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Texas
Texas
What is it called?
· Assisted Living Facility
o There are four possible types of facilities, Type A, B, C, or E
What services are provided?
· Facility provides
o Assistance with activities of daily living and skin care
o Assistance with medication administration
o Temporary services by health care professionals
· Third-party services
o Residents may contract to have home health services delivered
Who can be admitted?
· Type A
o Needs minimal assistance with activities of daily living
o Able to evacuate the facility unassisted in an emergency
· Type B
o Incapable of evacuating a building unassisted in an emergency
o Requires attendance during sleeping hours
o Requires assistance in transferring to or from a wheelchair
· Type E
o Needs medication supervision and general supervision
Who is inappropriate?
· Must be refused admission or evicted
o Type A
· Requires evacuation assistance in an emergency
· Needs substantial assistance with activities of daily living
o Type B
· Permanently bedfast
o Type E
· Requires routine attendance during nighttime hours
· Requires evacuation assistance in an emergency
· Needs substantial assistance with activities of daily living
o Type A, B, or C
· Requires services of facility employees who are licensed nurses on a regular basis
· Needs cannot be met by the facility
· Exceptions to disqualifying eviction conditions
o Facility may apply to the state for a waiver to avoid transferring a resident that the state has deemed inappropriately place
o Resident can remain in facility regardless of medical condition if state receives written consent from the resident (or family member), and resident’s physician submits a written assessment indicating that the placement is adequate
What training is required for direct care staff?
· Initial training
o Emergency and first aid procedures
o Reporting of abuse and neglect
o Behavior management
· Continuing training
o At least six hours annually covering at least behavior management
· Additional requirements
o Medication aides must be certified in order to administer medication
Is nurse staffing required?
· A licensed nurse, either on duty or on call, must supervise a medication aide
Is any public payment available?
· Yes, the Medicaid program may pay for assisted living services through a Medicaid Home and Community Based Services Waiver
More Information
Department of Aging and Disability Services
(512) 438 – 2630
Texas Long Term Care Ombudsman
(512) 438 - 4356
www.dads.state.tx.us/news_info/volunteer/ombudsman/index.html