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 · 60 licensed beds
HHSC licence number 313210 · temporary licence through October 20, 2026
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 keep floors in good condition and regularly cleaned.July 23, 2026
- The facility failed to conduct and document a risk assessment for potential emergencies or disasters.July 23, 2026
- The facility failed to inspect, test, and maintain fire sprinkler system components.July 23, 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 23, 2026
- The facility failed to obtain pressure tests of gas piping in the facility.July 23, 2026
- The facility failed to conduct required fire drills and document fire drills on the required form.July 23, 2026
- The facility failed to include a section addressing evacuation in the emergency preparedness and response plan.July 23, 2026
- The facility failed to provide exhaust for odor-producing areas.July 23, 2026
- The facility failed to have an ongoing and effective pest control program and to provide insect screens on operable windows.July 23, 2026
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 11, 2024 | health inspection | 1 |
| July 23, 2026 | comprehensive inspection | 0 |
| July 23, 2026 | life safety code inspection | 9 |
What the citations cover
- Life safety 3
- Physical plant 3
- Emergency management 3
- Uncatalogued tags 1
| Category | Citations |
|---|---|
| Life safety | 3 |
| Physical plant | 3 |
| Emergency management | 3 |
| Uncatalogued tags | 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.
July 23, 2026 — life safety code inspection, 9 citations
July 23, 2026 — comprehensive inspection, nothing cited
December 11, 2024 — health inspection, 1 citation
| What HHSC found | Corrected |
|---|---|
| The facility failed to provide a safe and decent living environment. | December 20, 2024 |
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.