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.
Provider Communications
Click here for news, information letters (ILs) , provider letters (PLs) and technical memorandae.
Resources
- Frequently Asked Questions for ALF Providers (PDF)
- Infection Prevention and Control Measures for Common Infections in LTC Facilities (PDF)
- Guidance for LTC Facilities Experiencing Staffing Shortages Due to COVID-19 (PDF)
- National Healthcare Safety Network Long Term Care Facility COVID-19 Module Enrollment (PDF)
- COVID-19 Vaccination Data Reporting Survey
- Infection Control Basics and PPE Training for Essential Caregivers (PDF)
- Omnicare POC Testing FAQs for Healthcare Professionals (PDF)
- COVID-19 Vaccination-Pharmacy Partnership for Long-Term Care (PDF)
- Long-term Care COVID-19 Vaccination Options (PDF)
Webinars
- April 12, 2023 - ALF COVID-19 Q&A Webinar Slides (PDF)
- January 11, 2023 - ALF COVID-19 Q&A Webinar Slides (PDF)
- September 21, 2022 - ALF COVID-19 Q&A Webinar Slides (PDF)
- July 13, 2022 - ALF COVID-19 Q&A Webinar Slides (PDF)
- June 15, 2022 - ALF COVID-19 Q&A Webinar Slides (PDF)
- May 18, 2022 - ALF COVID-19 Q&A Webinar Slides (PDF)
- April 14, 2022 - ALF COVID-19 Q&A Webinar Slides (PDF)
- March 23, 2022 - ALF COVID-19 Q&A Webinar Slides (PDF)
- February 16, 2022 - ALF COVID-19 Q&A Webinar Slides (PDF)
- January 12, 2022 - ALF COVID-19 Q&A Webinar Slides (PDF)
- December 8, 2021 - ALF COVID-19 Q&A Webinar Slides (PDF)
- November 10, 2021 - ALF COVID-19 Q&A Webinar Slides (PDF)
- September 15, 2021 - ALF COVID-19 Q&A Webinar Slides (PDF)
- September 1, 2021 - ALF COVID-19 Q&A Webinar Slides (PDF)
For older recordings, email LTCR Policy.
Contact Program Staff
- Contracting information: 512-438-2080
- Contract Oversight: Community Services Contracts Unit Manager
- Licensing and certification: 512-438-2630
- Policy Information: 512-438-3161 / LTCRPolicy@hhs.texas.gov
- Regional nurses: Community Services regional contacts for your region
- Regulatory Services regional contacts
Directory and Regulation Tags
Statutes and Rules
State
- Texas Administrative Code, Title 40, Part 1, Chapter 46: Contracting to Provide Assisted Living and Residential Care Services
- Texas Administrative Code, Title 26, Part 1, Chapter 553: Licensing Standards for Assisted Living Facilities
- Texas Administrative Code, Title 26, Part 1, Chapter 560: Criminal Convictions Barring Facility Licensure
- Texas Health and Safety Code, Title 4, Chapter 247: Assisted Living Facilities
- Texas Health and Safety Code, Title 4, Chapter 250: Nurse Aide Registry and Criminal History Checks of Employees and Applicants for Employment in Certain Facilities Serving the Elderly or Persons with Disabilities
Other Rules and Statutes
Training
- Assisted Living Facility Manager Courses Provider List (PDF)
- Assisted Living Mandatory Annual CBT
- Assisted Living Pre-licensure CBT
- Desk Review Compliance CBT
- Joint Training