Requires Department of Human Services to establish specified requirements for use of acuity-based staffing tool by residential care facilities. Requires department to assess staffing levels each time department conducts survey, license approval or investigation into certain types of complaints. Specifies requirements for assessment of staffing levels. Requires department to take specified steps if facility is not using acuity-based staffing tool or is not meeting scheduled and unscheduled needs of residents at all times. Requires department to complete pilot of acuity-based staffing tool by January 1, 2022, and requires facility with memory care endorsement to adopt acuity-based staffing tool by February 1, 2022. Takes effect on 91st day following adjournment sine die.