The propose of this study was to investigate the management characteristics of assisted living facility(ALF) as an housing alternative for semi-dependent elderly. For this purpose, 5 ALFs which have been well known as best practices in rural Virginia were selected for a multi- site case study. Face-to-face interview with administrators or assistant administrators of i facilities were done. In addition to this, written materials about the each facility and personal record from researcher were used to analyze the data. Six management categories including 82 open-ended questions were analyzed and successful examples and management difficulties were identified from best practices. Based on the results, some recommendations for development of ALFs in Korean elderly were suggested. In short, this study found that best practices which were selected and analyzed in this study showed that successful management was resulted from continuous efforts of the stalls to provide better services in order for improving the quality of life of their residents.