Hearth Record

Arbor Terrace Lakeway

An assisted living facility, Type B in Lakeway, Texas 78738

300 Medical Parkway, Lakeway, Texas 78738. (512) 402-1222.

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 22 violations in 9 months of the last 45. Last cited May 2026. Most serious: level 2 of HHSC’s four (D, E or F); its scope isolated (D). Every month

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 41 visits to this facility that ended from Jan 3, 2023 to Sep 2, 2026, and 22 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

22 violations in 9 months of the last 45. Last cited May 2026. Most serious: level 2 of HHSC’s four (D, E or F); its scope isolated (D). The last 4 years, to Nov 5, 2026.

22 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.

May 1, 2026: health inspection, first visit (an investigation; on site)1 violation

  • Coord of Care-Medications, 26 TAC §553.261(a)(6)

    Rule P-2077. D: level 2 of HHSC’s four (D, E or F); its scope isolated.

Mar 24, 2026: health inspection, first visit (an investigation; on site)2 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.

  • Coord of Care-Dietary Services, 26 TAC §553.261(e)(13)

    Rule P-2134. D: level 2 of HHSC’s four (D, E or F); its scope isolated.

Aug 26, 2025: 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. D: level 2 of HHSC’s four (D, E or F); its scope isolated.

Jun 4, 2025: health inspection, first visit (full renewal survey; on site)2 violations

  • Results of initial and annual search in emplo, 26 TAC §553.257(b)(6)

    Rule P-1948. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

  • Emergency Preparedness and Response, 26 TAC §553.275(d)(1)

    Rule P-2518. F: level 2 of HHSC’s four (D, E or F); its scope widespread.

Apr 3, 2025: health inspection, first visit (an investigation; on site)2 violations

  • 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.

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

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

Jan 30, 2025: health inspection, first visit (an investigation; on site)3 violations

  • Coord of Care-Medications, 26 TAC §553.261(a)(1)(A)

    Rule P-2035. 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)(E)(ii)

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

Jan 13, 2025: health inspection, first visit (an investigation; on site)1 violation

  • Coord of Care-Medications, 26 TAC §553.261(b)(1)(B)

    Rule P-2086. D: level 2 of HHSC’s four (D, E or F); its scope isolated.

Jul 16, 2024: health inspection, first visit (an investigation; on site)5 violations

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

    Rule P-2371. 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)(Y)(ii)

    Rule P-2374. 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)(Y)(iii)

    Rule P-2377. 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)(Y)(iv)

    Rule P-2380. 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)(Y)(v)

    Rule P-2383. D: level 2 of HHSC’s four (D, E or F); its scope isolated.

Feb 8, 2024: health inspection, first visit (an investigation; on site)2 violations

  • Coord of Care-Medications, 26 TAC §553.261(a)(2)

    Rule P-2047. D: level 2 of HHSC’s four (D, E or F); its scope isolated.

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

    Rule P-2473. D: level 2 of HHSC’s four (D, E or F); its scope isolated.

Feb 3, 2024: health inspection, first visit (an investigation; on site)1 violation

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

    Rule P-2473. D: level 2 of HHSC’s four (D, E or F); its scope isolated.

Jan 3, 2023: health inspection, first visit (full renewal survey; an investigation; on site)2 violations

  • Coord of Care-Medications, 26 TAC §553.261(a)(3)

    Rule P-2050. D: level 2 of HHSC’s four (D, E or F); its scope isolated.

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

    Rule P-2473. D: level 2 of HHSC’s four (D, E or F); its scope isolated.

All 41 visits on record
Visits on record
DateVisitWhat the record says
Sep 2, 2026Health inspection, first visit (an investigation; on site)HHSC lists no state violations for it.
Jun 2, 2026Health inspection, follow-up visit (an investigation; off site)HHSC lists no state violations for it.
May 22, 2026Health inspection, first visit (an investigation; on site)HHSC lists no state violations for it.
May 1, 2026Health inspection, first visit (an investigation; on site)1 state violation cited: P-2077 (D).
May 1, 2026Health inspection, follow-up visit (an investigation; off site)HHSC lists no state violations for it.
Apr 23, 2026Health inspection, first visit (an investigation; on site)HHSC lists no state violations for it.
Mar 24, 2026Health inspection, first visit (an investigation; on site)2 state violations cited: P-2113 (D), P-2134 (D).
Feb 1, 2026Health inspection, first visit (an investigation; on site)From Jan 31, 2026 to Feb 1, 2026. HHSC lists no state violations for it.
Dec 29, 2025Health inspection, first visit (an investigation; on site)From Dec 27, 2025 to Dec 29, 2025. HHSC lists no state violations for it.
Nov 25, 2025Health inspection, first visit (an investigation; on site)From Nov 24, 2025 to Nov 25, 2025. HHSC lists no state violations for it.
Nov 1, 2025Health inspection, first visit (an investigation; on site)HHSC lists no state violations for it.
Oct 14, 2025Health inspection, follow-up visit (an investigation; off site)HHSC lists no state violations for it.
Aug 26, 2025Health inspection, first visit (an investigation; on site)1 state violation cited: P-2293 (D).
Jul 23, 2025Health inspection, first visit (an investigation; on site)From Jul 22, 2025 to Jul 23, 2025. HHSC lists no state violations for it.
Jul 22, 2025Health inspection, follow-up visit (full renewal survey; off site)HHSC lists no state violations for it.
Jun 4, 2025Health inspection, first visit (full renewal survey; on site)From Jun 3, 2025 to Jun 4, 2025. 2 state violations cited: P-1948 (F), P-2518 (F).
May 28, 2025Health inspection, follow-up visit (an investigation; off site)HHSC lists no state violations for it.
Apr 3, 2025Health inspection, first visit (an investigation; on site)2 state violations cited: P-1972 (E), P-2254 (E).
Apr 1, 2025Health inspection, follow-up visit (an investigation; off site)HHSC lists no state violations for it.
Mar 19, 2025Health inspection, first visit (an investigation; on site)HHSC lists no state violations for it.
Mar 7, 2025Health inspection, follow-up visit (an investigation; on site)HHSC lists no state violations for it.
Feb 8, 2025Health inspection, first visit (an investigation; on site)HHSC lists no state violations for it.
Jan 30, 2025Health inspection, first visit (an investigation; on site)From Jan 29, 2025 to Jan 30, 2025. 3 state violations cited: P-2035 (D), P-2293 (D), P-2482 (E).
Jan 13, 2025Health inspection, first visit (an investigation; on site)From Jan 10, 2025 to Jan 13, 2025. 1 state violation cited: P-2086 (D).
Nov 9, 2024Health inspection, first visit (an investigation; on site)HHSC lists no state violations for it.
Oct 16, 2024Health inspection, first visit (an investigation; on site)From Oct 15, 2024 to Oct 16, 2024. HHSC lists no state violations for it.
Sep 12, 2024Health inspection, follow-up visit (an investigation; off site)HHSC lists no state violations for it.
Sep 4, 2024Health inspection, first visit (an investigation; on site)HHSC lists no state violations for it.
Jul 16, 2024Health inspection, first visit (an investigation; on site)From Jul 12, 2024 to Jul 16, 2024. 5 state violations cited: P-2371 (D), P-2374 (D), P-2377 (D), P-2380 (D), P-2383 (D).
Jun 23, 2024Health inspection, first visit (an investigation; on site)HHSC lists no state violations for it.
Jun 16, 2024Health inspection, first visit (an investigation; on site)HHSC lists no state violations for it.
Mar 15, 2024Health inspection, follow-up visit (an investigation; off site)HHSC lists no state violations for it.
Mar 13, 2024Health inspection, follow-up visit (an investigation; off site)HHSC lists no state violations for it.
Feb 27, 2024Health inspection, first visit (an investigation; on site)HHSC lists no state violations for it.
Feb 8, 2024Health inspection, first visit (an investigation; on site)From Feb 7, 2024 to Feb 8, 2024. 2 state violations cited: P-2047 (D), P-2473 (D).
Feb 3, 2024Health inspection, first visit (an investigation; on site)1 state violation cited: P-2473 (D).
Nov 1, 2023Health inspection, first visit (an investigation; on site)HHSC lists no state violations for it.
Jul 11, 2023Health inspection, first visit (an investigation; on site)HHSC lists no state violations for it.
Mar 22, 2023Health inspection, first visit (an investigation; on site)HHSC lists no state violations for it.
Feb 1, 2023Health inspection, follow-up visit (full renewal survey; an investigation; off site)HHSC lists no state violations for it.
Jan 3, 2023Health inspection, first visit (full renewal survey; an investigation; on site)From Dec 30, 2022 to Jan 3, 2023. 2 state violations cited: P-2050 (D), P-2473 (D).

Is it licensed?

  • Assisted living facility, Type B, listed by Texas Health and Human Services Commission, Long-Term Care Regulation as licensed for 226 residents.
  • Licence number 149393, valid Feb 1, 2026 to Feb 1, 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.”.
  • Alzheimer certification for 43 residents.
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: Crpcsh Harbor Lakeway Venture LLC.
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

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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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