The Texas State Auditor's Office made a series of recommendations to the Department of Aging and Disability Services (DADS) regarding the services they current provide to mentally disabled residents in state-run institutions.

In their overall conclusions, the report noted:
There were 4,884 state school consumers at the end of fiscal year 2007. Of those consumers, 644 expressed a preference for alternative living arrangements. DADS did not provide alternative living arrangements to 449 (70 percent) of these 644 state school consumers (p. 2 of report).
The auditors also made recommendations on how DADS should improve their documentation of community living options to consumers and documentation of reasons why community living arrangements were not provided.
Other major recommendations include the need for DADS to strengthen its processes for investigating incidents and complaints at state schools and private/public facilities that may violate state rules and Medicaid requirements. In addition, the auditors recommend that the Department of Family and Protective Services should strengthen its processes for investigating allegations of abuse, neglect and exploitation.