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Memory Care: Disclosure, Not a Separate License, in Texas

Texas requires a filed Alzheimer's/dementia Disclosure Statement (26 TAC Section 553.264) for any facility marketing memory care -- it does not issue a separate memory-care license.

HomeState RulesMemory Care: Disclosure, Not a Separate License, in

Memory care in Texas: a disclosure requirement, not a separate license

Texas does not issue a distinct "memory care license." Instead, any assisted living facility that advertises, markets, or holds itself out as providing care for residents with Alzheimer's disease or another dementia must file an Alzheimer's/Dementia Disclosure Statement with HHSC under 26 TAC Section 553.264, and make that disclosure available to the public and to every prospective resident before admission.

The disclosure must describe the facility's dementia-specific philosophy of care, staffing and staff training requirements, physical environment (secured egress and design features), and the process used to assess a resident before and after admission. What actually changes at the facility level is its Type A/Type B designation and the paperwork HHSC requires it to produce and disclose -- not a separate license category.

Ask to see the current disclosure statement by name on any tour. A facility that cannot produce one immediately for a unit it is actively marketing as memory care is not meeting a basic Texas requirement.

What to ask for by name on a tour

Ask to see the facility's current Alzheimer's/dementia Disclosure Statement. It must describe the facility's dementia-specific philosophy of care, staffing and training requirements, physical environment and secured-egress design, and how residents are assessed before and after admission.

A facility actively marketing memory care that cannot produce this document immediately is not meeting a basic Texas requirement -- treat that hesitation as a real signal, not an oversight.

Questions families ask

Can I report a concern anonymously in Texas?

Yes. Texas Adult Protective Services accepts anonymous reports through the statewide hotline at 1-800-252-5400 or online at the Texas Department of Family and Protective Services' reporting portal.

What happens after I report suspected abuse to APS?

An APS caseworker reviews the report and, for situations that meet the threshold for investigation, typically responds within a set timeframe based on the severity described, ranging from immediate response for emergencies to several days for lower-risk reports.

My parent is being discharged from a Fort Worth hospital in 72 hours. What do I do first?

Get the discharge plan in writing from the hospital's case manager or social worker, confirm whether your parent was formally admitted as an inpatient or held under observation status, and ask specifically which senior care facilities have already said yes to the referral -- not just which ones the hospital contacted.

What's the difference between inpatient admission and observation status for Medicare purposes?

Medicare's skilled nursing facility benefit requires a qualifying inpatient hospital admission. Time spent under 'observation status' does not count toward that requirement, even if your parent physically stayed overnight in a hospital bed for multiple nights.

Which hospitals in the Fort Worth area handle senior discharge planning?

Texas Health Resources (Texas Health Harris Methodist Fort Worth and Southwest Fort Worth), JPS Health Network's John Peter Smith Hospital, Baylor Scott & White All Saints Medical Center - Fort Worth, and Medical City/HCA facilities serving Arlington all maintain case management and discharge planning teams.

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