State assisted-living licensing record · Texas HHSC · record as pulled September 11, 2026· Not the federal nursing home survey
Arbor House of Fredericksburg
2230 N Llano, Fredericksburg, TX 78624 · Gillespie County · 16 licensed beds
HHSC licence number 311784 · temporary licence through January 15, 2027 · first licensed August 2017
The licence
Licensed by HHSC · Assisted Living Facility, Type B · Limited Liability Company (LLC) · managed by Celeste Care LLC
Certifications and programs, as listed by HHSC
- Alzheimer's certification
- No
- Accepts Medicaid
- No
Position within Texas
10 citations — more than 86% 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 protect a space as a hazard when storage or activity in the space created a greater fire hazard than would be found in a one- or two-family dwelling.October 29, 2025
- The facility failed to check gas heating systems prior to the heating season and to maintain records of the those checks.October 29, 2025
- The facility failed to conduct and document a risk assessment for potential emergencies or disasters.October 29, 2025
- The facility failed to include a section addressing warning in the emergency preparedness and response plan.October 29, 2025
- The facility failed to inspect, test, and maintain fire sprinkler system components.October 29, 2025
- The facility failed to ensure escape routes through living rooms and dining rooms were kept clear of obstructions.October 29, 2025
- The facility failed to include a section addressing transportation in the emergency preparedness and response plan.October 29, 2025
- The facility failed to provide the required emergency preparedness and response plan training and conduct drills.October 29, 2025
- The facility failed to obtain pressure tests of gas piping in the facility.October 29, 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 29, 2025
How that compares
Compared with the median licensed assisted living facility in Texas. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 10 |
| Median facility in Texas | 2 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| October 29, 2025 | life safety code inspection | 10 |
| February 17, 2026 | comprehensive inspection | 0 |
What the citations cover
- Life safety 6
- Emergency management 4
| Category | Citations |
|---|---|
| Life safety | 6 |
| Emergency management | 4 |
Every visit on file since September 2021
As published by HHSC, newest first, including visits that cited nothing. The wording is HHSC’s own.
February 17, 2026 — comprehensive inspection, nothing cited
October 29, 2025 — life safety code inspection, 10 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.