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Assisted Living Facility Insurance Checklist for 2026

Assisted Living Facility Insurance Checklist for 2026

Quick Answer: A complete assisted living facility insurance program covers ten core areas: general liability, professional liability, abuse and molestation, property, business income, workers compensation, commercial auto, cyber liability, directors and officers, and umbrella. The two most often missed are abuse and molestation and adequate professional liability limits. Use this checklist at every renewal to confirm nothing critical is excluded, sublimited, or underinsured.

Senior care has more moving liability parts than almost any business. This checklist gives operators a simple way to confirm their facility is fully covered, and to spot the gaps that standard policies quietly leave behind.

Why assisted living carries more liability than most businesses

A senior care facility combines several high-exposure businesses under one roof. It is a 24-hour residential property, a healthcare provider, an employer of caregivers, and often a transportation operation. Each role brings its own claims: a slip in a common area, a medication or care dispute, a staff injury, a vehicle accident during a resident outing, or an allegation of abuse or neglect. A standard business policy is built for one of those exposures at a time, which is how facilities end up with coverage that looks complete on paper but quietly leaves gaps. The checklist below is built around the full set of exposures a facility actually carries.

Want your facility's coverage checked against this list?

We run senior-care programs through a full gap audit and place the right coverage with long-term-care specialists.

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The assisted living insurance checklist

CoverageWhat it doesPriority
General liabilityPremises injuries, slips and fallsEssential
Professional / healthcare liabilityCare, treatment, and medication claimsEssential
Abuse and molestationResident abuse or neglect allegationsEssential (often missing)
PropertyBuilding, contents, equipmentEssential
Business incomeLost revenue after a covered shutdownHigh
Workers compensationStaff injuries; required in IllinoisEssential
Commercial autoFacility vehicles and resident transportIf you drive residents
Cyber liabilityResident data breach and ransomwareHigh
Directors and officersManagement and governance claimsHigh
UmbrellaExtra limits above primary policiesHigh

How to use this checklist at renewal

  • Confirm abuse and molestation is included with real limits, not excluded or sublimited.
  • Check professional liability limits against a worst-case claim, and backstop with umbrella.
  • Verify property is at replacement cost to avoid a coinsurance penalty.
  • Match commercial auto to how you actually transport residents.
  • Add cyber if you store resident health or payment data, which nearly every facility does.
Two gaps to fix first
If you check only two things, confirm abuse and molestation coverage is present with adequate limits, and that your professional liability limit could survive a serious claim. Those two are the most common and most dangerous gaps we find in senior care.

What to have ready for your coverage review

A faster, more accurate review starts with a few documents on hand. Before your renewal or a gap audit, gather:

  • Current declarations pages for every policy, so limits and sublimits are visible
  • Your resident census and bed count, plus the services you provide such as memory care, skilled nursing, or transportation
  • A current statement of property values for building and contents
  • Loss runs for the last three to five years
  • Staff count and payroll for workers compensation
  • Any vehicles used to transport residents

With those in hand, each line on the checklist can be confirmed against real numbers instead of assumptions.

How much does a full assisted living insurance program cost?

Cost scales with beds, services, claims history, and limits. A small facility’s core liability can start in the low thousands, while a complete program for a larger facility (property, professional, abuse, workers comp, cyber, umbrella) runs into five or six figures. Estimates only; a producer confirms your premium. See our assisted living insurance cost page.

How Pro Insurance Group builds the complete program

We run your facility through this exact checklist, close the gaps, and place assisted living facility insurance with carriers who specialize in long-term care. Pair it with our top-claims risk management guide and director's liability guide, or explore senior living solutions.

Work With Pro Insurance Group

Pro Insurance Group is an independent agency based in Elgin, Illinois, serving assisted living operators across the state and 40+ states nationwide. We compare 20+ A-rated carriers, re-shop your policy at every renewal to keep your rate competitive, and tailor coverage to your needs. No agency fees, ever.

Call 833-776-4671 for a fast, no-obligation quote.

Frequently asked questions

What insurance do assisted living facilities need?

General liability, professional liability, abuse and molestation, property, business income, workers compensation, commercial auto, cyber, directors and officers, and umbrella. Abuse coverage and adequate professional limits are the most commonly missed.

What coverage is most often missing in senior care?

Abuse and molestation coverage, which standard policies frequently exclude or sublimit, and thin professional liability limits that a single serious claim can exceed.

Do assisted living facilities need cyber insurance?

Yes, in nearly all cases. Facilities store resident health and payment data, making them targets for breaches and ransomware. Cyber liability covers the response and notification costs.

How much does assisted living facility insurance cost?

It depends on beds, services, claims history, and limits. Core liability for a small facility can start in the low thousands; a complete program for a larger facility runs into five or six figures. A producer confirms your premium.

Is abuse and molestation coverage required for assisted living facilities?

It is rarely required by statute, but it is one of the most important coverages a facility can carry, and many contracts, lenders, and referral partners expect it. Because standard liability policies often exclude or sublimit these claims, it usually has to be added or scheduled deliberately. Confirm it is present with adequate limits at every renewal.

How often should an assisted living facility review its insurance?

At least once a year at renewal, and again any time the facility adds beds, services, vehicles, or staff, or after a claim. Senior care exposures change quickly, and a program that fit last year can fall behind as the operation grows.

NF

Reviewed by Neal Fusco, VP, Commercial Lines

Neal runs senior-care facilities through a full coverage checklist and closes the gaps standard policies leave.

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