State plate · AK
Assisted living in Alaska
Alaska licenses assisted living through DOH, Health Care Services, Residential Licensing, under the license types Assisted Living Home (no dementia license). The state's own list, as of October 24, 2026, counts 812 licensed facilities with 5,205 beds; 25 of them have 20 or more, the smallest size HUD's Section 232 program insures. HUD's active-loan file shows 1 FHA-insured assisted living loans in Alaska with $3.6 million outstanding as of September 30, 2026.
Licensing
- Licensing agency
- DOH, Health Care Services, Residential Licensing
- License types
- Assisted Living Home (no dementia license)
- Official program page
- health.alaska.gov
- Facility list
- XLSX (2026-08-31)
Licensing details checked against each agency's site on 2026-10-24. HUD requires a Section 232 assisted living project to be licensed or regulated by the state and have at least 20 beds.
Licensed supply, from the state's list
| Facilities on the list | 812 |
|---|---|
| Licensed beds | 5,205 |
| Facilities with 20 or more beds | 25 (3% of facilities, 34% of beds) |
| Homes with 6 or fewer beds | 719 |
| Median size | 5 beds |
Covers: Assisted living homes. Source: health.alaska.gov, as of October 24, 2026.
CDC survey profile (2020)
The National Post-acute and Long-term Care Study, run by CDC's National Center for Health Statistics, estimates residential care communities with four or more beds. 2020 is its latest wave with state figures, so these numbers differ from the state's own list.
| Measure | Alaska | US |
|---|---|---|
| Communities | 170 | 30,600 |
| Beds | 1,900 | 1,197,600 |
| Average beds per community | 12 | 39 |
| For-profit | 83.3% | 81.9% |
| Chain affiliated | 50.4% | 61.4% |
| Medicaid certified | n/a% | 43.6% |
| Dementia-only communities | n/a | 10.5% |
| Dementia-only or with a dementia unit | n/a | 20.5% |
| Residents 85 and older | 35.9% | 49.9% |
| Residents with Alzheimer disease or other dementias | 59.0% | 42.1% |
Source: CDC/NCHS, Biennial Overview of Post-acute and Long-term Care (data.cdc.gov). Percentages are of communities, except the resident rows.
HUD Section 232 assisted living loans
- Active FHA loans
- 1
- Outstanding
- $3.6 million
- Median note rate
- 3.40%
- Endorsed since FY2001
- 3
Since fiscal 2001 HUD has endorsed 3 FHA-insured assisted living loans in Alaska for $12.5 million of original principal, and 1 since fiscal 2021.
| Property (HUD name) | City | Units | Endorsed | Rate | Balance | Matures |
|---|---|---|---|---|---|---|
| Marlow Manor Assisted Living FacilityFHA 17622005 | Anchorage | 96 | Feb 2021 | 3.40% | $3,640,055 | Mar 2056 |
Active loans: HUD FHA insured mortgages, active, as of September 30, 2026. Endorsements: HUD Office of Healthcare Programs database, data run July 8, 2026. Facility type comes from HUD's endorsement records.
Own or are buying an assisted living or memory care building in Alaska? See what HUD, Fannie Mae and Freddie Mac would lend against your NOI.
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ALF Atlas is operated by Janover Capital LLC and is not affiliated with HUD, FHA, CDC or any state agency. Methodology.