State assisted-living licensing record · Texas HHSC · record as pulled September 11, 2026· Not the federal nursing home survey
Pams Home Care
2322 Frontier Trail, San Antonio, TX 78251 · Bexar County · 6 licensed beds
HHSC licence number 147693 · licensed, enforcement action pending through April 12, 2027 · first licensed April 2013
The licence
Licensed by HHSC · Assisted Living Facility, Type A · Sole Proprietor
Certifications and programs, as listed by HHSC
- Alzheimer's certification
- No
- Accepts Medicaid
- No
Position within Texas
25 citations — more than 98% 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 Pams Home Care
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 keep buildings clean and free of hazards.August 12, 2026
- The facility failed to have and enforce a smoking policy.August 12, 2026
- The facility failed to have an ongoing and effective pest control program and to provide insect screens on operable windows.August 12, 2026
- The facility failed to keep floors in good condition and regularly cleaned.November 17, 2025
- The facility failed to check gas heating systems prior to the heating season and to maintain records of the those checks.November 17, 2025
- The facility failed to conduct and document a risk assessment for potential emergencies or disasters.November 17, 2025
- The facility failed to ensure means of escape met the referenced codes and standards.November 17, 2025
- The facility failed to inspect, test, and maintain fire sprinkler system components.November 17, 2025
- The facility failed to keep walls and ceilings in good condition.November 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.November 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.November 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.November 17, 2025
- The facility failed to provide portable fire extinguishers that met the referenced codes and standards.November 17, 2025
- The facility failed to have and enforce a smoking policy.November 17, 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.November 17, 2025
- The facility failed to inspect, test, and maintain fire alarm system components.November 17, 2025
- The facility failed to obtain pressure tests of gas piping in the facility.November 17, 2025
- The facility failed to correct a site or building condition that was a fire, health, or physical hazard.November 17, 2025
How that compares
Compared with the median licensed assisted living facility in Texas. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 25 |
| Median facility in Texas | 2 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| November 17, 2025 | life safety code inspection | 17 |
| August 12, 2026 | health inspection | 8 |
| August 12, 2026 | comprehensive inspection | 0 |
What the citations cover
- Life safety 11
- Staffing and training 4
- Physical plant 4
- Emergency management 3
- Other 3
| Category | Citations |
|---|---|
| Life safety | 11 |
| Staffing and training | 4 |
| Physical plant | 4 |
| Emergency management | 3 |
| Records and administration | 2 |
| Medication | 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 12, 2026 — health inspection, 8 citations
August 12, 2026 — comprehensive inspection, nothing cited
November 17, 2025 — life safety code inspection, 17 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.