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Nursing & Assisted Living Facilities

Start Your Texas Nursing or Assisted Living Facility — Legally and Confidently

Assisted Living • Nursing Homes • Adult Day Care

We help you get licensed, compliant, and legally structured to care for others — in just 4 simple steps.


 

The Demand for Senior Care in Texas Is Growing — and So Are Regulations

Texas has one of the fastest-growing senior populations in the country, creating strong demand for residential and daytime care services. But opening a care facility or adult day center is not as simple as renting a space and hiring staff — it requires navigating complex licensing, zoning, health, and compliance rules.

 

We help care providers launch legally sound businesses that meet all state and federal requirements, so you can focus on providing high-quality care — not fighting red tape.

Common Legal Needs in the Nursing & Assisted Living Industry

Starting a care facility in Texas involves a deep understanding of health care law, business structure, and state licensing processes.

We help with:

  • Business Entity Formation (LLC, PLLC, or Corporation)

  • Texas Health and Human Services (HHSC) Licensing for assisted living, nursing, and day activity centers

  • Zoning and Occupancy Compliance for residential or commercial locations

  • Medicaid/Medicare Readiness and provider enrollment support

  • Policy and Procedure Manuals and operations documentation

  • Staffing and subcontractor agreements

  • State-required insurance and bonding guidance

  • Contract and liability protections

 

Whether you’re opening a small residential care home or a licensed adult day care center, we guide you every step of the way.

Start in 4 Simple Steps

We simplify the startup process so you can move forward with clarity and confidence.

Step 1: Eligibility Check

We review your proposed services, location, and business plan to determine what type of license you need and whether your model qualifies under Texas regulations.

Step 2: LLC + Licensing Application

We form your LLC or PLLC, obtain your EIN, and prepare and file your facility license application with Texas Health and Human Services (HHSC) or other relevant agencies.

Step 3: Documents + Compliance Guide

You receive your official formation paperwork, license application materials, and a personalized compliance checklist to guide your next steps through inspection and approval.

Step 4: You’re Open for Business

Once your license is approved and documents are in place, you're ready to open your doors and begin providing care — with legal peace of mind.

Types of Businesses 
We Serve

We assist a wide range of long-term and adult care providers across Texas, including:

Assisted Living Facilities (Type A & B)

​Whether you're opening a small residential assisted living home or a larger facility, we help you obtain the correct HHSC license, form your business, and comply with all physical plant and staffing requirements.

Nursing Homes & Skilled Nursing Facilities

​For businesses offering 24/7 medical and custodial care, we assist with incorporation, compliance with nursing facility regulations, and preparation for state and federal certifications (Medicare/Medicaid readiness).

Adult Day Care & Day Activity Health Services (DAHS)

​We help entrepreneurs open licensed adult day centers with proper HHSC DAHS licensing, location compliance, and health policy preparation to serve clients safely during the day.

Memory Care & Specialty Care Homes

​We assist with legal structuring and licensing for facilities that care for individuals with Alzheimer’s, dementia, or other special care needs under Texas standards.

Whether you're launching a first-time facility or converting an existing property into a care center, we make sure your legal and regulatory setup is thorough and correct.

Why Work With Us

Since 2013, we’ve helped healthcare and senior living providers across Texas launch and operate legally sound, fully licensed facilities — with confidence and clarity.

Healthcare-Focused Legal Expertise
We understand the complex web of state and federal regulations that govern assisted living and skilled nursing facilities — including Texas Health & Human Services (HHSC), Medicare/Medicaid, and local zoning boards. Our legal support is tailored to the realities of running a compliant care facility.

Licensing Without the Guesswork
Whether you’re applying for an ALF (Assisted Living Facility) license or a Nursing Facility license through HHSC, we guide you through every step — from pre-licensure inspections and ownership disclosures to operational policies and administrator requirements.

Complete Startup & Compliance Packages
We don’t just file forms. We build your legal foundation from the ground up — forming your business entity, securing your EIN, preparing state applications, and helping you draft required operational documents, policies, and resident agreements.

Risk Management That Protects Patients and Operators
Senior care involves high legal and ethical responsibility. We help you reduce liability exposure through strong contracts, HIPAA compliance, staff credential reviews, and emergency preparedness plans.

Tailored to Your Facility Type & Level of Care
From small Type A assisted living homes to large nursing homes with skilled medical staff, we tailor legal support to your size, care level, and licensing class — ensuring your setup matches state requirements.

Whether you're converting an existing property or building a new facility, we ensure your business meets every legal and regulatory requirement — before your first resident moves in.

Let’s Get Your Facility Licensed and Ready to Care

Don’t let paperwork, inspections, or agency red tape slow you down. Click below to start your Eligibility Check and find out what licenses, documents, and legal steps you need to open your care business in Texas.

✅ Identify required licenses and permits

✅ Confirm if your services require medical oversight

✅ Avoid costly mistakes and delays

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The Mays Law Firm, PLLC

4725 Teal Bend Blvd. # 735

Fresno, Texas 77545 (Mailing Only)

Phone: (844) 247-0851

Email: contact@mayslawyer.com

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DISCLAIMER - Antionette Mays-Salami, Esq. is an attorney licensed to practice law in Texas only. Note that none of the contents in this website should be taken as engaging, or offering to engage, in any activities in a jurisdiction where those activities would be considered the unauthorized practice of law or would otherwise be unlawful or improper. The content of this website are for informational and educational purposes only, they do not constitute legal advice nor should be considered legal advice. This website visit does not create an attorney-client relationship. For legal advice please consult with an attorney.

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