State assisted-living licensing record · Texas HHSC · record as pulled September 11, 2026· Not the federal nursing home survey
Heart To Heart Residential Care Home LLC
12119 San Miguel, San Antonio, TX 78233 · Bexar County · 12 licensed beds
HHSC licence number 147904 · licensed through August 8, 2028 · first licensed June 2009
The licence
Licensed by HHSC · Assisted Living Facility, Type B · Limited Liability Company (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 conduct and document a risk assessment for potential emergencies or disasters.December 30, 2025
- The facility failed to ensure means of escape met the referenced codes and standards.December 30, 2025
- The facility failed to keep walls and ceilings in good condition.December 30, 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.December 30, 2025
- The facility failed to include a section addressing direction and control in the emergency preparedness and response plan.December 30, 2025
- The facility failed to have a program to inspect, test, and maintain the fire sprinkler system and keep records of inspection, testing, and maintenance of the fire sprinkler system.December 30, 2025
- The facility failed to provide the required emergency preparedness and response plan training and conduct drills.December 30, 2025
- The facility failed to ensure the building electrical system met the references codes and standards.December 30, 2025
- The facility failed to have a program to inspect, test, and maintain the fire alarm system and keep records of inspection, testing, and maintenance of the fire alarm system.December 30, 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 |
|---|---|---|
| December 30, 2025 | life safety code inspection | 10 |
| December 30, 2025 | comprehensive inspection | 0 |
What the citations cover
- Emergency management 4
- Life safety 4
- Records and administration 1
- Physical plant 1
| Category | Citations |
|---|---|
| Emergency management | 4 |
| Life safety | 4 |
| 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.
December 30, 2025 — life safety code inspection, 10 citations
December 30, 2025 — comprehensive inspection, nothing cited
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.