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Types of Assisted Living
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Types of Assisted Living Facilities*
(a) Basis for licensure type. An assisted living facility must be
licensed as a Type A, Type B, Type C, or Type E facility. A
facility's licensure type is based on the capability of the
residents to evacuate the facility or the types of services the
facility provides, or both, as described in this section.
(b) Type A. In a Type A facility, a resident: (1) must be
physically and mentally capable of evacuating the facility without
physical assistance from staff, which may include an individual
who is mobile, although non-ambulatory, such as an individual who
uses a wheelchair or an electric cart, and has the capacity to
transfer and evacuate himself or herself in an emergency;
(2) does not require routine attendance during nighttime sleeping
hours; and
(3) must be capable of following directions under emergency
conditions.
(4) must be able to demonstrate to DADS that they can meet the
evacuation requirements described in §92.62(b) of this chapter.
(c) Type B. In a Type B facility, a resident may:
(1) require staff assistance to evacuate;
(2) require attendance during nighttime sleeping hours;
(3) be incapable of following directions under emergency
conditions; and
(4) require assistance in transferring to and from a wheelchair,
but must not be permanently bedfast.
(d) Type C. A Type C facility is a four-bed facility that:
(1) has an active contract with DADS to provide adult foster care
services as described in Chapter 48, Subchapter K of this title
(relating to Minimum Standards for Adult Foster Care); and
(2) must be contracted with DADS to provide adult foster care
services before it can be licensed.
(e) Type E. (1) In a Type E facility, a resident:
(A) must be physically and mentally capable of evacuating the
facility without physical assistance from staff, which may include
an individual who is mobile, although non-ambulatory, such as an
individual who uses a wheelchair or an electric cart and has the
capacity to transfer and evacuate himself or herself in an
emergency;
(B) must not require routine attendance during nighttime sleeping
hours;
(C) must be capable of following directions under emergency
conditions; and
(D) must be able to demonstrate to DADS that they can meet the
evacuation requirements described in §92.72(b) of this chapter.
(2) Notwithstanding any other provision in this chapter, a Type E
facility:
(A) provides only: (i) medication supervision, in accordance with
Texas Health and Safety Code, §247.002(5)(B); and (ii) general
supervision of residents' welfare, in accordance with Texas Health
and Safety Code §247.002(5)(C); and
(B) must not provide substantial assistance with the activities of
daily living, as described by Texas Health and Safety Code
§247.002(5)(A) (assistance with meals, dressing, movement,
bathing, or other personal needs or maintenance).
*From: Texas Department of Aging and Disability
Services (DADS) Licensing Standards for Assisted Living Facilities
Subchapter A, §92.3
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