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 require nighttime

Additionally, HHSC classifies facilities based on size - a large ALF is 17 residents or more and a small ALF is 16 residentsor fewer.