Hearth Record

Carol Ann’s Home, Inc.

An assisted living facility, Type B in San Antonio, Texas 78217

4215 Hilton Head, San Antonio, Texas 78217. (210) 375-4664.

Texas’s own record, on hhs.texas.gov

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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.

The last 24 months 5 violations in 2 months of the last 45. Last cited Jun 2025. Most serious: level 2 of HHSC’s four (D, E or F); its scope widespread (F). 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 4 visits to this facility that ended from Aug 24, 2024 to Aug 8, 2025, and 5 state violations cited at them: 0 at level 3 or 4 of HHSC’s four, 0 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

5 violations in 2 months of the last 45. Last cited Jun 2025. Most serious: level 2 of HHSC’s four (D, E or F); its scope widespread (F). The last 4 years, to Nov 5, 2026.

5 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.

Jun 24, 2025: life Safety Code inspection, first visit (full renewal survey; on site)4 violations

  • Fac Const:Safety Ops:Fire Safety Plan, 26 TAC §553.104(c)

    Rule P-0055. 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(d)(2)

    Rule P-2521. 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.

Mar 4, 2025: health inspection, first visit (full renewal survey; on site)1 violation

  • Postings, 26 TAC §553.271(a)(9)

    Rule P-2467. C: level 1 of HHSC’s four (A, B or C), the least serious; its scope widespread.

All 4 visits on record
Visits on record
DateVisitWhat the record says
Aug 8, 2025Life Safety Code inspection, follow-up visit (full renewal survey; off site)HHSC lists no state violations for it.
Jun 24, 2025Life Safety Code inspection, first visit (full renewal survey; on site)4 state violations cited: P-0055 (F), P-2494 (F), P-2521 (F), P-2566 (F).
Mar 4, 2025Health inspection, first visit (full renewal survey; on site)1 state violation cited: P-2467 (C).
Aug 24, 2024Health inspection, first visit (an investigation; on site)HHSC lists no state violations for it.

Is it licensed?

  • Assisted living facility, Type B, listed by Texas Health and Human Services Commission, Long-Term Care Regulation as licensed for 8 residents.
  • Licence number 145957, valid Jan 4, 2027 to Jan 4, 2030.
  • 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: Carol Ann’s Home, 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.

1 of 4

Every fact names its source.

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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