Home and Community-Based Services (HCS)

Residential Support services help individuals live safely and comfortably in community-based homes located in established, attractive residential neighborhoods. Our 3-to-4 person group homes provide around-the-clock direct support staff who assist with personal care, meal preparation, medication administration, health maintenance, community outings, and personal budgeting.

Supervised Living (SL): Provides direct support staff present on-site during overnight hours and peak times, ideal for participants seeking greater daily autonomy while retaining safety oversight.

Supported Home Living provides flexible support to individuals who choose to live in their own private home or with their family. Direct support professionals assist with daily living tasks, personal hygiene, grocery shopping, cooking, transportation to appointments, and participation in recreational community events.

This program allows families to remain the central foundation of their loved one’s living arrangement while receiving certified, dependable professional assistance.

Our Day Habilitation program offers a vibrant, structured learning environment Monday through Friday. Participants engage in customized skill-building activities, including:

• Social Skills & Communication: Peer collaboration, self-advocacy, and emotional regulation.
• Pre-Vocational Development: Work readiness, task completion, and volunteer opportunities at local food banks and parks.
• Life Skills & Financial Literacy: Money handling, personal health routines, and kitchen safety.
• Community Exploration: Guided visits to museums, libraries, fitness centers, and cultural attractions.

Door-to-door transportation is coordinated by ABACO Healthcare personnel for scheduled day program hours.

Specialized Therapies under the HCS waiver address functional limitations and improve physical, communication, and sensory independence. Licensed clinicians work directly with each participant and provide guidance to staff and family members:

• Speech & Language Pathology: Enhancing expressive/receptive communication, dysphagia (swallowing) care, and augmentative communication devices.
• Occupational Therapy (OT): Improving fine motor skills, sensory processing, adaptive dining, and daily living techniques.
• Physical Therapy (PT): Maximizing gross motor mobility, gait training, wheelchair transfers, and strength retention.
• Behavioral Support: Functional behavior assessments, positive behavior intervention plans (PBIP), and direct intervention by certified behavior analysts.

Maintaining proper oral hygiene is vital for overall health and well-being. The Texas HCS waiver provides up to $2,000 per service year for authorized emergency and routine dental procedures, including diagnostic exams, dental x-rays, cleanings, fillings, extractions, and restorative treatment.

ABACO Healthcare assists in coordinating with specialized dental providers experienced in caring for individuals with developmental disabilities.

Our Registered Nurses (RNs) and Licensed Vocational Nurses (LVNs) deliver clinical oversight, medication delegation, health assessments, and chronic condition monitoring. Our nursing team works in close consultation with each individual’s primary care physician to maintain comprehensive health records and ensure rapid clinical intervention when needed.

Home modifications provide physical adaptations to the participant’s home that are necessary to ensure health, safety, and independence:

• Exterior and interior wheelchair ramps
• Bathroom accessibility (roll-in showers, shower chairs, transfer benches, safety grab bars)
• Doorway widening to accommodate wheelchairs and adaptive walkers
• Specialized door hardware, accessible sink controls, and safety lock adaptations

*Note: The Texas HCS program provides a coverage for vital minor home modifications to ensure physical safety and accessibility throughout the residence.