Every HHSC-licensed provider in five counties · Last verified: October 2026
187 HHSC-licensed facilities, Type A and Type B
Open the list →59 facilities with an HHSC Alzheimer's certification
Open the list →85 licensed nursing facilities
Open the list →223 licensed agencies
Open the list →188 licensed agencies
Open the list →It lists every senior care provider Texas HHSC currently licenses in Bexar, Comal, Guadalupe, Kendall and Medina counties: 187 assisted living facilities, 85 nursing facilities, 223 home health agencies and 188 hospice agencies.
From the Texas Health and Human Services Commission's own provider directories and its TULIP Long-Term Care Provider Search, which publishes each facility's inspection findings and enforcement actions.
33 of the 187 assisted living facilities have an HHSC administrative penalty on their current record.
The 40 largest assisted living and memory care campuses in the five counties each have a full profile with their license, inspection findings, enforcement record, ownership and location context.
| Assisted living is | Memory care is | |
|---|---|---|
| Texas license | HHSC assisted living license, Type A or Type B (Tex. Health & Safety Code Ch. 247) | The same ALF license, plus an HHSC Alzheimer's certification for the unit or building |
| Who it is for | Adults who need help with bathing, dressing, medications or meals | People with Alzheimer's disease or another dementia who need a secured setting and dementia-trained staff |
| Night-time staff | Type A: residents must not need routine attendance at night. Type B: awake night staff | Awake staff overnight is expected; dementia symptoms often peak in the evening |
| Evacuation | Type A residents must be able to leave the building on their own in an emergency | Residents may need staff help to evacuate, so memory care is almost always Type B |
| What it isn't | Not a nursing home: no 24-hour licensed nursing, not paid for by Medicare | Not a locked psychiatric unit and not skilled nursing; Medicare does not pay for the room or care |
Every listing comes from the Texas Health and Human Services Commission (HHSC), Long-Term Care Regulation: the Directory of Assisted Living Facility Providers with an Active License (as of October 22, 2026), the HHSC nursing facility and home and community support services agency directories, and each facility's record in the HHSC TULIP Long-Term Care Provider Search (inspection findings and administrative penalties), pulled October 24, 2026.
We refresh the data monthly. Facilities do not pay to be listed, and nothing here is a rating. Last updated: October 24, 2026.
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