State assisted-living licensing record · Texas HHSC · record as pulled September 11, 2026· Not the federal nursing home survey
Reagan Manor
229 E Cr 5718, Natalia, TX 78059 · Medina County · 20 licensed beds
HHSC licence number 147515 · licensed through May 21, 2027 · first licensed May 2004
The licence
Licensed by HHSC · Assisted Living Facility, Type A · FOR-PROFIT CORPORATION
Certifications and programs, as listed by HHSC
- Alzheimer's certification
- No
- Accepts Medicaid
- No
Position within Texas
17 citations — more than 94% 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 Reagan Manor
One email when it happens, from the HHSC record as it is pulled each month. No account; stop it any time with one click.
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 17, 2025
- The facility failed to train staff in the use of fire extinguishers, failed to inspect and maintain fire extinguishers, and failed to keep records of inspection and maintenance of fire extinguishers.October 17, 2025
- The facility failed to include a section addressing transportation in the emergency preparedness and response plan.October 17, 2025
- The facility failed to develop and maintain a written emergency preparedness and response plan based on its risk assessment under subsection (b) of this section and that is adequate to protect facility residents and staff in a disaster or emergency.October 17, 2025
- The facility failed to keep buildings clean and free of hazards.October 17, 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.October 17, 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 17, 2025
- The facility failed to include a section addressing direction and control in the emergency preparedness and response plan.October 17, 2025
- The facility failed to provide the required emergency preparedness and response plan training and conduct drills.October 17, 2025
- The facility failed to inspect, test, and maintain fire alarm system components.October 17, 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 17, 2025
- The facility failed to protect commercial cooking equipment according to the standard for ventilation control and fire protection of commercial cooking operations.October 17, 2025
- The facility failed to include a section addressing evacuation in the emergency preparedness and response plan.October 17, 2025
- The failed to provide safe waste containers in smoking areas.October 17, 2025
How that compares
Compared with the median licensed assisted living facility in Texas. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 17 |
| Median facility in Texas | 2 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| October 17, 2025 | life safety code inspection | 15 |
| August 4, 2026 | comprehensive inspection | 0 |
| August 4, 2026 | health inspection | 2 |
What the citations cover
- Emergency management 7
- Life safety 6
- Food service 2
- Records and administration 1
- Other 1
| Category | Citations |
|---|---|
| Emergency management | 7 |
| Life safety | 6 |
| Food service | 2 |
| Records and administration | 1 |
| 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.
August 4, 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 comply with Texas Food Establishment rules and local health ordinances and requirements. | — |
August 4, 2026 — comprehensive inspection, nothing cited
October 17, 2025 — life safety code inspection, 15 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.