State plate · CO

Assisted living in Colorado

Colorado licenses assisted living through CDPHE, Health Facilities & EMS Div., under the license types Assisted Living Residence; "secure environment". Colorado does not publish a downloadable list with capacity. CDC's 2020 survey estimated 530 residential care communities with 20,400 beds. HUD's active-loan file shows 13 FHA-insured assisted living loans in Colorado with $98.5 million outstanding as of September 30, 2026.

Licensing

Licensing agency
CDPHE, Health Facilities & EMS Div.
License types
Assisted Living Residence; "secure environment"
Official program page
cdphe.colorado.gov
Facility list
ArcGIS (edited 2026-10-16 (data 2026-09-29))

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.

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.

MeasureColoradoUS
Communities53030,600
Beds20,4001,197,600
Average beds per community3939
For-profit84.2%81.9%
Chain affiliated68.4%61.4%
Medicaid certified51.1%43.6%
Dementia-only communities20.6%10.5%
Dementia-only or with a dementia unit12.9%20.5%
Residents 85 and older45.0%49.9%
Residents with Alzheimer disease or other dementias45.1%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
13
Outstanding
$98.5 million
Median note rate
4.11%
Endorsed since FY2001
43

Since fiscal 2001 HUD has endorsed 43 FHA-insured assisted living loans in Colorado for $454.8 million of original principal, 19 of them for new construction or substantial rehabilitation, and 4 since fiscal 2021. 2 of today's active loans carry a note rate of 5% or more. The active file also lists 2 board and care loans in the state.

Property (HUD name)CityUnitsEndorsedRateBalanceMatures
Assured Senior Living SerenityFHA 10122172Denver94Apr 20265.45%$18,739,749May 2061
Assured Assisted LivingFHA 10122166Lakewood58Mar 20245.93%$16,176,132Apr 2059
Grace PointeFHA 10143122Greeley114Nov 20134.29%$12,547,667Jan 2050
Park RegencyFHA 10122158Loveland233Nov 20202.35%$9,140,797Dec 2055
Applewood Our HouseFHA 10122143Golden140Sep 20193.18%$7,997,856Oct 2054
Crossroads at NorthglennFHA 10122090Northglenn79Apr 20144.11%$6,724,960May 2049
Life Care Center the Bridge Assisted Living at Life Care CenterFHA 10122139Colorado Springs107Jul 20182.49%$5,957,751Aug 2048
Crossroads at DeltaFHA 10122089Delta75Apr 20144.11%$4,761,722May 2049
Grace PointeFHA 10110014Greeley114Jul 20144.32%$4,642,766Jan 2050
Legacy at LafayetteFHA 10122124Lafayette138Mar 20173.58%$3,962,698Apr 2052
Elk Run Assisted Living FaciliFHA 10143120Evergreen61Jan 20132.58%$3,332,152Feb 2048
Residence of Grand MesaFHA 10143118Grand Junction44Nov 20113.58%$2,504,844Dec 2051
Vista Mesa Assisted LivingFHA 10143116Cortez57Apr 20114.45%$2,040,754May 2051

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 Colorado? 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.