Nursing homes and assisted living in Medina County, Texas
3 certified nursing homes
1 of these 3 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 |
|---|---|---|---|---|---|---|
| Medina Valley Health & Rehabilitation Center | Castroville | 3★ | 4★ | 36 | 0 | 0 |
| Devine Health & Rehabilitation | Devine | 5★ | 5★ | 12 | 0 | 0 |
| Community Care Center of Hondo | Hondo | 1★ | 2★ | 22 | 3 | 2 ($19,096) |
*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 26, 2026
7 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 |
|---|---|---|---|---|---|---|---|---|
| Changing Seasons Of Castroville | 1687 Old Highway 90, Castroville 78009 | 307521 | Type B | 16 | Not certified | July 23, 2019 | July 23, 2028 | Residential Care Homes Of America, LLC Managed by Residential Care Homes Of America, LLC |
| Brenda's Devine Heritage Residential, INC | 307 Briscoe Ave, Devine 78016 | 312806 | Type B | 50 | Not certified | Not published | June 9, 2028 | Brenda's Devine Heritage Dba Brenda's Residential Assisted Living |
| Brenda's Devine Heritage Residential, INC Dba Brendas Residential Assisted Living | 309 Briscoe Ave, Devine 78016 | 149294 | Type A | 8 | Not certified | Not published | April 22, 2029 | Brenda's Devine Heritage Dba Brenda's Residential Assisted Living |
| Chapa Residential Care Home LLC | 216 West C R 5719, Devine 78016 | 149660 | Type A | 14 | Not certified | Not published | July 21, 2029 | Chapa Residential Care Home LLC |
| Devine Assisted Living | 405 E Hondo, Devine 78016 | 146916 | Type A | 8 | Not certified | February 26, 2002 | February 26, 2027 | Brenda Burford |
| Ralph And Leonor Garza Resident Care Home | 265 County Rd 6611, Devine 78016 | 144515 | Type A | 16 | Not certified | April 27, 2001 | April 27, 2029 | Ralph Garza |
| Reagan Manor | 229 E Cr 5718, Natalia 78059 | 147515 | Type A | 20 | Not certified | May 26, 2004 | May 21, 2027 | Reagan Manor INC |
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