Yes. When an individual resident or a responsible family member owes a balance for care services, those are consumer accounts under the Fair Debt Collection Practices Act and CFPB Regulation F. Those laws require proper validation notices, clear dispute rights, communication rules, and documentation on every contact. We follow all of them. Southwest Recovery Services does not collect consumer debt in California, Oregon, or Washington.
Assisted Living Collections
Assisted Living Collections
Assisted living facilities do something most businesses cannot claim: they take care of people who cannot fully care for themselves. That is important work. It is also expensive work, and when resident balances go unpaid, the financial strain is real. Staff ratios, medication protocols, meal programs, and around-the-clock supervision all cost money. Southwest Recovery Services collects past-due accounts for assisted living facilities and long-term care providers. We have been doing this for 22+ years. We know the terrain, and we know how to recover outstanding balances without creating problems for the families you still serve.

Why Assisted Living Accounts Go Delinquent
It is rarely simple negligence. Families stretch to cover care costs for a parent or grandparent, sometimes for years. Private pay runs short. Medicare does not cover custodial care. Medicaid qualification takes time. A responsible party agrees to pay and then goes quiet. Sometimes the family is genuinely struggling. Sometimes they are disputing the balance. Sometimes they moved and stopped answering calls. The average monthly cost for assisted living in the United States runs around $4,000. That number adds up fast, and when a family falls behind, the balance can grow to a significant amount before your billing team has exhausted its follow-up options. The sooner those accounts move to professional recovery, the better your chances of collecting. Recovery rates fall sharply after 90 days and continue to erode with time.
FDCPA and Regulation F Govern This Collection
Resident balances at assisted living facilities are consumer debts. The Fair Debt Collection Practices Act and CFPB Regulation F set the rules for how those accounts can be worked. That means proper validation notices, clear disclosure of dispute rights, communication channel requirements, and documentation on every contact attempt. Our agents follow all of it. We do not collect consumer debt in California, Oregon, or Washington. In the states where we operate, we pursue past-due resident and responsible party accounts in full compliance with applicable federal and state law.

Private Pay, Medicaid Pending, and Responsible Parties
Assisted living AR is more complicated than a single invoice. You often have multiple layers: private pay running alongside a Medicaid application in progress, a responsible party who signed admission paperwork but now says they cannot pay, retroactive Medicaid coverage that needs coordination. We understand these scenarios. We help facilities navigate communication with responsible parties, work through payment plan arrangements where realistic, and flag situations where retroactive Medicaid financing may offset part of the balance. We do not handle Medicaid billing itself, but we work alongside your billing team to keep the recovery process organized and compliant.
Handling Resident Information With Care
Resident accounts at assisted living facilities contain sensitive personal and health-related information. We treat it accordingly. Our collection process is structured to handle resident data consistent with applicable privacy requirements, including the minimum necessary standard under HIPAA where protected health information is involved. We use resident information to identify, contact, and communicate with responsible parties about the outstanding balance. We do not disclose information beyond what the collection function requires. The families you serve trusted your facility with their loved one’s care. We carry that same responsibility when we work on your accounts.
A Recovery Approach Built Around Your Reputation
The families of your residents are a source of referrals. Word travels through the communities you serve, and a heavy-handed collections experience can do damage that outlasts any recovered balance. We understand what is at stake. Our agents are direct and professional without being aggressive or dismissive. We listen. We present multiple options for resolution. We make it easy to pay online or by phone. The goal is always to recover what you are owed, and to do it in a way that leaves the relationship intact. We never make a resident or family member feel ashamed for struggling to pay. That is not how we operate, and it is not how you would want your facility represented.
No Recovery, No Fee
We work on contingency. No retainer, no setup fee, no upfront cost of any kind. Our fee is a percentage of what we actually collect. If we do not recover the balance, you owe us nothing. That structure keeps our incentives aligned with yours from day one. Place your past-due accounts with Southwest Recovery Services and start recovering the revenue your facility has already earned. Call us at 866-558-3328 or reach out online to get started.
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Recover Outstanding Resident Balances Without Losing Family Trust
Southwest Recovery Services collects past-due accounts for assisted living facilities and long-term care providers across most of the country. Compliant, empathetic, and contingency-only. Tell us about your outstanding balances and we get to work.


