Brookdale Nacogdoches
An assisted living facility, Type B in San Antonio, Texas 78247
14595 Nacogdoches Rd, San Antonio, Texas 78247. (210) 653-6100.
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The short answer
Record last released by Texas Health and Human Services Commission, Long-Term Care Regulation on Nov 4, 2026.
- 1 at the state’s most serious level, in three years (needs attention)
- 60 residents, its licensed capacity
Each figure’s source sits beside it, in its section below.
What these words mean6
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- The state’s most serious level
- Each state grades findings on its own scale and in its own words, so the record counts a state’s findings at that state’s top level. Two states’ top levels aren’t the same thing, so the counts aren’t compared across states. Source: How this site reads each state’s scale.
- Memory care
- Care for people living with dementia. Some states license a separate dementia or Alzheimer’s unit; others ask a facility to say what dementia care it gives. This record uses the state’s own field. Source: Each state’s list.
- Licence status
- Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
HHSC’s facility visit history lists 13 visits to this facility that ended from May 4, 2023 to Aug 21, 2026, and 5 state violations cited at them: 2 at level 3 or 4 of HHSC’s four, 2 of them at level 4.
Each violation carries the scope and severity letter HHSC’s file gives it, from A, the least serious, to L, the most. HHSC’s Assisted Living Facility Data (revised March 2026) counts the letters in four levels: level 1 is A, B or C; level 2 D, E or F; level 3 G, H or I; and level 4, J, K or L, the level whose tags it counts as immediate threats. Within a level, the first letter is a violation found in isolation, the second a pattern, the third widespread, as on the scope and severity grid CMS uses for nursing homes, whose letters HHSC’s levels follow. A violation HHSC’s file gives 0 for, rather than a letter, has no scope and severity in the file.
J: level 4 of HHSC’s four (J, K or L), the level HHSC counts as an immediate threat; its scope isolated: Rights-Res Bill of Rights, 26 TAC §553.267(a)(3)(E)(ii), Mar 27, 2026
Texas Health and Human Services Commission (HHSC), Facility visit history, sent Oct 28, 2026, covering Jan 1, 2023 to Oct 19, 2026. Released Oct 28, 2026. Not updated on a schedule: HHSC sent this report once, in answer to an open records request, and it is replaced when HHSC sends a newer one.
Texas Health and Human Services Commission (HHSC), ALF Regulation Tags (State Crosswalk: Assisted Living Facilities – January 2023), each tag’s title and its section of 26 TAC Chapter 553. Released Feb 16, 2024. HHSC’s crosswalk as its assisted living page linked it on Oct 29, 2026 (SHA-256 acaf4b2fc17e…); read again when HHSC posts a new one.
When those violations happened
5 violations in 3 months of the last 45. Last cited Mar 2026. Most serious: level 4 of HHSC’s four (J, K or L), the level HHSC counts as an immediate threat; its scope a pattern (K). The last 4 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each violation, in its source’s words
Grouped by visit, newest first, with the level its source gave it.
Texas Health and Human Services Commission (HHSC), Facility visit history, sent Oct 28, 2026, covering Jan 1, 2023 to Oct 19, 2026. Released Oct 28, 2026. Not updated on a schedule: HHSC sent this report once, in answer to an open records request, and it is replaced when HHSC sends a newer one.
Mar 27, 2026: health inspection, first visit (an investigation; on site)1 violation
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Rights-Res Bill of Rights, 26 TAC §553.267(a)(3)(E)(ii)
May 13, 2025: life Safety Code inspection, first visit (full renewal survey; on site)3 violations
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Fac Const:Ex Lg Type B:Smoke Comp, 26 TAC §553.144(b)
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Fac Const:Ex Lg Type B:FS, 26 TAC §553.145(b)
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Fac Const:Ex Lg Type B:Gas, 26 TAC §553.147(d)
May 4, 2023: health inspection, first visit (an investigation; on site)1 violation
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Rights-Res Bill of Rights, 26 TAC §553.267(a)(3)(E)(ii)
All 13 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Aug 21, 2026 | Health inspection, first visit (an investigation; on site) | From Aug 20, 2026 to Aug 21, 2026. HHSC lists no state violations for it. |
| Aug 12, 2026 | Health inspection, first visit (an investigation; on site) | From Aug 11, 2026 to Aug 12, 2026. HHSC lists no state violations for it. |
| May 14, 2026 | Health inspection, follow-up visit (an investigation; on site) | HHSC lists no state violations for it. |
| Mar 27, 2026 | Health inspection, first visit (an investigation; on site) | From Mar 25, 2026 to Mar 27, 2026. 1 state violation cited: P-2293 (J). |
| Mar 12, 2026 | Health inspection, first visit (an investigation; on site) | From Mar 11, 2026 to Mar 12, 2026. HHSC lists no state violations for it. |
| Jun 20, 2025 | Health inspection, first visit (full renewal survey; an investigation; on site) | From Jun 16, 2025 to Jun 20, 2025. HHSC lists no state violations for it. |
| Jun 18, 2025 | Life Safety Code inspection, follow-up visit (full renewal survey; off site) | HHSC lists no state violations for it. |
| May 13, 2025 | Life Safety Code inspection, first visit (full renewal survey; on site) | 3 state violations cited: P-0892 (E), P-0916 (E), P-0964 (E). |
| May 8, 2024 | Health inspection, first visit (an investigation; off site) | From May 7, 2024 to May 8, 2024. HHSC lists no state violations for it. |
| Aug 30, 2023 | Health inspection, first visit (an investigation; on site) | From Aug 28, 2023 to Aug 30, 2023. HHSC lists no state violations for it. |
| Jun 26, 2023 | Health inspection, first visit (full renewal survey; an investigation; on site) | From Jun 23, 2023 to Jun 26, 2023. HHSC lists no state violations for it. |
| Jun 16, 2023 | Health inspection, follow-up visit (an investigation; on site) | HHSC lists no state violations for it. |
| May 4, 2023 | Health inspection, first visit (an investigation; on site) | From Apr 22, 2023 to May 4, 2023. 1 state violation cited: P-2293 (K). |
Is it licensed?
- Assisted living facility, Type B, listed by Texas Health and Human Services Commission, Long-Term Care Regulation as licensed for 60 residents.
- Licence number 149904, valid Dec 1, 2024 to Dec 1, 2027.
- Type B: “A Type B facility is for residents who require staff assistance to leave the facility and are not capable of following directions in an emergency and require nighttime attendance.”.
Texas Health and Human Services Commission, Long-Term Care Regulation, Directory of Assisted Living Facility Providers with an Active License. Released Nov 4, 2026. Updated weekly.
Has the state acted against it?
- Texas’s directory carries no enforcement actions.
Who does the caring?
- Texas publishes no staffing data in this listing.
Who holds the licence?
- Owner: Brookdale Senior Living Communities, Inc.
Texas Health and Human Services Commission, Long-Term Care Regulation, Directory of Assisted Living Facility Providers with an Active License. Released Nov 4, 2026. Updated weekly.
How is it rated?
- Texas publishes no quality ratings in this listing.
How does it compare nearby?
- This page doesn’t compare facilities by HHSC’s visit history: its counts are each facility’s own.
What the record doesn’t say
- HHSC’s facility visit history gives each visit’s days and kind, and each violation’s rule tag and scope and severity letter; it doesn’t give what inspectors wrote, which is in each visit’s own record, which HHSC’s Long-term Care Regulation sends on request, by the survey’s exit date. It names no visit of a facility under another ID.
- Copied from the Texas Health and Human Services Commission’s website, with its address and the date shown in the source line. Neither this information as presented here, nor this site, is endorsed by the State of Texas or any state agency.
- Texas’s directory lists only facilities with an active licence; its Medicaid columns are blank.
Sources
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Texas Health and Human Services Commission, Long-Term Care Regulation, Directory of Assisted Living Facility Providers with an Active License.
Released Nov 4, 2026 and checked Nov 5, 2026. Updated weekly. Non-commercial copying without alteration, with HHSC named as the source (HHSC Website Policy); shown free, never sold.
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Texas Health and Human Services Commission (HHSC), Facility visit history, sent Oct 28, 2026, covering Jan 1, 2023 to Oct 19, 2026.
Released Oct 28, 2026 and checked Oct 29, 2026. Not updated on a schedule: HHSC sent this report once, in answer to an open records request, and it is replaced when HHSC sends a newer one. Sent by HHSC in answer to an open records request; shown free, never sold (class B).
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Texas Health and Human Services Commission (HHSC), ALF Regulation Tags (State Crosswalk: Assisted Living Facilities – January 2023), each tag’s title and its section of 26 TAC Chapter 553.
Released Feb 16, 2024 and checked Oct 29, 2026. HHSC’s crosswalk as its assisted living page linked it on Oct 29, 2026 (SHA-256 acaf4b2fc17e…); read again when HHSC posts a new one. Copied for non-commercial use without alteration, with HHSC named as the source (HHSC Website Policy); shown free, never sold.
If you believe something here is wrong, a correction starts with the agency whose record this copies: Texas Health and Human Services Commission, Long-Term Care Regulation or Texas Health and Human Services Commission (HHSC). Texas’s own record is on hhs.texas.gov. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the facility
The public record above comes first. Anything the facility adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the facility will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the facility”, and paying will never change a finding, a rating or the order of results.