Assisted living residence means dwellings that provide occupants with assistance for daily living activities and instrumental activities of daily living. Assisted living residences cannot accept residents who require 24-hour, skilled nursing care services. To become licensed as assisted living residences, an entity must already hold or concurrently apply for adult care facility status. Assisted living facilities and in-home assisted living care stress independence provide less intensive care than that delivered in and other long-term care institutions. Residents of assisted living residences shall have the right to written notice of any fee increase not less than forty-five days prior to the proposed effective date of the fee increase. However providing additional services to a resident shall not be considered a fee increase.