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Types of senior care in your area

Six categories, and your state's specific licensing approach changes how families should compare them.

Quick answer

Six categories of senior care exist in Texas, licensed under two assisted living tiers (Type A and Type B) with memory care handled through a disclosure requirement.

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Short answer

Six categories of senior care exist, and Texas licenses assisted living in two tiers (Type A and Type B) rather than one blanket license, with memory care regulated through a disclosure requirement rather than a separate license.

How your state licenses assisted living. Texas splits assisted living into Type A (residents who can self-evacuate) and Type B (residents who need staff help evacuating or nighttime attendance) under Health and Safety Code Chapter 247. Read the full explanation →
Memory care regulation in your state. Texas requires a filed Alzheimer's/dementia Disclosure Statement (26 TAC ยง553.264) rather than a separate memory-care license -- ask to see it by name. Read the full explanation →

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.

Is memory care a separate license in Texas, or something else?

Texas does not issue a separate 'memory care license.' Any facility that markets or holds itself out as providing dementia care must instead file an Alzheimer's/dementia Disclosure Statement with HHSC under 26 TAC Section 553.264, and make it available to families before admission.

How do I check a Fort Worth-area facility's inspection history myself?

HHSC's Long Term Care Regulatory division maintains survey and enforcement records for every licensed Texas assisted living facility. You can also call HHSC's Complaint and Incident Intake line at 1-800-458-9858, 24 hours a day, to ask about a specific facility's complaint or inspection history.

What's the difference between a Type A and Type B assisted living license in Fort Worth?

Type A facilities serve residents capable of following directions to evacuate on their own and who don't need routine overnight attendance. Type B facilities serve residents who need staff help to evacuate, can't follow emergency directions independently, or need nighttime staff attendance -- most memory care in the metro falls under Type B.

Do Fort Worth assisted living facilities have to disclose past violations to families?

Texas law does not require a facility to hand a prospective resident its inspection history unprompted, but that history is public and available through HHSC. Ask directly for a copy, or pull it yourself through HHSC's Complaint and Incident Intake line before you tour.

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