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
IL 2023-21 IL 2023-21 Preparing for the Upcoming Fiscal Year 2023 Fee-for-Service Claims Billing Closeout
IL 2023-18 IL 2023-18 (Replaces 2022-52) ARPA and HCBS Provider Retention Payments Attestation and Reporting Requirements

Note: Replaces IL 2022-52
PL 2023-05 End of Temporary Waivers of Certain LTCR Requirements During COVID-19 Public Health Emergency

Note: Revised 5/8/2023. Replaced PLs 2020-21, 2020-26 and 2021-29.
PL 2023-07 Temporary Closures
PL 2021-41 Health Maintenance Activities

Note: Date Issued: November 15, 2021
PL 2022-29 New Rules Implementing House Bill (H.B.) 1423 and Senate Bill (S.B.) 199, S.B. 271 and S.B. 383, 87th Legislature, Regular Session, 2021

Note: Revised January 23, 2023. Originally issued 11/21/2022.

PL 2018-20 Incident Reporting Requirements

Note: Replaces PL 13-04 and PL 18-07
IL 2022-59 IL 2022-59 Assessment of DBMD ALF Settings for Compliance with Federal HCBS Settings
PL 2022-32 Blackboard Connect Emergency Communication System
PL 2022-30 Adopted Rules Related to Temporary Licenses for Long-term Care Provider Changes of Ownership (CHOWs)