Assisted Living Facilities (ALF)

What is an Assisted Living Facility?

Assisted living facilities provide individualized health and personal care assistance in a homelike setting with an emphasis on personal dignity, autonomy, independence and privacy. Facilities can be large apartment-like settings or private residences. Services include meals, bathing, dressing, toileting and administering or supervising medication.

Texas Health and Human Services licenses assisted living facilities based on residents' physical and mental ability to evacuate the facility in an emergency and whether nighttime attendance is necessary.

  • A Type A facility cares for residents who do not require routine attendance during sleeping hours and are capable of following directions in an emergency.
  • A Type B facility is for residents who require staff assistance to evacuate, are not capable of following directions in an emergency and require nighttime attendance.

The Assisted Living Facility Information brochure (PDF) explains the variety of assisted living facilities available in Texas, who they care for, and the services they provide. Assisted living facilities are regulated under Health and Safety Code, Chapter 247 and Texas Administrative Code(TAC), Title 26, Part I, Chapter 553.

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For older recordings, email LTCR Policy.

Communications

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Directory and Regulation Tags

Statutes & Rules

Training

Communications

Provider Letters

All letters are in PDF format.

Keywords in title or number
Number Title Date Published
PL 2021-33 Authority to Enter Long-term Care Facilities 9/2/2021
PL 2021-32 Implementing ALF Life Safety Code Rules 8/31/2021
PL 2021-31 COVID-19 Response - Expansion of Reopening Visitation and Mitigation Response rules
Note: Replaces PL 2021-12
8/26/2021
PL 2021-29 End of Temporary Suspension of Certain LTCR Requirements During COVID-19 Outbreak
Note: Replaces PL 2020-21 and 2020-26. Revised September 14, 2021.
8/13/2021
PL 2021-28 Description of Upcoming Key Changes to 26 TAC Chapter 553, Licensing Standards for Assisted Living Facilities
Note: Revised August 31, 2021
8/3/2021
PL 2021-25 Informal Dispute Resolution (IDR) Conference Expectations 6/30/2021
PL 2021-15 Fingerprint-based Criminal History Checks for Current and Prospective Medication Aides 4/15/2021
PL 2021-14 Status of an Active License During a Renewal Process
Note: Replaces PL 2019-18
4/6/2021
PL 2020-49 Process to Request Free COVID-19 Point of Care Antigen Test Kits
Note: Revised March 25, 2021
3/25/2021
PL 2021-06 LTCR Waivers During Severe Winter Weather 2/19/2021

Information Letters

All letters are in PDF format.

Keywords in title or number
Number Title Date Published
IL 2021-36 Fiscal Year 2021 Cutoff Date for Year-end Closeout Processing 7/30/2021
IL 2021-27 Preparing for the Upcoming Fiscal Year 2021 Fee-for-Service Claims Billing Closeout 5/28/2021
IL 2020-35 Fiscal Year 2020 Cutoff Date for Year-end Closeout Processing 8/7/2020
IL 2020-24 Preparing for the Upcoming Fiscal year 2020 Fee-for-Service Claims Billing Closeout 6/12/2020
IL 2020-04 Payment Rates for Residential Care, Assisted Living, and Personal Care 3 Services Program Effective February 1, 2020 1/31/2020
IL 2015-37 Preparing for the Upcoming Fiscal Year 2015 Fee-for-Service Claims Billing Closeout 6/24/2015
IL 2014-22 Preparing for the Upcoming Fiscal Year 2014 Claims Billing Closeout 6/3/2014
IL 2014-24 Reassessment Process in Preparation of STAR+PLUS Expansion in Rural Service Areas 6/3/2014
IL 2013-29 Preparing for the Upcoming Fiscal Year 2013 Claims Billing Closeout 6/28/2013
IL 2013-18 Pre-filling Medication Planners 4/2/2013

Life Safety Code Technical Memoranda

Number Title Date Issued
TM 2021-02 (ALF) Smoke, Heat and Carbon Monoxide Detection 8/31/2021
TM 2021-01 (ALF) Laundry Facility Requirements in Assisted Living Facilities 8/31/2021
TM 2020-02 (ALF) Walkway from an Exit or Means of Escape 6/19/2020
TM 2020-01 (ALF) Bedroom Door Lock 6/19/2020
TM 2019-02 (ALF) Fire Alarm Control Panel and Remote Annunciator Location 8/8/2019
TM 2019-01 (ALF) Resident Bedroom Dimensions and Size 6/3/2019
TM 2018-03 (ALF) Fence Requirements and Gate Locking Arrangements for Certified Alzheimer’s Assisted Living Facilities 8/29/2018
TM 2018-02 (ALF) Control Door Locking Arrangements for Certified Alzheimer’s Assisted Living Facilities 8/29/2018
TM 2018-01 (ALF) Exit Door Locking Arrangements for Certified Alzheimer’s Assisted Living Facilities 8/29/2018