HB 5336

relating to minimum staffing standards and policies for assisted
living facilities that provide care to persons with Alzheimer's
disease or related disorders and to the disclosure of those
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1.  Section 247.029, Health and Safety Code, is
amended by amending Subsection (b) and adding Subsection (b-1) to
(b)  The executive commissioner shall adopt minimum
standards for an assisted living facility classified under this
section.  The minimum standards must require the facility to:
(1)  maintain a minimum staffing ratio of:
(A)  for the day shift, one nursing assistant per
(B)  for the evening shift, one nursing assistant
(C)  for the overnight shift, one nursing
(2)  adopt staffing policies to ensure residents'
needs, as determined by each resident's resident-centered care
plan, are met through direct care by staff at the facility; and
(3)  disclose the facility's 24-hour staffing patterns:
(A)  to prospective residents and their families;
(B)  on the facility's Internet website.
(b-1)  At least once a month, an assisted living facility
shall post the facility's updated 24-hour staffing pattern
prominently and conspicuously in a public area of the facility that
is readily accessible to residents, employees, and visitors.
SECTION 2.  As soon as practicable after the effective date
of this Act, the executive commissioner of the Health and Human
Services Commission shall adopt the minimum standards necessary to
implement the change in law made by this Act.
SECTION 3.  This Act takes effect September 1, 2025.