In short
Assisted living inspection reports come from the state agency that licenses assisted living, not from Medicare. Use the state's online lookup to confirm the license, see its type, and read recent inspection findings. If a report isn't online, ask the agency or the community for a copy. The table below lists nine states.
Written by the Senior Choice Care teamUpdated October 9, 2026. Facts are checked against the sources listed at the end of this page. General information; every family is different.
| State | Who licenses assisted living and nursing homes | Where to look | Complaints |
|---|---|---|---|
| Arizona | Arizona Department of Health Services (ADHS), long-term care and residential facility licensing | AZ Care Check Licensed facilities and their licensing information | ADHS online complaint form, linked from its licensing pages |
| Florida | Agency for Health Care Administration (AHCA) | FloridaHealthFinder facility locator License status, beds, inspection reports and emergency actions | AHCA assisted living complaint line (888) 419-3456 |
| Kansas | KDADS, the Kansas Department for Aging and Disability Services | KDADS Facilities Directory Adult care homes by type, with inspection results | KDADS complaint hotline 800-842-0078 |
| Missouri | Department of Health and Senior Services (DHSS), Section for Long-Term Care Regulation | Show Me Long Term Care Licensed facilities and inspection reports | DHSS abuse and neglect hotline 1-800-392-0210 |
| North Carolina | Division of Health Service Regulation (DHSR), Adult Care Licensure Section | Adult care home inspections, ratings and penalties Statements of deficiencies, star ratings and corrective action reports | DHSR complaint intake, listed on the DHSR site |
| Ohio | Ohio Department of Health (nursing homes and residential care facilities) | Care Compare (nursing homes); ask ODH for state survey reports Federal ratings and inspection summaries for certified nursing homes | Ohio Department of Health complaint unit |
| Pennsylvania | Department of Human Services (DHS), personal care home and assisted living residence licensing | DHS PCH and ALR licensing page, with the provider directory Licensed personal care homes and assisted living residences | DHS regional licensing office |
| South Carolina | South Carolina Department of Public Health (community residential care facilities and nursing homes) | DPH Find a Facility Licensed facilities by type and location | DPH Healthcare Quality, listed on the DPH site |
| Texas | Texas Health and Human Services Commission (HHSC) | HHSC Long-Term Care Provider Search License status and inspection history for nursing facilities and assisted living | HHSC complaint and incident intake 1-800-458-9858 |
Checked October 2026. Federal ratings for Medicare-certified nursing homes, home health and hospice are on Medicare Care Compare.
How to read a report
- Check the license type and whether it fits your parent's needs
- Look for repeated findings in the same area
- Ask the administrator about any finding
Questions families ask
Does Medicare rate assisted living?
No. States license and inspect assisted living.
Are assisted living inspection reports public?
Most states post them or provide them on request.
What if a state lookup doesn't show reports?
Call the agency or ask the community for its most recent inspection.
Who do I contact with a complaint?
The state licensing agency in the table, or the long-term care ombudsman.
Sources
- FloridaHealthFinder (AHCA): facility locator and inspection reports
- AZ Care Check (Arizona Department of Health Services)
- NC DHSR Adult Care Licensure: facility inspections, ratings and penalties
- Texas HHS: Long-term care provider search
- KDADS Facilities Directory (Kansas adult care homes, with inspection results)
- Show Me Long Term Care, Missouri Department of Health and Senior Services
- Pennsylvania DHS: Personal care home and assisted living residence licensing
- South Carolina Department of Public Health: Find a facility