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Reporting Elder Abuse or Neglect in Texas

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

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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

What is a long-term care ombudsman and is it free in Austin?

Yes, completely free and confidential. Ombudsmen advocate for nursing home and assisted living residents on rights, care quality, improper discharge, and restraint use. The office is independent of Texas HHS. Austin's regional office is Capital Area, reachable at 512-916-6054 or 888-622-9111, option three.

Who is the ombudsman for Travis County?

The Capital Area Area Agency on Aging serves Travis County. Managing Local Ombudsman Tracey Cummings can be reached at 512-916-6054 or 888-622-9111 option three, at 6800 Burleson Road, Building 310, Suite 165, Austin. The office also covers Williamson, Hays, Bastrop, Caldwell, Burnet, Blanco, Fayette, Lee, and Llano.

Can an Austin assisted living facility make my parent leave if their needs increase?

Possibly. If a Type A community can no longer meet your parent's evacuation or nighttime care needs, they may require a move to a Type B community. Improper transfer or discharge is exactly what a long-term care ombudsman handles. Call Capital Area at 512-916-6054 before agreeing to move.

Does Medicare pay for assisted living in Texas?

No. Medicare does not pay for assisted living room, board, or custodial care anywhere, including Austin. Medicare covers limited skilled nursing facility stays after a qualifying hospital admission, plus home health and hospice. Assisted living in Texas is paid privately, through long-term care insurance, or via Medicaid STAR+PLUS.

Does Texas Medicaid pay for assisted living?

Partially. The STAR+PLUS HCBS waiver covers assisted living care services but explicitly does not cover room and board, which comes from the resident's own income. You must meet nursing facility level of care, income under $2,982 monthly, and assets under $2,000, and usually wait on an interest list.

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