State assisted-living licensing record · Texas HHSC · record as pulled September 11, 2026· Not the federal nursing home survey
Miramar Home Care
8662 Gavel Drive, Converse, TX 78109 · Bexar County · 6 licensed beds
HHSC licence number 145454 · licensed through August 30, 2029 · first licensed October 2012
The licence
Licensed by HHSC · Assisted Living Facility, Type B · Other
Certifications and programs, as listed by HHSC
- Alzheimer's certification
- No
- Accepts Medicaid
- No
Position within Texas
9 citations — more than 83% 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 conduct and document a risk assessment for potential emergencies or disasters.December 12, 2025
- The facility failed to inspect, test, and maintain fire sprinkler system components.December 12, 2025
- The facility failed to review the plan at least annually to reflect changes in information, within 30 days following a disaster, within 30 days after a drill, and within 30 days after a change in rule or policy.December 12, 2025
- The facility failed to inspect, test, and maintain fire alarm system components.December 12, 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 12, 2025
- The facility failed to include a section addressing health and medical needs in the emergency preparedness and response plan.October 22, 2025
- The facility failed to obtain an inspection by the fire marshal every year and to keep documentation showing the outcome of the last inspection.October 22, 2025
How that compares
Compared with the median licensed assisted living facility in Texas. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 9 |
| Median facility in Texas | 2 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| October 22, 2025 | health inspection | 4 |
| December 12, 2025 | life safety code inspection | 5 |
| December 12, 2025 | comprehensive inspection | 0 |
What the citations cover
- Emergency management 4
- Life safety 3
- Medication 1
- Staffing and training 1
| Category | Citations |
|---|---|
| Emergency management | 4 |
| Life safety | 3 |
| Medication | 1 |
| Staffing and training | 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 12, 2025 — life safety code inspection, 5 citations
December 12, 2025 — comprehensive inspection, nothing cited
October 22, 2025 — health inspection, 4 citations
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.