The Toughest States for Assisted Living: What You Need to Know Before You Start
May 12, 2025Starting an assisted living business can be exciting, but it’s not without its challenges. One of the biggest hurdles is choosing the right state in which to operate. Some states make it harder than others to get a facility off the ground due to regulations, high costs, and intense competition.
In this blog post, we’ll dive into the toughest states for assisted living and why choosing the right location matters. Let’s break it down and make sure you’re ready to take on the challenge! π
Check out this video, too, and get the full list!
Why Choosing the Right State Matters
The state you choose to operate your assisted living facility can directly impact your success.
Here’s why:
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Licensing and Regulations: Some states have strict rules that can make the process time-consuming and costly.
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Operating Costs: Higher real estate and staffing costs can drain your budget.
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Competition: Some states have a saturated market, making it harder to stand out.
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Workforce: Finding qualified workers can be a challenge in certain regions.
Taking the time to research the right state will save you from potential headaches down the line. Let’s get into the details of why some states are more challenging than others.
Step 1: Watch Out for Strict Licensing and Regulations
In some states, the licensing and regulatory process is more complex and time-consuming. These regulations can delay your business plans and increase your startup costs. Here are some things to consider:
π Licensing Fees: States like California and New York have high licensing fees, which can add up quickly.
π Frequent Inspections: Some states require more frequent inspections to ensure your facility meets all standards.
π Employee Training and Certifications: Certain states have strict requirements for the certification and training of your staff.
π‘ Actionable Tip: Before you start, research the licensing requirements in the state you plan to operate. Make sure you're prepared for the paperwork and delays that can occur in some of the tougher states.
Step 2: Consider the High Operating Costs
Operating costs can vary greatly by state, and some states are simply more expensive to run a business in. Here’s what you need to know:
π° Real Estate Prices: States like California and New York have sky-high property costs, which can eat into your budget.
π° Labor Costs: High demand for healthcare workers means you’ll need to offer competitive wages in many states.
π° Utilities and Supplies: In some locations, the cost of utilities, food, and medical supplies can be much higher than in others.
π‘ Actionable Tip: If you’re working with a tight budget, it’s wise to consider states with lower real estate prices and more affordable wages. States like Texas or Florida may offer lower costs for both real estate and staffing.
Step 3: Be Prepared for Licensing Delays
Some states are infamous for having long licensing approval timelines. This can delay your facility's opening, which might mean lost revenue during the waiting period. Here’s how to manage this:
π Approval Delays: States like California often have backlogs in their licensing process due to the high volume of applications.
π Inspection Delays: Expect longer waits for inspections, which could push back your opening date.
π‘ Actionable Tip: Make sure you have all the necessary documentation ready to speed up the approval process. Hiring an expert or consultant in the state you're operating in can help streamline things.
Step 4: Evaluate Market Saturation
Competition can be tough, especially in states with high demand for assisted living services. While states like Florida and Texas are known for their large senior populations, they also have many established facilities.
π§ Things to keep in mind:
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Too Many Competitors: A saturated market means you’ll need to stand out with unique services or amenities.
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Zoning Laws: Some areas have limited space for new facilities, so make sure to research zoning laws before committing.
π‘ Actionable Tip: If you’re targeting a competitive market, think about what makes your facility unique. Whether it's specialized care services or a higher staff-to-resident ratio, find your niche.
Step 5: Staffing Challenges in Certain States
Staffing is another challenge to consider. Some states experience a shortage of qualified healthcare workers, making it harder to hire and retain staff.
π₯ Key considerations include:
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Worker Shortages: States with high demand for healthcare workers can lead to staffing difficulties.
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Wage Pressures: In highly competitive states, you may need to offer higher wages and better benefits to attract qualified staff.
π‘ Actionable Tip: Offer competitive pay, great benefits, and a positive work environment to attract and retain the best employees. You may also want to consider providing training programs to help fill any skill gaps.
Next Steps: Take Action Today!
Ready to start your assisted living business, but still unsure where to begin?
Here’s how to take the first steps:
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Step 1: Download our Business Plan Checklist to start planning your business.
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Step 2: Need help figuring out where to start? Join the next Roadmap Challenge and build your launch plan with me.
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Step 3: Research the state you're interested in and ensure you're prepared for the challenges that lie ahead.
The right state can make or break your assisted living business. Get informed, plan ahead, and take action today to set yourself up for success!
Got questions or want to share your experience? Drop them in the comments below!
Show full transcript π
Transcript
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be getting into assisted living where where is it hard where does it kind of make not a lot of sense for you to get started so if you're interested in that uh this is going to be a great video for you I know there's a lot of you that are out there in States like uh California New York and and you're just confused and trying to figure things out um and there are they're not those are not the only states that are difficult so we're going to be touching on those today um which states are the most difficult why
00:00:27
they're the most difficult should you be considering those those States um even if you're in them um like is it a go or no go just because you're in one of those states that are more difficult uh I want to get into that with you um as as we get into this for those of you who are new here I would love for you to just type in newbie down below love seeing all the new people here uh lets me uh just get a feel for for who you are uh where you're at in the process and and make sure I can meet your needs
00:00:55
to the best of my ability and we're going to have Q&A here uh if you are on the live with us so make sure you're typing in those questions um I will have time to to tap into those and and make sure you get some guidance as as we get into into this and and help you make some progress to towards launching your Assisted Living business um so with that I also have a free resource for you we're going to have that um just linked down below um and uh if you're on YouTube it will be linked down below uh
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you can grab it here um it'll be on the screen as we go throughout so make sure you go and grab that free resource it's Assisted Living investing. slbp checklist for the business plan checklist uh the business plan is the thing that you need to really help you catapult this forward and and build the foundation that you're going to need so you have this kind of Launchpad so you can then go and and launch forward and make some progress so make sure you go and grab that free resource again we're
00:01:50
talking about the the most difficult States for starting an assisted living business today for those of you who don't know who I am my name is Brandon Gustafson I own and operate two assisted living facility facilities I've been doing this since 2020 um so I've got quite a bit of experience there uh getting into this and um and helping people along the path uh to to launching their Assisted Living business I've secured over1 and a half million dollars in SBA funding uh so I understand the
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process that you need to go through in order to get funding so that you can actually achieve your dreams here and and and make your goals work uh I operate out of state I live in Utah I operate in in Colorado and Idaho so I do this remotely past ly and can can coach you on on how to do those things and um I also have a masters in healthcare administration so have a lot of experience working in healthcare uh in the industry and and can answer a lot of questions that you have just in general about that I'm talking to somebody on
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Facebook right now about just uh health insurance plans which I I know as an employer how to do but I've worked in health insurance in the past um in my professional career so I have a very good understanding of those types of things so just very a lot of information um feel free to make comments Victor's already here what's happening coach um I I am I am live on Facebook actually so but this is simcast it's live on YouTube and Facebook I just do them at the same time um and and put it out there so if
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you're in the Facebook group or if you are friends or following me individually on Facebook you get notified there um but this goes Live on YouTube goes live on Facebook goes live on Instagram and goes live on LinkedIn so wherever you're at I'm putting it out there um so you can get it there and and the questions and things are coming out here so yeah love love interacting with people I typically do this once a week every now and then I'll throw in an extra one so U but if I do it's it's going live in all
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those places just the software I use allows me to do that uh and help you out all right let's get into it so the most difficult States I want to be like upfront with you the ones and this is totally different from my market research guide and we're going to do a new one of those it'll probably be in a about three months we'll we'll do the evaluation on it we'll give you an updated version of that as as well so if you want that you can go check out the Launchpad at Assisted Living investing.
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net Launchpad um and we'll we do updated versions so this right here is is completely different from that this is difficult states for different reasons uh not based off of of market so the top five as I was doing research on this I was actually a little bit interested a little bit interested and and uh and surprised by the results not entirely once I saw the the states on the list um but um that specifically California new New York and Virginia were not at the very top because those are the three
00:04:41
that I hear a lot of people it's like these are the hardest ones but as I was doing some research on this and then trying to dig into it the top five that I found to be the most difficult are Minnesota Washington Wisconsin Oregon and Vermont um and when I sit back and look at that and think about it and understand what I know about the the landscape of healthcare the healthcare industry um it makes sense that these five would be at the top of it and we're going to get into exactly why those are
00:05:09
the top five uh but I want you to to be aware like if you're in one of those states does not mean and we'll talk about this as well you cannot be successful with Assisted Living so I I've listened to a lot of people from Minnesota a lot of people from Minnesota are reaching out to me um and you and just because you're in Minnesota doesn't mean you can't do this but it's like I've talked with with people that are like on the border between North Dakota and Minnesota and asking where should I
00:05:36
do that and my direction would be probably go to North Dakota is going to be a little bit easier for you to to get things going but if you're like you know in Minneapolis and and you're in that area and and this just doesn't make sense to go anywhere else doesn't mean you can't be successful with this so um a lot of these states they border on on areas that are a lot easier Oregon Washington they border on Idaho it's a lot easier to to do things in Idaho than it is in in Washington and Oregon so it
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might be something that hey if you're close to the Border maybe you want to do that now if you're in Portland trying to get over to Idaho that's it's a lengthy Drive we're actually looking at doing a coast trip this summer and I was looking at it it's like you know eight hours across the state of Oregon it's not small so um if you're over in Portland you're over on the coast trying to do something in Idaho if you're okay doing it remotely then then that's totally
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fine but if you want to be involved uh maybe that's not the the best fit for you okay so these are our top five um I would love for you if to type in which whichever state that you are looking at doing this in I I don't care if it's one of the top five um here that are that are most difficult or or some of the ones that we're going to be talking about today would love to hear where you trying to start this so just type in your your state down below if you're okay doing it put your city in there as
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well helps me get a feel for for where you're at and helps me build content we have a video that we just released a little bit ago that um people are posting in their states and and it's going to give give me a little bit of idea where I should be doing some videos that are maybe State specific to help you out so the more I see your States pop up the more I'm going to be like you know what could probably do something that's specific to this area because a lot of people want to know how to do
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that so comment that down below um now let's talk about California and New York here uh for just a second because California and New York are the ones that everybody is just like these are the hardest ones to do I'm going to Loop Virginia into that I don't hear from people in Virginia very often but I have had conversations with people that um have told me Virginia is is very difficult um so I'm going to Loop those three states here into this conversation as well those states are difficult um
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I'm going to acknowledge that but they're they're difficult due to how long it takes um to to move things forward the timelines um can really extend uh especially in California I've heard people that it takes them months even up to years to get things with their rcfe license uh so there's a backlog that you have to get in and so we're going to talk about some strategies on how you can circumvent that because that is actually a key component to why some of these states are more difficult it's the time to get
00:08:10
licensed that you have to wait so I want to make sure that you understand some strategies that you can Implement that will allow you to circumvent that or plan for it and help you make some some really good progress there's also Staffing requirements that you got to be aware of and they're State specific and so you got to be aware of what those are and that's not that's not specifically going to be caregiver ratio like how many staff you have to have it's requirements for staff certifications
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they need to to have um it could be uh classes they need to take it could be time in in positions that they need to have there there's a lot of different variables that can go out there and so some states are going to require that and and those are reasons why you might see that these states are more difficult so let's talk about that why are some of these states more difficult than others um number one one is comprehensive regulations so I'm going to talk about politics here for just just a second I'm
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not going to get di dive deep into that because it's I don't want to get into partisan views or anything like that but I want to have a real conversation with you about politics and its impact on Healthcare and I I've talked about this often so if you look at at at politics and its impact on health care more liberal leaning States and and liberal um leaning governments they are they like regulation they they want to implement more regulation is just the reality of it more conservative leaning
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states are more business friendly they're they're more um apt to to allow for leeway I would say for lack of a better term when it comes to regulations they're not as strict with regulations so when you look at those top five states that I have and we throw in California we throw in New York we throw in Virginia as well to those top five states something that you find in common with them is they are all much more blue leaning left leaning States than than they are on the conservative side
00:10:08
and that leads to higher more regulation it it makes it more difficult having so I own facilities in Idaho and and Colorado if you look at them from a political Spectrum Idaho is much more conservative Colorado is much more liberal for me as a business owner I get regulations and emails and things from Colorado like almost on a weekly basis hey we did this we made this adjustment and when it comes to surveys um you know you have an annual survey for your facility it makes it much more difficult
00:10:39
for me to just remember all of the regulations that came because they're changing constantly there's always something new and for me to stay on top of all those can be very difficult and it's the same thing when you're trying to get your license there's more regulations that go into it doesn't mean you can't navigate it doesn't mean that it's impossible to do it's just there's more paperwork there's more red tape more things you to try to navigate um
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whereas if you're in a more conservative leaning State it's much more simple um we we have our surveys we we know exactly what Idaho wants they do updates on those regulations it's very clear when an update comes in and it's it's just easier to to navigate those those conversations and uh when we get bad surveys it's a lot easier how we deal with them in Idaho compared to Colorado and a lot of that comes down to regulation so I like speaking from personal experience I can see exactly
00:11:31
how you know my research it kind of plays out into this in in those more blue states it is um there's more regulations that you're going to have to deal with so you're just going to have to to just be aware that that's going to be a thing next is um stricter Staffing ratios and requirements so this could be background checks that you have to do you should be doing background checks but some states have more comprehensive background checks where you have to check it in in multiple places some
00:12:00
people require you know fingerprint background checks some of them are just name based and so you need to understand the impact that that's going to have because you should not be allowing your staff to work until they have um you can bring them in for training but they should not be patient facing resident facing until they've passed that background check so you need to have that and and if it's fingerprint and it's going to take five days to process that can really elongate your ability to
00:12:25
get somebody hired and bring them in certifications uh those types of things so just more red tape that you you might have to be aware of uh when you get to that and you could also depending on the state be looking at higher resident to caregiver ratios I'm not going to dive into that for every single state on here um if you're interested in learning more about that type in ratios down below though because I could probably do something that's a little more specific on ratios and how that actually works in
00:12:50
the different states and see if we can find any Trends there for you um because it really does depend like working in in Idaho I I see different ones in different times a day and there there's a bunch of different things that I have to be aware of in Colorado compared to what I have to worry about in Idaho um and and how I'm going to work through that and that also has an impact on which type of facility you're going to do as you get started how many beds are you going to have um that ratio that you
00:13:16
need to be aware of to stay in compliance with could have an impact on on what you want to do as you're moving forward and hiring staff and how many beds you want to have at your facility next is facility and building codes and while there's um there's a lot that goes into this it's much more on a local municipality level um some of those standards that the local municipality follows are going to be tied back into state regulations and so uh you need to be aware of that this but what you're
00:13:45
going to see here is um there there is not a a blanket hey do all of these things and you'll be good there's some generalities like you're going to want to have conversations with them you need to see you know do I need to be ad compliant um and by ADA compliance do I need to have doorways at a certain width and do those need to be exterior doorways only can they be interior what about hallways do I need to have wheelchair accessibility throughout the house can I have stairs do I need to have grab bars
00:14:12
do I need a wheelchair accessible sink um what about toilets and bathrooms um like all of those types of things are questions you should be asking as you move forward with it and in some states are going to have different interpretations some municipalities will have different interpretations of what that needs to be for assisted living so that's something you want to be aware of uh as you get into as well same with fire suppression and and how that's going to impact um what you're doing uh
00:14:39
but again in more heavily regulated States you're going to see more rules more regulations more um requirements for you to be in in compliant with some of those other Ada or or other pieces that they want to have um in place for your facility so that's another one to to be aware of and then the lengthy licensing timeline and this is not because it takes you forever to fill out the application like applications they don't take long we we have a video on the channel where we did an application
00:15:11
in Florida and I would say that that application that we did in that video so if you haven't seen it go make sure you go watch that one because I I show you exactly how to fill out the application what to be aware of there but we filled out that application in the video like it it took an hour if you want to take more time it's not going to take you more than 5 hours to fill out the application you don't have to do it one at a time uh you know in one sitting you could split this up over time ask questions whatever you
00:15:38
need to do um the application itself regardless of the state that you're in not going to be that difficult to do the thing that takes longer is the backlog and those backlogs can be for two reasons number one they have just so many they're inundated with with the amount of people that want to do assisted living and that can happen um I know in California that that's a thing like there there there are so many people that are trying to do this there that they just have a lot of applications to go through so that's one
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reason number two is if they are more heavily regulated and they have more rules that you have to comply with it's going to take them longer to get through an application and so that coupled with a lot of applications can really take longer so when I say 6 to 12 months and I've even seen places where it takes two years to get the application I was talking with somebody I think it was in New York and they said they had been waiting for about two years um to to get this to to move forward and that is
00:16:43
because of the heavy regulations and the volume of requests that come in and government being inefficient with with how they process those um and and like it's just kind of the reality of what you have to look at and that can take a long time so those those are I mean at its core those four reasons are the biggest things and excuse the note down there I forgot to change that from the previous um from last week's slide deck that I use as a base this is not coming from the Brain Injury Association of
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America this is I can't remember the research that I did this on I have I have links I just don't have it with me so sorry don't want to confuse people there um but those four at its core are the reasons why it could take you longer uh and these those states that we we're talking about here are more difficult for you to be working in and that can be from an upfront standpoint but it can also be from an ongoing I'm running my business standpoint so let's talk about licensing timeline and process so uh and
00:17:43
I want to be clear with you on this because this is the thing that I in my mind is going to be the most difficult red tape those types of things they're there it's annoying uh to deal with from a business owner standpoint but me operating in Idaho versus Colorado like if I didn't have the one in Idaho and I knew how much easier it is for me to for me personally to to do this in in Idaho compared to Colorado and I was just doing this in Colorado I would just think it's normal and and I would just
00:18:13
navigate it and I would just say you know this is the healthcare industry it's heavily regulated this is this is normal that that's how I would interpret it and and so you being in Minnesota or Wisconsin or Oregon or Washington um or Vermont or California do New York I almost said New Mexico which New Mexico's probably heavily regulated New Mexico New York um Virginia those states there um what you're going to find is yeah there's more regulation but you're going to deal with
00:18:43
it like it's it's not going to be that hard the thing that is going to delay your ability to get the the licensing process in place is really this licensing timeline and the process that you go through so you're going to you're going to go on on the state's website each state has a different governing body so I could tell you it's the Department of Health but you could be in Texas or Florida or California or New York and they're going to call it the Department of Social Services or
00:19:08
Department of long-term care or they they'll have some other department so I can't tell you hey it's Department of Health you're gonna have to kind of do a little bit of Internet research and and and look for something like um who is the licensing body for assisted living in my state and that will get you to their website okay so you got to find their website you got to go um out find the application you might have to reach out to them and get some guidance um you're going to do that then you're
00:19:32
going to have some facility inspections you're probably going to have the welome municipality come out they're going to look at it you're going to get what's often called a certificate of occupancy some states will call it something different but it basically says yes you can do assisted living here um you can have X amount of of residents here is the max amount um based off of square footage in the house and and what we're seeing here and um just the way that you can get out of the house but you're
00:19:56
going to have to put in this type of a fire suppression system uh they'll give you basically a a checklist of things that you need to get done um so that's the facility inspection once you complete those you have another inspection they give you the certificate of occupancy that's that's a piece of what you have to give to um for to obtain your license next excuse me is uh staff credentialing and background checks so you're going to have your staff that you're going to hire you're
00:20:23
going to have to do background checks you're going to have to make sure that they have all the credentials that they need um in my States we just have caregivers they need to be CPR certified and if I want to have them pass medications then I need to get them um depending on the state but I need to get them certified to pass medications each state cause list something different um that certification I might need to do that those are pretty pretty easy to do but in Wyoming for example um Wyoming
00:20:49
requires that caregiver level to be a CNA so I'm GNA have to have CNAs do this um so I need to make sure that I'm validating that somebody is a CNA and they have have that certification so those are things you might have to navigate as you get into this what type of Staff do you need to have and do they have all of the the pieces in place for them to be there um you're also going to have to I don't have this as a bullet point but you're going to have to do your policies and procedures and and
00:21:15
you're GNA have to write those out or you're gonna have to hire somebody to write them out for you but you're going to have to have that those are the pieces that come together to get your your license you can do that in a week or two like it doesn't take a ton of time for to do that um it could take you longer if you aren't committed to it if you're got a full-time job whatever is going on in in your life could end up taking a little bit longer but if you really dedicate it uh to getting it done
00:21:41
you can go pretty fast but then you have to send it out and and wait for for that that final approval and for for them to say yes let's go you're also going to have to pay a fee um when you do this to get a license whether you're buying an existing facility or starting something from the ground up um there are fees associated ated with it typically a few thousand um but largely there's a base fee and then a per bed fee that you have to pay on top of that uh typically I see between two and $10,000 but again in
00:22:11
more heavily regulated States you're probably going to see higher amounts um as you get into this that's just the experience that I've had after looking at a bunch of these so that's something you want to be aware of as well as you're building out your business plan and your financials that you're going to have to pay this fee to to obtain the license you're have to pay an annual fee the annual fee is as much much less but you're going to have to do that and then
00:22:31
you submit it and then you wait and what I've also experienced having done this a couple of times is um you might have to wait for a while and not have any way to contact them because they you submit it through a portal and they don't give you any contact information they finally email you and they tell you uh we looked at your stuff you're missing XYZ you're gonna have to take your application your previous application you're going to have to submit all of those things and you're going to have to wait again and
00:22:58
so this back and forth can take for forever my my story of it took us four months to get certified as Medicaid in Colorado uh it took us a long time it took us two weeks in Idaho took us four months in Colorado and a lot of that was I had no real way of trying to reach out to a person that could help me they had a a phone line that I had to push a bunch of buttons to to hopefully get to a person after sitting on on hold for an hour and a half um and and then that person may or may not help me uh like it
00:23:29
just dependent on the person so uh and that was extremely frustrating so it took us four months you may experience something like that like that's a reality of of working in in in this type of an area so you need to be aware that that that is a timeline that can really elongate your ability to do this that's why I know a lot of you um are looking at doing starting off with like a unlicensed care home and then while it's unlicensed you're working on getting the license so that you can then shift into
00:23:59
it and I don't hate that idea um I I think it's a good idea but you also have to look at you know how many beds can you have in an a licens facility in your state and is that going to be profitable because you still are going to have to buy food you're still going to have to pay your your staff you're still going to have to do all of those things and with a tiny you know three or four bed home that's unlicensed you not might not be generating enough income to actually justify it um so that's something you
00:24:26
have to like take all of these things into consider a this is why I tell you I'm not trying to scare I'm just being totally honest right now um you need to build a foundation you have to have this business plan you have to do the underwrite you have to make sure you understand exactly what that's going to look like because it could take you a while uh for for all of this to to fall into place so let's let's talk about some strategies on how you can navigate the process I've kind of like maybe
00:24:54
scared you a little bit and that is not my intent I just want to be honest so that you know going into this like this is going to be hard this could take some time like there's going to be a lot of roadblocks here there going to be red tape and and so I'm not going into this with rose-colored glasses I'm going into this with realistic expectations and and understanding that this this it could take me a while to get this so let's talk about strategies on how you can really navigate this process and and
00:25:19
make it a lot better for yourself um as you're trying to to move forward with this especially in these more heavily regulated these states that are a little more difficult for you to get started in so number one is start the process early um Serge Le pescue who if you haven't subscribed to his channel suggest you do um he hasn't been posting quite as much but has a lot of great content Serge is is awesome I I know him he and I were looking at a do doing a deal a couple years ago together um awesome guy him
00:25:45
and his Partners um like great people uh so yeah go go subscribe to his stuff go check out all his stuff there's a plug for you um great guy but um I would say he he he had a video um where he was talking about doing this I think it was in Arizona but he said when he goes to start something he submits the application like on day one like he submits it super early knowing full well they're going to deny him like he he knows that he's going to get a denial but he does it because it gets him
00:26:17
higher up in the queue and he's now in a like a waiting queue rather than like the normal queue and so doing that is a really good strategy to implement to start the process early start having conversations early and submit applications early so that knowing that you're going to get a denial but they're going to tell you specifically what you need to do so that you can move forward so that was a great tip by him and I like I'm stilling it because I I was like that makes total sense and in my
00:26:45
experience working on these types of projects um I would totally agree with that so start the process early number two is working with a consultant or expert and that could be somebody like me that helps you from from start to finish and and maybe I'm not not super specific in uh in doing all of the the exact things that that are for your state I can help you navigate the process I can point you in the right direction I can tell you what to do how to have the conversations paperwork you need to fill out I can do all of that
00:27:12
stuff I'm not going to write your policies and procedures though um for you like I'm not going to do that so you might need to do that or if it's a really hard state to navigate and we've worked together and we just can't figure it out you might need to find somebody that is specific in your state so I just want to be like totally honest with you I can help you make a ton of progress and I can help you get it done but sometimes you're going to run into roadblocks that it's just like I I'm
00:27:37
going to do my best but we might have to go find somebody that is specific to that state to help navigate this little this little tiny thing here okay working with a consultant working with an expert is going to help you out it's going to accelerate things just tenfold it's going to make it go so much more smoothly I I like I promise you it does I've done I've worked with coaches I've worked without coaches in the past and I've worked with coaches on other things and the the difference between not
00:28:06
working with a coach and and working with a coach was I didn't get it done or I spent a ton of time uh trying to figure things out on my own versus you know I I I get things done I make progress I'm making money uh those types of things and it really depends you have to spend money to make money but when you do it makes it go so much faster and you're up here rather than just laying back here and it's been four years and you've been trying to to get into assisted living you don't know how to do
00:28:32
it um if that's you and you're stuck there it's because you're not you're not holding yourself accountable to it and you haven't paid somebody to help you get it and so that's why paying somebody to help you do that and navigate those things is going to help you do it I'd love to help you out uh we're going to have a link here on the next slide or two um for the accelerator program um so make sure you check that out when I throw the link up there but uh it's
00:28:53
assisted Liv investing. netal for those of you listening on the podcast um but that is what's going to allow you to to really make some good progress on this number three is be meticulous with your paperwork this is so important this is a huge reason why it took us so long to get Medicaid certified in Colorado was paperwork issues so you want to double triple quadruple check uh have somebody else look at the paperwork for you you do not want to miss any boxes you want to make sure that you have everything in
00:29:23
place everything that they ask for in triplicate you want to submit more documents than they need need because sometimes they're not clear on what they need and so you want to be making sure that you are giving them as as much of that information as you possibly can and make it super clear what you're giving them keep it very organized and as you do that uh it's going to help you out quite a bit in in just getting things done so you have to be super meticulous with the paperwork number four is
00:29:52
networking with other operators in your state so as you do this this is kind of like the idea of hiring a consultant or an expert to help you out but this is working with people and I know there's a lot of places out there that they're just like you know I don't want to talk to talk to you and and they don't like the networking and I I think it's a a generational thing for the owners of these types of facilities if I'm if I'm being totally honest but if you um are able to do some networking and build
00:30:20
relationships with other people inside of um your States they're going to help you navigate th that licensing process they're going to help you understand what it's really like help answer some of the questions and maybe even know people that can help you out through the process so networking is huge it's huge from a network from a marketing standpoint we've talked about that with marketing your facility so you can fill a beds a ton but it also can help you out when you are operating the business
00:30:46
trying to get the license on things um networking is such an important piece of what you're going to do so if you can incorporate all of those things at least one or two of them but if you can do all of them it's going to make the process go a lot more smoothly and reset your expectations and help you continue making progress um even when it feels like you know I'm in a I'm in a difficult State and now I'm getting all the red tape and now it's just like I'm not going to be able to make it if you
00:31:13
do these things and you just start early you take a breath um and realize hey it's going to take me a while but I am going to get this done uh you're going to be fine okay so if you need help I talked about this uh just a second ago um but I would love to be your coach I'd love to be the the person that helps you out um I have an accelerator course and would love to have you join that uh if you go to Assisted Living investing. Neta uh that that's my accelerator course would love to help you do it you
00:31:41
can do upgraded versions that get you a little bit into my Mastermind program as well to help you out um along the way to helping you launch your Assisted Living business so that's my plug go check it out I would love to help you out and help you make some good progress here so with that let's get into Q&A um for those of you that are live um type type in your questions um make sure uh that you're getting them in there and I'm going to I should be able to get to all of them um for those of you I just
00:32:08
turned these on I just want to make sure I'm good on time um I just turned these on so I have like super chats we have a membership here on YouTube now as well um so if you're interested in doing those it allows me to like you know prioritize answering your questions and things like that so go ahead and check that out we actually have merch down down downstairs um down below as well in links uh so check that out I'm going to be getting hats here um in a little bit uh hoodies um and and a polo as well so
00:32:34
um you can go check those things out if if you'd like so with that I'm gonna flip over to this guy right here and gon scroll up and get all our questions here um so Victor yeah told you uh we do we are live on Facebook right now so um make sure you go and and check that out Fargo um for for um LW um LW is great uh it's been a I feel like it's been a minute since we chatted L um and yeah Fargo and Missoula Montana I think honestly I think those are great States for you to to be going
00:33:15
in I think they're they're really good um ABC uh you are absolutely welcome for sharing all that stuff all right um so this one is by I'm not sure I don't have a name here so AI can research and find all the policies and procedures that you need for your state it can also write it up for you that is that is a great um tip actually um so you should be able to do that um where you could potentially run into an issue with AI is depending on and and I think this is only an issue for a very short period of time because
00:33:51
I think AI will um have access to current information very soon um and depending on the AI tool that you use may already have that um but certain AI tools can't go and look at what is out there today often times it'll be looking at something that was out there a year two years ago and so that's something you want to be aware of but if you were to get the requirements and so states are going to have a requirement document for you that says hey in your policies and procedures you need to have a policy
00:34:21
that covers all of these things it'll be like a 10 to 20 Page document it'll tell you the the different state statutes that it needs to reference and it will tell you what um what the the policy needs to look like and so if you're going to use Ai and I I think it's great if you do um you're going to need to spend quite a bit of time prompting it um so you're going to want to make sure you have a prompt in there you want to make that tells it hey you're uh you're a licensing expert in the state at State
00:34:50
I don't know in C Cal California um uh and you are um I need help writing out my policy and procedures I've attached here for you the um requirements in the state of California with this different state statutes uh what needs to happen there um and these are current as of you know may of 2024 March of 2025 whenever it was so you're going to put that in there and then you're going to say I need policies that are in this format I would also attach a document um on there that has the format that you want your
00:35:21
policies in uh so it says you know um this is the policy this is a procedure this is what it references and I need each of these policies to be you know a page page and a half you set a word limit or whatever you want that to look like um and now if you're able to build out those prompts um it's probably you're probably not going to get it to do the entire document for you in one sitting but um you could feed it that information and then you could feed it the information the a prompt that says
00:35:50
okay now using all the background that I've given you um go ahead and write the policy on um how to deal with Falls when when a resident Falls um and make sure you reference the the right State statutes and things like that so AI is going to help you out immensely um it it and the the speak uh just like the level of writing uh that's a lot more technical than than typical writing AI is going to do an incredible job at that in helping you stay in compliance so that is a great tool um the other thing
00:36:22
that I want to to point out um to you there is um don't just send it to Ai and wash your hands and say that was like man I just saved myself a ton of time because you will uh it's very true but make sure you read those policies make sure you take out any tyos make sure it's saying things that are real that you're okay with because you will be judged off of what is in your policy so just because you have a policy does not mean that you're free and clear and everything's good because you're going
00:36:52
to have a survey and somebody's going to ask you for the policy when you have that survey and you're going to pull it out because you're like yeah ai ai did this for me like I saved so much time doing this and you're going to hand them the policy but if you have never read it and you've never implemented the things you're going to get dinged for that or if there's some weird thing that AI put into your policy that um you know you have to talk to their great grandma if
00:37:16
something happened if if they were to fall or you have to talk to like a second cousin every time like who know these are obviously just stupid examples but you don't want AI to tell you something in your say something in your policy that ties you to something that is just like not reasonable at all um when somebody Falls uh and and so you need to do that or if it is and you're okay with it you have to make sure that you actually do those things and document it so if it says hey our policy
00:37:47
is if a resident Falls we are going to call the fire department and the the resident's doctor and their next to Kin we're going to call all three of them then you better do those things and you better document all of those things because if you don't you're going to get dinged on that in in the policy when you have a survey so don't just blindly trust that AI is going to give you exactly what you need make sure that you're okay with it and make edits as needed and then make sure you follow
00:38:14
those policies and make sure everything is documented as you do it so whoever did that comment that was that's that's a great Point um I think AI is is an incredible tool I use it all the time we actually in our Master Class um that I am putting out for the Mastermind uh was was doing a course on how to use AI to build a solid business plan um and not just it wasn't just like hey you know throw throw to get a business plan it was all the prompts that go into building a business plan that's actually
00:38:44
going to be specific to Assisted Living using the templates that I provide um a template that I know works I've used it to scure one and a half million dollars in SBA funding um it's it's how to do those things and how to go about prompting things the correct way and having it ask you questions so you can really make some good progress on but great great um thank you for the comment there that was really good um all right I think that is all the questions that we've got today uh so
00:39:17
I want to thank all of you for watching um and and thank you for being here I love uh interacting with you guys um on in these weekly calls and and helping you make some good progress as you're trying to launch your Assisted Living business make sure you go and grab the free business plan checklist again it's Assisted Living investing. netb checklist um go grab that free resource and it'll help you out as you're trying to build the foundation does residential Assisted Living sound interesting to you
00:39:42
but you don't know how to get started at Assisted Living investing I'm here to help beginners like you launch their Assisted Living business in the next 12 months I would love to help you and remember it doesn't take a lot just a little bit just keep going step by step by step and I promise you if you do and you're consistent and persistent you're going to be successful thanks for watching and have a great day
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