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Alzheimer's Certification in Texas

Memory care is not a license type in Texas. It is a certification, and it is inspected.

HomeTexas RulesAlzheimer's Certification in Texas

“Memory care” is a regulated claim in Texas

Short answer

Memory care is not a license type in Texas. A facility that advertises or markets specialized Alzheimer's or dementia care must hold a separate Alzheimer's certification, and to be certified it must be licensed Type B. Certification is verified by on-site health and Life Safety Code inspection and caps the maximum number of residents.

This is the single most useful thing an Austin family can know before touring. Any community can paint a hallway, call a wing “the neighborhood,” and market to families of someone with dementia. Only a community holding an Alzheimer's certification on a Type B license has been inspected against the physical plant standards that certification requires.

Certification is not required to advertise medication reminders, escort service, or care for short-term memory loss. So a community can advertise those specific services without holding certification at all.

Ask for the certificate by name. Not the license — the Alzheimer's certification. A community that holds one will produce it without hesitation.

Source: 26 TAC 553.27 full text

What certification actually requires

Certification is not paperwork. A community must meet the physical plant requirements for Alzheimer's units, comply with the construction and life-safety subchapters, and pass both an on-site health inspection and a Life Safety Code inspection. The certificate then caps the maximum number of residents the unit may serve.

The marketing gap

An uncertified community can still legally advertise a great deal. Medication reminders, escort service, and care for short-term memory loss all sit outside the certification requirement. A brochure can therefore describe something that reads like memory care without the community holding certification at all.

This is not necessarily bad faith. Plenty of good assisted living communities care well for residents with mild cognitive impairment and do not market dementia care. The problem arises when a family assumes certification because the language sounded like it.

The one question

May I see your Alzheimer's certification? Not the licence. A certified community produces it without hesitation, because it is the thing they invested in.

Questions Austin families ask

What's the difference between Type A and Type B assisted living in Texas?

Texas licenses assisted living by residents' ability to evacuate. Type A residents must evacuate without physical staff assistance, follow emergency directions, and not need nighttime attendance. Type B residents may need staff help evacuating, nighttime attendance, and help transferring from a wheelchair, but cannot be permanently bedfast.

Is memory care a separate license in Texas?

No. Memory care isn't a license type. Under Texas rule 26 TAC 553.27, any community advertising specialized Alzheimer's or dementia care must hold an Alzheimer's certification, and it must be licensed as Type B to qualify. Always ask to see the Alzheimer's certificate, not just the license.

How do I check if an Austin assisted living facility is licensed?

Search the Texas HHSC provider database. Use TULIP at tulip.hhs.texas.gov for current license status, and the legacy tool at apps.hhs.texas.gov/ltcsearch for inspection history and cited deficiencies. Both are free and public. Confirm the license type, Type A or Type B, matches your parent's actual care needs.

Do Texas assisted living facilities have star ratings like nursing homes?

No. CMS star ratings on Medicare Care Compare cover nursing facilities only. Texas assisted living facilities are regulated solely by state HHSC and receive no federal star rating. To evaluate an Austin assisted living community, review its HHSC inspection history and deficiency reports directly.

Where can I see nursing home inspection results in Texas?

Two places. Texas HHSC publishes survey results with cited and corrected deficiency dates at apps.hhs.texas.gov/ltcsearch. Medicare's Care Compare adds one-to-five star ratings covering health inspections, staffing, and quality measures. HHSC surveys most nursing facilities about once a year on health and life safety code compliance.

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