An official State of Texas website.
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
- Frequently Asked Questions for ALF Providers (PDF)
- Infection Prevention and Control Measures for Common Infections in LTC Facilities (PDF)
- Infection Control Basics and Personal Protective Equipment Training for Essential Caregivers (PDF)
Webinars
- January 17, 2024 – ALF Provider Webinar with LTCR (PDF)
- October 11, 2023 – ALF Provider Webinar with LTCR (PDF)
- July 12, 2023 – ALF Provider Webinar with LTCR (PDF)
- 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)
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
- Long-Term Care Regulatory Services regional contacts
Directories and Regulation Tags
- Directory of all ALFs (Excel)
- Texas ALFs closures (Excel)
- Texas ALFs closures (PDF)
- ALF Regulation Tags (PDF)
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: Denial or Refusal of License
- 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, or Persons with Terminal Illnesses
Other Rules and Statutes
Training
- ALF Manager Courses Provider List (PDF)
- Assisted Living Mandatory Annual Computer-Based Training (CBT)
- Assisted Living Pre-licensure CBT
- Desk Review Compliance CBT
- Joint Training