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 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

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)
• ALF LSC Checklist for Existing Small Type A ALF (PR 2384) (PDF)
• ALF LSC Checklist for Existing Small Type B ALF (PR 2385) (PDF)
• ALF LSC Checklist for Existing Large Type A ALF(PR 2386) (PDF)
• ALF LSC Checklist for Existing Large Type B ALF (PR 2387) (PDF)
• ALF LSC Checklist for New Small Type A ALF (PR 2388) (PDF)
• ALF LSC Checklist for New Small Type B ALF (PR 2389) (PDF)
• ALF LSC Checklist for New Large Type A ALF (PR 2390) (PDF)
• ALF LSC Checklist for New Large Type B ALF (2391) (PDF)
• ALF LSC Alzheimer’s Certification Checklist (PR 2392) (PDF)
• ALF Emergency Preparedness Checklist (PR 2393) (PDF)
• ALF LSC Building Rehabilitation Checklist (PR 2395) (PDF)

Webinars

• July 17, 2024 – ALF Provider Webinar with LTCR Slides (PDF)
  • July 17, 2024 – ALF Provider Webinar with LTCR Recording
  • April 17, 2024 – ALF Provider Webinar with LTCR Recording
  • January 17, 2024 – ALF Provider Webinar with LTCR Recording
  • October 11, 2023 – ALF Provider Webinar Recording
  • July 12, 2023 – ALF Provider Webinar Recording
  • April 12, 2023 – ALF COVID-19 Q&A Webinar Recording
  • January 11, 2023 – ALF COVID-19 Q&A Webinar Recording
  • September 21, 2022 – ALF COVID-19 Q&A Webinar Recording
  • July 13, 2022 – ALF COVID-19 Q&A Webinar Recording
  • June 15, 2022 – ALF COVID-19 Q&A Webinar Recording
  • May 18, 2022 – ALF COVID-19 Q&A Webinar Recording
  • April 14, 2022 – ALF COVID-19 Q&A Webinar Recording
  • March 23, 2022 – ALF COVID-19 Q&A Webinar Recording
  • February 16, 2022 – ALF COVID-19 Q&A Webinar Recording
  • January 12, 2022 – ALF COVID-19 Q&A Webinar Recording

  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

  • Health and Human Services Rulemaking
  • Texas Legislature Online
  • Texas Register
  • Texas 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

  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.