Senate Bill 22-154 Summary

• Requires assisted living residences to provide written notice at least 30 calendar days in advance of involuntary resident discharge to the resident, legal representative, and designated contacts, with exceptions for imminent danger or care level inadequacy.

• Establishes a multi-step grievance and appeal process allowing residents or designated persons to file grievances within 14 days of discharge notice, requiring residence response within 5 business days and department review within 60 days.

• Mandates discharge notices include detailed explanations of reasons, supporting facts, recounting of events, and contact information for state and local ombudsmen and the department.

• Increases civil fine penalties for violations from $2,000 per calendar year to $10,000 per violation, with department authority to exceed caps for egregious violations resulting in death or serious injury.

• Requires administrators of assisted living residences to have at least one year of experience supervising personal care services by January 1, 2024, and establishes a fine for residences operating without compliant administrators.