State assisted-living licensing record · Texas HHSC · record as pulled September 11, 2026· Not the federal nursing home survey

Ralph and Leonor Garza Resident Care Home

265 County Rd 6611, Devine, TX 78016 · Medina County · 16 licensed beds

HHSC licence number 144515 · licensed through April 27, 2029 · first licensed April 2001

The licence

Licensed by HHSC · Assisted Living Facility, Type A · Other

Certifications and programs, as listed by HHSC
Alzheimer's certification
No
Accepts Medicaid
No
38
Citations on file
Since September 2021
2
HHSC visits
1 routine inspection
36
Life safety and building
Life safety · physical plant · emergency

Position within Texas

38 citations — more than 99% 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.

Get an email about Ralph and Leonor Garza Resident Care Home

One email when it happens, from the HHSC record as it is pulled each month. No account; stop it any time with one click.

Which alerts

This is the state licensing record, not the federal nursing home survey. Your address is used for these alerts and nothing else.

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.

How that compares

Citations on file over 5 years

Compared with the median licensed assisted living facility in Texas. Within-state only.

This facility38Texas median2
Citations on file over 5 years, compared
MeasureCitations
This facility38
Median facility in Texas2

Visit history

Citations at each HHSC visit
382025-12
Citations at each HHSC visit
VisitTypeCitations
December 3, 2025life safety code inspection38
December 3, 2025comprehensive inspection0

What the citations cover

Citations by category (TagProof's grouping)
  • Life safety 18
  • Emergency management 11
  • Physical plant 7
  • Resident care 2
Citations by category
CategoryCitations
Life safety18
Emergency management11
Physical plant7
Resident care2

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 3, 2025 — life safety code inspection, 38 citations

Citations from the life safety code inspection on December 3, 2025
What HHSC foundCorrected
The facility's plan failed to include the location of a current list of the facility's resident population.—
The facility failed to request a final construction inspection after building rehabilitation.—
The facility failed to check gas heating systems prior to the heating season and to maintain records of the those checks.—
The facility failed to maintain outdoor areas in good condition and to keep outdoor areas free of fire or health hazards.—
The facility failed to ensure means of escape met the referenced codes and standards.—
The facility failed to include a section addressing warning in the emergency preparedness and response plan.—
The facility failed to provide the minimum levels of illumination required in the facility.—
The facility failed to ensure the sensitivity of smoke detectors was checked according to NFPA 72.—
The facility failed to ensure at least one window in each bedroom in a facility without fire sprinklers met the minimum requirements to use the window as a means of escape.—
The facility failed to ensure the building electrical system met the referenced codes and standards.—
The facility failed to keep buildings clean and free of hazards.—
The facility failed to ensure a working fireplace was only used in a building protected by fire sprinklers, was not located in a resident sleeping room, was only used in a room with carbon monoxide detection and had safety features to prevent residents from harm.—
The facility failed to have a complete fire safety plan for the protection of everyone in the facility in the event of a fire.—
The facility failed to include a section addressing direction and control in the emergency preparedness and response plan.—
The facility failed to have and enforce a smoking policy.—
The facility failed to ensure resident room doors in a building that does not have fire sprinklers were solid doors that were at least 1-3/4 inches thick or had an opening protection rating of at least 20 minutes, that the doors were self-closing or automatic-closing, and that the doors would latch in their frames.—
The facility failed to register with 2-1-1 Texas to assist the state in identifying persons who may need assistance in a disaster.—
The facility failed to provide the minimum required number of toilets and lavatories.—
The facility failed to provide the required emergency preparedness and response plan training and conduct drills.—
The facility failed to provide furnishings for a resident who did not provide their own furnishings.—
The facility failed to include a section addressing health and medical needs in the emergency preparedness and response plan.—
The facility failed to have a program to inspect, test, and maintain the fire alarm system and keep records of inspection, testing, and maintenance of the fire alarm system.—
The facility failed to include a section addressing sheltering arrangements in the emergency preparedness and response plan.—
The facility failed to provide the minimum required number of bathtubs or showers.—
The facility failed to obtain pressure tests of gas piping in the facility.—
The facility failed to provide smoke detectors in the required locations.—
The facility failed to include a section addressing resource management in the emergency preparedness and response plan.—
The facility failed to conduct required fire drills and document fire drills on the required form.—
The facility failed to include a section addressing communication in the emergency preparedness and response plan.—
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.—
The facility failed to notify HHSC in writing prior to the start of building rehabilitation.—
The facility failed to include a section addressing evacuation in the emergency preparedness and response plan.—
The facility failed to have an ongoing and effective pest control program and to provide insect screens on operable windows.—
The failed to provide safe waste containers in smoking areas.—
The facility failed to provide a staff area on each floor and in each separate building containing resident bedrooms with all the required features.—
The receiving facility's plan failed to include procedures for accommodating a temporary emergency placement of one or more residents during a disaster or emergency.—
The facility failed to correct a site or building condition that was a fire, health, or physical hazard.—
The facility failed to provide a fire alarm control panel visible to facility staff or monitored by devices carried by facility staff.—

December 3, 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.