State assisted-living licensing record · Texas HHSC · record as pulled September 11, 2026· Not the federal nursing home survey
Gemstone San Marcos Business LLC
1401 Wonder World Drive, San Marcos, TX 78666 · Hays County · 90 licensed beds
HHSC licence number 313204 · temporary licence through October 15, 2026
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
6 citations — more than 73% 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.July 22, 2026
- 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.July 22, 2026
- The facility failed to obtain pressure tests of gas piping in the facility.July 22, 2026
- The facility failed to conduct required fire drills and document fire drills on the required form.July 22, 2026
- The facility failed to include a section addressing evacuation in the emergency preparedness and response plan.July 22, 2026
- The facility failed to have an ongoing and effective pest control program and to provide insect screens on operable windows.July 22, 2026
How that compares
Compared with the median licensed assisted living facility in Texas. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 6 |
| Median facility in Texas | 2 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| July 22, 2026 | life safety code inspection | 6 |
| August 14, 2026 | comprehensive inspection | 0 |
What the citations cover
- Emergency management 3
- Life safety 2
- Physical plant 1
| Category | Citations |
|---|---|
| Emergency management | 3 |
| Life safety | 2 |
| 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 14, 2026 — comprehensive inspection, nothing cited
July 22, 2026 — life safety code inspection, 6 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.