Texas Assisted Living & Nursing Home Fire Alarm Inspection Requirements

Texas Assisted Living and Nursing Home Fire Alarm Inspection Requirements

Texas fire safety requirements differ for small and large assisted living facilities (ALFs), Type A and Type B operations, and licensed nursing facilities. The facility's license, resident evacuation capabilities, new or existing building status, and applicable local authority having jurisdiction (AHJ) determine the full scope of compliance.

Inspection and Testing Frequency

Facility Fire marshal facility inspection Licensed fire alarm inspection, testing and maintenance program
Small Type A ALF At least every 12 months At least every 6 months
Small Type B ALF At least every 12 months At least every 6 months
Large Type A ALF At least every 12 months At least every 6 months
Large Type B ALF At least every 12 months At least every 6 months
Licensed nursing facility Separate state, federal and local survey/inspection requirements apply At least every 3 months

Assisted living: 26 TAC §553.104(a) requires an annual local fire marshal inspection (or state fire marshal where there is no local fire marshal). Section 553.104(g) requires the facility to contract with a Texas Alarm Certificate of Registration holder to execute a fire alarm inspection, testing and maintenance program at least every six months. Individual NFPA 72 tasks with different frequencies remain applicable.

Nursing facilities: 26 TAC §554.326(a) requires a fire alarm inspection, testing and maintenance program executed at least every three months by a registered company with appropriately licensed personnel. This does not mean every initiating device requires a full functional test every quarter; component-specific NFPA 72 frequencies still govern.

What Is the Difference Between Small and Large Assisted Living?

Texas distinguishes small and large assisted living facilities and Type A versus Type B based on the applicable licensing definitions and residents' evacuation needs. Requirements also vary for new versus existing facilities. Fire alarm, smoke detection, sprinkler, and controlled-egress designs should be evaluated against the specific applicable provisions of 26 TAC Chapter 553, the referenced NFPA 101 edition, and local AHJ requirements. Do not assume the same device layout is acceptable for every facility.

What Must Assisted Living Management and Staff Do?

  • Fire drills: Under 26 TAC §553.104(d), conduct at least one fire drill each month and at least one quarterly drill on each shift. Document each drill using the current HHSC Fire Drill Report.
  • Fire alarm activation during drills: Large Type B ALFs must activate the fire alarm signal during drills conducted between 6 a.m. and 9 p.m., as required by §553.104(d)(4).
  • Fire extinguishers: Staff must perform monthly quick checks, with licensed annual maintenance under §553.104(i).
  • Fire safety plan: Maintain a plan, review it at least annually, and instruct employees on their responsibilities at least annually and when revised under §553.104(c).
  • Other inspection and testing: Sprinkler, carbon monoxide detection, smoke detector sensitivity and other life-safety systems may have separate requirements and intervals.

Important: A monthly fire drill is not a substitute for professional fire alarm testing. Staff should coordinate alarm activations with the monitoring station and their service provider, following approved procedures. Unlicensed staff should not perform regulated repair, programming or fire alarm service.

Two Authorities May Review the Same Facility

Texas Health and Human Services regulates assisted living and nursing facilities, while the local fire department or fire marshal enforces its adopted fire code. Their referenced editions and inspection requirements can differ. A local approval does not necessarily establish compliance with every HHSC licensing provision, and vice versa. Fire alarm system modifications may require design documentation, permits and approval from the applicable AHJs.

Documents to Keep Onsite

  • Current fire marshal inspection report and correction records
  • Signed fire alarm inspection and testing reports
  • Fire drill records and fire safety plan
  • Monthly fire extinguisher inspection records
  • Fire alarm as-built drawings, installation certificate, operating manuals and sequence of operations
  • Sprinkler, CO detection and other required system records

Texas Code References

Fire Alarm Inspection, Monitoring and Compliance Support in Austin and Central Texas

Security Tekton, operated by Avenger Security Services, provides licensed commercial fire alarm inspection, testing, monitoring, service and deficiency correction for assisted living, memory care and nursing facilities. We help facility owners distinguish their staff's ongoing fire safety duties from licensed contractor testing and local fire marshal inspections. Contact Security Tekton to discuss your facility.

General educational guidance, not a substitute for the current adopted regulations, facility-specific licensing review or AHJ determination. Confirm any recent rule amendments and their effective dates before relying on this summary.

Texas HHSC Fire & Life Safety Compliance

Local fire marshal approval and Texas Health and Human Services licensing requirements are not always identical. Learn why early coordination and experienced fire and life-safety planning matter for care facilities: Texas HHSC Fire & Life Safety Compliance Guide.