State assisted-living licensing record · Texas HHSC · record as pulled September 11, 2026· Not the federal nursing home survey
Gemstone Senior Living at Oakwell LLC
20 Lynn Batts Ln, San Antonio, TX 78218 · Bexar County · 16 licensed beds
HHSC licence number 312643 · licensed, enforcement action pending through November 20, 2027
The licence
Licensed by HHSC · Assisted Living Facility, Type B · Limited Liability Company (LLC) · managed by Mg Operations LLC
Certifications and programs, as listed by HHSC
- Alzheimer's certification
- Yes, through 11/20/2027
- Alzheimer's unit capacity
- 16
- Accepts Medicaid
- No
Position within Texas
7 citations — more than 77% 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 an approved outdoor area for the segregated unit.October 23, 2025
- The facility failed to maintain outdoor areas in good condition and to keep outdoor areas free of fire or health hazards.October 23, 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 23, 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 23, 2025
- The facility failed to provide proper locking devicesOctober 23, 2025
- The facility failed to ensure flammable and combustible liquids were not stored in buildings used by residents.October 23, 2025
- The facility failed to conduct required fire drills and document fire drills on the required form.November 14, 2024
How that compares
Compared with the median licensed assisted living facility in Texas. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 7 |
| Median facility in Texas | 2 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| November 14, 2024 | health inspection | 1 |
| October 23, 2025 | comprehensive inspection | 0 |
| October 23, 2025 | life safety code inspection | 6 |
What the citations cover
- Life safety 5
- Physical plant 2
| Category | Citations |
|---|---|
| Life safety | 5 |
| Physical plant | 2 |
Every visit on file since September 2021
As published by HHSC, newest first, including visits that cited nothing. The wording is HHSC’s own.
October 23, 2025 — life safety code inspection, 6 citations
October 23, 2025 — comprehensive inspection, nothing cited
November 14, 2024 — health inspection, 1 citation
| What HHSC found | Corrected |
|---|---|
| The facility failed to conduct required fire drills and document fire drills on the required form. | — |
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.