HHSC licenses and certifies ALFs based upon compliance with state regulations. To become licensed, a location must:

• Complete the pre-survey computer-based
• Properly complete and submit the electronic license
• Upload all required
• Pay the required license
• Electronically submit appropriate ownership
• Pass on-site Life Safety Code and Health
• Be approved by the Licensure and Certification

Licensure Fees

• The license fee is $300, plus $15 for each bed for which a license is sought, with a maximum of

$2,250 for a three-year license. The license fee for a two-year license [...]

A Type B assisted living facility can have a memory care unit / be Alzheimer certified. Additional requirements need to be met to achieve certification and there are additional fees.

Note, a facility that advertises, markets, or otherwise promotes that the facility or a distinct unit of the facility provides specialized care for persons with Alzheimer's disease or related disorders must be certified or have the unit certified.

Assisted living facilities (ALFs) must be licensed to operate in Texas. The Texas Health and Human Services(HHSC) licenses assisted living facilities based on residents' physical and mental ability to evacuate the facility inan emergency and whether nighttime attendance is necessary.

• A Type A facility cares for residents who do not require routine attendance during sleeping hours and arecapable of following directions in an
• A Type B facility is for residents who require staff assistance to evacuate, are not capable of followingdirections in an emergency and [...]
  

The state laws pertaining to assisted living facilities are contained, for the most part, in Health and Safety Code, Chapter247. The state regulations/standards that govern ALFs are contained in the Texas Administration Code, Title 26, Part I,Chapter 553.

The following links will direct you to the licensing standards and statues for ALFs

• Chapter 553, Licensing Standards for Assisted Living Facilities:https://texreg.sos.state.tx.us/public/readtac$ext.ViewTAC?tac_view=4&ti=26&pt=1&ch=553
• Health and Safety Code Chapter 247- Assisted Living Facilities:https://statutes.capitol.texas.gov/Docs/HS/htm/HS.247.htmhttp://texreg.sos.state.tx.us/public/readtac$ext.ViewTAC?tac_view=4&ti=40&pt=1&ch=90

Under Texas law, an assisted living facility is an establishment that:

• furnishes, in one or more facilities, food and shelter to four or more persons who are unrelated to theproprietor of the establishment;
• provides:
  • personal care services; or
  • administration of medication by a person licensed or otherwise authorized in this state to administer themedication;
• may provide assistance with or supervision of the administration of medication; and
• may provide skilled nursing services for the following limited purposes:
  • coordination of resident care with outside home and community [...]