(a) An assisted living facility staff who has cause to believe that the physical or mental health or welfare of a resident has been or may be adversely affected by abuse, neglect, or exploitation or that the resident has died due to abuse or neglect, must report the abuse, neglect, or exploitation to:
  (1) HHSC Consumer Rights and Services section at 1-800-458-9858 or via the HHSC website; and
  (2) one of the following law enforcement agencies:
    (A) a municipal law enforcement agency, if the facility is located within the territorial boundaries of a municipality; or
    (B) the sheriff's department of the county in which the facility is located if the facility is not located within the territorial boundaries of a municipality.
(b) An assisted living facility must follow its internal policies regarding the prevention, detection, and reporting of abuse, neglect, or exploitation.
(c) The following information must be reported to HHSC:
  (1) name, age, and address of the resident;
  (2) name and address of the person responsible for the care of the resident, if available;
  (3) nature and extent of the elderly or disabled person's condition;
  (4) basis of the reporter's knowledge; and
  (5) any other relevant information.
(d) An assisted living facility must immediately make an oral report to HHSC of the alleged abuse, neglect, or exploitation and must investigate the allegation and send a written report of the investigation to HHSC state office no later than the fifth calendar day after the oral report.
(e) An assisted living facility may not retaliate against a person for filing a complaint, presenting a grievance, or providing in good faith information relating to personal care services provided by the facility.
(f) An assisted living facility must require facility staff, as a condition of employment with the facility, to sign a statement indicating that the employee may be criminally liable for the failure to report abuse, neglect, or exploitation.

Source Note: The provisions of this §533.273 adopted to be effective August 31, 2021, 46 TexReg 5017