Assisted Living in Michigan

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Families looking for assisted living in Michigan (MI) have a wide array of communities to choose from, since estimated that there are more than 30,000 assisted living communities serving seniors across the U.S., and over 780 statewide. The state is also home to a rapidly growing number of senior citizens, with adults over 65 making up an estimated 17 percent of the population. A resident in an assisted living community in Michigan will pay $3,850 per month on average.

Average Monthly Costs

States near Michigan

$4,791.00 Indiana
$4,674.00 Ohio
$4,207.00 Michigan
$4,000.00 US
Genworth lists the average cost of a private, one bedroom unit in an assisted living community in Michigan as $4,207. This places Michigan on the higher end of the scale at about $200 over the national average, and about $200 lower than the median cost of assisted living in nearby states.

Compare Monthly Care Costs

When it comes to care options, assisted living is just one of several choices available to seniors. Some care options, like part-time in-home care or independent living, may cost less, while others like memory care or skilled nursing are likely to cost significantly more. Seniors can speak with their medical practitioners to receive guidance on what level of care will best suit their needs and abilities.

Nursing Home Care


In-Home Care


Assisted Living

Average Monthly Costs

Cities in Michigan

$5,518.00 Ann Arbor
$5,157.00 Monroe
$5,135.00 Midland
$4,917.00 Lansing, East Lansing
$4,740.00 Kalamazoo, Portage
$4,620.00 Niles, Benton Harbor
$4,615.00 Detroit, Warren, Dearborn
$4,589.00 Grand Rapids, Wyoming
$4,316.00 Flint
$4,232.00 Jackson
$3,811.00 Muskegon
$3,496.00 Bay City
$3,387.00 Rest Of State
$3,332.00 Battle Creek
$3,086.00 Saginaw
When estimating the cost of assisted living, it's important to know that average prices can differ significantly between various parts of Michigan. For example, assisted living rates in areas such as Monroe are at least $900 more than the state average of $4,207, but in areas like Battle Creek, you're saving on average $900. The most affordable region in Michigan for assisted living is Saginaw at $3,086.

What You Should Know About Assisted Living in Michigan

The state of Michigan does not license or regulate assisted living facilities within its borders. Some facilities may, however, meet the requirements of adult foster homes or homes for the aged, which do report to the Michigan State Adult Foster Care and Homes for the Aged Licensing Division. Because these are mostly places for developmentally or cognitively impaired individuals, otherwise high-functioning seniors who just need a bit of help with bathing, dressing, meal preparation and other activities of daily living (ADLs) most often find themselves living in privately overseen residential care communities.

Financial Assistance for Assisted Living in Michigan

Seniors in Michigan have a few options to choose from when looking for help to pay for assisted living. These programs in particular are extremely helpful for those who need help with the extra costs of residential long-term care.


Medicaid is a joint program between the state and federal governments that helps low-income residents cover some or all of the costs associated with care. Primarily intended as a supplement for medical insurance, the program offers low- and no-cost assistance with costs related to medication, transportation, in-home care and personal care services while residing in a licensed home for the aged.

Who Is Eligible?

The state Medicaid program is known as Healthy Michigan, and to sign up, residents of the state must be:

  • Permanent residents of the state of Michigan
  • Between 18 and 64 years old
  • Not pregnant at the time of application
  • Not currently enrolled in other Medicaid programs
  • Not eligible for Medicare

How to Apply

Residents can sign up for Healthy Michigan online, by phone at 1-855-789-5610, or in person at a local Department of Human Services office.

More Ways to Finance Assisted Living

While many families use their own funds or personal assets to pay for assisted living, there are plenty of additional options to cover these costs. Visit our 9 Ways to Pay for Assisted Living page for more information.

Free Assisted Living Resources in Michigan

Michigan has several government agencies and various nonprofits that assist aging citizens who need help with their transition into assisted living, as well as for those who could use a helping hand before or after they have gotten settled in.

These organizations are especially helpful if you are looking into the different senior care and financing options available to you or the senior you love.

Michigan Area Agencies on Aging

The Area Agencies on Aging is a nationwide service that maintains some of its 600 offices in every major city in Michigan. This national nonprofit provides seniors and their families with information to help them find long-range senior care options and caregiver support resources, such as respite care and support groups. The agency also helps connect seniors with low- or no-cost money management programs, transportation options that go beyond public transit, and even meal services to supplement their diets.

See below for a list of the AAA offices in the state and their contact information.

Region 1A

Detroit Area Agency on Aging

1333 Brewery Park Blvd., Suite 200, Detroit, Michigan 48207

Region 1B

Area Agency on Aging 1B

29100 Northwestern Highway, Suite 400, Southfield, Michigan 48034

Region 1C

The Senior Alliance

5454 Venoy Road, Wayne, Michigan 48184-1755

Region 2

Region 2 Area Agency on Aging

102 North Main Street, PO Box 189, Brooklyn, Michigan 49230
800-335-7881 or 517-592-1974

Region 3

Region 3B Area Agency on Aging/CareWell Services Southwest

200 West Michigan Avenue, Suite 102, Battle Creek, Michigan 49017

Region 4

Region IV Area Agency on Aging

2900 Lakeview Avenue, St. Joseph, Michigan 49085

Region 5

Valley Area Agency on Aging

225 East Fifth Street, Flint, Michigan 48502

Region 6

Tri-County Office on Aging

5303 South Cedar Street, Lansing, Michigan 48911-3800

Region 7

Region VII Area Agency on Aging

1615 S. Euclid Avenue, Bay City, Michigan 48706

Region 8

Area Agency on Aging of Western Michigan, Inc.

3215 Eaglecrest Drive NE, Grand Rapids, Michigan 49525

Region 9

Northeast Michigan Community Service Agency (NEMCSA)

2375 Gordon Road, Alpena, Michigan 49707

Region 10

Area Agency on Aging of Northwest Michigan

1609 Park Drive, P. O. Box 5946, Traverse City, Michigan 49696-5946

Region 11


P.O. Box 606, 2501 14th Avenue South, Escanaba, Michigan 49829

Region 14

Senior Resources

560 Seminole Road, Muskegon, Michigan 49444

Assisted Living Laws and Regulations in Michigan

Assisted Living Service Plan Requirements

In Michigan, assisted living community staff are required to create a service plan, or care plan, for each resident. They do this during the initial screening of each resident and before the person moves into the facility. These plans are based on information provided by the resident and his or her legal representative, as well as by loved ones and sometimes the person's doctor.

As part of the plan, the resident's primary care doctor conducts a physical and mental health screening to make sure assisted living is the appropriate level of care for their needs. If signs of Alzheimer's or dementia are found, it may be more appropriate to recommend memory care. If a physical ailment is present that requires regular therapy or medication, skilled nursing or post-acute rehab are usually the right choices. For seniors who are otherwise capable of taking care of themselves, but who are ready to get help with their activities of daily living, the doctor usually signs off on admission to assisted living.

Every adult foster care facility in Michigan is required to have regular reviews of each resident's individual treatment plan, in most cases annually. During these reviews, decisions are made by the resident, designated representative, doctor and community staff regarding updates and expansions, if any, to the existing plan of care.

Assisted Living Admission Requirements

The general rule for admission to an assisted living facility in Michigan is that the resident's physical and mental state must allow them to get some benefit from living in a community, without being overly disruptive or lacking certain necessary care requirements. An individual with serious behavioral disturbances, for example, is unlikely to be admitted, while an aging citizen who has some mobility issues is.

Assisted Living Scope of Care

Adult foster care facilities and homes for the aged in Michigan do not provide a medical level of care. Instead, these are considered residential care properties where most of the care provided falls into the standard activities of daily living categories of bathing, grooming, dressing, meal prep and so on. The staff may assist with medication management and remind the resident of daily obligations. In addition, the staff should have knowledge of the resident's general whereabouts at all times.

Assisted Living Medicaid Policy

Michigan's adult foster care facilities and homes for the aged generally accept Medicaid and state Medicaid waiver programs for payment under the banner of MI Choice. Not all of them do this, however, so it's important to ask during the initial investigation phase.

Assisted Living Facility Requirements

Apartment style units are not required and facilities that were built after 1969 allow a maximum of four residents per room. In addition, Assisted living communities in Michigan must meet a variety of facility requirements to ensure safety and accessibility for residents and visitors. These requirements include:

  • Safe, clean and navigable corridors and common areas
  • Fully enclosed hallways leading from rooms to the dining hall, game room and other public areas
  • Nonslip surfaces where appropriate
  • Central heating and air conditioning that stays within a reasonable range, usually from 68 to 72 degrees Fahrenheit
  • Compliance with all other applicable Michigan fire, workplace and building codes
  • Vermin-free environments
  • One toilet/sink for every eight residents per floor and one bath/shower for every 15 residents

Medication Management Regulations

Residents who are capable of self-administering their own medications may do so. Staff is permitted to remind residents of daily dosing and provide assistance such as reading labels and opening bottles. Should a resident be unable to handle their medication regimen, a staff member that has been properly trained by the facility to handle and administer medications may complete this task.

Staffing Requirements

Assisted living facilities in Michigan must maintain a minimum level of staffing at all times to run the property. The exact number varies with the number of residents present at any one time, but the guidelines call for enough staff to be present, awake and on duty to properly administer the facilities while responding in a timely manner to any resident's call for assistance. Excursions outside of the facility operate under similar requirements, always with the expectation that seniors in the community's care will have close enough supervision to receive timely help as needed.

Each facility must employ an administrator to manage the day-to-day operation of the home. In addition, each shift must have a designated resident care supervisor who is in charge of overseeing seniors' rights and safety.

Staff Training Requirements

Staff members at Michigan assisted living communities must undergo some kind of training program that meets state requirements. The exact details of the training vary from area to area and from one level of care to another. Requirements are set and training modules planned by staff administrators. In general, training for staff must include the following topics:

  • First aid
  • Administration of medication
  • Personal care routines
  • Principles of supervision
  • Residents' rights and responsibilities
  • Safety and fire prevention
  • Containment of infectious disease and standard precautions

Background Checks for ALR Staff in Michigan

Employees at Michigan's adult foster care communities and homes for the aged must disclose their criminal background, if any, during the hiring process. Facilities doing the hiring must require a standard background check and an FBI fingerprint check. All potential employees and contractors whose work is expected to bring them into regular contact with residents must be free from both felony and misdemeanor charges for the last 15 years. In the event of a past felony conviction, the new hire must have satisfied all the terms of confinement and/or probation and parole before being eligible for hire at an assisted living facility.

Requirements for Reporting Abuse

The Michigan State Attorney General's Office maintains a list of resources where anyone can report suspected elder abuse. Staff in Michigan's assisted living communities are trained to identify abuse, and they are encouraged to report them at the first sign. Families, caregivers and other loved ones may also report suspected abuse by calling Michigan's Long-Term Care Ombudsman at 866-485-9393. Noncriminal acts may be reported to the Bureau of Health Care Services at 800-882-6006.

Assisted Living Facilities in Michigan



Top-Rated Caring Stars Winners in Michigan’s Caring Stars award program recognizes the best assisted living facilities across the U.S. based on reviews from family caregivers and older adults. This award is meant to help older adults and their loved ones find the best assisted living or in-home care option in their area. The list below shows up to 10 listings that have won the most Caring Stars annual awards in their state, sorted by their current overall average rating. For a complete list of Caring Stars winners for each year, please visit our Caring Stars info center.


Chester Street Residence

Royal Oak, MI $$$$

43 reviews


Robbinswood Assisted Living

Grand Haven, MI $$

33 reviews


New Hope Valley

Saginaw, MI $$$

26 reviews


American House Sterling Heights

Sterling Heights, MI $

19 reviews


Cambrian Assisted Living

Tecumseh, MI Cost Levels

16 reviews


Bavarian Comfort Care

Bridgeport, MI Cost Levels

11 reviews


Brookdale Grand Blanc

Holly, MI $$

19 reviews


Independence Village of Grand Ledge

Grand Ledge, MI $$$$

11 reviews


Sunrise of Bloomfield Hills

Bloomfield Hills, MI $$$

32 reviews



Sterling Heights, MI $$$

17 reviews