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What does HHSC license, and what law covers assisted living in Texas?

The Texas Health and Human Services Commission (HHSC) Long Term Care Regulatory division licenses assisted living facilities under Texas Health and Sa

Quick answer

The Texas Health and Human Services Commission (HHSC) Long Term Care Regulatory division licenses assisted living facilities under Texas Health and Safety Code Chapter 247 and 26 Texas Administrative Code Part 1, Chapter 553. HHSC issues either a Type A or Type B license depending on residents' ability to evacuate in an emergency.

HomeQuestionsWhat does HHSC license, and what law covers assisted
Answer

The Texas Health and Human Services Commission (HHSC) Long Term Care Regulatory division licenses assisted living facilities under Texas Health and Safety Code Chapter 247 and 26 Texas Administrative Code Part 1, Chapter 553. HHSC issues either a Type A or Type B license depending on residents' ability to evacuate in an emergency.

What this means in practice

Texas is one of a smaller number of states that splits assisted living licensing into two tiers rather than issuing one blanket license. A Type A license covers residents who do not need routine nighttime attendance and can follow directions to evacuate on their own. A Type B license covers residents who need staff help evacuating, cannot follow emergency directions independently, or need nighttime staff attendance -- this is the tier most memory care and higher-acuity assisted living falls under. A single building in the Fort Worth metro can hold both licenses for different floors or wings, so ask specifically which license covers the unit your parent would actually live in, not just the building's overall designation.

Related questions

Questions families ask

What does HHSC license, and what law covers assisted living in Texas?

The Texas Health and Human Services Commission (HHSC) Long Term Care Regulatory division licenses assisted living facilities under Texas Health and Safety Code Chapter 247 and 26 Texas Administrative Code Part 1, Chapter 553. HHSC issues either a Type A or Type B license depending on residents' ability to evacuate in an emergency.

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