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Texas senior care rules, in plain language

Texas regulates senior care differently from most states. These are the rules that change decisions.

Quick answer

Texas licenses assisted living as Type A or Type B based on residents' ability to evacuate the building. Type A residents must evacuate without physical staff assistance. Type B residents may need help evacuating but cannot be permanently bedfast.

HomeTexas senior care rules, in plain language
Texas licenses assisted living by evacuation ability. Type A residents must evacuate without staff help; Type B residents may need assistance but cannot be permanently bedfast. It decides which communities can legally accept your parent. Read the full explanation →

Guides to Texas rules

You can check any Texas facility's record free. Use TULIP for current license status and the legacy HHSC provider search for inspection and deficiency history. Read the full explanation →

Questions Austin families ask

What's the difference between Type A and Type B assisted living in Texas?

Texas licenses assisted living by residents' ability to evacuate. Type A residents must evacuate without physical staff assistance, follow emergency directions, and not need nighttime attendance. Type B residents may need staff help evacuating, nighttime attendance, and help transferring from a wheelchair, but cannot be permanently bedfast.

Is memory care a separate license in Texas?

No. Memory care isn't a license type. Under Texas rule 26 TAC 553.27, any community advertising specialized Alzheimer's or dementia care must hold an Alzheimer's certification, and it must be licensed as Type B to qualify. Always ask to see the Alzheimer's certificate, not just the license.

How do I check if an Austin assisted living facility is licensed?

Search the Texas HHSC provider database. Use TULIP at tulip.hhs.texas.gov for current license status, and the legacy tool at apps.hhs.texas.gov/ltcsearch for inspection history and cited deficiencies. Both are free and public. Confirm the license type, Type A or Type B, matches your parent's actual care needs.

Do Texas assisted living facilities have star ratings like nursing homes?

No. CMS star ratings on Medicare Care Compare cover nursing facilities only. Texas assisted living facilities are regulated solely by state HHSC and receive no federal star rating. To evaluate an Austin assisted living community, review its HHSC inspection history and deficiency reports directly.

Where can I see nursing home inspection results in Texas?

Two places. Texas HHSC publishes survey results with cited and corrected deficiency dates at apps.hhs.texas.gov/ltcsearch. Medicare's Care Compare adds one-to-five star ratings covering health inspections, staffing, and quality measures. HHSC surveys most nursing facilities about once a year on health and life safety code compliance.

Who do I call to report a problem at an Austin nursing home?

Call Texas HHSC Complaint and Incident Intake at 1-800-458-9858, weekdays 7 a.m. to 7 p.m. That line covers nursing homes, assisted living, home health, and hospice. You can also contact the Capital Area ombudsman at 512-916-6054 for free, confidential advocacy.

How do I report suspected elder abuse in Texas?

Call the Texas Abuse Hotline at 1-800-252-5400, available 24 hours a day, if action is needed within 24 hours. Non-urgent reports can be filed at txabusehotline.org. If someone faces immediate risk of death or serious harm, call 911. Reports are confidential and may be anonymous.

Should I call APS or HHSC about a problem at my mom's facility?

It depends where it happened. Adult Protective Services, 1-800-252-5400, handles abuse or neglect of adults living in the community. Abuse or neglect inside a licensed facility goes to HHSC Complaint and Incident Intake at 1-800-458-9858. Families frequently call the wrong number and lose time.

What is a long-term care ombudsman and is it free in Austin?

Yes, completely free and confidential. Ombudsmen advocate for nursing home and assisted living residents on rights, care quality, improper discharge, and restraint use. The office is independent of Texas HHS. Austin's regional office is Capital Area, reachable at 512-916-6054 or 888-622-9111, option three.

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