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About The Meridian at Waterways
The Meridian at Waterways does its best to foster happiness and a sense of well-being among seniors residents. Our residents enjoy all the local activities that Fort Lauderdale has to offer. There is also dining and shopping options for outgoing seniors. Doctors and pharmacies are also conveniently close by in case of an emergency.
Our community is focused on serving each resident's individual needs and choices. We offer services that celebrate the people we serve, helping stay independent and make their own choices. Our commitment is reflected in the dedication of our staff offering a higher level of services and a better quality atmosphere to live in. Our business is about serving you, our resident. We look forward to having the opportunity to get to know you and serve you the best way we know how.
The Meridian at Waterways Living & Care
Independent Living
For an active retirement lifestyle, Fort Lauderdale seniors can turn to The Meridian at Waterways Independent Living community. Residents benefit from age-qualified settings, maintenance-free homes, and a variety of social engagements. The Meridian at Waterways Independent Living empowers you to cultivate your interests and maximize your retirement journey.
Assisted Living
Seniors in Fort Lauderdale discover a nurturing community at The Meridian at Waterways Assisted Living, fostering independence with gentle support. Residents receive help with meals, medication, and hygiene in a secure setting with caring, professional staff. The Meridian at Waterways Assisted Living ensures your loved one's well-being, allowing you to feel confident about their future.
Memory Care
Seniors in Fort Lauderdale facing memory challenges can turn to The Meridian at Waterways Memory Care for specialized dementia support and attention. Key services feature individual care plans, a safe setting, and activities focused on cognitive health. The Meridian at Waterways Memory Care enhances life for family members with dementia and offers emotional security for you.
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The Meridian at Waterways Amenities & Services
Residents have access to Indoor Common Areas, Devotional Services Onsite, Activities Offsite, Outdoor Common Areas, Meals Provided, Devotional Services Offsite, Activities Onsite, Vegetarian, Beautician Onsite and other facility comforts so seniors feel right at home. Our fully-trained staff is always friendly and available to help seniors feel right at home.
We do our best to make sure each resident is able to sustain a healthy, fulfilling life during their stay. In order to do this, our facility has Multiple services to keep them active. After all, one of the keys to staying independent is staying active.
Residents enjoy of a full schedule of social, educational and entertaining activities. Our structured program helps all residents maintain a high quality of life. Many of our activities encourage members to socialize and develop friendships with other residents. We make sure the activities are fun and entertaining.
Ready to see what we can offer? Call (800) 755-1458 to speak to a friendly advisor.
The Meridian at Waterways Location
The Meridian at Waterways
3001 E Oakland Park Blvd, Fort Lauderdale, FL 33306
Pricing & Availability
(800) 755-1458Available Living Options
- Assisted Living
- Independent Living
- Memory Care
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(800) 755-1458
The Meridian at Waterways Frequently Asked Questions
How much does The Meridian at Waterways cost?
The cost of independent living, assisted living, and memory care at The Meridian at Waterways is determined by the care type, staffing, and level of support needed. Additional services like wellness programs, cognitive support, and personal care plans may affect the total cost. Call (800) 755-1458 for customized quotes and tailored pricing.
Does The Meridian at Waterways take Medicare or Medicaid?
Assisted living, independent living, and memory care are not covered by Medicare because they are classified as non-medical services. Physical therapy, doctor visits, and other medical services may be covered under Medicare if prescribed. Medicaid may help with the costs of memory care or assisted living through specific state programs but does not typically include independent living. To discuss your eligibility, call (800) 755-1458 to speak with a senior advisor.
What senior living & care is offered at The Meridian at Waterways?
Independent living, assisted living, and memory care are provided at The Meridian at Waterways to enhance the quality of life for seniors. Independent living fosters an active and worry-free lifestyle, assisted living ensures professional care for daily needs, and memory care offers specialized support for those with cognitive conditions.
Are there rooms available at The Meridian at Waterways?
The Meridian at Waterways units change in availability often. Call (800) 755-1458 to connect with a senior living advisor for current vacancies. If units are not currently available, interested individuals can join a waiting list.
Does The Meridian at Waterways offer guided tours?
The Meridian at Waterways provides tours to help you make an informed decision. Call or complete the contact form to set up your visit and explore the community in detail.
Is The Meridian at Waterways highly rated?
The Meridian at Waterways is highly rated at 4.7, reflecting excellent reviews. Users commended the independent living, assisted living, and memory care, mentioning the welcoming atmosphere, clean facilities, and caring staff.
Reviews The Meridian at Waterways
August 2026
Friendliness and kindness rules at The Meridian. The staff is excellent.
July 2026
Rosemary walked me through the process today. Thank you for your assistance!
July 2026
July 2026
Excellent care for residents and food, as well as the activities
July 2026
Nice people. Great entertainment
June 2026
Great place for seniors. Awesome water view. Friendly staff. Shout out to Mia and Ferdina.
June 2026
I greatly appreciate the staffs at the Meridian. They are very caring and kind; helpful and friendly. The place is neat and clean. It's a wonderful place.
May 2026
Friendly staff extremely clean facilities
May 2026
Especially like the new mechanical picture taking entrance. I just walk up and they know exactly who I’m looking for.
April 2026
This team has made impressive progress with improvements with staff, leadership and decor. Thanks to the entire team.
March 2026
March 2026
The Meridian at the Waterways in Fort Lauderdale offers spectacular and relaxing views of boats and yachts along the waterway, creating a peaceful and emotionally calming setting. The community offers wonderful amenities, including a wellness center and engaging activities for residents. It was a pleasure meeting with Brian Guertin, the Life Inspired Director, who, while preparing for a resident happy hour, enthusiastically shared some of the exciting upcoming programs and activities planned for the community. The compassionate care and thoughtful gestures of the staff toward their residents were truly remarkable and reflect a warm and welcoming environment.
March 2026
If you are looking for the heart of The Meridian, look no further than Brian, the Director of Activity. He is a whirlwind of positive energy”lively, kind, and truly full of spark. What makes Brian so special is his unique ability to connect with every resident, regardless of their needs. He has a gift for encouraging participation in activities that keep everyone engaged and smiling. Most impressively, even the Memory Care residents know him by name and frequently express their appreciation for him. It is a huge peace of mind for families to know their loved ones are in the hands of someone so compassionate and dedicated. We love and appreciate everything he does! Gilda Caedo Preferred Care at Home
December 2025
My mother lived at Meridian at Waterways in Fort Lauderdale for 2 years. The staff were very friendly and always willing to help. The building is kept clean, the dining room is beautiful. There is a beauty salon on the premises. The terrace overlooking the waterway is comfortable and relaxing. I highly recommend this place.
December 2025
Brian is beyond helpful to everyone especially the residents and they love him so much for everything he does! When he's not here its not the same. Very hard worker!
December 2025
Brian is the best he is very helpful with Chuck and always goes out of his way to do the most kindest things for Chuck and myself.He is the bomb!!!
September 2025
The staff at The Meridian have been absolutely incredible. Initially, we weren't sure if The Meridian was an option for us, but Tina was wonderfully kind and found a way to make it work. We were in a challenging situation, needing to move my aunt directly from the hospital into assisted living, which required us to move fast. Tina was exceptionally gracious, even letting us use an apartment for a few days until we could get her furniture into her own space. The building itself is beautiful, feeling more like a boutique hotel with truly amazing views. We are so happy because she is so happy! Brian, who manages the activities, is wonderful, he watches out for her and has her help him, which gives her a renewed sense of purpose. I couldn't say enough positive things about The Meridian. For a very independent lady who lived alone for the second half of her life, the fact that she truly feels at home here speaks volumes.
September 2025
September 2025
I had to make the difficult decision a couple of months ago to put my mother in assisted living. Meridian has been a wonderful place for her, I can't thank the staff enough for the high quality care they have given her. Doug Sprinkle
August 2025
I toured The Meridian looking for my Mother in Law a couple of weeks ago and had a great tour with Emanuel. He was friendly, knowledgeable, and not pushy. The community was quaint, easy to navigate, the restaurant on the top floor showed amazing views and there were several residents playing cards in the bar area. I am strongly considering The Meridian. Thank you, Emanuel for all of the information and pleasant experience!
July 2025
Just wanted to leave a 5 star review for this building and the staff. Polite, professional, courteous, overall genuinely nice people. Emanuel, Ana and Kirk are amazing. Clean building residents were smiling and being respected. I would trust this staff to make sure my loved one is cared for and respected.
July 2025
July 2025
We selected The Meridian because of the lovely dock overlooking the intracoastal and the convenient location. They recently hired new staff members who are making life for the residents better and more fun. The new Activities Director has come up with excellent experiences and goes to get those who might not hear the announcements to encourage them to get out and participate. Bringing in musicians and performers makes the residents so happy. Seeing them sing along, tap their toes, and dance to the music is a joy! Bless all the nurses, doctors, housekeepers, and caregivers. It’s such demanding work and we appreciate them all.
July 2025
I cannot say enough wonderful things about Meridian at Waterways. From the moment you walk in, you feel like family. The staff is warm, professional, and truly attentive to each resident’s needs. The facility itself is beautiful, clean, and thoughtfully designed with both safety and comfort in mind. Emanuel takes the time to answer every question with patience and honesty. He doesn’t just walk through the space”he paints a clear picture of what daily life would look like for the loved ones. His passion for the community truly shows, and he makes what could’ve been an overwhelming process feel comfortable and reassuring. If you’re looking for a place where your loved one will be respected, well-cared for, and treated with dignity, Meridian at Waterways is it.
July 2025
Yes good food here. Really like the soups too.
July 2025
The sales and marketing staff are absolutely amazing!!!! The community is absolutely beautiful, but the staff really make a difference here
May 2025
Beautiful 50+ community
May 2025
Just want to thank the staff at Meridian at Waterways for making the transition for my 90 year old Uncle such a great experience. They greeted him with a red carpet Welcome, and ensured he was comfortable in his new home. up in his new home. Can't thank Kirk, Brian and the entire staff for going above and beyond for Walter and me!
April 2025
Placing your parents or a special person into a care facility, requires many considerations. Think about how independent they can be and their level of function at home prior to the move. Our parents were doing well at home until a sudden health crisis for my caretaker father required a fast track move after short-term home health care was no longer feasible for them. Anticipate frustration because your loved one(s) were used to a certain lifestyle and likely not prepared for a structured environment. The bottom line is... it's just not easy; but you have to make a decision. After touring many facilities, we selected Meridian at Waterways for my parents. This facility has many unique amenities. We felt the Waterways staff showed desirable synergy and friendly demeanor. Since moving them, my family has visited several times and we continue to meet staff that are very welcoming and upbeat. Several structured events are provided daily with periods of scheduled interaction with staff. An added bonus is waterway views of the intercoastal canal. My parents can watch boat traffic out the windows during unstructured times from several windows in the building. Water taxis and many private boats drift by regularly, which is quite entertaining. In the first 8 months of my parents new stay in the Meridian, the Waterways team has shown good effort and compassion for my folks during their difficult transition from their home and then to extra levels of care. I believe many of the staff care about the residents and try to do what it takes to keep the room neat; and my parents well fed, groomed, dressed and active. Several key people actually try to enrich their lifestyle beyond the standard necessities. There is physical therapy available, nurses to provide support as needed, and an on-call doctor available. Of course they contact hospitals for emergencies. The facility does provide pre-planned transport for patients to doctor's appointments within close radius of the facility, services we've used. We felt in comparison to what we were told other facilities would provide, that Waterways is on par with decent providers. Let's face it, as people age and health declines unanticipated surprises happen. So far, staff have professionally handled setbacks and new needs. If you do your homework and know what to expect, it's unlikely that Meridian at Waterways will disappoint you. Meridian at Waterways handled medical issues that occurred on and off through the first months of my parents move-in satisfactorily. The team did what we would have wanted, as far as, contacting internal or external medical support as needed. If a 4.5 rating was available I'd give it. Yet because I'm not able to visit as often as I'd like, I can't dole out a top score until more time has passed and I have a better handle on my parents well being. As newer residents, they have not adjusted to their changed lifestyle yet, and we know it takes time for them to settle into a different routine. Expect to be proactively involved if you have specific requests, and know it takes a village to get things done, so be patient. Beatrice is amazing and several other staff from all the floors are also very helpful. What prompted me to do a review now was that a special effort was put in to make sure my father got to watch part of the multi-day Masters PGA Golf Tournament after our family requested for it him. Sports on TV is one of the few things our Dad still has left that he really enjoyed at home. Unfortunately because he is no longer able to operate the TV system without assistance, he can't watch TV without help. After coordination with several people in advance, staff turned his TV's on the final day of the tournament & a worker even joined him for a bit to shoot the breeze while he remainiced about the art of golfing. I hope support staff continue to help keep the machine greased, Team morale appears to be good at Meridian Waterways & if they continue to provide excellent service it could definitely be a five star rating next review.
January 2025
My father recently passed away and I had to move my step mom closer to me as the primary caregiver. I toured many facilities as I wanted only the best for my mom. Well when I came to the Meridian, and met Ana, Kirk and Beatriz, I knew this was the place. The attention to detail; the knowledge and love they bring to what they do is amazing. From day one, they took time to learn about my mom- who has dementia and at stage 8 of her disease, and get to know her. You can tell they truly care and love what they do. I love how they have a lot of activities for them. They are not just sitting around like Zombies like some of the other places I toured. She gets to go for field trips, out to the dock to watch the boats, cars, planes and people pass by. They engage her in simple but stimulating activities. She is never bored. She is always clean and always smiling. Her room is always kept clean and tidy. I come at all hours of the day and I find this to always be the case. I am so happy to have the peace of mind knowing that my mom is in the very BEST of hands and in a place I would live myself when that day should come. It means so much to have such wonderful people, especially Beatriz, taking such great care of mom. Beatriz is truly an angel I know my dad is looking down smiling and saying this too. Bless you all for your love, care, professionalism and dedication. I appreciate everything you do.
December 2024
I don’t write reviews often only if I have received exceptionally good or bad service. I cannot speak highly enough about the Meridian at Waterways where I recently moved my elderly stepdad. This place was one of the three highest rated in Fort Lauderdale and to me was the best of all worlds. Not only is this location, convenient and located on the Intercoastal so your loved one can watch boats go by and enjoy incredible water views. But they have the most amazing staff, facilities, food, and activities. Ana McKinney, Is the sales rep and I cannot speak highly enough about her. She is a wonderful, dynamic, and caring person who gets the job done quickly with minimal effort on your part. She has Awesome energy and is always smiling and happy to help. She is an extremely detailed person who does her work accurately & efficiently. She is an absolute pleasure to work with and an absolute asset at the institution. Rubio, his head of nursing and excellent, as is Rosemary, who is head of activities. Everyone is extremely friendly and efficient at doing their job. All the staff knew about my stepdad, where he was and what he did during the day Within two days of him being there! I also had the pleasure of dealing with Jaheim, who is in charge of maintenance. He installed the flat panels TV and completely set it up for my stepdad and taught him how to use it. He also set up his lift chair. He took care of everything in less than 24 hours from when the package was received even though it was on a holiday weekend! The Meridian, has an extensive Variety of activities for your loved one going on all day long and they even have movies virtually every night. Rosemary is the director and she is really on top of knowing what’s going on and where your loved one is And whether they participated or not, which she actively encourages to create a great community. The food at this place is amazing and is cooked to order not cafeteria style!!! There is amazing variety of food and it is all extremely tasty. The chef is very caring and dedicated to serving The highest quality, food, &accommodatingall your loved ones desires Frankly, as a Doctor Who has worked in multiple hospitals and nursing Facilities, I have never seen an institution run so expertly and such good natured & efficient staff as they have at the Meridian. This is PERFECTION!!! Another great plus is whoever is training the people has done an amazing job. Everyone walks around with a smile on their face, is super friendly, & happy to help you in anyway, And they are very patient. I am so happy to write this review as this assisted living facility has consistently exceeded my expectations & blown me away with how efficient and warm they are. To give you an example, when I arrived with my stepdad, they actually rolled out a red carpet, and all the staff came to greet him and welcome him to the Meridian. They are definitely an A+ institution and I am glad I made this choice
November 2024
My Mom had a stroke 13 years ago, thankfully no major side effects from it, but we had to get her 24/7 home care to help with personal stuff. I thought things were going great until I found out 1 Aid was very ,moody which made my Mom quiet and reserved. I finally made the move and found the Meridian at Waterways. I spoke with Kirk and knew in my heart I had found Mom her new home. We moved her in to a fan fair welcome with red carpets music and lots of workers singing and clapping as we strolled Mom in. It's been almost 2 months and I am NOT kidding every person that works there is super nice, caring, patient and KIND! The food is amazing the PT, Front Desk, Admin, Beauty shop, and all the rest of the staff THANK YOU!
October 2024
People there are so nice and very friendly. Highly recommended
May 2024
Finding a place that I felt comfortable with to move my mom into was not easy. But once we found Meridian she just knew right away that she loved the place. Josh was the first individual there we worked with. And he put her at ease right away and made the move so easy and simple. Then I met almost everybody there on staff and the residents , and I cant say enough about them all. Everyone has been wonderful, welcoming, and most important, caring. I highly recommend this place if you or someone you love is looking for a place to live.
May 2024
Really stunning the place, super clean, people excellent, I had a walking tour. I definitely recommend it. like a luxury hotel,
February 2024
January 2024
Great team support and the most inclusive memory care program, very impressive. Loved the floor plan and multiple activity stations. And, when the time comes, they will allow our home health team to also continue working with us there until we transition care. Everything well thought out! Nicely done ™
August 2023
The representative at the front desk was very helpful and pleasant.
August 2023
The Meridian at waterway is one of the best assisted living facilities I have worked st through an agency
May 2023
May 2023
The staff was very helpful and the place is very nice and clean!!
April 2023
Fabulous location. Great views. Stylish. Very secure. Friendly. Lori, Director/Mgr goes above and beyond.
April 2023
I had a pleasant experience,love the view,place is nice and clean,staff was very nice
April 2023
I’m a dog walker/caregiver and I visit 3 times a day to walk Sammy and I agree with Sammy life at the Meridian is a good thing.
March 2023
March 2023
Very nice place
February 2023
Lovely facility with gorgeous views of the ocean, great food, spacious rooms, and friendly staff. Unfortunately, you have to pay quite a bit for those pleasures.
February 2023
I am a pianist and came to do a show at The Meridian at Waterways. And I was very pleased with everything. very nice people. Very clean place.
February 2023
Beautiful building and views of the waterway. All the staff there is extremely helpful and welcoming. Very comfortable leaving my mother in there care.
February 2023
February 2023
I’m a big fan. The Meridian is aesthetically beautiful, the staff is always friendly and helpful when I visit. I refer many people there as an option for living space.
January 2023
Beautiful facility, great staff and it’s right on the water. It really does feel like everyone cares for these people like they’re extended family.
December 2022
December 2022
Very nice tur a lot of information!!!!!& a lot of details!!!!! To know!!!!
December 2022
I love the water front view beautiful
December 2022
December 2022
Very friendly staff
December 2022
Sales concellor there IS shaming autistic kid dont go there
December 2022
Wonderful facility with very nice people.
October 2022
October 2022
October 2022
Place was clean, friendly staff
October 2022
Wellness Nurse Mary responded promptly to a guest having a medical issue. Well done! Dinner was satisfying.
September 2022
I will recommend this place to anybody
March 2022
My husband was a resident at Meridian in assisted living a few year back, this was pre Covid. If your loved one is independent or in assisted living they should be fine . The meals where much better pre Covid and more activities. A lot has changed as far as the quality of care and quality of food. If you have a loved one who needs to be in memory care I would not recommend this facility. I moved my husband to a new facility just before Covid. I moved him back to the Meridian when he needed to be in memory care. the care that he received in my opinion was way below standard for the money I paid. When I brought my concerns about issues I had concerning the care my husband was receiving, they said they would correct the situation but but never fallowed through. I was called in by the administrators office and was told that I had 45 days to find a new place for my husband Bob because of the permanent catheter he no had to have and that they weren’t licensed for that level of care even though he had hospice care and a part time caregiver. They wanted me to hire full time private aids around the clock to take care of him . How many people can afford that? I am sorry that I brought him back there. He is now in a much smaller facility with excellent care and a compassionate staff .
January 2022
January 2022
We are very happy having our family member at The Meridian at the Waterways and recommend it highly to anyone looking for a home for their loved one. The staff is very friendly and they care about the residents.
August 2021
A beautiful entrance to a living facility that treats their residents like kings and queens
January 2021
November 2020
September 2019
Hurricane Randy! You did a great job organizing, coordinating and keeping us all safe and informed as to the process as it was constantly changing! All the staff were efficient and calm in planning for a possible evacuation. (I wish I could name them all!) Fortunately, all the residents were able to stay in place and maintain their standard of living. Your leadership was terrific! Thanks for the humor and smiles in a stressful situation. PS. With two residents at the Symphony I want to compliment everyone involved - YOU make it home for them! The dining room waitstaff & the food, Beatrice and all her activites, Selenes in maintenance, the AWESOME nurses, Med Techs and CNA's and of course, AleMarie! I want to say thanks!
November 2018
May 2018
May 2018
The other Google reviews appear to be from marketing or other employees, as from our discussions with other residents and their families our sentiments are the norm. I have learned for Senior Living Facilities, substance is much more important that glitz and a facade. If you are able to visit and care for your loved ones on a daily basis, the Symphony at the Waterways can be an okay place. It is a very nice building and view with good activities (including beautiful movie theater) but it is quite expensive. Selling points that were included at move in are continually cut back while prices continue to rise. There has been constant, excessive staff turnover at all levels, including strong employees and leadership. Some current staff is very loving and caring. Healthcare has been inconsistent, lots of mistakes, medicines administered at the wrong times and lack of following doctors orders/instructions. Response time is very slow, you often wait over 30 minutes when paging staff for issues requiring physical assistance. Quality of food has been poor, and dining room has often run out of basics like butter, sugar, rolls or ice cream for many days. Leadership constantly talks about fixing things but does not follow through. There is a sense that increasing profits are the highest priority. Many of the reviews on other sites are brief or just one liners and seem to be from company employees to elevate ratings rather than residents or their families. My understanding is posting reviews on their Facebook page is no longer permitted (again the existing reviews on Facebook appear to be from company employees). It speaks volumes that responses to negative reviews on other sites are from a corporate marketing group to spin the review and appear that they are being responsive -- as if repeated attempts to resolve issues were not already tried with the many different executive directors over time or other staff leadership. For the cost of the facility, the food and services should be far superior.
May 2018
A pleasant residence with attentive and competent staff. Residents are well cared for and offered daily activities. I recommend this retirement home. The dining room chef is excellent, and the food is delicious.
May 2018
Symphony is absolutely a wonderful Senior Living Community for older adults. The Residents of this facility are very friendly and the staff is very caring staff. The Management team and the staff sincerely strive on a daily basis with making sure the Residents are happy. However, there is a lot of room for improvement specially with the Healthcare Team. The dining staff could not have been more welcoming and warm to us. Terrific accommodations.
May 2018
May 2018
Top compliments to the new chef Randall Turner, his presentation is everything.
February 2018
The new F&B management & staff team are awesome Gorgeous facility
February 2018
Award winning care, dedicated staff, luxurious facility, & five star amenities. Onsite Doctors. 24/7 Security.
December 2017
Amazing level of care. Highly recommend it to any elderly person. We need more facilities like this.
December 2017
September 2017
The best Senior Community ever!
December 2016
Beautiful
Rate and Review The Meridian at Waterways
Community Details
The Meridian at Waterways Amenities and Services
Amenities
- Indoor Common Areas
- Devotional Services Onsite
- Activities Offsite
- Outdoor Common Areas
- Meals Provided
- Devotional Services Offsite
- Activities Onsite
- Vegetarian
- Beautician Onsite
Services
- Multiple services
Do you have questions? Speak to a local senior living advisor for free.
(800) 755-1458
The Meridian at Waterways Housing and Staff
Living Types Available
Staff
- Trained Staff
Not sure what senior living is right for you or your loved ones? Call us today!
(800) 755-1458
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Assisted Living Center is not affiliated with The Meridian at Waterways and does not guarantee the completeness or accuracy of pricing, photos, living or care available, services or amenities. All phone calls and form submissions are handled by our trusted partner A Place for Mom. Any information regarding Medicare and Medicaid is for general informational purposes and is not a substitute for professional advice. Please visit Medicare.gov or Medicaid.gov for more information.
Families and their loved ones are encouraged to do the following before deciding on a community.
- Schedule a tour and visit the physical location to make sure community description is accurate.
- Confirm with community manager that living and services required for you or your loved one's unique needs and budget are met.
- Check with state government websites for additional provider licensing and information.
If there is any information that is inaccurate or needs to be updated, please contact Assisted Living Center.
Assisted Living Center uses the term "assisted living" or "personal care" to inform users that a community provides assistance with some Activities of Daily Living (ADL's). It may not meet your state's legal definition required for that level of care.