Provo Senior AdvisorWhich laws govern assisted living and nursing homes in Utah County?
State law governs licensed senior care in Utah County: the Health Care Facility Licensing and Inspection Act in Utah Code Title 26B, DLBC's assisted living rule R432-270 and nursing care facility rule R432-150, plus federal CMS rules for nursing homes that take Medicare or Medicaid.
Last verified: November 2026DLBC, inside the Utah Department of Health and Human Services, issues and inspects every license. Provo, Orem and the other cities regulate land use and building safety, and MAG runs aging services, but neither licenses care.
What makes Utah's assisted living rules distinctive?
Utah decides between its two assisted living licenses by evacuation ability, places memory care inside Type II as an approved secure unit, and publishes 36 months of inspection findings with noncompliance levels for every facility.
In Utah County that adds up to 35 Type II and 9 Type I licenses, 21 of the Type II licenses with secure beds. The guides below take each rule in turn.
Who handles complaints in Utah County?
Utah Adult Protective Services (1-800-371-7897) handles abuse, neglect and exploitation; the MAG long-term care ombudsman (801-229-3809) advocates for facility residents; and DLBC takes licensing concerns through its Submit a concern page.
Each guide below names the agency and the rule it relies on.
Utah Rules: all guides
Type I and Type II assisted living in Utah County
How Utah's DLBC licenses Type I and Type II assisted living under R432-270, what each can and cannot do, and how the licenses break down in Provo, Orem, Lehi and the rest of Utah County.
Open guide →How Utah regulates memory care units
Utah's secure-unit rules (R432-270-16) for memory care in assisted living: who may be admitted, staffing inside the unit, training and the agreements families sign, with Utah County secure bed counts.
Open guide →Checking a license and inspection record in Utah
How Utah County families look up a DLBC license, read 36 months of inspection findings and noncompliance levels, check sanctions and use CMS Care Compare for nursing homes.
Open guide →Admission agreements, rate changes and discharge in Utah assisted living
What Utah's R432-270 requires in an assisted living admission agreement: charges, 30-day notice of rate changes, discharge terms, refunds and monitoring devices, for Utah County families.
Open guide →Medications, nursing and hospice in Utah assisted living
Utah R432-270 rules on medication help, nurse oversight, staff training and hospice in assisted living, explained for families in Provo, Orem, Lehi and Utah County.
Open guide →Reporting abuse, neglect or a complaint in Utah County
Where Utah County families report suspected elder abuse (APS), resident-rights problems (MAG ombudsman) and licensing violations (DLBC), with phone numbers and what each agency does.
Open guide →Side by side
| Utah's rules require | Utah's rules do not require | |
|---|---|---|
| Assisted living | A DLBC Type I or Type II license | A fixed staff-to-resident ratio |
| Memory care | An approved secure unit in a Type II license | A separate memory care license |
| Inspections | Public findings for 36 months | Star ratings for assisted living |
| Contracts | 30 days' notice of rate changes | A cap on increases |
