Older adults and people with disabilities need your help. Click here to learn how to become a provider.

Are you ready for the ICD-10 transition on Oct. 1, 2015? Click here to learn more.

Help for older adults and people with disabilities, dial 1-855-937-2372. One free call allows you to talk to a trained professional. Click here to learn more.

Assisted Living Facilities (ALF)

Assisted living facilities provide individualized health and personal care assistance in a homelike setting with an emphasis on personal dignity, autonomy, independence and privacy. Facilities can be large apartment-like settings or private residences. Services include meals, bathing, dressing, toileting and administering or supervising medication.

Texas licenses assisted living facilities based on residents' physical and mental ability to evacuate the facility in an emergency and whether nighttime attendance is necessary.

  • A Type A facility cares for residents who do not require routine attendance during sleeping hours and are capable of following directions in an emergency.
  • A Type B facility is for residents who require staff assistance to evacuate, are not capable of following directions in an emergency and require nighttime attendance.

The Assisted Living Facility Information brochure (PDF) explains the variety of assisted living facilities available in Texas, who they care for, and the services they provide. Assisted living facilities are regulated under Health and Safety Code, Chapter 247 and Texas Administrative Code(TAC), Title 40, Part I, Chapter 92.

Assisted Living Facility Directory

Click here to find a directory of all Texas assisted living facilities in PDF format.

Regulatory Comment Card Survey

Please click here to take a short survey about the recent visit to your facility by DADS Regulatory Services.

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News & Alerts


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Letters [Provider (PL) and Information (IL)]
Number Title Date
PL 2015-28 PDF Receiving Survey Documents Electronically 10/19/2015
IL 2015-59 PDF Claims Submission Using the International Classification of Diseases Tenth Revision (ICD-10), for services provided on or after October 1, 2015 09/23/2015
PL 2015-25 PDF Technical Difficulties with Credential Management System 09/15/2015
IL 2015-45 PDF Fiscal Year 2015 Cutoff Dates for Fee-for-Service Year-end Closeout Processing 08/07/2015
PL 2015-18 PDF Changes Made to Form 3613-A 06/26/2015

All provider letters for Assisted Living Facilities

Federal Survey and Certification (S&C) Letters (five most recent displayed)
Number Title Contact
15-52 PDF Home Health Agency (HHA) Survey Protocol Training Item Revised N/A 09/11/2015
15-51 PDF Home Health Agencies (HHAs): Change of Address – Notification of the Medicare Administrative Contractor (MAC) N/A 08/28/2015
15-50 PDF Revised Quality Indicator Survey (QIS) Training Process and Clarification of Trainer Roles and Responsibilities N/A 08/28/2015
15-49 PDF Final Rule: SNF Medicare FY 2016 Payments, Quality Reporting, Value-Based Purchasing and Staffing Data Collection Requirements — Informational Only N/A 08/07/2015
15-48 PDF Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) Appendix J, Part II - Clarifications to the Interpretive Guidance at Tag W187 for §483.430(d)(3) N/A 07/17/2015

All S&C Letters

State Survey and Certification Clarification (S&CC) Memos (five most recent displayed)
Number Title Date
2015-01 PDF Complaint and Incident Intake Functions (Replaces S&CC 03-08) 04/12/2015
2014-08 PDF Locked Units in Assisted Living Facilities without an Alzheimer’s Certification 11/05/2014
2014-06 PDF Locked Units in Nursing Facilities without an Alzheimer’s Certification 10/22/2014
2014-04 PDF Employee Misconduct Registry (EMR), Medication Aide Registry (MAR), and Nurse Aide Registry (NAR) Referral Process 08/21/2014
2014-02 PDF Forwarding Copy of Investigation Narrative to Appropriate Law Enforcement Agency and District Attorney (Replaces S&CC 99-13) 06/23/2014

All S&CC Memos

Regional Survey and Certification (RS&C) Letters (five most recent displayed)
Number Title Date
2014-02 PDF Guidance for Processing Non-Compliance with State Licensure Requirements 05/16/2014
2012-04 PDF CMS Region VI-Dallas Delegation of Notification of the Imposition and Starting Date of Optional Denial of Payment for New Admissions to the State Survey Agencies in Region VI 03/14/2012
2012-02 PDF Procedural Instructions for Processing Certifications Concerning Legal Names and Doing Business as Names of Providers and Suppliers 02/17/2012
2012-01 PDF Voluntary Termination and Related Processes 02/10/2012
2010-02 PDF Documents for Processing Certification Actions for All Non-Long Term Care Providers/Suppliers (except ICFs/MR and Clinical Laboratories) 05/27/2010

All RS&C Letters

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Updated: October 5, 2015