Author: Sarah Williams
Reviewed By: Catherine Braxton

Cameras are allowed in assisted living facilities in many states. However, laws and regulations vary considerably nationwide, and different rules apply to diverse camera types. Residents, loved ones and facility staff must consider camera usage from two perspectives: privacy and protection.

Privacy considerations regarding cameras in assisted living

Federal law assures personal privacy for long-term care residents, including in their living quarters, communications, access to medical records and visits with friends and family. Therefore, assisted living facilities mustn’t install any cameras in a resident’s private room without their informed consent. Similarly, cameras in communal areas mustn’t record personal conversations or face publicly accessible computers. 

Many states, including Colorado and Arizona, permit facility-installed surveillance cameras to monitor outside areas, hallways, entrances and high-traffic parts of the community. Such cameras can aid security and safety by deterring intruders, allowing rapid response to emergencies and ensuring staff members provide quality care. However, cameras must avoid infringing on individuals’ privacy as much as possible. Facilities must carefully consider the placement and monitoring of cameras. Any residents concerned about inappropriate monitoring can contact their area’s Long-Term Care Ombudsman program or a specialized elder care attorney for guidance.  

Protection considerations regarding cameras in assisted living

Sometimes, residents or relatives wish to install in-room cameras for peace of mind. Occasionally, cameras help identify neglect, abuse or substandard care. Many states don’t have explicit laws covering personal cameras in residents’ rooms; in such cases, individuals should consult with an elder care lawyer to learn more about their rights. Typically, without laws or facility policies to the contrary, residents may have cameras.

Some states expressly permit cameras, subject to conditions. For example, Washington allows residents to choose specific times or situations to monitor and prohibits the unauthorized release of recordings. Kansas has similar rules. Crucially, seniors or their legal guardians must consent, and they can withdraw such consent at any time. Certain areas allow cameras in semi-private rooms or companion suites if all residents consent. While laws permit residents to use covert cameras in some states, other states don’t allow this. For example, Utah permits open cameras but only allows use of secret cameras with a court order. Often, residents must obtain community consent to fit an in-room camera. Because laws vary widely, seniors should consult a local elder care advisor.