Group Home Requirements in Texas

Table of Contents

What Is a Group Home?

A group home provides personalized care, assistance, and supervision in a comfortable, home-like setting. These homes support a range of individuals, including:

The elderly (e.g., assisted living facilities for seniors)
Individuals with disabilities (e.g., homes adapted for people with physical or developmental disabilities)
Foster care youth (e.g., community-based homes offering structure and support)

A group home is a safe place where people live. It helps them stay independent while getting the support services they need.

Group homes aim to create a caring space for each resident. They provide the right level of care and support independent living when possible.

Texas Regulations and Licensing

To run a care home in Texas, you must follow strict legal and operational rules set by the Texas Health and Human Services Commission (HHSC). (Note: Some providers may refer to this as the Texas Department of Social Services, but HHSC is the governing agency in Texas.)

Steps to Obtain a License:

Submit a license application with details about your residential facility, target population, and service plan.
Complete background checks for all staff members.
Facility sketch and description to meet zoning, space, and health and safety standards.
Orientation or training required by HHSC for providers and support service staff.
Maintain compliance through regular inspections to ensure quality of life and adherence to health care protocols.

Physical Location and Building Requirements

Texas law requires that your group home’s location and structure support resident needs and meet safety codes.

Zoning regulations – Verify the home is allowed in the area.
Facility standards – Provide adequate space, airflow, and access to all areas.
ADA compliance – Essential for homes serving individuals with disabilities.

Safety and Health Standards

Emergency preparedness plans for fire, weather, and health crises.
Sanitation policies for food, restrooms, and shared areas.
Medication management protocols enforced by trained staff members.

Financial and Operational Considerations

Startup costs: licensing, property, renovations, and furniture.
Sustainable budgeting: plan for meals, staffing, and emergency funds.
Revenue sources: Medicaid waivers, private pay, or grants.

Community Engagement and Support

Community education – Educate neighbors about your group home’s purpose.
Collaboration – Build connections with health care providers, nonprofits, and local support organizations.

How to Start a Group Home: A Step-by-Step Guide

Research your population (e.g., foster care, seniors, individuals with disabilities).
Secure funding and explore medical services and procedures coverage options.
Find a location that meets zoning and health care codes.
Obtain licensing through Texas Health and Human Services.
Hire and train support staff.
Prepare the facility to meet ADA and healthcare common procedure coding system HCPCS compliance.
Engage your community and family members.
Begin offering home care and care services to your residents.

Certifications Needed to Open a Group Home

First aid and CPR
Medication management
Food safety (for meal prep staff)
Population-specific training (e.g., autism, dementia, developmental disabilities)

Legal and Compliance Considerations

Follow laws on resident rights and privacy.
Meet all labor laws for staff members.
Stay current with inspections and training as required by Texas Health and Human Services Commission.

Insurance Requirements for Group Homes

General liability insurance
Professional liability coverage for medical care incidents
Property insurance for your facility
Worker’s compensation for employed staff members

Marketing Your Group Home

Use your online presence to show services, licensing, and photos.
Connect with local health care providers and case managers.
Include testimonials from residents and family members.

Taking the Next Step Toward Starting a Group Home in Texas

Starting a group home in Texas is a rewarding way to serve those in need. With careful planning, trained support service staff, and strong community ties, you can offer a safe, independent space with high quality of life.

Circa Behavioral Healthcare, a top behavioral health consultant service, can guide you through the process-from licensing to operations. Whether you’re exploring how to start a group home or are ready to begin opening a group home in Texas, we’re here to help.