Top Challenges Assisted Living Facility Owners Face and How to Overcome Them
- Nate Jones, CPCU, ARM, CLCS, AU

- Nov 26, 2025
- 2 min read
Operating an assisted living facility can be rewarding, but it comes with unique challenges. From staffing issues to regulatory compliance, understanding these obstacles and how to address them is key to running a successful facility.

1. Staffing Shortages and Retention
Challenge: High turnover and difficulty hiring qualified caregivers can impact care quality.
Solution:
Offer competitive pay, benefits, and professional development
Foster a positive workplace culture and recognize achievements
Partner with local training programs and schools for a pipeline of qualified staff
Read more about staffing strategies from the National Center for Assisted Living (NCAL).
2. Regulatory Compliance
Challenge: Assisted living facilities are heavily regulated, and noncompliance can result in fines or closure.
Solution:
Stay updated with state and local licensing requirements
Develop internal checklists and audits for routine compliance
Use professional resources for regulatory updates
Find out state-specific compliance guidelines at the American Health Care Association (AHCA).
3. Managing Operational Costs
Challenge: Rising costs for staffing, food, utilities, and insurance can strain budgets.
Solution:
Optimize staffing and scheduling to reduce overtime
Review contracts and suppliers for cost savings
Use financial software for better budgeting and expense tracking
4. Maintaining Resident Satisfaction
Challenge: High resident satisfaction is crucial for occupancy and referrals, but can be difficult to maintain.
Solution:
Offer personalized care plans tailored to each resident
Engage residents with meaningful activities and social programs
Actively gather and act on feedback from residents and families
5. Risk Management and Liability
Challenge: Assisted living facilities face risks including accidents, medical errors, and property damage.
Solution:
Implement robust safety protocols and staff training
Conduct regular facility inspections and risk assessments
Secure comprehensive insurance coverage to protect your facility
Wexford Insurance specializes in coverage for assisted living facilities, including:
General Liability – Protects against client or visitor claims
Commercial Property – Covers your building and assets
Workers’ Compensation – For employee injuries
Professional Liability – Covers errors or omissions in care
Commercial Auto – For vehicles used to transport residents or staff
Final Thoughts
Owning an assisted living facility presents challenges, but proactive management, strategic planning, and proper insurance can help you overcome them. By focusing on staffing, compliance, operational efficiency, resident satisfaction, and risk management, you can ensure your facility thrives while providing high-quality care.
Contact us today.




