# 26 Tex. Admin. Code § 553.254: 26 TAC § 553.254. Training Requirements for Staff Providing Personal Care Services to a Resident With Alzheimer's Disease or a Related Disorder in a Facility that is Not an Alzheimer's Certified Facility > Texas · Regulations · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C553_S553_254 ## Section - **Citation:** 26 Tex. Admin. Code § 553.254 - **Heading:** 26 TAC § 553.254. Training Requirements for Staff Providing Personal Care Services to a Resident With Alzheimer's Disease or a Related Disorder in a Facility that is Not an Alzheimer's Certified Facility - **Jurisdiction:** Texas - **Kind:** Regulations - **Status:** In force - **Text as of:** August 14, 2026 - **Source:** Compiled text - **Location:** Texas Administrative Code / Title 26 HEALTH AND HUMAN SERVICES / Part 1 HEALTH AND HUMAN SERVICES COMMISSION / Chapter 553 LICENSING STANDARDS FOR ASSISTED LIVING FACILITIES / 26 TAC § 553.254 ## Text (a) A facility that provides personal care services to a resident with Alzheimer's disease or a related disorder that is not an Alzheimer's certified facility must require a staff member to complete competency-based training and annual continuing education on Alzheimer's disease and related disorders in accordance with this section. (1) The training required in this section may be included as part of the initial training and continuing education required in §553.253 of this subchapter (relating to Employee Qualifications and Training). (2) The training required in this section may satisfy the training required by facility policy under §553.255 of this subchapter (relating to All Staff Policy for Residents with Alzheimer's Disease or a Related Disorder). (b) A facility must require a manager to: (1) complete four hours of training and pass a competency-based evaluation on: (A) Alzheimer's disease and related disorders; (B) provision of person-centered care; (C) assessment and care planning; (D) activities of daily living for a resident with Alzheimer's disease or a related disorder; (E) common behaviors and communications associated with residents with Alzheimer's disease or related disorders; (F) administrative support services related to information for: (i) comorbidities management; (ii) care planning; (iii) provision of medically appropriate education and support services and resources in the community; and (iv) including person-centered care to residents with Alzheimer's disease or related disorders and the resident's family; (G) staffing requirements that will: (i) facilitate collaboration and cooperation among facility staff members; and (ii) ensure each staff member obtains appropriate informational materials and training to properly care for and interact with a resident with Alzheimer's disease or a related disorder based on the staff member's position; (H) establishing a supportive and therapeutic environment for residents with Alzheimer's disease or related disorders to enhance the sense of community among the residents and within the facility; and (I) transitioning care and coordination of services for residents with Alzheimer's disease or related disorders; and (2) after the date of successfully completing the training and competency-based evaluation required in paragraph (1) of this subsection, complete two hours of annual continuing education on best practices related to treatment and provision of care to residents with Alzheimer's disease or related disorders. (c) A facility must require a staff member who provides personal care services to: (1) complete four hours of training and pass a competency-based evaluation on: (A) Alzheimer's disease and related disorders; (B) provision of person-centered care; (C) assessment and care planning; (D) activities of daily living for a resident with Alzheimer's disease or a related disorder; and (E) common behaviors and communications associated with a resident with Alzheimer's disease and related disorders; (2) complete the requirements in paragraph (1) of this subsection prior to performing personal care services; and (3) after successfully completing the training and competency-based evaluation required in paragraph (1) of this subsection, complete two hours of continuing education that includes best practices related to the treatment of and provision of care to residents with Alzheimer's disease or related disorders. (d) A facility must require each staff member who is not a direct service staff member, including housekeeping staff, front desk staff, maintenance staff, and other staff members with incidental but recurring contact with a resident with Alzheimer's disease or a related disorder, to complete training and pass a competency-based evaluation on: (1) Alzheimer's disease and related disorders; (2) provision of person-centered care; and (3) common behaviors and communications associated with a resident with Alzheimer's disease and related disorders. (e) A facility must: (1) provide the training completion certificate to the staff member, including the manager; and (2) maintain records of each certificate for all staff, including the manager, in accordance with the facility's records retention policies. (f) A facility staff member who successfully completes the training required by this section, passes the evaluation, and then transfers employment to another facility is not required to satisfy these requirements for the new facility if there is less than a two-year lapse of employment with a facility. ## Nearby sections - [26 Tex. Admin. Code § 553.253 26 TAC § 553.253. Employee Qualifications and Training](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C553_S553_253.md) - [26 Tex. Admin. Code § 553.254 26 TAC § 553.254. Training Requirements for Staff Providing Personal Care Services to a Resident With Alzheimer's Disease or a Related Disorder in a Facility that is Not an Alzheimer's Certified Facility](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C553_S553_254.md) - [26 Tex. Admin. Code § 553.255 26 TAC § 553.255. All Staff Policy for Residents with Alzheimer's Disease or a Related Disorder](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C553_S553_255.md) - [26 Tex. Admin. Code § 553.257 26 TAC § 553.257. Human Resources](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C553_S553_257.md) - [26 Tex. Admin. Code § 553.259 26 TAC § 553.259. Admission Policies and Procedures](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C553_S553_259.md) - [26 Tex. Admin. Code § 553.261 26 TAC § 553.261. Coordination of Care](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C553_S553_261.md) - [26 Tex. Admin. Code § 553.263 26 TAC § 553.263. Health maintenance activities](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C553_S553_263.md) - [26 Tex. Admin. Code § 553.265 26 TAC § 553.265. Resident Records and Retention](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C553_S553_265.md) - [26 Tex. Admin. Code § 553.267 26 TAC § 553.267. Rights](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C553_S553_267.md) - [26 Tex. Admin. Code § 553.269 26 TAC § 553.269. Access to Residents and Records by the State Long-Term Care Ombudsman Program](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C553_S553_269.md) - [26 Tex. Admin. Code § 553.271 26 TAC § 553.271. Postings](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C553_S553_271.md) - [26 Tex. Admin. Code § 553.272 26 TAC § 553.272. Advertisements, Solicitations, and Promotional Material](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C553_S553_272.md) - [26 Tex. Admin. Code § 553.273 26 TAC § 553.273. Abuse, Neglect, or Exploitation Reportable to HHSC by Facilities](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C553_S553_273.md) - [26 Tex. Admin. Code § 553.275 26 TAC § 553.275. Emergency Preparedness and Response](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C553_S553_275.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C553_S553_254. Check the current official text before relying on it. Not legal advice.