Hearth Record

Crescent Community Assisted Living

An assisted living facility, Type B in Kerrville, Texas 78028

600 Leslie Dr, Kerrville, Texas 78028. (830) 792-6886.

Texas’s own record, on hhs.texas.gov

Watch and the shortlist are kept with a free account, on every device. Your watch list. Texas’s own record is on hhs.texas.gov.

The short answer

Record last released by Texas Health and Human Services Commission, Long-Term Care Regulation on Nov 4, 2026.

The last 24 months 53 violations in 10 months of the last 45. Last cited Jul 2026. Most serious: level 4 of HHSC’s four (J, K or L), the level HHSC counts as an immediate threat; its scope isolated (J). Every month

Each figure’s source sits beside it, in its section below.

What these words mean5
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.
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 28 visits to this facility that ended from Feb 7, 2023 to Jul 3, 2026, and 53 state violations cited at them: 1 at level 3 or 4 of HHSC’s four, 1 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.

Source:

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

53 violations in 10 months of the last 45. Last cited Jul 2026. Most serious: level 4 of HHSC’s four (J, K or L), the level HHSC counts as an immediate threat; its scope isolated (J). The last 4 years, to Nov 5, 2026.

53 violations by month over the last 4 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 JanFebMarAprMayJunJulAugSepOctNovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSep

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

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.

Jul 3, 2026: health inspection, first visit (an investigation; on site)3 violations

  • Fac Const:Safety Ops:Keep clean/hazard free, 26 TAC §553.104(j)(3)

    Rule P-0103. E: level 2 of HHSC’s four (D, E or F); its scope a pattern.

  • Coord of Care-Dietary Services, 26 TAC §553.261(e)(18)

    Rule P-2149. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

  • Res Record & Retention-Resident Records, 26 TAC §553.265(a)

    Rule P-2254. D: level 2 of HHSC’s four (D, E or F); its scope isolated.

Mar 25, 2026: health inspection, first visit (an investigation; on site)9 violations

  • Fac Const:Safety Ops:Keep clean/hazard free, 26 TAC §553.104(j)(3)

    Rule P-0103. E: level 2 of HHSC’s four (D, E or F); its scope a pattern.

  • Employees: ST -DOC., 26 TAC §553.253(d)

    Rule P-1873. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

  • Employees: St- Training Confidentiality, 26 TAC §553.253(d)(1)(B)

    Rule P-1879. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

  • Employees: ST- Notify Facility Manager, 26 TAC §553.253(d)(1)(D)

    Rule P-1885. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

  • Employees: ST- Emerg. and Evac. Procedures, 26 TAC §553.253(d)(1)(F)

    Rule P-1891. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

  • Res Record & Retention-Resident Records, 26 TAC §553.265(a)

    Rule P-2254. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

  • Emergency Preparedness and Response, 26 TAC §553.275(b)

    Rule P-2494. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

  • Emergency Preparedness and Response, 26 TAC §553.275(c)(2)(C)

    Rule P-2512. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

  • Emergency Preparedness and Response, 26 TAC §553.275(l)(1-4)

    Rule P-2560. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

Dec 5, 2025: health inspection, first visit (full renewal survey; an investigation; on site)4 violations

  • Fac Const:Safety Ops:PFE, 26 TAC §553.104(i)

    Rule P-0094. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

  • Fac Const:Ex Lg Type B:PFE/Size, 26 TAC §553.145(c)(3)

    Rule P-0925. E: level 2 of HHSC’s four (D, E or F); its scope a pattern.

  • Adm Pol & Proc – Res Assess & Svc Plan, 26 TAC §553.259(b)

    Rule P-1972. E: level 2 of HHSC’s four (D, E or F); its scope a pattern.

  • Emergency Preparedness and Response, 26 TAC §553.275(c)(2)(A)

    Rule P-2506. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

Sep 10, 2025: life Safety Code inspection, first visit (full renewal survey; on site)15 violations

  • Fac Const:Site Loc:Hazards, 26 TAC §553.103(b)

    Rule P-0031. E: level 2 of HHSC’s four (D, E or F); its scope a pattern.

  • Fac Const:Safety Ops:SD Sensitivity, 26 TAC §553.104(g)(7)

    Rule P-0079. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

  • Fac Const:Safety Ops:Walls/Clngs Good Repair, 26 TAC §553.104(j)(5)

    Rule P-0109. E: level 2 of HHSC’s four (D, E or F); its scope a pattern.

  • Fac Const:Safety Ops:Gas Pressure Test, 26 TAC §553.104(o)

    Rule P-0142. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

  • Fac Const:Safety Ops:Generator, 26 TAC §553.104(q)

    Rule P-0148. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

  • Fac Const:Ex Lg Type B:Means of Egress, 26 TAC §553.143(a)

    Rule P-0865. E: level 2 of HHSC’s four (D, E or F); its scope a pattern.

  • Fac Const:Ex Lg Type B:Smoke Comp, 26 TAC §553.144(b)

    Rule P-0892. E: level 2 of HHSC’s four (D, E or F); its scope a pattern.

  • Fac Const:Ex Lg Type B:PFE, 26 TAC §553.145(c)(1)

    Rule P-0919. E: level 2 of HHSC’s four (D, E or F); its scope a pattern.

  • Fac Const:Ex Lg Type B:PFE/Size, 26 TAC §553.145(c)(3)

    Rule P-0925. E: level 2 of HHSC’s four (D, E or F); its scope a pattern.

  • Fac Const:Ex Lg Type B:Hazards, 26 TAC §553.146(a)

    Rule P-0934. E: level 2 of HHSC’s four (D, E or F); its scope a pattern.

  • Fac Const:Ex Lg Type B:Exhaust, 26 TAC §553.147(e)(4)

    Rule P-0982. E: level 2 of HHSC’s four (D, E or F); its scope a pattern.

  • Emergency Preparedness and Response, 26 TAC §553.275(b)

    Rule P-2494. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

  • Emergency Preparedness and Response, 26 TAC §553.275(c)(2)(A)

    Rule P-2506. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

  • Emergency Preparedness and Response, 26 TAC §553.275(e)(1-3)

    Rule P-2539. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

  • Emergency Preparedness and Response, 26 TAC §553.275(n)(1-5)

    Rule P-2566. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

Aug 15, 2025: health inspection, first visit (an investigation; on site)11 violations

  • Fac Const:Site Loc:Outside Grounds, 26 TAC §553.103(f)

    Rule P-0040. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

  • Fac Const:Safety Ops:Fire Marshal, 26 TAC §553.104(a)

    Rule P-0049. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

  • Fac Const:Safety Ops:Walls/Clngs Good Repair, 26 TAC §553.104(j)(5)

    Rule P-0109. E: level 2 of HHSC’s four (D, E or F); its scope a pattern.

  • Fac Const:Safety Ops:Pest Control, 26 TAC §553.104(l)

    Rule P-0130. E: level 2 of HHSC’s four (D, E or F); its scope a pattern.

  • Fac Const:Ex Lg Type B:WC/Supplies, 26 TAC §553.147(b)(4)

    Rule P-0958. D: level 2 of HHSC’s four (D, E or F); its scope isolated.

  • Employees: ST- Attend.-First Aid, 26 TAC §553.253(d)(2)(D)

    Rule P-1903. D: level 2 of HHSC’s four (D, E or F); its scope isolated.

  • Adm Pol & Proc – Res Assess & Svc Plan, 26 TAC §553.259(b)

    Rule P-1972. E: level 2 of HHSC’s four (D, E or F); its scope a pattern.

  • Coord of Care-Infection Prev & Control, 26 TAC §553.261(f)(1)

    Rule P-2152. D: level 2 of HHSC’s four (D, E or F); its scope isolated.

  • Res Record & Retention-Guardian Req, 26 TAC §553.265(c)(1)

    Rule P-2260. D: level 2 of HHSC’s four (D, E or F); its scope isolated.

  • Postings, 26 TAC §553.271(a)(3)

    Rule P-2449. C: level 1 of HHSC’s four (A, B or C), the least serious; its scope widespread.

  • Postings, 26 TAC §553.271(a)(6)

    Rule P-2458. C: level 1 of HHSC’s four (A, B or C), the least serious; its scope widespread.

Aug 16, 2024: health inspection, first visit (an investigation; on site)2 violations

  • Fac Const:Safety Ops:Keep clean/hazard free, 26 TAC §553.104(j)(3)

    Rule P-0103. D: level 2 of HHSC’s four (D, E or F); its scope isolated.

  • Rights-Res Bill of Rights, 26 TAC §553.267(a)(3)(F)

    Rule P-2299. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

Mar 15, 2024: health inspection, first visit (an investigation; on site)1 violation

  • Rights-Res Bill of Rights, 26 TAC §553.267(a)(3)(E)(ii)

    Rule P-2293. E: level 2 of HHSC’s four (D, E or F); its scope a pattern.

Dec 28, 2023: health inspection, first visit (full renewal survey; an investigation; on site)2 violations

  • Fac Const:Safety Ops:Smoking Policy, 26 TAC §553.104(f)

    Rule P-0064. D: level 2 of HHSC’s four (D, E or F); its scope isolated.

  • Coord of Care-Dietary Services, 26 TAC §553.261(e)(6)

    Rule P-2113. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

Nov 3, 2023: health inspection, first visit (an investigation; on site)3 violations

  • Rights-Res Bill of Rights, 26 TAC §553.267(a)(3)(E)(ii)

    Rule P-2293. J: level 4 of HHSC’s four (J, K or L), the level HHSC counts as an immediate threat; its scope isolated.

  • Res Record & Retention-Resident Records, 26 TAC §553.265(a)

    Rule P-2254. D: level 2 of HHSC’s four (D, E or F); its scope isolated.

  • Abuse, Neglect, or Exploitation Reportable to, 26 TAC §553.273(d)

    Rule P-2482. D: level 2 of HHSC’s four (D, E or F); its scope isolated.

Feb 7, 2023: health inspection, first visit (full renewal survey; an investigation; on site)3 violations

  • Coord of Care-Dietary Services, 26 TAC §553.261(e)(6)

    Rule P-2113. D: level 2 of HHSC’s four (D, E or F); its scope isolated.

  • Rights-Auth Electronic Monitoring, 26 TAC §553.267(d)(7)

    Rule P-2419. C: level 1 of HHSC’s four (A, B or C), the least serious; its scope widespread.

  • Postings, 26 TAC §553.271(a)(8)

    Rule P-2464. C: level 1 of HHSC’s four (A, B or C), the least serious; its scope widespread.

All 28 visits on record
Visits on record
DateVisitWhat the record says
Jul 3, 2026Health inspection, first visit (an investigation; on site)3 state violations cited: P-0103 (E), P-2149 (F), P-2254 (D).
Jun 13, 2026Health inspection, first visit (an investigation; on site)HHSC lists no state violations for it.
May 8, 2026Health inspection, first visit (an investigation; on site)From May 7, 2026 to May 8, 2026. HHSC lists no state violations for it.
May 6, 2026Health inspection, follow-up visit (an investigation; off site)HHSC lists no state violations for it.
Apr 25, 2026Health inspection, first visit (an investigation; on site)From Apr 24, 2026 to Apr 25, 2026. HHSC lists no state violations for it.
Mar 25, 2026Health inspection, first visit (an investigation; on site)From Mar 24, 2026 to Mar 25, 2026. 9 state violations cited: P-0103 (E), P-1873 (F), P-1879 (F), P-1885 (F), P-1891 (F), P-2254 (F), P-2494 (F), P-2512 (F), P-2560 (F).
Mar 6, 2026Health inspection, follow-up visit (full renewal survey; an investigation; off site)HHSC lists no state violations for it.
Dec 5, 2025Health inspection, first visit (full renewal survey; an investigation; on site)From Dec 2, 2025 to Dec 5, 2025. 4 state violations cited: P-0094 (F), P-0925 (E), P-1972 (E), P-2506 (F).
Dec 4, 2025Health inspection, follow-up visit (an investigation; off site)HHSC lists no state violations for it.
Nov 14, 2025Life Safety Code inspection, follow-up visit (full renewal survey; off site)HHSC lists no state violations for it.
Oct 3, 2025Health inspection, first visit (an investigation; on site)HHSC lists no state violations for it.
Sep 10, 2025Life Safety Code inspection, first visit (full renewal survey; on site)15 state violations cited: P-0031 (E), P-0079 (F), P-0109 (E), P-0142 (F), P-0148 (F), P-0865 (E), P-0892 (E), P-0919 (E), P-0925 (E), P-0934 (E), P-0982 (E), P-2494 (F), P-2506 (F), P-2539 (F), P-2566 (F).
Aug 15, 2025Health inspection, first visit (an investigation; on site)From Aug 12, 2025 to Aug 15, 2025. 11 state violations cited: P-0040 (F), P-0049 (F), P-0109 (E), P-0130 (E), P-0958 (D), P-1903 (D), P-1972 (E), P-2152 (D), P-2260 (D), P-2449 (C), P-2458 (C).
Aug 6, 2025Health inspection, first visit (an investigation; on site)From Aug 4, 2025 to Aug 6, 2025. HHSC lists no state violations for it.
Oct 4, 2024Health inspection, follow-up visit (an investigation; off site)HHSC lists no state violations for it.
Aug 16, 2024Health inspection, first visit (an investigation; on site)From Aug 15, 2024 to Aug 16, 2024. 2 state violations cited: P-0103 (D), P-2299 (F).
Apr 24, 2024Health inspection, follow-up visit (an investigation; off site)HHSC lists no state violations for it.
Apr 19, 2024Health inspection, first visit (an investigation; off site)From Apr 16, 2024 to Apr 19, 2024. HHSC lists no state violations for it.
Mar 15, 2024Health inspection, first visit (an investigation; on site)From Mar 14, 2024 to Mar 15, 2024. 1 state violation cited: P-2293 (E).
Jan 25, 2024Health inspection, follow-up visit (full renewal survey; off site)HHSC lists no state violations for it.
Jan 10, 2024Health inspection, first visit (an investigation; on site)From Jan 9, 2024 to Jan 10, 2024. HHSC lists no state violations for it.
Dec 28, 2023Health inspection, first visit (full renewal survey; an investigation; on site)From Dec 27, 2023 to Dec 28, 2023. 2 state violations cited: P-0064 (D), P-2113 (F).
Dec 27, 2023Health inspection, follow-up visit (an investigation; on site)HHSC lists no state violations for it.
Nov 3, 2023Health inspection, first visit (an investigation; on site)From Oct 29, 2023 to Nov 3, 2023. 3 state violations cited: P-2254 (D), P-2293 (J), P-2482 (D).
Jun 8, 2023Health inspection, first visit (an investigation; on site)HHSC lists no state violations for it.
Apr 22, 2023Health inspection, first visit (an investigation; on site)HHSC lists no state violations for it.
Mar 21, 2023Health inspection, follow-up visit (full renewal survey; an investigation; off site)HHSC lists no state violations for it.
Feb 7, 2023Health inspection, first visit (full renewal survey; an investigation; on site)3 state violations cited: P-2113 (D), P-2419 (C), P-2464 (C).

Is it licensed?

  • Assisted living facility, Type B, listed by Texas Health and Human Services Commission, Long-Term Care Regulation as licensed for 50 residents.
  • Licence number 311667, valid Aug 5, 2026 to Aug 5, 2029.
  • 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.”.
Source:

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: Batch 59 Inc.
Source:

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

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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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