Emergency plan rules in Texas
4 licence types researched, regulated by Texas Health and Human Services Commission. Every requirement below carries the rule that imposes it.
Skilled nursing facility
Licensed in Texas as Nursing Facility, by Texas Health and Human Services Commission.
26 TAC §554.1914 (Ch. 554 Subchapter T, Administration)
A written emergency preparedness and response plan, with a CURRENT PRINTED COPY kept in a central location accessible to all staff — not only a file on a server that goes down with the power. The plan must be evaluated within 30 DAYS AFTER an emergency, after remodelling or additions, and at least annually; and revised within 30 DAYS after any information in it changes. Both clocks run from the event, not from the annual review date.
26 TAC §554.1914Reviewed 2026-07-30
Home health / home hospice agency
Licensed in Texas as Home and Community Support Services Agency (HCSSA), by Texas Health and Human Services Commission.
26 TAC §558.256; additionally §558.871(a)(2) for hospices with their own inpatient units
A Texas HCSSA plan must name — by title — an employee and at least one alternate as the agency's disaster coordinator; include a continuity of operations business plan; state how the agency will monitor disaster-related news and information; set procedures for releasing client information during a disaster; and describe staff actions and responsibilities in each of the four phases: mitigation, preparedness, response and recovery.
26 TAC §558.256Reviewed 2026-07-30
Child care center
Licensed in Texas as Child Care Center, by Texas Health and Human Services Commission — Child Care Regulation.
26 TAC §744.3553 (what the emergency preparedness plan must include)
An emergency evacuation and relocation DIAGRAM; staff responsibility in sheltering and lock-down emergencies for the orderly movement of children to designated locations; the NAME AND ADDRESS of alternate shelters; how children will be accounted for at safe areas or alternate shelters; how staff will communicate with local authorities, parents and regulators; and how staff will evacuate WITH essential documentation — parent and emergency contact telephone numbers and the authorisation for emergency care for each child. The records travel with the children, which is the part most plans omit.
26 TAC §744.3553Reviewed 2026-07-30
Assisted living / residential care
Licensed in Texas as Assisted Living Facility, by Texas Health and Human Services Commission.
26 TAC §553.275 (Type A and Type B assisted living facilities)
One fire drill per quarter per shift, with at least one fire drill each month.
That is more often than 78% of the other states we have confirmed a figure for.
Texas requires the facility to attempt to obtain feedback on its emergency preparedness plan from the county Emergency Management Coordinator.
Authority: County Emergency Management Coordinator
PR 2393 — HHSC publishes an ALF Emergency Preparedness Checklist (form PR 2393). The plan should be checked against it — it is the list a surveyor works from.
The written plan must be based on a risk assessment identifying the disasters, natural and man-made, that are likely to occur in this facility's service area. Texas will not accept a generic hazard list — the assessment is the foundation the rest of the plan is judged against.
26 TAC §553.275Reviewed 2026-07-30
What this page is
The requirements Texas places on a facility emergency preparedness plan, taken from the state’s own rules rather than a national template. Where we have confirmed something against primary text it is stated plainly; where we have not, it says so and names what to check. Nothing here is inferred from what other states do.
The part that is the same everywhere
The federal floor does not vary by state. OSHA 29 CFR §1910.38 binds any employer: reporting an emergency, evacuation and exit-route assignments, critical-operations shutdown, accounting for everyone afterwards, rescue and medical duties, and naming who to ask about the plan. That layer, plus the exit-route, alarm and first-aid rules and the fire code’s plan structure, is covered in the main crash course rather than repeated on all fifty state pages.
Write the plan
The Emergency Plan Builder produces the document itself and is driven by this same research, so the two cannot disagree about what Texas requires. The Compliance Calendar puts the drills and inspections on dates.