Assisted living in Medina County
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Filter them by what their records say, and open any one to read it: every fact with its source and date.
7 assisted living facilities in Medina County, Texas.
From the Texas Health and Human Services Commission, Long-Term Care Regulation: Directory of Assisted Living Facility Providers with an Active License; and the 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 and Facility visit history, sent Oct 28, 2026, covering Jan 1, 2023 to Oct 19, 2026. The record lists 2,012 assisted living facilities in Texas.
7of 7 assisted living facilitiesshown with your filters
What the words on these cards mean7
- 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.
- 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.
- 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.
- Accepts Medicaid
- The state’s own list says the place takes part in a Medicaid program (a waiver, a contract or a program like Illinois’s supportive living) that can pay for care for people who qualify. Source: Each state’s list.
- Not published
- The source has no such field for this place. It isn’t a zero, and it isn’t a clean record. Source: How this site reads each source.
The list
- Assisted living facility, Type B Brenda’s Devine Heritage Residential, Inc. Devine, Texas 78016 2at the state’s most serious level, in three years (needs attention)50residents, its licensed capacity KindAssisted living facility, Type BCapacity50 residentsCitationsNot publishedMost serious2LicenceNot published 45 violations in 5 months of the last 45. Last cited Aug 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).
- Assisted living facility, Type A Brenda’s Devine Heritage Residential, Inc. DBA Brendas Residential Assisted Living Devine, Texas 78016 2at the state’s most serious level, in three years (needs attention)8residents, its licensed capacity KindAssisted living facility, Type ACapacity8 residentsCitationsNot publishedMost serious2LicenceNot published 74 violations in 6 months of the last 45. Last cited Aug 2026. Most serious: level 4 of HHSC’s four (J, K or L), the level HHSC counts as an immediate threat; its scope widespread (L).
- Assisted living facility, Type B Changing Seasons of Castroville Castroville, Texas 78009 0at the state’s most serious level, in three years16residents, its licensed capacity KindAssisted living facility, Type BCapacity16 residentsCitationsNot publishedMost serious0LicenceNot published 6 violations in 1 month of the last 45. Last cited Dec 2025. Most serious: level 2 of HHSC’s four (D, E or F); its scope widespread (F).
- Assisted living facility, Type A Chapa Residential Care Home LLC Devine, Texas 78016 0at the state’s most serious level, in three years14residents, its licensed capacity KindAssisted living facility, Type ACapacity14 residentsCitationsNot publishedMost serious0LicenceNot published 12 violations in 2 months of the last 45. Last cited Dec 2025. Most serious: level 2 of HHSC’s four (D, E or F); its scope isolated (D).
- Assisted living facility, Type A Devine Assisted Living Devine, Texas 78016 4at the state’s most serious level, in three years (needs attention)8residents, its licensed capacity KindAssisted living facility, Type ACapacity8 residentsCitationsNot publishedMost serious4LicenceNot published 74 violations in 3 months of the last 45. Last cited Oct 2025. Most serious: level 4 of HHSC’s four (J, K or L), the level HHSC counts as an immediate threat; its scope isolated (J).
- Assisted living facility, Type A Ralph and Leonor Garza Resident Care Home Devine, Texas 78016 0at the state’s most serious level, in three years16residents, its licensed capacity KindAssisted living facility, Type ACapacity16 residentsCitationsNot publishedMost serious0LicenceNot published 47 violations in 1 month of the last 45. Last cited Dec 2025. Most serious: level 2 of HHSC’s four (D, E or F); its scope isolated (D).
- Assisted living facility, Type A Reagan Manor Natalia, Texas 78059 0at the state’s most serious level, in three years20residents, its licensed capacity KindAssisted living facility, Type ACapacity20 residentsCitationsNot publishedMost serious0LicenceNot published 19 violations in 3 months of the last 45. Last cited Aug 2026. Most serious: level 2 of HHSC’s four (D, E or F); its scope a pattern (E).
Nothing matches all of these.
Remove a filter to see more. Each one is a fact the source publishes, so a place can be left out because its record is silent, not only because of what it says.
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.
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.
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.
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