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Reporting Elder Abuse or Neglect in Texas

Which number to call, when, and the jurisdictional split that costs families time.

Home›Texas Rules›Reporting Elder Abuse or Neglect in Texas

Reporting abuse or neglect in Texas

Short answer

Call the Texas Abuse Hotline at 1-800-252-5400, available 24 hours a day, if action is needed within 24 hours. If someone faces immediate risk of death or serious harm, call 911. Reports are confidential and may be made anonymously.

  • Texas Abuse Hotline: 1-800-252-5400. Available 24 hours a day. Use the phone line when a situation needs action in under 24 hours.
  • Online: txabusehotline.org. For non-urgent reports with a response window of 24 hours or more. Requires creating an account.
  • Emergency: Call 911 if someone faces immediate risk of death or serious harm.
Which number, and why it matters: Adult Protective Services investigates abuse, neglect, and exploitation of adults living in the community, such as their own or a family member's home. Abuse or neglect occurring inside a licensed facility goes to HHSC Complaint and Incident Intake at 1-800-458-9858 instead. Families frequently call the wrong number and lose time.

What counts, and what to write down

Abuse in older adults is more often neglect and financial exploitation than physical harm. Unpaid bills in a household that always paid them, a new person with sudden influence over finances, unexplained withdrawals, untreated pressure injuries, sudden weight loss, dehydration, or a resident consistently unclean are all reportable.

Before you call, write down what you observed with dates and times. Specific dated observations move faster than general concern, and you will be asked for them. Photographs help where the concern is physical.

You do not need to be sure

Suspicion is the standard, not proof. Texas mandatory reporting law applies broadly to anyone who suspects abuse of an older adult, and reports may be made anonymously. Investigating is the agency's job, not yours.

Financial exploitation is the common case

It also most often involves someone the family knows, which is exactly why it goes unreported. Family Eldercare at 512-483-3580 can help with money management as a less adversarial intervention where the situation is ambiguous.

Questions Austin families ask

Which Austin hospitals handle serious senior emergencies?

Dell Seton Medical Center at The University of Texas, 1500 Red River Street, is the region's Level I trauma center and Dell Medical School teaching hospital. Other major systems are Ascension Seton, St. David's HealthCare with more than 180 sites, and Baylor Scott and White, all with campuses across the metro.

Why is there so much senior housing in Georgetown and Round Rock?

Williamson County skews older than Travis, 13.7 percent aged 65-plus versus 11.6 percent, and grew 23.6 percent since 2020. Sun City Texas in Georgetown, a Del Webb 55-plus community of roughly 7,500 to 8,500 homes on about 5,000 acres, anchors that demand.

How many seniors live in the Austin area?

Approximately 305,000 people aged 65 and older live across Travis, Williamson, and Hays counties, based on Census population estimates combined with survey age percentages. That's roughly 161,000 in Travis, 103,000 in Williamson, and 41,000 in Hays. Hays and Williamson are growing fastest.

What's the difference between Type A and Type B assisted living in Texas?

Texas licenses assisted living by residents' ability to evacuate. Type A residents must evacuate without physical staff assistance, follow emergency directions, and not need nighttime attendance. Type B residents may need staff help evacuating, nighttime attendance, and help transferring from a wheelchair, but cannot be permanently bedfast.

Is memory care a separate license in Texas?

No. Memory care isn't a license type. Under Texas rule 26 TAC 553.27, any community advertising specialized Alzheimer's or dementia care must hold an Alzheimer's certification, and it must be licensed as Type B to qualify. Always ask to see the Alzheimer's certificate, not just the license.

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