Texas Assisted Living Requirements
State-specific requirements, guidelines, and resources for Assisted Living in Texas
Texas
4-hour orientation for all staff; 16 hours of supervised on-the-job training for attendants
Training Hours Required
Direct care staff: 6 hours a year; managers: 12 hours a year after year one
Continuing Education
Managers complete a 24-hour assisted living management course
Certification
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Overview
Texas HHSC licenses assisted living facilities under 26 TAC Chapter 553\. Every staff member completes a 4-hour orientation before taking on any duties. Attendants then complete 16 hours of supervised on-the-job training, and direct care staff complete 6 hours of education every year, including fall prevention and behavior management. Managers take a 24-hour management course in their first year and 12 hours of continuing education each year after that. Extra dementia training applies in Alzheimer's certified units and in facilities that serve residents with dementia.
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Training Requirements
Initial Training Topics
- Orientation topics set by rule (4 hours)
- Assistance with activities of daily living
- Fall prevention
- Behavior management, de-escalation and alternatives to restraint
- Alzheimer's disease and related disorders (where applicable)
- Resident rights, abuse and neglect (manager CE topic area)
Renewal Process
Direct care staff complete 6 hours each year based on hire date. Managers complete 12 hours of CE every year after the first year. Alzheimer's certified units require 12 hours of dementia in-service a year for attendants.
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Frequently Asked Questions
What are the different types of assisted living facilities in Texas?
Texas offers Assisted Living Facilities (ALF) for general populations and Personal Care Facilities (PCF) for individuals requiring more intensive personal care services.
Is specialized training required for different populations?
Yes, Texas requires specialized training for staff working with residents with dementia, developmental disabilities, or complex medical needs.
What is the Employee Misconduct Registry?
This is a Texas-specific registry that records findings of abuse, neglect, exploitation, or misappropriation by employees working in various healthcare settings. Staff must be screened against this registry before employment.
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Access our comprehensive library of Assisted Living training programs. From basic certification to advanced specialized courses, we have everything you need to excel in your role.