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.

Resources

Webinars

For older recordings, email LTCR Policy.

Contact Program Staff

Directories and Regulation Tags

Statutes and Rules

State

Other Rules and Statutes

Training

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.

Communications

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 2022-17 Expiration of Emergency Rules
PL 2022-15 Offsite Review Responsibility Requirements
PL 2022-14 Guidance Regarding Minors and Assisted Living Facilities
PL 2022-13 New Rules Implementing Senate Bill (S.B.) 25 and Senate Bill (S.B.) 572, 87th Legislature, Regular Session, 2021, Version 2

Note: Revised -- originally issued June 1, 2022
IL 2022-30 American Rescue Plan Act (ARPA) Home and Community-Based Services (HCBS) Provider Retention Payments (Revised)

Note: Revised June 24, 2022
IL 2022-31 Preparing for the upcoming Fiscal year 2022 Fee-for-Service Claims Billing Closeout
PL 2022-09 Process for Requesting Testing Supplies for Providers Without a CLIA Waiver
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