How is the ALF survey conducted for relicensure?

The ALF survey is conducted biennially for relicensure, which means it occurs every two years. This schedule allows for adequate time between surveys for the collection of data, administrative processing, and the subsequent adjustments needed for ALF operation improvements. Conducting the survey on a biennial basis strikes a balance between regulatory oversight and ensuring that the facilities have sufficient time to implement any changes or improvements based on previous survey findings and feedback.

Monthly, quarterly, or annual surveys would result in either too frequent assessments that could become burdensome to ALFs or not frequent enough oversight to ensure compliance with regulations and quality standards. The biennial approach is designed to promote consistency and thoroughness in evaluating the facilities while also allowing them ample opportunity to prepare and demonstrate compliance and improvements over a more extended period.