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How to Verify a Facility's License

The state tools that show license status and inspection history, and why a clean review page means nothing about the regulatory record.

HomeState RulesHow to Verify a Facility's License

How to check a Fort Worth-area facility's record yourself

Texas HHSC's Long Term Care Regulatory division maintains license status and survey/enforcement history for every licensed assisted living facility in the state. Call HHSC's Complaint and Incident Intake line at 1-800-458-9858, available 24 hours a day, to ask about a specific facility's complaint or inspection history, or to file a new complaint.

Assisted living facilities are not rated by Medicare's Care Compare star system -- that tool covers nursing homes only. A facility's HHSC survey record, not its online reviews, is the closest thing Texas has to an official quality record for assisted living.

When you do get a facility's record, read the deficiency narratives rather than counting citations. A missing signature and an injury to a resident can appear in the same document, formatted almost identically. Look for the same finding repeating across consecutive surveys -- that is a pattern, not an isolated incident.

What to actually look at once you are in there

Pulling the record is easy. Reading it usefully is the part nobody explains.

  • Match the license type to your parent's needs, not just to today. Ask directly about admission and retention criteria.
  • Check the licensee name against the operator. Ownership turns over regularly, and buildings are often marketed under a brand that differs from the license holder.
  • Read deficiency narratives, do not count citations. A missing signature and an injured resident can appear in the same document, formatted identically.
  • Look for repetition across surveys. One citation is an incident. The same finding across consecutive surveys is a pattern.

Questions families ask

Can the ombudsman help if I disagree with how a Fort Worth facility handled my parent's care?

Yes, that is exactly the kind of situation the ombudsman program exists for. Contact the Area Agency on Aging of Tarrant County's ombudsman program at 817-258-8000, describe the situation, and a trained advocate -- often a volunteer -- will work with your family and the resident.

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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