Assisted Living in Texas

德克萨斯州是美国第二大州，包括各种气候和景观。从海岸的半干旱沼泽到北方的春天山丘，这种膨胀状态可能吸引了许多不同地区的退休人员。对于高级公民，大多数人在固定的收入上生活，在某种状态下找到这种大气品种does not have a state income tax是特殊的。

Directory of Assisted Living Facilities in Texas

Making senior care decisions can mean reviewing pages of jargon and useless information to find relevant facts. To streamline the research process, we have conducted a review of Texas assisted living facilities. In the table below, we have compiled a comprehensive list of facilities including key data points such as info on amenities, costs, and Medicaid acceptance status.

支付授予德克萨斯州的辅助

辅助生活的成本

与国家平均价格为4,000美元相比，德克萨斯州援助的成本相对实惠，每月3,795美元达到2018年Genworth Cost of Care survey。Many of Texas’ neighboring states are less expensive, though these states are generally lower-income areas and, unlike Texas, collect an income tax.

与德克萨斯州的辅助生活设施（ALF）相关的成本可能与城市到市中心的差异很大。这种州是该国一些人口最多的城市中心的所在地，例如达拉斯 - 沃思堡的地区，预计价格可以攀登全国平均水平。

个人需求的护理水平对他或她所期望支付的东西产生巨大影响。德克萨斯州的每月价格对于寻求护理家庭住所或记忆力的人来说是最高的。对于寻求成年日医疗保健的人来说，相反的是，中位数的成本可能代表援助生活的平均费用的21％。

在德克萨斯州辅助的财政援助

STAR+PLUS

Star + Plus是一个多方面的计划，为寻求辅助生活的人提供报销。明星+加上基于家庭和社区的豁免是该计划的一部分，这些计划的一部分，帮助老年人被评估为护理家庭符合条件的符合条件继续在不被制度化的情况下收到医疗补助福利。符合条件的申请人因促进独立的服务而偿还，例如援助个人修饰任务，基本移动性和护理人员喘息。可以在辅助生活设施或家庭健康承包商处由直接关怀助手提供服务。

谁有资格？

这STAR+PLUS program has absorbed many Texas Medicaid plans and services, so understanding whether you qualify can be difficult. This is due to the many caveats that may apply if you are eligible for multiple state programs under the STAR+PLUS umbrella, or for other programs like Supplemental Security Income. Eligibility requirements are listed on the德克萨斯州健康与人类服务网站,虽然理解你可能有资格for is likely to require the assistance of a dedicated case worker.

Eligible applicants are people who need an institutional level of care and有资格获得医疗补助。Medicaid applicants over 65 should have a maximum income of $2,250 and countable assets of no more than $2,000, though eligibility criteria varies with marital status, level of assistance needed, and other factors.

怎样申请

此豁免是一个非权利计划，这意味着它只能支持有限数量的活动参与者。申请豁免可能会导致一个人的名字添加到入住入住的候选名单中，因此建议有兴趣的缔约方尽可能预先报名。

鼓励申请人寻求合格的咨询，以帮助他们浏览星+加的入学过程和资格要求。要开始申请流程，请在（866）566-8989联系监察员办公室，或通过呼叫（800）252-9240咨询德克萨斯州地区机构的老龄化。通过咨询本指南中的目录，查找您的当地区域代理。

这Community First Choice (CFC) Program

这Community First Choice program is a lot like the STAR+PLUS HCBS waiver in what it offers, except that CFC is a Medicaid entitlement program, meaning there are no maximum recipient caps and no waiting lists for enrollment. Community First Choice offers Medicaid reimbursement to low-income assisted living residents for the provision of assistance with activities of daily living, such as personal grooming tasks, mobility, and basic house chores. People already enrolled to receive other Medicaid waiver services may elect to switch to the Community First Choice Program.

根据CFC计划提供的服务可能包括：

• 个人援助与日常生活活动
• 自我保健和独立生活的技能教育
• Emergency response services
• 支持人员管理培训
• Consumer-directed service options

谁有资格？

Applicants for the Community First Choice program must qualify for Medicaid and must be assessed by a physician as nursing home-eligible. Coverage of personal care services through this program is provided based on an assessment of which services an individual requires.

怎样申请

Interested parties can apply online atyourtexasbenefits.com，或拨打2-1-1以获得指导和咨询。您当地的衰老机构也可以帮助医疗补助和非医疗补助应用程序。要启动评估并确定您的资格，请参阅本指南中的目录，以查找附近的老龄化机构。

PACE

Serving the cities of El Paso, Amarillo, and Lubbock, PACE is the Texas branch of the national Program for All-Inclusive Care for the Elderly. It is a Medicaid-administered program intended to provide total coverage of all medical and personal care needs for especially frail seniors, helping them to avoid institutionalization. This program reimburses for a broad array of services that may be provided by assisted living facility staff or home health contractors.

PACE provides these services:

• 个人护理服务和家庭医疗保健
• 成人日医疗保健
• 医疗保健
• Coverage for all necessary prescription drugs
• Hospital and nursing home care when necessary
• Social services
• 照顾者喘息

谁有资格？

• 55岁及以上的人正在享受职业资格
• 住在步伐服务所涵盖的区域的人
• 那些可以在家中安全地生活的人或在辅助生活社区生活

Private payment is accepted for individuals not receiving Medicare or Medicaid and fees for these participants will not exceed average costs for nursing home care in Texas. However, space in the program is limited, and preference is given to applicants who have greater medical and financial needs. Most recipients of PACE are dually eligible for both Medicaid and Medicare. All applicants must have family or caregivers who can provide limited support during short intervals of respite.

怎样申请

要了解您是否有资格，并了解节奏提供的节奏，请通过拨打2-1-1，或7-1-1以进行听力障碍，与当地的HHS办公室联系。您还可以咨询您当地的地区代理，以获取更多细节和申请援助。通过搜索本指南中包含的目录，查找您的当地区域代理衰老。

更多的资助辅助生活方式

Some additional ways to finance assisted living costs include:

• Veterans Benefits:退伍军人可以利用几个不同的养老金计划来帮助涵盖辅助生活的成本。有关更多信息，请参阅关于福利的文章.Va.gov.。

• Life Insurance Policies:即使配偶或爱人没有死亡，某些类型的人寿保险policiescan be used to pay for assisted living. More information is available atlongtermcare.acl.gov

• 长期护理保险：长期护理保险是一种保险单，当需要在必要时支付长期护理，包括辅助生活的成本。有关该融资方法的好处和缺点的更多信息，请访问longtermcare.acl.gov。

• Reverse Mortgages:反向抵押贷款允许老年人从他们拥有的家中获取公平，这些资金可用于支付辅助生活。美国住房和城市发展部提供了一个federally insured reverse mortgage program。

德克萨斯州的免费辅助生活资源爱游戏app苹果下载

德克萨斯州is home to hundreds of nonprofits and government resource providers that assisted living residents can look to for added support. Some of these organizations, like the Area Agencies on Aging, operate in every state across the country, while others are dedicated only to specific regions in the state of Texas. All of these services are free to use. However, some organizations listed here may have income and health-related requirements intended to preserve resources for those who are most in need.

老化和残疾资源中心

该中心由HHS开放，作为国家没有错误的门倡议的一部分，它旨在简化公众访问有关长期服务和支持的资源和信息。爱游戏app苹果下载老化和残疾资源中心有助于减少混淆，并促进所有254个德克萨斯州的长期护理受助人的照顾。

通过呼叫（855）是-ADRC或（855）937-2372来联系它们。通过访问了解更多信息hhs.texas.gov。

长期护理监察员计划

大多数州都有一个长期护理监察员计划，该计划组织志愿者作为LTC福利受体的倡导者。监察员定期访问ALF和护理家庭的居民，以核实他们的护理和环境，现场投诉和关注的质量，帮助他们保护他们的权利，并与他们可能依赖的服务提供者和当局保持联系。监察员的服务始终是免费的，保密的，他们的组织通过与服务提供者和政府机构剩下的无误，避免了利益冲突。

德克萨斯州LTC监察员计划可以通过电子邮件到达[电子邮件受保护]and toll-free at (800) 252-2412.

211德克萨斯州

德州职业卫生和人类服务的佣金vides 211 Texas as an anonymous social service hotline with 25 information centers across the state. They are available to take calls 24/7, and can help citizens understand and gain information on any programs administered by Health and Human Services, which includes long-term care facilities like assisted living and other supports for seniors.

只需拨打2-1-1到2-1-1，或在线访问它们即可达到211德克萨斯州211texas.org.。

老龄化地区机构

这AAA is a national, federally funded organization. It acts as a central agency, unifying hundreds of community outreach programs and supports for citizens over 60 years of age. Texas hosts 27 Area Agencies on Aging, making this a convenient resource for people in all regions of the state.

请致电在（800）252-9240（800）252-9240上查找您的本地办事处，或咨询下表。

退伍军人事务

退伍军人事务在德克萨斯州的许多地方有许多地点，包括州每个地区的门诊诊所，医疗中心，医疗办公室和兽医中心。这德克萨斯州VA网站列出各种类型的查询的联系人号码，因此建议访问该网站的访问权限。有两个区域福利办公室和一个区域贷款中心，为退伍军人及其家人提供援助。

社会保障办公室

这federal government maintains a central website for the Social Security Administration atSSA.gov。许多社会保障相关的任务可以在线完成，包括：

• Applying for Social Security Benefits
• 要求更换社会保障卡
• 确保您有资格获得福利
• Estimating your benefits
• Receiving Social Security statements electronically or by mail

有关进一步的帮助，请联系或访问当地的SSA办事处。请参阅下面的字母顺序排序表以查找离您最近的位置。

高级来源

高级来源in Dallas is one of the more comprehensive elder resource centers in the state. They provide support for most aspects of senior life, like foster grandparent and volunteer programs, classes, and social gatherings.

在线找到它们www.TheSeniorSource.org。参观3910 Harry Hines Boulevard，达拉斯，德克萨斯州75219的高级来源，或电话（214）823-5700。

Nutrition & Services for Seniors

Meals on Wheels operates through Nutrition & Services for Seniors in Jefferson and Hardin counties, bringing home-delivered meals to individuals and pets. This organization also provides valuable services, such as congregate dining, free transportation, and emergency communication systems.

在线找到它们www.seniormeals.org.。参观4590 Concord，Beaumont，TX 77703或呼叫（409）892-4455的参观营养和服务。

Project Amistad

Providing services for El Paso, Midland-Odessa, and the Big Bend areas of far west Texas, this organization is designated by the Department of Health and Human Services as the Managed Transportation Organization for Texas’ Region 2. Project Amistad provides free transport to Medicaid beneficiaries, as well as many other vital services, such as money management and family counseling, and guardianship advisement.

在线找到它们www.projectamistad.org.。参观ZX 79930的3210 Dyer Street的项目Amistad办公室。在（915)532-3790中致电他们的主办公室，或在（877）633-8747的呼叫中心。

Assisted Living Laws and Regulations in Texas

Long-term care in the state of Texas is directed by the Health and Human Services Commission (HHSC), and all assisted living facilities in the state must be licensed with the HHSC. Below is an overview of the standards and requirements for Assisted Living Facilities (ALFs) in the state of Texas.

辅助生活服务计划

在入院的14天内到德克萨斯州ALF，服务提供商必须与新居民会面，以填写服务计划，有时需要评估需求评估。ALF管理人员将采访潜在居民以确定他们的需求和欲望，以确保他们在设施的经验将足以满足他们的需求。

管理人员还必须使用本次会议披露有关日常生活（ADL）模式，心理社会问题和行为症状以及居民的权利和社区规则等事物的规定和做法。

任何接受行为护理的居民都必须拥有其服务计划中包含的目标和战略，该计划必须由医生或行为医疗保健提供者确认。如果该计划涉及复发药物管理或其他熟练的护理服务，护士或医生必须审查并确认规定。

Assisted Living Admission Requirements

辅助生活设施无法容纳医疗需求超出工作人员能力的居民，除非持有许可的家庭卫生机构涵盖的居民。家庭健康机构可以被居民雇用，居民需要更大的服务，尽管纳米群落居住在更全面残疾人的居留权中。德克萨斯州通过指定两级援助，A型和B型水平来决定ALF的护理程度，其中型居民不需要家庭健康机构的增加的援助。

居民无法承认一个阿尔夫如果他们permanently bedridden, or if their medical needs cannot be met by the facility or by a contracting home health agency.

辅助生活范围

德克萨斯州ALFs can provide personal care services (assistance with activities of daily living) and/或给居民的药物援助。他们还可以提供熟练的护理，但仅用于有限的目的，例如：

• 协调居民护理
• To delegate or offer medication administration or personal care services
• 为居民进行护理评估水平
• To care for residents in case of illness, injury, or other emergency for up to 30 days

Type A facilities are designed for more able and active seniors, while Type B facilities are able to accommodate seniors who need more specialized care.

类型设施可以承认居民：

• 可以展示在紧急情况下疏散设施的能力
• Do not require routine attendance during sleeping hours
• 在精神上能够遵循方向

Type B facilities can admit residents who：

• 患有痴呆或阿尔茨海默病
• 并非永久卧床，但可能需要帮助进出床
• May require staff assistance to evacuate in emergency situations
• May be incapable of following directions in emergency situations
• May require assistance during sleeping hours

Assisted Living Medicaid Policy

与其他一些国家不同，除非他们的收入非常低或者是基于社区的服务豁免接受者，否则德克萨斯州不向ALF居民提供医疗补助报申请。只有养老院符合条件的居民可以获得豁免服务，这些人必须居住在B型辅助生活社区。豁免服务由管理护理组织提供，以及他们提供的所有服务，如个人护理和药物援助，可以通过Medicaid重新偿还。

Assisted Living Facility Requirements

在一个辅助生活单位中，不超过四个居民可以住在空间中，并且在任何ALF社区中，不超过两个单位的50％以上的居民居住。

空间要求：

• 可用的楼层空间Type A单位必须至少为80平方英尺，为多住宅单位每张床不低于60英尺。
• 可用的楼层空间Type Bunits must be at least 100 square feet for a single room, and no less than 80 feet per bed for multi-residential units.

Bathroom requirements:

• 所有卧室必须伴随着性别特定的洗手间。
• 卧室之间的厕所可以是公共的，私密的，或连接卧室之间。
• Each sleeping floor of an assisted living unit must have at least one water closet, lavatory, and bathing area.
• 每六个居民必须提供一家水箱和一个盥洗室，每十个居民必须提供至少一个泳池。

消防安全和紧急疏散标准由此确定National Fire Protection Association’s Life Safety Code。Among the Code’s specifications are rules for the provision of automatic sprinkler systems and smoke alarms, along with spatial navigability and maximum occupancy regulations.

药物管理Regulations

德克萨斯州阿尔夫斯的工作人员被允许协助居民自我管理的药物。它们通常通过帮助打开药物包装，或通过提供提示提醒居民服用药物的提示来做到这一点。如果ALF居民要么选择不自行管理或不能这样做，因为由于身体或精神限制，工作人员可以根据自愿和规范的条件管理他们的药物。

To administer medicines to residents, staff must adhere to the following:

• 持有当前许可证给药药物
• 持有当前的助手许可证，由执业的护士直接监督
• 成为一名已注册护士授权该任务的员工

人员配置要求

Facilities must keep at least one manager on staff to direct operations, and each month managers will audit and then disclose staffing patterns. There is no legal ratio of staff to residents in Texas, but all facilities must retain sufficient staff to cover the following processes:

• 维护订单，安全和清洁
• 用药物治疗方案协助居民
• Prepare and serve meals
• Provide laundry assistance
• 提供护理和监督，以满足基本需求
• Ensure evacuation in emergency situations

Staff Training Requirements

德克萨斯州辅助生活设施的管理人员和工作人员必须经过几个小时的严格培训，在某些情况下，他们必须获得进一步的许可。管理员和其他员工的国家要求包括不同的培训模块和教育材料的不同程度。

在管理人的第一年的就业年内，他们必须完成至少24小时的辅助生活管理培训。每年至少在以下两个受试者中的培训和教育中每年至少花12个小时：

• 居民/关于滥用，忽视和保密的提供者权利和责任
• 基本管理原则
• 与居民，家庭和其他服务提供商互动的专业技能
• Likely needs and characteristics of residents
• Community resources
• 会计和预算
• 基本紧急急救
• 联邦法律，如美国残疾人法案和公平的住房法案

All on-staff attendants at Texas ALFs must complete four hours of orientation before beginning employment at a facility, and continuous on-the-job supervision is required during their first 16 hours of work. Full-time attendants must be at least 18 years of age or hold a high school diploma. The state mandates more extensive and specific training/licensure requirements for nurses, nurses’ aides, medication aides, and direct care staff.

背景检查辅助生活

Before someone can be hired for work in any position at a Texas ALF, they must undergo a multi-faceted background check. Facilities must check prospective employees’ criminal history, Employee Misconduct Registry status, and Nurse Aide Registry status.

• 这德克萨斯州Department of Public Safety Crime Record Service用于寻找申请人过去的任何犯罪行为，尤其是涉及攻击，虐待或忽视。
• 员工不当行为登记处确保犯下虐待，利润或忽视消费者的人员无法在长期护理设施中找到就业。
• 这Nurse Aide Registry是凭证管理系统，并检查其确保所有人员都有适当的许可证。

虽然所有德克萨斯州ALF员工都需要受到广泛的背景检查，但可能在设施场地工作的独立承包商不受相同的要求。

报告滥用行为

德克萨斯州为报告设施弊端提供资爱游戏app苹果下载源，并为报告老年滥用。HHS网站还提供了解任何投诉是否遵守过去的辅助生活设施。

德克萨斯州卫生和人类服务委员会提出辅助生活设施的投诉，建议首先接近设施管理员关于该问题。如果这失败，应联系监察员办公室。可以通过在（877）787-8999（877）的免费电话号码或听力障碍，通过拨打7-1-1，或（800）735-2989来联系这一中央办公室。投诉也可以在线提交这里。

要了解德克萨斯援助生活设施的过去的投诉，调查和检查，请通过访问来使用德克萨斯州LTC提供商搜索工具hhs.texas.gov

To make a report of elder abuse, the HHS provides a hotline that anyone can call to confidentially report neglect, exploitation, or abuse. Anyone who knows about an instance of elder abuse or neglect is legally required to report it. To make a report, call the Department of Disability and Aging Services at (800) 458-9858.