State plate · DC

Assisted living in District of Columbia

District of Columbia licenses assisted living through DC Health, Health Regulation & Licensing Admin., under the license types Assisted Living Residence. District of Columbia does not publish a downloadable list with capacity. CDC's 2020 survey estimated 20 residential care communities with 1,300 beds. HUD's active-loan file shows 1 FHA-insured assisted living loans in District of Columbia with $11.4 million outstanding as of September 30, 2026.

Licensing

Licensing agency
DC Health, Health Regulation & Licensing Admin.
License types
Assisted Living Residence
Official program page
dchealth.dc.gov
Facility list
PDF (2026-10-22)

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.

MeasureDistrict of ColumbiaUS
Communities2030,600
Beds1,3001,197,600
Average beds per community8839
For-profitn/a%81.9%
Chain affiliatedn/a%61.4%
Medicaid certifiedn/a%43.6%
Dementia-only communitiesn/a10.5%
Dementia-only or with a dementia unitn/a20.5%
Residents 85 and older54.2%49.9%
Residents with Alzheimer disease or other dementias43.2%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
$11.4 million
Median note rate
3.93%
Endorsed since FY2001
1

Since fiscal 2001 HUD has endorsed 1 FHA-insured assisted living loans in District of Columbia for $12.7 million of original principal, 1 of them for new construction or substantial rehabilitation, and 0 since fiscal 2021.

Property (HUD name)CityUnitsEndorsedRateBalanceMatures
Paradise at Georgia AvenueFHA 00043076Washington104Jan 20173.93%$11,425,000Apr 2058

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 District of Columbia? See what HUD, Fannie Mae and Freddie Mac would lend against your NOI.

Compare the three programs

Other states

ALF Atlas is operated by Janover Capital LLC and is not affiliated with HUD, FHA, CDC or any state agency. Methodology.