Texas HHSC Licensing Data
Assisted Living in Medina County, Texas: the 8 Licenses in the January 2026 HHSC Export
As of the January 2026 HHSC export, Medina County had 8 active assisted living licenses with a combined licensed capacity of 140 residents. 2 were Type B (staff-assisted evacuation), 6 Type A, and 0certified for Alzheimer's and memory care.
Source: Texas Health and Human Services Commission (HHSC) Long-term Care Provider directory, January 2026 export. This directory is a dated snapshot, not a live licensing database. License status may have changed since January 2026 — always confirm via the official HHSC provider search before touring or signing anything. Compiled by Erika Crossley from the Texas HHSC provider directory.
8
Active licenses (January 2026)
140
Licensed capacity
0
Memory care certified
3
Cities & communities
Every Medina County License in the January 2026 HHSC Export
Sorted by licensed capacity. Communities: Castroville, Devine, Natalia.
| Facility | City | Type | Capacity | Memory care | License # | Phone |
|---|---|---|---|---|---|---|
| Brenda's Devine Heritage Residential, Inc | Devine | B | 50 | — | 312806 | (210) 387-7515 |
| Reagan Manor | Natalia | A | 20 | — | 147515 | (210) 365-7799 |
| Changing Seasons Of Castroville | Castroville | B | 16 | — | 307521 | (830) 355-2496 |
| Ralph And Leonor Garza Resident Care Home | Devine | A | 16 | — | 144515 | (830) 665-2559 |
| Chapa Residential Care Home LLC | Devine | A | 14 | — | 149660 | (830) 709-4420 |
| Brenda's Devine Heritage Dba Brendas Residential Assisted Living | Devine | A | 8 | — | 149294 | (210) 387-7515 |
| Devine Assisted Living | Devine | A | 8 | — | 146916 | (210) 387-7515 |
| Sterling Residential Care I | Devine | A | 8 | — | 311554 | (830) 665-5829 |
Each row is one HHSC license; some communities hold more than one license (for example separate Type A and Type B licenses for the same campus) and appear once per license. Rows without a valid published phone number show a dash.
Frequently Asked Questions
How many assisted living facilities are in Medina County, Texas?
As of the January 2026 Texas HHSC export, Medina County had 8 active assisted living licenses with a combined licensed capacity of 140 residents. 2 were Type B and 6 Type A. HHSC issues and closes licenses year-round, so verify current status through the official HHSC provider search.
How many memory care facilities are in Medina County?
In the January 2026 HHSC export, none of the 8 licensed assisted living facilities in Medina County held an Alzheimer's/memory care certification. Families needing memory care typically look to neighboring counties.
What is the difference between Type A and Type B assisted living in Texas?
Under Texas HHSC licensing, Type A facilities serve residents who can evacuate unassisted in an emergency and who do not need routine staff attendance during nighttime sleeping hours. Type B facilities serve residents who need staff assistance to evacuate, including overnight attendance. Most Texas facilities are licensed Type B.
How do I verify a facility's license in Medina County?
Every facility in this directory lists its HHSC license number. Verify current status, inspection history, and any enforcement actions through the official HHSC Long-term Care Provider Search at apps.hhs.texas.gov/LTCSearch.
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