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 facility options 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 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 ApplicationInclude details about your residential facility, target population, and service plan.
Complete Background ChecksAll staff members must pass criminal background checks.
Facility Sketch and DescriptionDemonstrate compliance with zoning, space, and health and safety standards.
Orientation or Training RequirementsComplete HHSC-required education for providers and support service staff. In other states, this may fall under a Community Care Licensing Division, but Texas has its own specific structure.
Ongoing InspectionsMaintain standards with regular state reviews to ensure quality of life and health care protocols are in place.

Physical Location and Building Requirements

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

Zoning RegulationsCheck local laws to ensure your community-based home is allowed in the selected area.
Facility StandardsBedrooms and common areas must provide adequate space, airflow, and accessibility.
ADA ComplianceGroup homes for individuals with disabilities must meet accessibility standards (e.g., ramps, accessible restrooms) to help residents live independently.

Staffing and Training Requirements

The success of a group home relies on its staff members. Texas enforces specific staffing ratios to ensure that each resident receives the level of care they need.

Staffing and Training Must Include:

Proper staff-to-resident ratios
Training in first aid, CPR, medication management, and conflict de-escalation
Education on resident rights and working with developmental disabilities, including specialized training for dementia care if serving elderly residents

Ongoing education improves home care quality and promotes a safer environment for residents and family members alike.

Safety and Health Standards

Maintaining high standards for health and safety is non-negotiable.

Emergency PreparednessWritten procedures for fire, natural disasters, and medical emergencies
SanitationCleanliness protocols for food, bathrooms, and shared spaces
Medication ManagementTrained staff must safely administer and store medications

These policies ensure the well-being of residents in your assisted living facility or group home.

Financial and Operational Considerations

Opening a group home in Texas comes with up-front and ongoing expenses.

Startup CostsInclude licensing, property, renovations, and furniture
Sustainable BudgetingPlan for meals, utilities, staffing, supplies, and emergency funds
Revenue SourcesConsider Medicaid waivers, private payments, or grants for long-term care and support services

Community Engagement and Support

Strong community-based ties improve reputation and outcomes for your residential facility.

Community EducationHost open houses to educate neighbors about your group home’s mission
CollaborationPartner with hospitals, nonprofits, and social workers to strengthen your home care network

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

If you’re wondering how to start a group home, here’s a practical guide to walk you through the process:

Research and Planning: Define your population (e.g., individuals with disabilities, foster youth, seniors).
Secure Funding: Explore financial models and support service programs.
Find a Location: Ensure it meets zoning, accessibility, and health care codes.
Obtain Licensing: Follow HHSC’s steps, including required training.
Hire and Train Staff: Build a team trained in medication management, CPR, and population-specific care.
Prepare the Facility: Align with ADA and health and safety standards.
Build Community Support: Engage local organizations and family members.
Open Your Doors: Deliver personalized care and support in a stable, loving environment.

Certifications Needed to Open a Group Home

Depending on your services and population, Texas may require:

First Aid and CPR Certification
Medication Management Training
Food Safety Certification for staff handling meal prep
Population-Specific Training (e.g., autism, developmental disabilities, or dementia care)

Legal and Compliance Considerations

Group home operators must comply with:

Resident Rights laws (privacy, dignity, choice)
Employee Protections (pay, hours, training)
Ongoing Compliance (renew licenses, pass inspections)

Legal accountability helps ensure quality of life and protection for both residents and staff.

Insurance Requirements for Group Homes

Insurance protects your home, your team, and your residents.

General Liability Insurance
Professional Liability for care-related incidents
Property Insurance
Workers’ Comp for all employed staff members

Marketing Your Group Home

You need visibility to attract new residents and connect with referral sources.

Online PresenceUse your website and social platforms to share your services, certifications, and long-term care options.
Referral NetworksConnect with health care providers, case managers, and support services in your area.
TestimonialsShare feedback from residents and family members who have benefited from your care.

Taking the Next Step Toward Starting a Group Home in Texas

Starting a group home in Texas offers a powerful way to support vulnerable people, including seniors, youth, and those with developmental disabilities. With the right licensing, staffing, financial planning, and compliance strategy, your residential facility can become a safe, supportive place for people to live independently.

Circa Behavioral Healthcare, a top behavioral health consultant service, can guide you through the process-from licensing to operations.