State plate · ID
Assisted living in Idaho
Idaho licenses assisted living through DHW, Residential Assisted Living Facility Program, under the license types Residential Assisted Living Facility ("secure environment"). Idaho does not publish a downloadable list with capacity. CDC's 2020 survey estimated 180 residential care communities with 7,000 beds. HUD's active-loan file shows 9 FHA-insured assisted living loans in Idaho with $62.1 million outstanding as of September 30, 2026.
Licensing
- Licensing agency
- DHW, Residential Assisted Living Facility Program
- License types
- Residential Assisted Living Facility ("secure environment")
- Official program page
- healthandwelfare.idaho.gov
- Facility list
- no download (search form only)
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.
| Measure | Idaho | US |
|---|---|---|
| Communities | 180 | 30,600 |
| Beds | 7,000 | 1,197,600 |
| Average beds per community | 39 | 39 |
| For-profit | 88.1% | 81.9% |
| Chain affiliated | 73.5% | 61.4% |
| Medicaid certified | 86.5% | 43.6% |
| Dementia-only communities | 13.5% | 10.5% |
| Dementia-only or with a dementia unit | 24.9% | 20.5% |
| Residents 85 and older | 41.1% | 49.9% |
| Residents with Alzheimer disease or other dementias | 47.4% | 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
- 9
- Outstanding
- $62.1 million
- Median note rate
- 3.67%
- Endorsed since FY2001
- 20
Since fiscal 2001 HUD has endorsed 20 FHA-insured assisted living loans in Idaho for $136.7 million of original principal, 3 of them for new construction or substantial rehabilitation, and 2 since fiscal 2021. 1 of today's active loans carry a note rate of 5% or more. The active file also lists 3 board and care loans in the state.
| Property (HUD name) | City | Units | Endorsed | Rate | Balance | Matures |
|---|---|---|---|---|---|---|
| Homestead Senior LivingFHA 12422043 | Rexburg | 356 | Dec 2021 | 2.48% | $17,538,988 | Jan 2057 |
| Cross Healthcare Idaho Scattered SiteFHA 12422033 | Idaho Falls | 187 | Mar 2018 | 3.40% | $10,508,502 | Apr 2053 |
| The CottagesFHA 12422040 | Eagle | 270 | Aug 2020 | 2.55% | $9,969,968 | Sep 2055 |
| Canyons Retirement CommunityFHA 12422051 | Twin Falls | 120 | Aug 2025 | 5.93% | $6,005,209 | Sep 2060 |
| Guardian Angel HomesFHA 12422010 | Lewiston | 90 | Aug 2007 | 4.88% | $5,920,913 | Sep 2042 |
| Coeur D'alene HomesFHA 12443019 | Coeur D'alene | 69 | May 2013 | 3.67% | $3,874,895 | Jun 2053 |
| The Gables Assisted LivingFHA 12422029 | Blackfoot | 48 | Nov 2015 | 2.85% | $3,111,990 | Dec 2050 |
| Guardian Angel Homes Post FallFHA 12422021 | Post Falls | 73 | May 2013 | 3.68% | $3,062,218 | Jul 2043 |
| Havenwood at Columbia VillageFHA 12443015 | Boise | 60 | Apr 2002 | 4.85% | $2,091,899 | Mar 2043 |
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 Idaho? 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.