Policy & Procedure Set
This policy and procedure set meets the requirements of the Texas Administrative Code Title 26 Part 1 Chapter 553 guidance for Assisted Living Facilities.
The documents included in this set are either requirements of TAC 553 or best practices to ensure your facility meets compliance of regulatory standards.
This Policy and procedure set includes:
- Policy & Procedure Manual (required)
- Personnel Forms and Agreements (required)
- Resident Forms and Agreements (required)
- Emergency Preparedness Plans (required)
- Job descriptions
- Postings (required)
- Compliance Checklists
- Menu and Activity examples / templates included
There are video tutorials included in this bundle.
Policy & Procedure Manual
Policy & Procedure Manual
This Policy and procedure manual meets the TAC Title 26 Part 1 Chapter 553 requirements for policy and procedural documents.
This document includes:
- Abuse, Neglect, & Exploitation
- Accident, Incident, and Injury
- Activities & Social Services
- Admissions Policy
- Advanced Directives
- Authorized Electronic Monitoring
- Behavioral Management
- Complaint
- Criminal History Checks
- Dietary Services
- Food & Nutrition
- Elopement
- Fair Housing
- Falls Policy
- Fire Safety/ Drills
- Health Maintenance Activities
- HIPAA/ Resident Records
- House Rules
- Infection Control/Universal Precautions
- Vaccine Preventable Diseases
- Pandemic/ Endemic
- Kitchen Procedures
- Medication & Drug Diversion
- Oxygen Policy
- Pest Control
- Physical Plant
- Provider Bill of Rights
- Resident Assessment Policy
- Restraint
- Resident Bill of Rights
- Environment, Sanitation & Housekeeping
- Smoking
- Wheelchair Seatbelts
Personnel Forms and Agreements
This forms and agreement set meets the TAC requirements for Personnel Records TAC Title 26 Part 1 Chapter §553.257 (a) - (b) and §553.305 (Alzheimer's unit).
This set includes:
- Job Application
- Health Screening
- Manager’s Appointment
- Manager’s Alternate Appointment
- Training Sign-In Sheet
- Background Check Authorization
- DPS Computerized Criminal History (CCH) Verification
- Staff acknowledgment of Abuse and Neglect Policy
- Manager’s Appointment List/Notification Process
- New Hire Training
- Annual Attendant Training (Type A)
- Annual Attendant Training (Type B)
- Annual Licensed Employee Training
Resident Forms and Agreements
This form and agreement set helps you meet the consent and monitoring needs of residents in assisted living facilities in Texas.
This form set includes
- Resident Intake Form
- Admissions Agreement
- Comprehensive Health Assessment
- Resident Assessment Checklist
- Resident Assessment Addendum
- Resident Representative Payee Form
- Resident Finances
- Monthly Care Plan Record
- Weekly Care Plan Record
- Skin and Wound Assessment & Procedures
- Sample Discharge Letter
- Advanced Directive Acknowledgement
- Medication Profile
- Medication Administration Record
- Service Plan
- Individual Temperature Log
- Medicaid Payment
- Resident Agreement Addendum
Emergency Preparedness Plan
This is the Emergency Plan that meet the TAC Requirements §553.5 (b-c), §553.104 (c) (1-8), and §553.275 including the required eight core functions of emergency preparedness.
- Plan Review Page
- EPC/EMC designations and communication tracking
- Important and Helpful numbers
- Notification Procedures
- Training Procedures
- Disaster Types
- Transportation guidelines/measures
- Evacuation procedures
- Sheltering-in-place procedures
- How to care for pets during shelter-in-place or evacuation
- Interagency Agreement for receiving facilities
- Evauation Summary
- Resident Emergency Preparedness List
- Resident Relocation Form
- Risk Assessment
- 2-1-1 letter example and registration list
Required Postings
Assisted Living facilities are required to have postings for residents and visitors. Most of the required postings are in this download.
- Electronic Monitoring
- Abuse Neglect & Exploitation
- Complaint
- Emergency Numbers
- Emergency Poison Control
- Facility Inspection Posting
- HHS Inspection Reports
- Ombudsman
You can also order the following posters from HHS online publications by emailing RSLTCR.RecordsMgmt@hhsc.state. tx.us:
- LTC Ombudsman
- ANE
- Bill of Rights of Elderly
- Provider Bill of Rights
Job Descriptions
These are generic job descriptions; these can be edited.
- Manager
- Assistant Manager
- Resident Assistant