What You Should Know About at Home Healthcare in Texas

I. Home Health Aide Regulations in Texas

The Texas Department of State Health Services has set the following Texas Administrative Code to govern Home Health Aides. The state routinely conducts unannounced HHA surveys to evaluate the compliance of home health aide workers and agencies. In addition to the state department of health, The Texas Department of Aging and Disability Services also licenses and regulates home health care agencies.

In the code, the state mandates that Home Health Aides must complete 75 hours of training. Of these 75 hours, a minimum of 16 hours of clinical experience is required, which is to be completed in a home, hospital, nursing home, or a laboratory. All of the 75 hours must be overseen or conducted by a Registered Nurse. The supervising RN must have a minimum of 2 years of nursing experience, including at least 1 year experience in home health care.

During the 75 hours of training, the HHA will be tested on sections (e)(2) – (13) of the Texas Administrative code; the aide in training must receive a satisfactory rating on each sub section. If the aide fails to pass one section, then the aide must not is not allowed to perform that task without direct supervision by an RN or LVN. In order to become a certified home health aide, all sections must be completed in with a satisfactory score.

II. How To Receive Training as a Home Health Aide in Texas

In TX you can receive training either by a home health care agency, or by a college program. Texas has a number of universities that provide Home Health Aide training programs, including the following:

Home Health Aide Training School Address Phone
Academy of Exceptional Healthcare Training 8449 West Bellfort Street Suite 315
Houston, TX 77071
(713) 777-4262
Alpha Career Institute Nurse Aide (CNA) 1115 E. Pioneer Pkwy#112
Arlington, TX 76010
(817) 274-3733
Alpha Medical Institute 9207 Country Creek
Houston, TX 77036
(713) 777-3996
Alvin Community College 3110 Mustang Road
Alvin, TX 77511
(281) 775-3581
American Health Care Academy P.O. Box 154927
Irving, TX 75015
(888) 222-1222
Austin Community College 3401 Webberville Road
Austin, TX 78702
(512) 223-7271
Baptist Health System Nurse Aide for Health Care Organizations I 8400 Datapoint Drive
San Antonio, TX 78229
(210) 297-9637
Barbara Bees Nurse Aide Training 1205 East Central Texas Expressway
Killeen , TX 76541
(254) 634-5167
Bell Tech Training School 12000 Richmond Avenue Suite #130
Houston, TX 77082
(281) 679-0541
C.E.Global Health Education 3213 U.S. Highway 30 Unit 110
Mesquite, TX, TX 75150
(972) 698-7792
Dallas Career Institute 7015 Greenville Avenue Suite 100
Dallas, TX 75231
(214) 691-0555
El Paso Community College 100 West Rio Grande Street
El Paso , TX 79902
(915) 831-2150
Health Initiatives Learning Center 5301 Broadway St.
Galveston, TX 77551
(409) 741-3992
Healthcare Careers Alliance 2201 N Hwy 35 Bypass STE:D
Alvin, TX 77511
(281) 331-4100
Hearts in Training 10611 Garland Rd. Suite 102
Dallas, TX 75218
(214) 319-2433
Houston Community College 3100 Main Street
Houston, TX 77002
(713) 718-5303
Lee College Continuing Education – Anahuac 511 South Whiting
Baytown, TX 77520
(281) 425-6311
Lee College Continuing Education-Baytown 511 South Whiting
Baytown, TX 77520
(284) 256-311
Lee College Continuing Education-Hull Daisetta 511 South Whiting
Baytown, TX 77520
(281) 425-6311
Lee College Continuing Education-Liberty 511 South Whiting
Baytown, TX 77520
(281) 425-6311
Lone Star College-Conroy Center 5000 Research Forest Drive
The Woodlands, TX 77831
(832) 813-6500
Lone Star College-Cy Fair 9191 Barker Cypress Road
Cypress, TX 77433
(281) 290-3200
Lone Star College-Kingwood 20000 Kingwood Drive
Kingwood, TX 77339
(281) 312-1600
Lone Star College-North Harris 2700 W.W. Thorne Drive
Houston, TX 77073
(281) 618-5400
Lone Star College-Tomball 30555 Tomball Parkway
Tomball , TX 77375
(281) 351-3300
North Texas Job Corps 1701 N.Church Street
Mckinney , TX 75149
(972) 547-7791
Nurses Aide Academy 211 W. Pleasant Run Suite 104
Lancaster, TX 75146
(972) 709-1344
PCI Health Care Training Center 8101 John West Carpenter Freeway
Dallas, TX 75247
(214) 630-0568
San Jacinto College- Central Campus 8060 Spencer Hwy.
Pasadena, TX 77505
(281) 476-1501
San Jacinto College-North 5800 Uvalde
Houston, TX 77049
(281) 454-050
San Jacinto College-South 13735 Beamer Road
Houston, TX
(281) 922-3440
School of Health Professions 1201 East Eighth St.
Dallas, TX 75203
(972) 925-5930
Texas Health School 11211 Katy Freeway
Houston, TX 77079
(713) 932-9333
University Of Texas Arlington 140 W Mitchell
Arlington, TX 76016
(817) 272-2501

III. How to Find a Texas Home Health Care Aide

Caregiver Mom has the most comprehensive list of Texas Home Health Care Agencies located within the state.

The state of Texas also maintains a registry of all Home Health Aides who are certified by the Texas Department of Aging and Disability Services (DADS). DADS offers two methods for you to to see if the agent is certified in the state of TX, or if their certification has been revoked:

  1. Regulatory Services Credentialing Sanctions Database Search
  2. DADS’ Employability Status Search

These two databases tell you whether the HHA agent you’re interviewing has the following certification: active, expired, inactive, revoked, suspended. It also lists the certification expiration date, and if they are listed on the employee misconduct register.

IV. How to Choose Your TX Home Health Aide

When interviewing a Home Health Aide it’s important to ask the following questions to ensure they meet the TX HHA regulations:

  • How many hours of training have you received as a home health aide? (Should receive 75 hours)
  • Was your training divided in any certain way? (Should have 16 hours of clinical experience, completed in a home, hospital, nursing home, or a laboratory)
  • Were you supervised during your training, and if so, by whom? (All of the 75 hours must be conducted or supervised by an Registered Nurse)
  • Can you provide me with your HHA certificate number, or proof that you’re qualified within the DADS database? (Use the Regulatory Services Credentialing Sanctions Database Search to double check this information)

V. Texas HHA Regulating Agencies and Resources

The Texas Department of Aging and Disability Services (DADA) licenses HHA’s and provides an up to date directory of licensed agents. DADA runs beside Texas Department of State Health Services, which governs and regulates the HHA in TX.

The Visiting Nurse Association of Texas is a not-for-profit agency that delivers a full range of home health care, including, but not limited to rehabilitation therapies, chronic diseases, and hospice for adults. VNA is also responsible for providing Meals on Wheels in Dallas County.

The Texas Association of Home Care has of over 1,200 members, and is a valuable resource for HHA information in TX. The association has a number of member certified agencies, and general information for the public to learn about HHA’s in Texas.

National Clearinghouse on TX Direct Care Workers
Texas Standards for Nurse Aide Registry and Training Handbook
Texas Department of State Health Services

Photo Credit By Tobyotter