Click here to learn how to become a providerAssisted 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

Letters [Provider (PL) and Information (IL)]
Number Title Date
PL 2014-07 PDF Complaints Regarding Surveyors Note: (Replaces PL 02-42) 07/15/2014
PL 2014-18 PDF Joint Investigation with Law Enforcement Agencies of Abuse, Neglect or Exploitation Allegations 06/11/2014
IL 2014-24 PDF Reassessment Process in Preparation of STAR+PLUS Expansion in Rural Service Areas 06/03/2014
IL 2014-22 PDF Preparing for the Upcoming Fiscal Year 2014 Claims Billing Closeout 06/03/2014
PL 2014-11 PDF Emergency Preparedness Reminder (Replaces Provider Letter 09-13) 05/12/2014

All provider letters for Assisted Living Facilities

Federal Survey and Certification (S&C) Letters (five most recent displayed)
Number Title Contact
Memo
Date
14-38 PDF Rehabilitation Agencies: Fire Alarm Systems, SOM Appendix E Revision - Advance Copy N/A 07/03/2014
14-37 PDF Advance Guidance - Revisions to State Operations Manual (SOM), Appendix PP- Guidance to Surveyors for Long-Term Care (LTC) Facilities and Chapter 4 N/A 07/03/2014
14-36 PDF Infection Control Breaches Which Warrant Referral to Public Health Authorities N/A 05/30/2014
14-30 PDF Grant Solicitation for the Reinvestment of Federal Civil Money Penalty (CMP) Funds to Benefit Nursing Home Residents N/A 05/16/2014
14-29 PDF Information for Applications to Extend the Due Date for the Installation of Automatic Sprinkler Systems in Existing Nursing Homes N/A 05/16/2014

All S&C Letters

State Survey and Certification Clarification (S&CC) Memos (five most recent displayed)
Number Title Date
2014-02 PDF Forwarding Copy of Investigation Narrative to Appropriate Law Enforcement Agency and District Attorney (Replaces S&CC 99-13) 06/23/2014
2014-01 PDF Transferring Liquid Oxygen from One Container to Another (Replaces S&CC 11-08) 04/04/2014
2013-04 PDF Skilled Nursing Services in Assisted Living Facilities 06/03/2013
2013-02 PDF Referrals to an Incident-based Nursing Peer Review Committee (NPRC) or the Texas Board of Nursing (BON) (Replaces S&CC 02-17) 03/27/2013
2013-01 PDF Conflict of Interest Protocol Regarding State Supported Living Center Survey and Certification Procedures (Replaces S&CC 07-01) 03/27/2013

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: July 10, 2014