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What is a Personal Care Home?

Texas Personal Care Home Licensing Requirements

Texas Personal Care Homes

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What is a Personal Care Home?

 

A personal care home is a private residences most often within a subdivision that offer personal care services, assistance and supervision to four or more persons. They offer a smaller, more intimate setting, ideal for persons who might not do well with the larger assisted living facilities. They typically provide meals, laundry, housekeeping, medication supervision, assistance with activities of daily living and activity programs.

 

Personal Care Home Licensing Requirements (Texas)

 

Texas Department of Aging and Disablity Services


In Texas, anyone with three or less residents (unrelated to them) does not have to be licensed. This generally creates a care ratio of three guests to one care provider. They are not inspected by licensing agency survey staff, and it is very rare to see fire and other alarm systems in those settings. Typically, a personal care home host up to 16 Residents in small-scale properties.

Licensing comes from the Texas Department of Aging and Disability, DADS. Only a licensed facility can legitimately refer to itself as an assisted living. A licensed assisted living community will meet the most up-to-date local and state fire safety codes. These safety features are in keeping with the specific safety requirements of in-house Residents.

All personal care homes in Texas, which provide services of a personal care nature to four or more persons unrelated to the owner, must be licensed under the Texas Department of Aging and Disability Services (DADS) licensure requirements.

There are Two Types of Licensure: Type A & Type B


Type A -
In a Type A facility a resident 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. This resident does not require routine attendance during nighttime sleeping hours and must be capable of following directions under emergency conditions.

Type B -
In a Type B facility a resident may require staff assistance to evacuate and may be incapable of following directions under emergency conditions. They may require attendance during nighttime sleeping hours. The resident may not be permanently bedfast, but may require assistance in transferring to and from a wheelchair.

There are Two Sizes Personal Care Homes - Small & Large

Small - Small facilities are defined as those with 16 residents or less.
Large - Large facilities are defined as those with 17 residents or more.

Remember, when finding a personal care home keep in mind that in the state of Texas, they are licensed according to size, type and building safety features so be sure to ask what type of license they have. Some personal care homes host three or fewer residents, and therefore, do not require licensing.

 

Cost of Personal Care Homes

As with assisted living facilities, the cost of personal care homes varies from location to location. On average the cost ranges between $1500 and $3000 per month for room and board. This often includes three meals a day, but each facility designates its own costs.

Medicare does not cover the cost of personal care homes. As an example, if your mother requires skilled care, Medicare will cover rehabilitation and nursing home care. However, it won't cover custodial or intermediary care. For example, it won't cover an at-home health aide unless one is determined to be medically required. Custodial care is nonmedical assistance -- either at home or in a nursing or assisted-living facility -- with the activities of daily life (such as bathing, eating, dressing, using the toilet) for someone who's unable to fully perform those activities without help.

The biggest difference is that some personal care homes accept Medicaid to help cover the costs of residency but typically have long wait lists. In addition to private funds, other programs such as the Veteran Aid and Attendance Benefits (part of an Improved Pension Benefit), may be available to help pay for room and board.

The Texas Department of Aging and Disability Services (DADS) licenses and inspects personal care homes to ensure compliance with state regulations. Through these regulatory activities, DADS protects Texas citizens who receive long-term care services.

In summary, when choosing a personal care home for a loved one, keep in mind that in Texas they are licensed according to size, type and building safety features. Therefore, it's always a good idea to ask what type of license they have.

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DISCLAIMER: Links to other websites or references to products, services or publications do not imply the endorsement or approval of such websites, products, services or publications by Elder Options of Texas. The determination of the need for senior care services and the choice of a facility is an extremely important decision. Please make your own independent investigation.

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