Nursing home responsiveness requirements, state by state

Federal law sets the floor. Every state layers its own licensure rules on top, and they differ in ways that matter: who must be reached, how fast, and by whom. This is 566 state provisions across 51 jurisdictions, each checked against the official source and then re-checked by an independent review, mapped to the federal F-tags a surveyor cites.

AlabamaAla. Admin. Code r. 420-5-10 (Ala. State Comm. of Pub. Health)14 mapped provisionsAlaskaAlaska Admin. Code tit. 7, ch. 12 (7 AAC 12.010 - 7 AAC 12.990); nursing facilities specifically at 7 AAC 12.250 - 7 AAC 12.290 (art. 5), plus the all-facility general provisions at 7 AAC 12.600 - 7 AAC 12.990 and the centralized licensing rules at 7 AAC 1010 mapped provisionsArizonaAriz. Admin. Code tit. 9, ch. 10, art. 4 (A.A.C. R9-10-401 to R9-10-427)7 mapped provisionsArkansas20 CAR §§ 400-101 to 400-2611 (Code of Ark. Rules tit. 20, ch. X, subch. A, pt. 400)11 mapped provisionsCaliforniaCal. Code Regs. tit. 22, div. 5, ch. 3, §§ 72001–7271313 mapped provisionsColorado6 CCR 1011-1, Chapter 5 (6 Colo. Code Regs. § 1011-1:5)9 mapped provisionsConnecticutRegs., Conn. State Agencies § 19-13-D8t (Bluebook: Conn. Agencies Regs. § 19-13-D8t) — Public Health Code, Title 19, Subtitle 19-13-D; statutory authority at Conn. Gen. Stat. ch. 368v, §§ 19a-490 to 19a-539, 19a-550 to 19a-563h19 mapped provisionsDelaware16 Del. Admin. Code § 32017 mapped provisionsDistrict of ColumbiaD.C. Mun. Regs. tit. 22-B, ch. 32, §§ 3200-3299 (22-B DCMR ch. 32)17 mapped provisionsFloridaFla. Admin. Code Ann. ch. 59A-412 mapped provisionsGeorgiaGa. Comp. R. & Regs. ch. 111-8-56 (Dep't of Community Health, Healthcare Facility Regulation)14 mapped provisionsHawaiiHaw. Admin. R. ch. 11-94.27 mapped provisionsIdahoIdaho Code §§ 39-1301 through 39-1309 (Streamlined Facilities Licensing and Inspection Act), Title 39, ch. 13, Idaho Code5 mapped provisionsIllinois77 Ill. Adm. Code pt. 300 (Ill. Admin. Code tit. 77, pt. 300)11 mapped provisionsIndiana410 IAC 16.2 (nursing facilities are licensed as "comprehensive care facilities" under 410 IAC 16.2-3.1)12 mapped provisionsIowaIowa Admin. Code ch. 481—58 (Nursing Facilities); physical plant standards at Iowa Admin. Code ch. 481—61; authorizing statute Iowa Code ch. 135C13 mapped provisionsKansasKan. Admin. Regs. art. 26-39 (K.A.R. 26-39-100 et seq.)7 mapped provisionsKentucky902 KAR 20:300 (within 902 KAR Chapter 20, "Health Services and Facilities")8 mapped provisionsLouisianaLa. Admin. Code tit. 48, pt. I, chs. 97-99 (LAC 48:I.9701 et seq.)9 mapped provisionsMaine10-144 C.M.R. ch. 1107 mapped provisionsMarylandCOMAR 10.07.02 (Md. Code Regs. tit. 10, subtit. 07, ch. 02)14 mapped provisionsMassachusetts105 Mass. Code Regs. 150.000 (105 CMR 150.000)15 mapped provisionsMichiganMich. Admin. Code R 325.45101 to R 325.45385 (Licensing Health Facilities or Agencies)14 mapped provisionsMinnesotaMinn. R. ch. 4658 (Minnesota Rules, chapter 4658)14 mapped provisionsMississippi15 Miss. Admin. Code Pt. 16, Subpt. 1, Ch. 456 mapped provisionsMissouri19 CSR 30-8517 mapped provisionsMontanaMont. Admin. R. Title 37, ch. 106, subch. 6 (ARM 37.106.601 et seq.), "Minimum Standards for Nursing Facilities," within ARM Title 37, ch. 106, "Health Care Facilities"10 mapped provisionsNebraska175 Neb. Admin. Code ch. 12 (175 NAC 12)17 mapped provisionsNevadaNev. Admin. Code §§ 449.744 to 449.74549 ("Facilities for Skilled Nursing"), within Nev. Admin. Code ch. 4497 mapped provisionsNew HampshireN.H. Code Admin. R. Ann. He-P 803 (Part He-P 803 of Chapter He-P 800)7 mapped provisionsNew JerseyN.J.A.C. 8:399 mapped provisionsNew Mexico8.370.16 NMAC17 mapped provisionsNew YorkN.Y. Comp. Codes R. & Regs. tit. 10, pt. 415 (10 NYCRR Part 415)17 mapped provisionsNorth Carolina10A NCAC 13D (10A N.C. Admin. Code ch. 13D), Subchapter 13D of Title 10A, Chapter 13 (N.C. Medical Care Commission)15 mapped provisionsNorth DakotaN.D. Admin. Code ch. 33-07-03.28 mapped provisionsOhioOhio Admin. Code ch. 3701-1714 mapped provisionsOklahomaOkla. Admin. Code tit. 310, ch. 675 (§§ 310:675-1-1 et seq.)16 mapped provisionsOregonOr. Admin. R. 411-085-0000 to 411-089-0140 (OAR ch. 411, divs. 85-89)9 mapped provisionsPennsylvania28 Pa. Code ch. 201 (part of 28 Pa. Code pt. IV, subpt. C, chs. 201-211)12 mapped provisionsRhode Island216-RICR-40-10-1 (R.I. Code R. tit. 216, ch. 40, subch. 10, pt. 1)17 mapped provisionsSouth CarolinaS.C. Code Ann. Regs. 60-17 (2025)10 mapped provisionsSouth DakotaARSD art. 44:7311 mapped provisionsTennesseeTenn. Comp. R. & Regs. ch. 0720-18 (2026)14 mapped provisionsTexas26 Tex. Admin. Code ch. 554 (Tex. Health & Human Servs. Comm'n)5 mapped provisionsUtahUtah Admin. Code r. R432-1508 mapped provisionsVermontCode of Vermont Rules 13-110-005, Licensing and Operating Rules for Nursing Homes (eff. June 1, 2018)6 mapped provisionsVirginia12 Va. Admin. Code ch. 5-371 (12VAC5-371-10 et seq.)13 mapped provisionsWashingtonWash. Admin. Code ch. 388-9712 mapped provisionsWest VirginiaW. Va. Code R. §§ 71-15-1 et seq. (Title 71, Series 15) (formerly 64 CSR 13)7 mapped provisionsWisconsinWis. Admin. Code ch. DHS 1326 mapped provisionsWyomingWyo. Code R. Dep't of Health, Health Quality, ch. 19 (rule ref. 048.0026.19)7 mapped provisions

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Orientation, not legal advice. Regulations change; confirm the current text against the official source before relying on it.