Assisted Living, Regulations, Texas, TAC Title 26
Aug 16, 2023

Texas Administrative Code Title 26 Chapter 553: A Guide for TX Assisted Living Operators

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by Autumn Kniseley

Operating an assisted living facility is a multifaceted endeavor that requires a deep understanding of the regulatory landscape. Assisted living operators in Texas are guided by a crucial set of rules and guidelines outlined in Title 26 Chapter 553 of the Texas Administrative Code (TAC). In this blog post, we'll cover the key provisions of TAC Title 26 Chapter 553 and its implications for assisted living operators.

Understanding TAC Title 26 Chapter 553

TAC Title 26 Chapter 553 serves as the compass that assists assisted living operators in navigating regulatory compliance. This chapter encompasses a wide range of topics, all aimed at ensuring the safety, quality of care, and well-being of residents within assisted living facilities.

Many Texas Type A and Type B communities use software like ECP to help comply with TAC Title 26 regulations.

Core Aspects of Chapter 553:

  1. Licensing and Operational Requirements: TAC Title 26 Chapter 553 establishes the fundamental framework for obtaining and maintaining a license to operate an assisted living facility in Texas. This includes prerequisites for initial licensure, renewal procedures, and the conditions that must be met to operate legally.
  2. Resident Rights and Services: The chapter lays out the rights of residents within assisted living facilities, emphasizing their dignity, autonomy, and quality of life. It also delineates the services that must be provided to residents, ensuring their physical, mental, and emotional needs are adequately addressed.
  3. Admission and Discharge Criteria: TAC Title 26 Chapter 553 defines the criteria for admitting residents to an assisted living facility, encompassing health assessments, care needs, and the provision of accurate information to prospective residents. Similarly, it outlines the circumstances under which residents may be discharged from the facility.
  4. Care and Services Standards: The chapter outlines the standards for care and services offered within assisted living facilities. It covers various aspects such as medication management, assistance with activities of daily living (ADLs), and the formulation of individualized care plans tailored to each resident's unique needs.
  5. Staffing and Training Requirements: Ensuring a capable and well-trained staff is critical to maintaining a high standard of care. TAC Title 26 Chapter 553 specifies the qualifications, training, and staffing ratios necessary to provide residents with the care they deserve.
  6. Health and Safety Protocols: This chapter places a significant emphasis on health and safety. It details protocols for infection control, emergency preparedness, fire safety, and reporting of incidents. Assisted living operators are entrusted with the responsibility of creating a secure and hazard-free environment for their residents.

Implications for Assisted Living Operators

TAC Title 26 Chapter 553 carries substantial implications for assisted living operators. Compliance with the regulations outlined in this chapter is not only a legal obligation but also a moral commitment to ensuring the well-being of residents. Adhering to these guidelines fosters an atmosphere of trust and reassurance among residents and their families.

Non-compliance with TAC Title 26 Chapter 553 can lead to severe consequences, including fines, sanctions, and the potential suspension or revocation of a facility's license. Therefore, operators must remain vigilant, staying informed about any updates or revisions to the code and proactively implementing necessary changes to maintain compliance.

Influence on Assisted Living Quality

TAC Title 26 Chapter 553 serves as a compass, guiding assisted living operators in their mission to provide top-notch care and support to their residents. By upholding the regulations covered in this chapter, operators not only meet legal requirements but also create an environment where residents can thrive with dignity and respect. It is the duty of assisted living operators to continuously educate themselves about the evolving regulatory landscape and ensure that their facilities embody the highest standards of care and compassion. To learn more about TAC Title 26 Chapter 553, click here.

If you're a new or existing operator, and you're looking for software to help you comply with TAC Title 26 and other regulations, please don't hesitate to reach out to ECP at or to request a demo here.

Note - The information provided on this website does not, and is not intended to, constitute legal advice; instead, all information, content, and materials available on this site are for general informational purposes only. ECP makes no warranties as to the accuracy of this content and does not commit to updating it as regulations change. Readers of this website should contact their attorney to obtain advice with respect to any particular legal or compliance matter. 


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