Texas ALF Types, Services, Licensing, Regulatory Resources

Assisted Living Facilities (ALF)

Questions about enrolling?

Call the Licensing and Certification Unit at 512-438-2630

Visit the Texas Unified Licensure Information Portal (TULIP) website

For application forms and instructions.

TULIP Login

Civil Money Penalty (CMP) Reinvestment Program

Accepts applications for new projects during the following application periods (excludes Communicative Technology):
Jan. 1 – Feb. 28
July 1 – Aug. 31

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 provided include meals, bathing, dressing, toileting and administering or supervising medication.

The Texas Health and Human Services Commission licenses ALFs based on its residents' physical and mental ability to leave the facility in an emergency and whether they require nighttime attendance.

• 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 leave the facility and are not capable of following directions in an emergency and require nighttime attendance. The ALF Information brochure (PDF) explains the variety of ALFs available in Texas, who receives care at ALFs, and the services ALFs provide. ALFs are regulated under Health and Safety Code, Chapter 247 and Texas Administrative Code (TAC), Title 26, Part I, Chapter 553.

Statutes and Rules

State

• TAC, Title 26, Part 1, Chapter 276: Contracting to Provide Assisted Living and Residential Care Services
• TAC, Title 26, Part 1, Chapter 553: Licensing Standards for Assisted Living Facilities
• TAC, Title 26, Part 1, Chapter 560: Denial or Refusal of License
• Texas Health and Safety Code, Title 4, Chapter 247: Assisted Living Facilities
• Texas Health and Safety Code, Title 4, Chapter 250: Nurse Aide Registry and Criminal History Checks of Employees and Applicants for Employment in Certain Facilities Serving the Elderly or Persons with Disabilities, or Persons with Terminal Illnesses

Other Rules and Statutes

• Health and Human Services Rulemaking
• Texas Legislature Online
• Texas Register
• Texas statutes

Webinars

• Jan. 21, 2026 – Recording | Presentation (PDF)
• Oct. 22, 2025 – Recording | Presentation (PDF)
• July 23, 2025 – Recording | Presentation (PDF)
• April 16, 2025 – Recording | Presentation (PDF)
• Jan. 15, 2025 – Recording | Presentation (PDF)
• Oct. 16, 2024 – Recording | Presentation PDF)
• July 17, 2024 – Recording | Presentation (PDF)
• April 17, 2024 – Recording | Presentation (PDF)
• Jan. 17, 2024 – Recording | Presentation (PDF) For older recordings, email LTCR Policy.

Directories and Regulation Tags

• Directory of all ALFs (Excel)
• Texas ALFs closures (Excel)
• Texas ALFs closures (PDF)
• ALF Regulation Tags (PDF)

Training

• ALF Manager Courses Provider List (PDF)
• ALF Aging in Place and Retaliation computer-based training (CBT)
• ALF Pre-licensure CBT Information
• Desk Review Compliance for ALFs
• Provider Joint Training

Contact Program Staff

• Contracting information: 512-438-2080
• Contract Oversight: Community Services Regional Contacts
• Licensing and certification: 512-438-2630
• Policy Information: 512-438-3161 or email LTCR Policy
• Regional nurses: Community Services Regional Contacts
• Long-Term Care Regulatory Regional Contacts

Regulatory Comment Card Survey

Please take a short survey about the recent visit to your ALF by Texas Health and Human Services Long-Term Care Regulatory.

Resources

• Frequently Asked Questions for ALF Providers (PDF)
• Infection Prevention and Control Measures for Common Infections in LTC Facilities (PDF)
• Infection Control Basics and Personal Protective Equipment Training for Essential Caregivers (PDF)
• ALF Health Checklist (PR 2382) (PDF)
• ALF Health Alzheimer’s Certification Checklist (PR 2383) (PDF)
• ALF LSC Checklist for Existing Small Type A ALF (PR 2384) (PDF)
• ALF LSC Checklist for Existing Small Type B ALF (PR 2385) (PDF)
• ALF LSC Checklist for Existing Large Type A ALF(PR 2386) (PDF)
• ALF LSC Checklist for Existing Large Type B ALF (PR 2387) (PDF)
• ALF LSC Checklist for New Small Type A ALF (PR 2388) (PDF)
• ALF LSC Checklist for New Small Type B ALF (PR 2389) (PDF)
• ALF LSC Checklist for New Large Type A ALF (PR 2390) (PDF)
• ALF LSC Checklist for New Large Type B ALF (2391) (PDF)
• ALF LSC Alzheimer’s Certification Checklist (PR 2392) (PDF)
• ALF Emergency Preparedness Checklist (PR 2393) (PDF)

• ALF LSC Building Rehabilitation Checklist (PR 2395) (PDF)

• CII Email Self-Report Template (PDF)

• Form 8600 – Plan of Removal Provider Template

• Informal Dispute Resolution Process

• TULIP Help Desk and Web Support (PDF)