Full Definition

In Texas, residential care homes operate under the same licensing category as assisted living facilities (Type A or B ALF) but at small scale. They are sometimes called board and care homes, personal care homes, or group homes. The defining feature is their intimate, house-based format rather than a purpose-built institutional or campus-style setting.

Residential care homes appeal to seniors who find large assisted living communities overwhelming or who prefer a quieter, more homelike setting. They may be particularly appropriate for individuals in moderate stages of dementia who benefit from smaller, less stimulating environments.

Texas HHSC regulates and inspects these facilities. Families should verify that any residential care home is properly licensed and review its most recent HHSC survey results before placement. An unlicensed residential care home operating as a licensed facility is a significant safety concern.