All 6 Texas Care Facility Types
Every license type you can open in Texas — from the simplest (no license at all) to the most complex. Each card shows the real costs, timeline, and whether you need a state license.
| Facility Type | Who It Serves | State License | Startup Cost | Timeline | Max Residents |
|---|---|---|---|---|---|
| 🏠 Adult Foster Care | Seniors | Not required | $338+ gov't fees | 3–8 weeks | 3 |
| 🏡 Boarding Home | Seniors | Not required | $338+ gov't fees | 2–8 weeks | Unlimited |
| 🧡 HCS Group Home | IDD adults | Not required | $338+ gov't fees | 2–4 months | 4 |
| ⭐ Type A ALF | Seniors | Required | $762+ gov't fees | 4–6 months | 16 |
| 💜 Type B ALF | Seniors | Required | $762+ gov't fees | 4–6 months | 16 |
| 🔷 ICF/IID | IDD adults | Required | $570+ gov't fees | 2–3 months (after Medicaid bed allocation) | Unlimited |
Adult Foster Care Home
Care for 1–3 adults in your own home
Someone who wants to live alongside the people they care for — your existing home, no commercial build-out required
Boarding Home Facility
Room & board for 3+ seniors — no personal care required
Someone who wants to provide housing without a medical care license — operate a home, not a clinical facility
HCS Group Home (IDD)
Medicaid-funded home for 3–4 adults with intellectual disabilities
Someone committed to serving the IDD population — Medicaid pays reliably, no ALF license required, small residential setting
Type A Assisted Living Facility
Up to 16 ambulatory seniors with a state license
Someone ready to build a real licensed care business with 4–16 residents
Type B Assisted Living Facility
Memory care & higher-acuity seniors — 24/7 awake staff required
Someone targeting the memory care market — higher rates, larger demand, more operational complexity
ICF/IID — Intermediate Care Facility
Dual-licensed Medicaid group home for high-support IDD individuals
An operator with professional staff resources who wants to serve the highest-acuity IDD population with full Medicaid backing
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