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All Personal Care Homes, Residential Care Homes and Assisted Living
Facilities which provide services of a personal care nature to more
than three residents, unrelated to the owner, must be licensed under
the DADS licensure requirements.
Personal Care, Residential Care and Assisted Living all offer a more
home-like setting than Nursing Homes. They typically provide meals,
laundry, housekeeping, medication supervision, assistance with
activities of daily living (for most types) and an activity program.
Other amenities such as transportation may also be offered in some
facilities. These homes foster a sense of independence and are the
perfect alternative for elderly or those with mental or physical
disabilities.
There are four basic types of licensure for assisted living facilities:
| Assisted Living - Type A |  |
Assisted living facility means an establishment that furnishes, in one or more facilities, food and shelter and personal care services to four or more persons who are unrelated to the proprietor of the establishment. Personal care services are defined as assistance with meals, dressing, movement, bathing, or other personal needs or maintenance. In a Type A facility a resident: (A) must be physically and mentally capable of evacuating the facility unassisted. This may include the mobile non-ambulatory persons such as those who are in wheelchairs or electric carts and have the capacity to transfer and evacuate themselves in an emergency; (B) does not require routine attendance during nighttime sleeping hours; and (C) must be capable of following directions under emergency conditions. In a Type A facility a resident: (A) must be physically and mentally capable of evacuating the facility unassisted. This may include the mobile non-ambulatory persons such as those who are in wheelchairs or electric carts and have the capacity to transfer and evacuate themselves in an emergency; (B) does not require routine attendance during nighttime sleeping hours; and (C) must be capable of following directions under emergency conditions. (See Title 4, Chapter 247 of Texas Health & Safety Code and See Chapter Title 40, Part 1, Chapter 92 of the Texas Administrative Code)
| Assisted Living - Type B | |
Assisted living facility means an establishment that furnishes, in one or more facilities, food and shelter and personal care services to four or more persons who are unrelated to the proprietor of the establishment. Personal care services are defined as assistance with meals, dressing, movement, bathing, or other personal needs or maintenance. In a Type B facility a resident may: (A) require staff assistance to evacuate; (B) be incapable of following directions under emergency conditions; (C) require attendance during nighttime sleeping hours; or (D) not be permanently bedfast, but may require assistance in transferring to and from a wheelchair. (See Title 4, Chapter 247 of Texas Health & Safety Code and See Chapter Title 40, Part 1, Chapter 92 of the Texas Administrative Code)
| Assisted Living - Type C | |
Assisted living facility means an establishment that furnishes, in one or more facilities, food and shelter and personal care services to four or more persons who are unrelated to the proprietor of the establishment. Personal care services are defined as assistance with meals, dressing, movement, bathing, or other personal needs or maintenance. Type C. A four-bed facility which meets the minimum standards and program rules for enrollment with the Texas Department of Human Services as an adult foster care facility. (See Title 4, Chapter 247 of Texas Health & Safety Code and See Chapter Title 40, Part 1, Chapter 92 of the Texas Administrative Code)
| Assisted Living - Type E | |
Assisted living facility means an establishment that furnishes, in one or more facilities, food and shelter and personal care services to four or more persons who are unrelated to the proprietor of the establishment. Personal care services are defined as assistance with meals, dressing, movement, bathing, or other personal needs or maintenance. In a Type E facility, a resident: (i) Must be physically and mentally capable of evacuating the facility unassisted. This may include persons who are mobile, although non-ambulatory, such as persons in wheelchairs or electric carts having the capacity to transfer and evacuate themselves in an emergency; (ii) Must not require routine attendance during nighttime sleeping hours; and (iii) Must be capable of following directions under emergency conditions. Type E facilities may only provide medication supervision and general supervision of residents' welfare, and may not provide substantial assistance with the activities of daily living (See Title 4, Chapter 247 of Texas Health & Safety Code and See Chapter Title 40, Part 1, Chapter 92 of the Texas Administrative Code) There are
also two sizes of Assisted Living Facilities:
Small - Small facilities are defined as those with 16 residents or less.
Large - Large facilities are defined as those with 17 residents or more.
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