 to exclude assisted living communities from receiving citations as type A or type B violations; amend KRS 216.515, 216.560, 216.563, 216.565, 216.577, 216A.030, and 218A.180 to exclude assisted living communities; amend KRS 216.765 to require a specific medical examination in the admission into assisted living communities; amend KRS 216.573 to broaden the cabinet's power to institute injunctive proceedings; create a new section of KRS Chapter 216 to create new definitions; to establish rules for residence in a personal care home or a specialized personal care home; to allow a personal care home or specialized personal care to provide additional services in certain situations; to establish staffing requirements in personal care homes or specialized personal care homes; to require the cabinet to promulgate administrative regulations to regulate an initial and biennial licensure review process and to establish additional procedures; and to allow the cabinet to request information and to conduct on-site visits; amend KRS 216B.015 to expand the definition of \"health facility\"; amend KRS 216B.155 to add the exemption of assisted living communities from specific standard requirements; amend KRS 216B.160 to allow a manager's designee in an assisted living community to conduct an ongoing assessment; amend various sections of KRS Chapter 194A and KRS 216.595 to make technical corrections and changes; repeal KRS 194A.723 and 194A.724."
jurisdiction: "us/states/ky"
legislature: "Kentucky General Assembly"
session: "2022RS"
identifier: "SB 11"
citation: "Kentucky SB 11 (2022RS)"
classification: ["bill"]
subjects: ["Administrative Regulations and Proceedings", "Aged Persons and Aging", "Dementia", "Disabilities and the Disabled", "Diseases", "Health and Medical Services", "Hospitals and Nursing Homes", "Mental Disability", "State Agencies"]
status: "enacted"
primary_sponsors: ["C. Embry Jr.", "R. Alvarado", "R. Mills"]
version_count: 3
action_count: 20
vote_count: 2
first_action: "2021-10-13T04:00:00+00:00"
last_action: "2022-03-18T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/209a84cb-d9fb-456e-9b94-bf539a421f53"
source_url: "https://apps.legislature.ky.gov/record/22RS/sb11.html"
source_hash: "484a1b4524026a7acbfe9b656cf44cbe3cb44c6ab032397dfb1e8267cd77a2c3"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ky"]
---

# Kentucky SB 11 (2022RS) — AN ACT relating to long-term care facilities.

Amend KRS 194A.700 to delete, amend, and add definitions; amend KRS 194A.703 to replace "client" with "resident" and to include requirements for living units in a dementia care unit; amend KRS 194A.705 to allow assisted living communities to provide additional services; amend KRS 194A.707 to change the administrative procedure process of assisted living communities, to add a biennial review process, and to change the certification process to a licensure process; amend KRS 194A.709 to remove the requirement of reporting to the Division of Health Care and to make technical language changes; amend KRS 194A.711 to revise the criteria to be met by residents in an assisted living community; amend KRS 194A.717 to include staffing needs pursuant to an assisted living community's service plan; amend KRS 194A.719 to require orientation education prior to independently working with residents; amend KRS 194A.727 to clarify which businesses can be licensed as an assisted living community; create multiple new sections of KRS 194A.700 to 194A.729 to provide requirements for the cabinet to consider when an applicant is seeking a license as an assisted living community with dementia care; for when a licensee chooses to voluntary relinquishment of a license as an assisted living community with dementia care; to list the responsibilities of an assisted living community with dementia care; to require continuing education training for assisted living managers of an assisted living community with dementia care; to require assisted living communities with dementia care to develop and implement additional policies; to provide staffing requirements for individuals employed in assisted living communities with dementia care; to include additional services an assisted living community with dementia care must provide; to list training requirements for staff working in dementia care units; to establish two categories of licensure for assisted living communities and to require assisted living communities to obtain a license from the cabinet to operate as a dementia care unit; to allow licensed personal care homes, under specific circumstances, to be licensed as an assisted living community or assisted living community with dementia care; to establish the rules for fines and violations of an assisted living community; amend KRS 216.510 and 216.535 to expand the definition of "long-term care facilities" to include assisted living communities; amend KRS 216.535 to amend the definition of "long-term care ombudsman" to exclude assisted living communities; amend KRS 216.530 to amend the inspection period for assisted living communities, personal care homes, and specialized personal care homes; amend KRS 216.557 to exclude assisted living communities from receiving citations as type A or type B violations; amend KRS 216.515, 216.560, 216.563, 216.565, 216.577, 216A.030, and 218A.180 to exclude assisted living communities; amend KRS 216.765 to require a specific medical examination in the admission into assisted living communities; amend KRS 216.573 to broaden the cabinet's power to institute injunctive proceedings; create a new section of KRS Chapter 216 to create new definitions; to establish rules for residence in a personal care home or a specialized personal care home; to allow a personal care home or specialized personal care to provide additional services in certain situations; to establish staffing requirements in personal care homes or specialized personal care homes; to require the cabinet to promulgate administrative regulations to regulate an initial and biennial licensure review process and to establish additional procedures; and to allow the cabinet to request information and to conduct on-site visits; amend KRS 216B.015 to expand the definition of "health facility"; amend KRS 216B.155 to add the exemption of assisted living communities from specific standard requirements; amend KRS 216B.160 to allow a manager's designee in an assisted living community to conduct an ongoing assessment; amend various sections of KRS Chapter 194A and KRS 216.595 to make technical corrections and changes; repeal KRS 194A.723 and 194A.724.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](https://apps.legislature.ky.gov/recorddocuments/bill/22RS/sb11/orig_bill.pdf)
2. **Acts Chapter 20** (committee substitute) — [source](https://apps.legislature.ky.gov/law/acts/22RS/documents/0020.pdf)
3. **Current/Final** (committee substitute) — [source](https://apps.legislature.ky.gov/recorddocuments/bill/22RS/sb11/bill.pdf)

## Votes

- PASS SB 11 W/ scs1 — **pass** (pass) · upper
- Final Passage — **pass** (pass) · upper

## Sponsors

- C. Embry Jr. — primary (person)
- R. Alvarado — primary (person)
- R. Mills — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-10-13T04:00:00+00:00** Prefiled by the sponsor(s).
- **2022-01-04T05:00:00+00:00** introduced in Senate `introduction`
- **2022-01-04T05:00:00+00:00** to Committee on Committees (S) `referral-committee`
- **2022-01-04T05:00:00+00:00** to Health & Welfare (S) `referral-committee`
- **2022-01-12T05:00:00+00:00** reported favorably, 1st reading, to Calendar with Committee Substitute (1) `committee-passage`
- **2022-01-13T05:00:00+00:00** 2nd reading, to Rules `reading-2`
- **2022-01-13T05:00:00+00:00** posted for passage in the Regular Orders of the Day for Tuesday, January 18, 2022
- **2022-01-18T05:00:00+00:00** 3rd reading, passed 30-2 with Committee Substitute `passage, reading-3`
- **2022-01-19T05:00:00+00:00** received in House
- **2022-01-19T05:00:00+00:00** to Committee on Committees (H) `referral-committee`
- **2022-02-24T05:00:00+00:00** to Health & Family Services (H) `referral-committee`
- **2022-03-03T05:00:00+00:00** reported favorably, 1st reading, to Calendar `committee-passage`
- **2022-03-04T05:00:00+00:00** 2nd reading, to Rules `reading-2`
- **2022-03-07T05:00:00+00:00** posted for passage in the Regular Orders of the Day for Tuesday, March 08, 2022
- **2022-03-08T05:00:00+00:00** 3rd reading, passed 94-0 `passage, reading-3`
- **2022-03-09T05:00:00+00:00** received in Senate
- **2022-03-09T05:00:00+00:00** enrolled, signed by President of the Senate `passage`
- **2022-03-09T05:00:00+00:00** enrolled, signed by Speaker of the House `passage`
- **2022-03-09T05:00:00+00:00** delivered to Governor
- **2022-03-18T04:00:00+00:00** signed by Governor (Acts Ch. 20) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/209a84cb-d9fb-456e-9b94-bf539a421f53`. Confidence: reported (aggregated from official Kentucky legislature records).