Type I and Type II assisted living in Utah County

Which agency licenses assisted living in Provo and the rest of Utah County?

Every assisted living facility in Provo, Orem, Lehi and the rest of Utah County is licensed by the Office of Licensing in the Utah Department of Health and Human Services' Division of Licensing and Background Checks (DLBC), under Utah Admin. Code R432-270.

The county, the cities and the Mountainland Association of Governments do not license care settings. They handle zoning, business licenses, fire inspections of the building and aging services, but the right to provide personal care to residents comes only from the state license. That matters when you check a building: the license number, type and capacity on the DLBC record are the ones that count, whatever a brochure says.

As of Nov 6, 2026, DLBC's records show 44 assisted living licenses in Utah County, 35 of them Type II and 9 Type I, adding up to 2,395 licensed beds from Lehi and Saratoga Springs in the north to Payson and Santaquin in the south.

What can a Type I assisted living facility in Utah County do?

A Type I facility provides social care and help with daily activities to residents who can leave the building on their own in an emergency; they must be mobile, able to act to save themselves, in stable health, and need no more than limited help with daily tasks.

Type I suits a parent who is mostly independent but should not be living alone: someone who needs meals, housekeeping, medication reminders and a staff member nearby at night. Utah's rule caps the help a Type I resident can need, including no more than three activities of daily living requiring total assistance.

The practical risk is the move-out point. When a Type I resident starts needing a hand to get out of the building, the license no longer fits, and the family has to find a Type II setting. Ask any Type I home how often that happens and how much notice families usually get.

What does a Type II license add?

A Type II facility may keep residents who need one person's limited help to evacuate, must employ or contract a registered nurse for assessments and health monitoring, and must keep at least one certified nurse aide on duty around the clock.

Type II is the license most Utah County families end up touring, because it can serve people whose needs keep growing. It may accept residents who need total help with more than three daily activities, and only a Type II license can include an approved secure unit for memory care.

Source: Utah DLBC licensing records, data as of Nov 6, 2026.

Does building size change the rules in Utah?

Yes. R432-270 sorts assisted living into three size classes by licensed capacity: large (17 or more residents), small (6 to 16) and limited capacity (2 to 5), and some building and staffing provisions differ by class.

Utah County's roster runs from residential homes of ten or sixteen beds to campuses licensed for well over a hundred residents. A small home often means the same few caregivers every day; a large building usually means an activities calendar, a dining room and more staff on shift. Neither is better in the abstract. Match the size to how your parent handles noise, change and crowds.

Who cannot stay in Utah assisted living under either license?

Neither license may admit or keep a person whose behavior endangers themselves or others, who has an active communicable disease the facility cannot manage, or who needs inpatient hospital care, long-term nursing care or continual 24-hour nursing expected to last more than 15 days.

That 15-day line is the one that most often forces a second move. A resident recovering from a short illness can stay with temporary extra care, but a lasting need for round-the-clock skilled nursing belongs in a nursing care facility. Hospice is the main exception, covered on our nursing and hospice page.

A licensed health care professional (a registered nurse, physician, physician assistant or advanced practice nurse) signs each resident's assessment before admission and at least every six months, and again after any significant change. That assessment is what decides whether a resident still fits the license.