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Independent Living vs. Assisted Living

Independent living is generally unlicensed housing in Texas since no personal care is provided; assisted living requires an HHSC Type A or Type B license.

HomeComparisonsIndependent Living vs. Assisted Living
Short answer

Independent living is generally unlicensed in Texas because no personal care is provided -- residents fully manage their own daily activities. Assisted living requires an HHSC Type A or Type B license because personal care services are part of what's delivered.

Several larger campuses in the Fort Worth metro, including continuum communities in the Alliance area, offer independent living and assisted living on the same site, letting a resident move between levels without changing addresses. If personal care assistance is already needed, independent living is the wrong category regardless of how a community frames its available support services.

Questions families ask

Where can family caregivers in Fort Worth get free support?

The Area Agency on Aging of Tarrant County offers caregiver support programs and care coordination at no cost. The Alzheimer's Association's North Central Texas Chapter helpline (800-272-3900) is also free and available 24/7 for dementia-specific caregiver questions.

What happens at an ombudsman-attended care conference?

An ombudsman advocate can sit in alongside the resident and family during a facility care plan meeting, help the family understand what's being proposed, and advocate for the resident's stated preferences if there's a disagreement with the facility's plan.

How do I report suspected abuse or neglect in a Fort Worth-area facility?

Call the Texas Abuse Hotline at 1-800-252-5400, available 24 hours a day statewide, to report suspected abuse, neglect or exploitation of an older adult. If someone is in immediate danger, call 911 first.

What's the difference between reporting to APS and reporting to HHSC in Texas?

Adult Protective Services (1-800-252-5400) investigates concerns about a specific person's safety, including self-neglect. HHSC's Complaint and Incident Intake line (1-800-458-9858) investigates a licensed facility's regulatory compliance -- staffing, physical conditions, and whether the facility followed required procedures.

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