State assisted-living licensing record · Texas HHSC · record as pulled September 11, 2026· Not the federal nursing home survey
Changing Seasons of Castroville
1687 Old Highway 90, Castroville, TX 78009 · Medina County · 16 licensed beds
HHSC licence number 307521 · licensed through July 23, 2028 · first licensed July 2019
The licence
Licensed by HHSC · Assisted Living Facility, Type B · Limited Liability Company (LLC) · managed by Residential Care Homes of America LLC
Certifications and programs, as listed by HHSC
- Alzheimer's certification
- No
- Accepts Medicaid
- No
Position within Texas
6 citations — more than 73% of the 1,995 licensed assisted living facilities in Texas. Compared only within Texas: a citation from HHSC means what it means in Texas, and there is no national assisted living record to compare to. Counted over 5 years, which holds two or three routine inspections. How this is calculated
Not in this record
Scope and severity, and enforcement. HHSC rates each finding on a scope-and-severity scale but does not publish the rating per facility, and it records fines and enforcement actions separately; neither is republished here. What is here is unusual among states: HHSC inspects fire and life safety itself and publishes those findings per facility, so this record carries a real life safety section.
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Life safety and building citations
The citations about the building itself — fire and life safety, physical plant and emergency management. Usually the maintenance side’s to fix.
- The facility failed to inspect, test, and maintain fire sprinkler system components.December 4, 2025
- The facility failed to include a section addressing transportation in the emergency preparedness and response plan.December 4, 2025
- The facility failed to register with 2-1-1 Texas to assist the state in identifying persons who may need assistance in a disaster.December 4, 2025
- The facility failed to include a section addressing health and medical needs in the emergency preparedness and response plan.December 4, 2025
- The facility failed to include a section addressing resource management in the emergency preparedness and response plan.December 4, 2025
- The facility failed to notify each resident, next of kin, or legally authorized representative how to register for evacuation assistance with 2-1-1 Texas.December 4, 2025
How that compares
Compared with the median licensed assisted living facility in Texas. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 6 |
| Median facility in Texas | 2 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| December 4, 2025 | life safety code inspection | 6 |
| December 4, 2025 | comprehensive inspection | 0 |
What the citations cover
- Emergency management 5
- Life safety 1
| Category | Citations |
|---|---|
| Emergency management | 5 |
| Life safety | 1 |
Every visit on file since September 2021
As published by HHSC, newest first, including visits that cited nothing. The wording is HHSC’s own.
December 4, 2025 — life safety code inspection, 6 citations
December 4, 2025 — comprehensive inspection, nothing cited
Reflects the HHSC record as pulled September 11, 2026. A recent visit may not appear yet. This is the Texas state licensing record; it is not the federal nursing home survey and the two are never combined.