Special Care Facilities

A special care facility is an establishment that provides a continuum of nursing or medical care or services primarily to persons with acquired immune deficiency syndrome or other terminal illnesses. A special care facility may also include special residential care facilities.

The Health and Human Services Commission develops rules that establish minimum standards for special care facility licensing procedures; fees; administrative management; personal safety and comfort; sanitary environment; accommodations; construction; inspections; license denial, suspension, revocation and probation.

Special care facilities are not Medicare certified nor are they accredited.

Find or Verify a Licensee

Applying for a Special Care Facility License

The application process for special care facility licensing involves:

  • Health Facility Licensing Unit staff who review the application and required documents for deficiencies. Refer to Form 3227, Special Care Facility License Application for fee amount, mailing address and instructions.
  • Health Facility Compliance Unit staff who are responsible for conducting a pre-survey conference and surveying the facility for compliance with the provisions on Health and Safety Code, Chapter 248 and TAC Chapter 125.
  • Architectural Review Unit staff who are responsible for approving final construction documents, plans and specifications, as well as, conducting inspections. Click here for more information on the architectural review process.

Applications and Forms

Laws & Rules

Texas Laws

Rules and Regulations

Enforcement Actions

Special Care Facilities Enforcement Actions (PDF)

Survey Components

During the initial licensing period, Health Facility Compliance regional office staff will conduct an on-site survey to ascertain compliance with the provision on the Health and Safety Code and associated rules. An entrance conference will be held with key facility personnel. Regional office staff will explain the survey process and answer questions. During the survey, regional office staff will:

  • Review clinical records
  • Review facility policies and procedures
  • Review quality assurance activities
  • Review personnel records
  • Interview staff
  • Conduct site visits as applicable
  • Exit conference with key facility personnel. Discuss survey findings.

Open Records Requests

There is no specific form for submitting your open records request. Your request must be in writing and may be submitted by mail, fax or email. Include enough description and detail about the information requested so we can accurately identify and locate the information. List your name and mailing address so we can provide you with the requested information. We may also provide you with an itemized statement of charges, if applicable, or notify you if the information you are requesting cannot be provided promptly.

Contact Information

General Email, Fax, Phone and Mailing Information
Phone: 512-438-5448
Fax: 512-834-4514
Email: healthfacilitylicensing@hhs.texas.gov

Health Care Regulation Contact Information (PDF)

Mailing Address
HHSC AR Mail Code 1470
P.O. Box 149055
Austin, Texas 78714-9055

Mailing Address for Applications with Fees
HHSC AR Mail Code 1470
P.O. Box 149055
Austin, Texas 78714-9055

Take a Customer Service Survey (link is external)

Enforcement Unit

Phone: 512-834-6634
Fax: 512-834-6623
Email: enforcement@hhsc.state.tx.us

Mailing Address:
Texas Health and Human Services
Regulatory Services Division, Enforcement Unit
P.O. Box 149347
Austin, TX 78714-9347