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 provided include meals, bathing, dressing, toileting and administering or supervising medication.

The Texas Health and Human Services Commission licenses ALFs based on its residents' physical and mental ability to leave the facility in an emergency and whether they require nighttime attendance.

  • 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 leave the facility and are not capable of following directions in an emergency, and require nighttime attendance.

The ALF Information brochure (PDF) explains the variety of ALFs available in Texas, who receives care at ALFs, and the services ALFs provide. ALFs are regulated under Health and Safety Code, Chapter 247 and Texas Administrative Code (TAC), Title 26, Part I, Chapter 553.

Provider Communications

Read news, information letters, provider letters and technical memoranda.



For older recordings, email LTCR Policy.

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Directories and Regulation Tags

Statutes and Rules


Other Rules and Statutes


Regulatory Comment Card Survey

Please take a short survey about the recent visit to your ALF by Texas Health and Human Services Long-Term Care Regulatory.


Provider Communications

Case-sensitive. Use commas to separate multiple entries.
Note: These files are in PDF format unless otherwise noted.
Number Title/Notes Date Published
PL 2024-11 Application Requirements Related to Ownership, Affiliates, and Controlling Persons
IL 2024-05 Preparing for the Upcoming Fiscal Year 2024 Fee-for-Service Claims Billing Closeout
PL-2021-39 Attic Protection Required for a Facility with a Fire Sprinkler System

Note: Revised May 31, 2024.

PL 2020-01 How to File a Complaint Regarding a Surveyor and Report Survey Inconsistencies

Note: Revised 4/16/2024

PL 2021-32 Implementing ALF Life Safety Code Rules

Note: Revised March 31, 2024

PL 2023-22 Medication Services for Residents in Assisted Living Facilities

Note: Revised February 14, 2024

PL 2024-03 Authorized Electronic Monitoring Devices and Other Electronic Devices
PL 2024-02 Registration with the State of Texas Emergency Assistance Registry

Note: Replaces PL 20-07

PL 2023-20 Texas Unified Licensure Information Portal (TULIP) – Updated and Additional Information

Note: Replaces PL 2018-15.

TM 2023-02 Life Safety Code (LSC) Inspection, Testing, and Maintenance (ITM)