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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Case-sensitive. Use commas to separate multiple entries.
Note: These files are in PDF format unless otherwise noted.
Number Title/Notes Date Published
PL 2021-29 End of Temporary Suspension of Certain LTCR Requirements During COVID-19 Outbreak

Note: Revised. Replaces the version previously revised September 14, 2021. Replaces PLs 2020-21 and 2020-26.

PL 2021-44 Active, Unemployable Work-Around
PL 2020-37 Reporting Guidance for Long-term Care Providers

Note: Replaces the version last revised on November 20, 2020.

PL 2021-01 COVID-19 Vaccination Reporting

Note: Revised, originally issued January 11, 2021

PL 2021-41 Health Maintenance Activities
PL 2021-22 Posting of Ombudsman Information
PL-2021-39 Attic Protection Required for a Facility with a Fire Sprinkler System
PL 2021-33 Authority to Enter Long-term Care Facilities
TM 2021-02 (ALF) Smoke, Heat and Carbon Monoxide Detection
PL 2021-28 Description of Upcoming Key Changes to 26 TAC Chapter 553, Licensing Standards for Assisted Living Facilities

Note: Originally issued August 3, 2021