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Cost of Texas Assisted Living Facilities

According to the 2015 Genworth Financial cost of care survey, the average cost of assisted living in Texas is $3,545 per month.

The monthly base rate for Texas assisted living is typically higher when compared to neighboring states. Texas is also less expensive compared to the national average.

This cost is the base cost for a one-bedroom assisted living unit in Texas. Additional fees beyond the base rate may apply.

More info on Assisted Living Costs

Monthly Costs Compared to Neighboring States

New Mexico$3,500

Assisted Living Regulations

Texas defines an assisted living facility as a facility that provides assistance with ADL's. However, there are several different types of assisted living facilities in Texas: - Type A facilities require residents to be capable of self-preservation in case of an emergency, does not require supervision while sleeping, and can follow directions. - Type B facilities require that residents not be bed bound, though they can need help in an emergency, and need assistance transferring and supervision at night. - Type C facilities are a four bed foster care program for adults. - In a Type D facility, residents are expected to be very independent, as no assistance with ADL's are permitted beyond medication supervision. Residents must be able to follow directions, evacuate within three minutes in case of an emergency and not need supervision while sleeping.

Texas Assisted Living Facilities Scope of Care

The type of care provided in as Texas assisted living facility varies depending on the type of facility. Typically, residents can get assistance with ADL's, medication assistance, and occasional nursing care according to the staff's licensing and the assisted living facility's policies. A resident may contract with a home health care to provide additional services.

Texas Assisted Living Admission Requirements

A resident must be assessed at admission to determine if his or her needs can be met by the particular facility he or she wishes to reside in.

Texas Assisted Living Care Plan Requirements

A resident's care plan is based on the initial intake assessment. No other policies are currently included in the regulations.

Texas Assisted Living Medication Management Requirements

If a resident prefers to have assistance with medication, such help must be provided by a licensed medication aide or a licensed health care provider. Whoever assists with medication must be employed by the facility and under the direct supervision of a registered nurse either on call or on the premises.

Texas Assisted Living Facility Requirements

Bedroom usable floor space for Type A and Type E facilities must provide no less than 80 square feet for a single-bed unit, and no less than 60 square feet per bed in a unit designed for multiple-occupancy. For a Type B facility, useable floor space must be at least 100 square feet per bed for a single-bed room, and not less than 80 square feet per bed for a multiple-bed room. In a Type C facility, single-occupancy bedrooms must have at least 80 square feet of floor space, and no less than 60 square feet of floor space per resident in a double-occupancy room. Safety plan requirements vary as to the type of facility as well. Four residents per room is the maximum, though no more than 50% of the facility can live in rooms with more than two residents. All residents must be served by a private, connecting or general bathroom with toilet, and sink for every six residents and a bathing unit for every ten residents.

Texas Assisted Living Staffing Requirements

Direct care staff must be sufficient in number to meet the needs of the residents, including providing order, safety, and cleanliness; assist with medication regimens; prepare and service meals; assist with laundry; provide supervision and care to meet basic needs; and, to ensure evacuation in case of an emergency. While there is no specific staffing ratio, staffing patterns must be disclosed monthly and in writing. A manager must work at each facility to govern its operations. The type of education that is required is determined on the size of the facility. The smallest facilities only require a GED or high school diploma, while larger facilities require more education. All staff are required to be at least 18 and under continuing education.

Texas Assisted Living Medicaid Policy

Services in assisted living are covered by a Medicaid home and community-based services waiver.

Texas Alzheimer's Unit Requirements

In Texas, any assisted living facility that wishes to have a unit dedicated to serving residents with dementia or Alzheimer's must be in a Type B licensed facility. Additionally, staff who work in the unit must have specific training for working with that population.

Texas Medicaid Coverage of Assisted Living and Related Services

The State of Texas will cover the cost of services provided in an assisted living community through the state's Community Based Alternatives Medicaid Waiver (CBA). The cost of room and board is not included.

This Medicaid waiver allows aged, blind and disabled individuals that require a nursing facility level of care to reside at home or in assisted living residences instead of being placed in a nursing home.

Under this waiver, individuals can choose to self-direct their care or allow the state to manage it for them. If they manage it themselves, they can choose their own personal and respite care providers. Spouses and legal guardians are excluded, but siblings, ex-spouses, friends and the children of aging parents can be hired as paid caregivers.

Texas Community Based Alternatives Waiver Benefits

Here is a list of the broad range of services and supports the CBA provides:

- Environmental Adaptive Aids (to increase the independence of the individual in their home)

- Durable Medical Equipment and Supplies

- Home Modifications

- Personal Emergency Responses Services

- Personal Assistance

- Home Delivered Meals

- Respite Care

- Transition Assistance

How to apply - individuals can get more information on the Department of Aging and Disability Services' website or contact their local DADS administrator.

What is the best number to call to get started? 1-800-252-8263 OR, your local DAD's office -

Is there a website?

In certain areas of the state, an alternative to the CBA Waiver exists. It is called the Texas STAR+PLUS Waiver. It allows elderly persons that require a nursing facility level of care, to reside at home or in assisted living residences. It differs from other Medicaid programs in that services are provided by managed care organizations (MCO). There are specific MCOs in each county and participants are given the choice to select their preferred provider.

How to apply - the STAR+PLUS program is not available statewide - but it is expanding. Here is a list of participating counties. Learn more about the program on the STAR+PLUS website.

Department of Aging and Disability Services Phone (512) 438-3161

Contact: Dotty Acosta Phone (512) 438-2170


Web Site:

Texas Contacts

Texas Department of Aging and Disability Services

Phone: (512) 438-3161

Dotty Acosta
Phone: (512) 438-2170

Much of the information above was adapted from the National Center of Assisted Living 2010 Regulatory Review.

License information source: Texas Department of Aging and Disability Services

Texas Assisted Living Facilities by City