Nursing homes and assisted living in Hays County, Texas
6 certified nursing homes
5 of these 6 had at least one citation at the actual-harm or immediate-jeopardy level (scope/severity G–L) in their last three inspection cycles. Open a facility for every citation, fine and staffing figure.
| Nursing home | City | Overall | Health inspections | Health citations* | Serious citations (G–L) | Fines |
|---|---|---|---|---|---|---|
| Avir at Dripping Springs | Dripping Springs | 4★ | 5★ | 13 | 0 | 0 |
| Legend Oaks Healthcare and Rehabilitation-Kyle | Kyle | 3★ | 3★ | 26 | 1 | 1 ($8,407) |
| Cypress Healthcare and Rehabilitation Center | San Marcos | 1★ | 1★ | 47 | 8 | 3 ($221,139) |
| Hays Nursing and Rehabilitation Center | San Marcos | 3★ | 3★ | 26 | 2 | 1 ($8,226) |
| San Marcos Rehabilitation and Healthcare Center | San Marcos | 2★ | 2★ | 17 | 3 | 1 ($33,891) |
| Deer Creek Nursing and Rehabilitation | Wimberley | 1★ | 1★ | 36 | 6 | 4 ($75,581) |
*Health citations in the CMS Health Deficiencies file (last 3 inspection cycles, including complaint and infection control inspections). Sorted by city. Not a ranking.
Source: CMS nursing home provider data: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026
20 licensed assisted living facilities (Assisted living facility (ALF))
License records from Texas Health and Human Services Commission. The state list has no inspection results. To see those, use the Texas assisted living lookup steps.
| Facility | Address | License no. | Type | Licensed capacity | Alzheimer certified capacity | First licensed | License expires | Licensed owner |
|---|---|---|---|---|---|---|---|---|
| Laurel's House | 13701 Trautwein Road, Austin 78737 | 148362 | Type B | 16 | Not certified | November 1, 2017 | November 1, 2028 | Lavender Springs LLC |
| Wc Ledgestone Owner Ix, LP | 13150 Four Star Blvd, Austin 78737 | 312793 | Type B | 92 | 19 | December 13, 2016 | January 23, 2028 | Wc Ledgestone Owner Ix, LP Managed by Csl Ledgestone Subtenant LLC |
| Buda Oaks Assisted Living And Memory Care | 1120 Cabelas Drive, Buda 78610 | 307754 | Type B | 132 | 34 | March 13, 2020 | March 13, 2029 | Buda House Assisted Living LLC |
| Provident Assisted Living Buda | 645 Fm 967, Ste 300, Buda 78610 | 311522 | Type B | 48 | Not certified | December 28, 2018 | May 17, 2026 | Tamirowood Buda Operations LLC Managed by Enriched Senior Living, LLC |
| The Gardens Of Buda Memory Care | 645 Fm 967, Buda 78610 | 311419 | Type B | 22 | 22 | October 28, 2010 | February 28, 2029 | Cara Buda Operations, LLC Managed by Imagine Senior Living, LLC |
| New Haven Assisted Living And Memory Care Of Kyle, LLC | 107 Creekside Trail - Building B, Kyle 78640 | 145920 | Type B | 16 | 16 | September 25, 2014 | September 25, 2029 | New Haven Assisted Living Of Kyle, LLC |
| New Haven Assisted Living Of Kyle, LLC | 107 Creekside Trail - Building A, Kyle 78640 | 145229 | Type B | 16 | Not certified | September 25, 2014 | September 25, 2028 | New Haven Assisted Living Of Kyle, LLC Managed by Enriched Senior Living, LLC |
| Orchard Park Of Kyle | 4701 Ratcliffe Drive, Kyle 78640 | 313024 | Type B | 141 | 141 | November 15, 2013 | December 1, 2028 | 4701 Ratcliffe Drive Opco, LLC Managed by Sh1 Southern Bay Tx Mgmt LLC |
| The Philomena Assisted Living And Memory Care | 350 Philomena Drive, Kyle 78640 | 307587 | Type B | 132 | 34 | December 2, 2019 | December 2, 2028 | Philomena Assisted Living LLC |
| Acclaimed Senior Living | 1001 Crepe Myrtle St, San Marcos 78666 | 312972 | Type B | 16 | 16 | February 26, 2026 | February 26, 2029 | Acclaimed Senior Living |
| Brookdale San Marcos North | 1720 Old Ranch Rd 12, San Marcos 78666 | 149833 | Type B | 12 | 12 | Not published | April 30, 2028 | Sh Thirtyfive Opcosan Marcos, LLC, Managed by Psl Associates, LLC |
| Brookdale San Marcos North | 1720 Old Ranch Rd 12, San Marcos 78666 | 147420 | Type A | 65 | Not certified | Not published | April 30, 2028 | Sh Thirtyfive Opcosan Marcos, LLC, Managed by Psl Associates, LLC |
| Gemstone San Marcos Business LLC | 1401 Wonder World Drive, San Marcos 78666 | 313210 | Type B | 60 | Not certified | Not published | January 18, 2027 | Gemstone San Marcos Business LLC |
| Gemstone San Marcos Business LLC | 1401 Wonder World Drive, San Marcos 78666 | 313204 | Type A | 90 | Not certified | Not published | June 30, 2029 | Gemstone San Marcos Business LLC |
| Mariella Senior Living Of Sage Spring | 802 Leah Avenue, San Marcos 78666 | 312064 | Type B | 106 | 24 | November 13, 2020 | March 15, 2027 | Inspired Senior Living Of San Marcos Mt, LLC Managed by Volante Senior Living LLC |
| Rehab Without Walls Neuro Rehabilitation | 618 W Hutchison, San Marcos 78666 | 149025 | Type A | 8 | Not certified | Not published | October 15, 2028 | Tangram Rehabilitation Network, INC |
| Smith House | 119 Smith Ln, San Marcos 78666 | 149275 | Type A | 8 | Not certified | May 4, 2010 | May 4, 2028 | Therapeutic Communities, LLC |
| Symphony Of Wimberley Assisted Living | 501 Fm 3237, Wimberley 78676 | 308032 | Type B | 16 | 16 | December 29, 2020 | December 29, 2026 | Symphony Of Wimberley, LLC |
| Wildflower Springs Assisted Living | 501 Fm 3237 Building 2, Wimberley 78676 | 313251 | Type B | 16 | Not certified | August 20, 2026 | August 20, 2029 | Wildflower Springs Manager LLC Managed by Lavender Springs LLC |
| Alexis Pointe | 14390 Ranch Road 12, Wimberly 78676 | 313097 | Type B | 96 | 24 | March 13, 2020 | February 23, 2029 | Vop Alexis Wimberley, LLC Managed by Civitas Senior Healthcare, LLC |
Source: Directory of Assisted Living Facility Providers with an Active License as of 2026-10-22: apps.hhs.texas.gov · data as of October 22, 2026 · last checked October 24, 2026