Special Care Facilities

Thank you for visiting the Special Care Facilities program webpage. The Department of State Health Services maintains this webpage, but pursuant to Senate Bill 200, regulatory authority over Special Care Facilities has transferred to the Health and Human Services Commission. (HHSC) as of September 1, 2017.



A Special Care Facility is an establishment that provides a continuum of nursing or medical care or services primarily to persons with acquired immune deficiency syndrome or other terminal illnesses. A Special Care Facility may also include special residential care facilities.

The Facility Licensing Group develops rules that establish minimum standards for Special Care Facility licensing procedures; fees; administrative management; personal safety and comfort; sanitary environment; accommodations; construction; inspections; license denial, suspension, revocation and probation.

Special Care Facilities are not Medicare certified nor are they accredited.


Applying for an initial Special Care Facility license

The application process for special care facility licensing involves:

  • Health Facility Licensing Group staff who review the application and required documents for deficiencies. Refer to the application form for fee amount, mailing address and instructions.
  • Health Facility Compliance Group staff who are responsible for conducting a pre- survey conference and surveying the facility for compliance with the provisions on Health and Safety Code, Chapter 248 and TAC Chapter 125. Refer to the application form for timelines.
  • Architectural Review Group staff who are responsible for approving final construction documents, plans and specifications, as well as, conducting inspections. Please see the Architectural Review Group page for more information.

Applications and Forms


Directories of Facilities


Laws & Rules

Texas Laws

Rules and Regulations


Survey Components

During the initial licensing period, department zone office staff will conduct an on-site survey to ascertain compliance with the provision on the Health and Safety Code and associated rules. Entrance conference with key facility personnel and department zone office staff. During the survey, zone office staff will explain the survey process and answer questions.

  • Review clinical records
  • Review facility policies and procedures
  • Review quality assurance activities
  • Review personnel records
  • Interview staff
  • Conduct site visits as applicable
  • Exit conference with key facility personnel. Discuss survey findings.
Last updated November 9, 2017