State assisted-living licensing record · Texas HHSC · record as pulled September 11, 2026· Not the federal nursing home survey
Arbor House of Fredericksburg Memory Care
2230 N Llano St, Fredericksburg, TX 78624 · Gillespie County · 16 licensed beds
HHSC licence number 311780 · licensed through January 15, 2027 · first licensed November 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
12 citations — more than 89% 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.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 include a section addressing transportation in the emergency preparedness and response plan.October 29, 2025
- The facility failed to have a complete fire safety plan for the protection of everyone in the facility in the event of a fire.October 29, 2025
- The facility failed to provide portable fire extinguishers that met the referenced codes and standards.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 ensure the building electrical system met the references codes and standards.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 | 12 |
| Median facility in Texas | 2 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| October 29, 2025 | life safety code inspection | 10 |
| August 5, 2026 | health inspection | 2 |
| August 5, 2026 | comprehensive inspection | 0 |
What the citations cover
- Life safety 5
- Emergency management 4
- Food service 2
- Staffing and training 1
| Category | Citations |
|---|---|
| Life safety | 5 |
| Emergency management | 4 |
| Food service | 2 |
| 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.
August 5, 2026 — health inspection, 2 citations
| What HHSC found | Corrected |
|---|---|
| The facility failed to procure food from acceptable sources, or failed to handle food, subject to spoilage, as required. | — |
| The facility failed to ensure effective hair restraints were worn to prevent food contamination. | — |
August 5, 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.