How do I file a complaint about a Texas assisted living facility?

HHSC Complaint and Incident Intake takes complaints about Texas ALFs and nursing facilities. Use: HHSC long-term care complaint portal (TULIP) (https://tulip.hhs.texas.gov/LTCcomplaint/s/).

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Checking an assisted living facility in Texas

Q: Who licenses assisted living in Texas?

Texas Health and Human Services Commission (HHSC). Texas HHSC licenses assisted living facilities under Health and Safety Code Chapter 247 and 26 TAC Chapter 553. The license type depends on whether residents can leave the building on their own in an emergency and whether they need staff at night.

Texas HHSC licenses assisted living facilities under Health and Safety Code Chapter 247 and 26 TAC Chapter 553. The license type depends on whether residents can leave the building on their own in an emergency and whether they need staff at night.

CMS does not inspect or rate assisted living, so there is no Care Compare page for it. Inspections, complaints and enforcement are handled by the state. Nursing home vs assisted living

Regulator

Texas Health and Human Services Commission (HHSC)

License types

Type A: For residents who do not need routine attendance during sleeping hours and can follow directions in an emergency. Source
Type B: For residents who need staff help to leave the facility, cannot follow directions in an emergency, and need nighttime attendance. Source

Inspections and records

A Texas ALF must post a copy of its most recent inspection report in a public area that residents, employees and visitors can readily reach (26 TAC §553.271). Source
HHSC’s public LTC Provider Search in TULIP lists licensed ALFs. Open a provider record there to see its inspection and enforcement history. Source
HHSC publishes an Excel directory of every ALF with an active license. It includes license type, licensed capacity, Alzheimer certification and owner. The Texas list on this site comes from that directory. Source

Checked October 24, 2026 on the agency’s own site.

How to look up a facility

TULIP LTC Provider Search (HHSC). Look up a licensed ALF, including its inspections and enforcement actions.
HHSC directory of all licensed ALFs (Excel). The official statewide list.
HHSC ALF violations data (PDF). Statewide counts of health and life-safety citations by severity level.
Texas Health and Safety Code Chapter 247. The assisted living licensing law.
At a tour, ask to see the facility’s most recent inspection report and any plan of correction.

Filing a complaint

HHSC Complaint and Incident Intake takes complaints about Texas ALFs and nursing facilities. HHSC long-term care complaint portal (TULIP).

Source: www.hhs.texas.gov · last checked October 24, 2026

Statewide inspection numbers

In state fiscal year 2025 (Sept. 2024 to Aug. 2025), HHSC cited 3,176 health violation tags at Texas ALFs across 2,782 on-site visits. 299 of those tags were Level 4 (severity J, K or L, the most serious), and 167 visits found at least one immediate-threat tag. HHSC counted 2,002 Texas ALFs that year. Source, checked October 24, 2026.
In fiscal year 2026 through February 28, 2026, HHSC cited 1,539 health violation tags at ALFs (182 at Level 4) and investigated 4,676 intakes. HHSC notes the data can change through processes such as informal dispute resolution. Source, checked October 24, 2026.

These are the state’s aggregate figures. The state has not published them per facility as a download.

2,010 licensed assisted living facility facilities in Texas

From the Directory of Assisted Living Facility Providers with an Active License as of 2026-10-22, published by Texas Health and Human Services Commission. It is a license list only, with no inspection results. Look each facility up with the tools above. Phone numbers and emails are left out on purpose; contact facilities through the official listing.

Source: apps.hhs.texas.gov · data as of October 22, 2026 · last checked October 24, 2026

Choose a county: Anderson (3) · Andrews (1) · Angelina (3) · Aransas (1) · Armstrong (1) · Atascosa (1) · Austin (3) · Bastrop (3) · Baylor (1) · Bee (1) · Bell (10) · Bexar (148) · Bosque (1) · Bowie (10) · Brazoria (30) · Brazos (14) · Brown (3) · Burleson (1) · Burnet (5) · Caldwell (5) · Calhoun (1) · Cameron (7) · Camp (1) · Cass (1) · Cherokee (4) · Childress (1) · Collin (123) · Colorado (2) · Comal (16) · Comanche (1) · Cooke (2) · Coryell (3) · Dallam (1) · Dallas (191) · Dawson (1) · Denton (112) · DeWitt (2) · Donley (1) · Eastland (1) · Ector (3) · El Paso (31) · Ellis (12) · Erath (3) · Fannin (2) · Fayette (2) · Fisher (1) · Floyd (1) · Fort Bend (96) · Franklin (1) · Frio (1) · Gaines (1) · Galveston (30) · Gillespie (7) · Gonzales (2) · Gray (1) · Grayson (12) · Gregg (11) · Grimes (1) · Guadalupe (10) · Hale (2) · Hamilton (2) · Hardin (2) · Harris (277) · Harrison (2) · Hays (20) · Hemphill (1) · Henderson (6) · Hidalgo (16) · Hill (2) · Hockley (2) · Hood (8) · Hopkins (3) · Houston (1) · Howard (1) · Hunt (6) · Hutchinson (1) · Jack (1) · Jackson (2) · Jasper (2) · Jefferson (15) · Jim Wells (2) · Johnson (13) · Kaufman (3) · Kendall (6) · Kerr (7) · Lamar (5) · Lamb (2) · Lampasas (2) · Lavaca (2) · Lee (1) · Liberty (3) · Limestone (1) · Llano (4) · Lubbock (49) · Lynn (1) · Madison (2) · Marion (1) · Matagorda (2) · McCulloch (1) · McLennan (15) · Medina (7) · Midland (4) · Montague (5) · Montgomery (89) · Morris (1) · Nacogdoches (3) · Navarro (2) · Nolan (1) · Nueces (12) · Ochiltree (1) · Orange (2) · Palo Pinto (2) · Panola (3) · Parker (11) · Polk (5) · Potter (12) · Randall (6) · Rockwall (8) · Rusk (2) · San Augustine (1) · San Jacinto (1) · San Patricio (1) · Scurry (3) · Shelby (1) · Smith (20) · Swisher (1) · Tarrant (147) · Taylor (11) · Terry (1) · Titus (7) · Tom Green (8) · Travis (74) · Tyler (1) · Upshur (2) · Uvalde (2) · Val Verde (2) · Van Zandt (5) · Victoria (6) · Walker (4) · Waller (10) · Washington (4) · Wharton (2) · Wheeler (1) · Wichita (6) · Wilbarger (1) · Willacy (1) · Williamson (60) · Wilson (2) · Wise (2) · Wood (6) · Young (2)