State assisted-living licensing record · Texas HHSC · record as pulled September 11, 2026· Not the federal nursing home survey
220 Harper L L C
220 Harper Rd, Kerrville, TX 78028 · Kerr County · 16 licensed beds
HHSC licence number 148463 · licensed through November 18, 2027
The licence
Licensed by HHSC · Assisted Living Facility, Type A · Limited Liability Company (LLC)
Certifications and programs, as listed by HHSC
- Alzheimer's certification
- No
- Accepts Medicaid
- No
Position within Texas
11 citations — more than 88% 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 provide the required emergency preparedness and response plan training and conduct drills.April 30, 2026
- The facility failed to conduct and document a risk assessment for potential emergencies or disasters.April 3, 2025
- The facility failed to ensure means of escape met the referenced codes and standards.April 3, 2025
- The facility failed to keep walls and ceilings in good condition.April 3, 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.April 3, 2025
- 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.April 3, 2025
- The facility failed to provide portable fire extinguishers that met the referenced codes and standards.April 3, 2025
- The facility failed to have and enforce a smoking policy.April 3, 2025
- The facility failed to provide the required emergency preparedness and response plan training and conduct drills.April 3, 2025
- The facility failed to conduct required fire drills and document fire drills on the required form.April 3, 2025
- The facility failed to provide a fire sprinkler system that met the referenced codes and standards.April 3, 2025
How that compares
Compared with the median licensed assisted living facility in Texas. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 11 |
| Median facility in Texas | 2 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| April 3, 2025 | life safety code inspection | 10 |
| April 30, 2026 | health inspection | 1 |
| April 30, 2026 | comprehensive inspection | 0 |
What the citations cover
- Life safety 6
- Emergency management 4
- Physical plant 1
| Category | Citations |
|---|---|
| Life safety | 6 |
| Emergency management | 4 |
| Physical plant | 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.
April 30, 2026 — health inspection, 1 citation
| What HHSC found | Corrected |
|---|---|
| The facility failed to provide the required emergency preparedness and response plan training and conduct drills. | — |
April 30, 2026 — comprehensive inspection, nothing cited
April 3, 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.