Older adults and people with disabilities need your help. Click here to learn how to become a provider.

Are you ready for the ICD-10 transition on Oct. 1, 2015? Click here to learn more.

Help for older adults and people with disabilities, dial 1-855-937-2372. One free call allows you to talk to a trained professional. Click here to learn more.

Assisted Living Facilities (ALF)

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 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 40, Part I, Chapter 92.

Assisted Living Facility Directory

Click here to find a directory of all Texas assisted living facilities in PDF format.

Regulatory Comment Card Survey

Please click here to take a short survey about the recent visit to your facility by DADS Regulatory Services.

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Communications

News & Alerts

Events

Letters [Provider (PL) and Information (IL)]
Number Title Date
IL 2016-18 PDF Guidelines for Personal Needs Allowances Note: (Replaces IL 07-15, IL 09-124, IL 12-32) 05/09/2016
IL 2016-29 PDF Fiscal Year 2016 Cutoff Dates for Fee-for-Service Year-end Closeout Processing 08/03/2016
PL 2016-29 PDF Retired ALF Provider Letters 07/20/2016
PL 2016-25 PDF Rule Amendments in Title 40, Texas Administrative Code (TAC), Chapter 19, Nursing Facility Requirements for Licensure and Medicaid Certification; and Chapter 92, Licensing Standards for Assisted Living Facilities 07/18/2016
PL 2016-18 PDF Criminal History, Nurse Aide Registry (NAR), and Employee Misconduct Registry (EMR) Requirements Note: (Replaces PL 15-34 & PL 06-48) 06/20/2016

All provider letters for Assisted Living Facilities

Federal Survey and Certification (S&C) Letters (five most recent displayed)
Number Title Contact
Memo
Date
16-34 PDF Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) Appendix J and Exhibit 355: Removal of Website Links N/A 08/12/2016
16-33 PDF Protecting Resident Privacy and Prohibiting Mental Abuse Related to Photographs and Audio/Video Recordings by Nursing Home Staff N/A 08/05/2016
16-31 PDF Mandatory Immediate Imposition of Federal Remedies and Assessment Factors Used to Determine the Seriousness of Deficiencies for Nursing Homes N/A 07/22/2016
16-29 PDF Adoption of the 2012 edition of the National Fire Protection Association (NFPA) 101 - Life Safety Code (LSC) and 2012 edition of the NFPA 99 - Health Care Facilities Code (HCFC) N/A 06/20/2016
16-28 PDF Update Report on the National Partnership to Improve Dementia Care in Nursing Homes N/A 06/03/2016

All S&C Letters

State Survey and Certification Clarification (S&CC) Memos (five most recent displayed)
Number Title Date
2016-05 PDF Employee Misconduct Registry (EMR), Nurse Aide Registry (NAR), and Medication Aide Registry (MAR) Referral Process 06/22/2016
2016-04 PDF Survey Revisit Guidance 06/08/2016
2016-02 PDF Prompt Reporting of Abuse, Neglect and Exploitation (ANE) 02/23/2016
2016-01 PDF Nursing Facility Administrator (NFA) License Verification 01/26/2016
2015-01 PDF Complaint and Incident Intake Functions (Replaces S&CC 03-08) 04/12/2015

All S&CC Memos

Regional Survey and Certification (RS&C) Letters (five most recent displayed)
Number Title Date
2014-02 PDF Guidance for Processing Non-Compliance with State Licensure Requirements 05/16/2014
2012-04 PDF CMS Region VI-Dallas Delegation of Notification of the Imposition and Starting Date of Optional Denial of Payment for New Admissions to the State Survey Agencies in Region VI 03/14/2012
2012-02 PDF Procedural Instructions for Processing Certifications Concerning Legal Names and Doing Business as Names of Providers and Suppliers 02/17/2012
2012-01 PDF Voluntary Termination and Related Processes 02/10/2012
2010-02 PDF Documents for Processing Certification Actions for All Non-Long Term Care Providers/Suppliers (except ICFs/MR and Clinical Laboratories) 05/27/2010

All RS&C Letters

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Updated: May 27, 2016