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Alzheimer's Certification in Texas

Memory care is not a license type in Texas. It is a certification, and it is inspected.

Home›Texas Rules›Alzheimer's Certification in Texas

“Memory care” is a regulated claim in Texas

Short answer

Memory care is not a license type in Texas. A facility that advertises or markets specialized Alzheimer's or dementia care must hold a separate Alzheimer's certification, and to be certified it must be licensed Type B. Certification is verified by on-site health and Life Safety Code inspection and caps the maximum number of residents.

This is the single most useful thing an Austin family can know before touring. Any community can paint a hallway, call a wing “the neighborhood,” and market to families of someone with dementia. Only a community holding an Alzheimer's certification on a Type B license has been inspected against the physical plant standards that certification requires.

Certification is not required to advertise medication reminders, escort service, or care for short-term memory loss. So a community can advertise those specific services without holding certification at all.

Ask for the certificate by name. Not the license — the Alzheimer's certification. A community that holds one will produce it without hesitation.

Source: 26 TAC 553.27 full text

What certification actually requires

Certification is not paperwork. A community must meet the physical plant requirements for Alzheimer's units, comply with the construction and life-safety subchapters, and pass both an on-site health inspection and a Life Safety Code inspection. The certificate then caps the maximum number of residents the unit may serve.

The marketing gap

An uncertified community can still legally advertise a great deal. Medication reminders, escort service, and care for short-term memory loss all sit outside the certification requirement. A brochure can therefore describe something that reads like memory care without the community holding certification at all.

This is not necessarily bad faith. Plenty of good assisted living communities care well for residents with mild cognitive impairment and do not market dementia care. The problem arises when a family assumes certification because the language sounded like it.

The one question

May I see your Alzheimer's certification? Not the licence. A certified community produces it without hesitation, because it is the thing they invested in.

Questions Austin families ask

My parent is being discharged from an Austin hospital. How fast do I need to decide?

Often 24 to 72 hours. Ask the hospital case manager for the discharge plan in writing and whether Medicare covers a skilled nursing stay. Meanwhile, call the Capital Area ADRC at 855-937-2372. Verify any facility's license and inspection history through HHSC before signing anything.

Which Austin hospitals handle serious senior emergencies?

Dell Seton Medical Center at The University of Texas, 1500 Red River Street, is the region's Level I trauma center and Dell Medical School teaching hospital. Other major systems are Ascension Seton, St. David's HealthCare with more than 180 sites, and Baylor Scott and White, all with campuses across the metro.

Why is there so much senior housing in Georgetown and Round Rock?

Williamson County skews older than Travis, 13.7 percent aged 65-plus versus 11.6 percent, and grew 23.6 percent since 2020. Sun City Texas in Georgetown, a Del Webb 55-plus community of roughly 7,500 to 8,500 homes on about 5,000 acres, anchors that demand.

How many seniors live in the Austin area?

Approximately 305,000 people aged 65 and older live across Travis, Williamson, and Hays counties, based on Census population estimates combined with survey age percentages. That's roughly 161,000 in Travis, 103,000 in Williamson, and 41,000 in Hays. Hays and Williamson are growing fastest.

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.

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