Understanding the Types of Assisted Living Facilities in Texas

When planning to open or run an assisted living facility (ALF) in Texas, it is essential to understand the different classifications established by the Texas Health and Human Services Commission (HHSC). These classifications influence both the scope of care your facility can provide and the regulatory obligations you need to meet.

Types of Assisted Living Facilities in Texas

Texas law identifies two main types of assisted living facilities—Type A and Type B—determined by the level of care and supervision needed by the residents.

🟢 Type A Facilities

Intended for residents who:

• Do not need regular supervision during sleeping hours.

• Can evacuate on their own in an emergency.

• Are mentally and physically able to care for themselves with minimal assistance.

These facilities typically cater to residents who maintain a high degree of independence but benefit from supportive services such as meals, medication reminders, or social activities.

🔵Type B Facilities

Designed for residents who:

• Need staff assistance for evacuation during emergencies.

• May require help with mobility, bathing, dressing, or medication.

• Might not be able to follow emergency instructions on their own.

As these residents require more comprehensive support, Type B facilities must adhere to enhanced safety, staffing, and training standards.

Alzheimer’s Certification

Facilities offering specialized care for residents with Alzheimer’s or other dementias can seek an Alzheimer’s Certification. This certification includes:

• Specialized training for staff in dementia care.

• Improved safety measures (e.g., secure exits, structured routines).

• Customized programming for cognitive and emotional support.

Running such a facility without the appropriate certification may lead to legal penalties or revocation of licensure.

 Why Licensing Type Matters

Selecting the appropriate facility type impacts:

• Compliance with legal requirements and preparedness for inspections.

• Criteria for admitting residents.

• Staff qualifications and staff-to-resident ratios.

• Marketing strategies and the range of services offered.

Incorrectly classifying your facility can lead to violations, fines, or legal action, particularly if a resident's needs surpass what your license permits you to provide.

Need Legal Help Navigating Texas ALF Requirements?

Navigating the licensing process, ensuring facility compliance, and adapting to changing state regulations can be challenging. At Mays Law Firm, we provide expert legal assistance for Texas assisted living providers—whether you're seeking a new license, expanding your services, or dealing with regulatory challenges.

📧 Reach out to us today at contact@mayslawyer.com to arrange a consultation or discover how we can support you in operating with confidence and legal clarity.

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Important: This post is for informational and educational purposes only and does not create an Attorney-Client relationship. This post should not be taken as legal advice or used as a substitute for such. You should always speak to an attorney for legal advice.