Assisted Living
A Serene Setting
2101 Cross Creek Trl, Round Rock, TX 78681 · Map
Licensed for 10 residents · A SERENE SETTING, LLC
A Serene Setting is a state-licensed assisted living community in Round Rock, Texas. It is licensed for 10 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Care and services
From the community’s website
What A Serene Setting says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Services
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
Your loved one will have access to visiting doctor groups, home health nurses & therapists, and hospice care.
(page, checked Oct 12, 2026) - Provides transportation.
Assistance with arranging transportation
(page, checked Oct 15, 2026) - 3 meals a day.
Three meals a day prepared in house as well as snacks
(page, checked Oct 15, 2026) - Pets allowed.
Small pets are allowed on a case by case basis.
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
Semi-private and private rooms
(page, checked Oct 12, 2026)
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
State inspections
Most recent comprehensive inspection: May 21, 2025. See the record
License
Active, 10 residents
Assisted Living Facility TYPE B 307168, current license dated Mar 26, 2009. Licensee A SERENE SETTING, LLC.
Nearest emergency room
1.4 miles
Round Rock Medical Center, rated 3 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| A Serene Setting this community | 10 | Not published | Active | 2 violations, 0 penalties | |
| The Waterford at Round Rock | 1.1 mi | 114 | $3,699/mo | Active | 1 violations, 3 penalties |
| Tran's Senior Oasis | 1.4 mi | 9 | Not published | Active | 6 violations, 0 penalties |
| Round Rock Assisted Living | 2.0 mi | 11 | Not published | Active | 0 violations, 1 penalties |
| Pegasus Landing of Round Rock | 2.8 mi | 74 | $3,495/mo | Active | 1 violations, 1 penalties / 2 violations, 0 penalties |
State inspection record2 violations, 0 penalties
- Most recent comprehensive inspection
- May 21, 2025
- Health violations cited
- 0
- Life Safety Code violations cited
- 2
- Administrative penalties
- 0
Violations cited, most recent first
- January 18, 2019, Life Safety Code: The facility failed to provide the required sprinkler system to meet NFPA 13, 13D, 13R, or meet the requirements of Chapter 33. Corrected January 22, 2019.
- January 18, 2019, Life Safety Code: The facility failed to provide and/or maintain portable fire extinguishers in compliance with licensing standards for assisted living facilities and NFPA 10. Corrected January 22, 2019.
Read the full record on the state’s site →
HHSC lists each state violation cited at the provider's inspections and investigations, with the date the visit ended and the date HHSC recorded it as corrected. HHSC notes the list “may include findings from previous inspections.” Health visits check care and services; Life Safety Code visits check fire safety and the building. Enforcement actions are administrative penalties HHSC imposed under Texas Health and Safety Code Chapter 247, with the rule cited and HHSC's description of the violation. HHSC: “Data is subject to change through normal business processes such as the state IDR process.” This community is licensed for 10 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Source: Texas Health and Human Services Commission, Long-term Care Regulation, Long Term Care Provider Search, data as of October 15, 2026. Always visit in person and ask the community about anything listed here.
License and ownershipActive license, licensee A SERENE SETTING, LLC
- License type
- Assisted Living Facility TYPE B
- License number
- 307168
- License status
- Active
- Current license dated
- 2009-03-26
- Licensed capacity
- 10
- Licensee
- A SERENE SETTING, LLC
- County
- Williamson County
- Administrator
- Colleen Cruz
Source: Texas state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator name from the Texas licensing record, as of Sep 8, 2026.
Paying with Medicaid and other programsHow Medicaid pays for care in Texas, and other programs
How Medicaid pays for care in Texas
- STAR+PLUS Home and Community Based Services (STAR+PLUS HCBS) Waiver Program. Texas Medicaid can help pay for assisted living for people enrolled in the STAR+PLUS HCBS waiver, which helps people who would otherwise need to be in a nursing home. HHSC checks whether you need this program when you apply for Medicaid. (state page)
- Waitlist. STAR+PLUS HCBS uses an interest list. People already on Medicaid with a STAR+PLUS plan may bypass it, and nursing facility residents can use Money Follows the Person. (source)
Ask the community whether it accepts Medicaid.
Location and nearby careNearest hospital 1.4 mi, nursing home 1.1 mi, pharmacy 1.5 mi
- Nearest hospital with an emergency room
- Round Rock Medical Center, Round Rock. 1.4 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Park Valley Inn Health Center, Round Rock. 1.1 miles away, straight line.
- Nearest home health agency office
- Elara Caring, Round Rock. 0.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78681 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Shc Round Rock, Round Rock, 0.9 miles away, straight line (CMS rating 3 of 5 stars)
Davita Round Rock Dialysis, Round Rock, 1.6 miles away, straight line (CMS rating 4 of 5 stars)
Scott & White Round Rock Dialysis Center, Round Rock, 1.9 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 48 Medicare hospices tell CMS they serve ZIP code 78681.
Hospice Compassus, office in Round Rock, 1.9 miles away, straight line (CMS family survey rating 2 of 5 stars)
Gilead Hospice LLC, office in Round Rock, 2.3 miles away, straight line
Beacon Hospice Of Austin, office in Austin, 2.8 miles away, straight line - Nearest geriatric medicine practice
- Premier Provider Health Pa, Round Rock. 1.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively low; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively low, tornado relatively moderate, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour9 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- What does the base rate include, and when did rates last go up?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
- Is the apartment held during a hospital stay, and at what cost?
What we checked13 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Texas Health and Human Services Commission, Long-term Care Regulation inspection records | Oct 15, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Common questionsAnswers to 4 questions families ask
What type of care does A Serene Setting provide?
A Serene Setting is licensed by the state of Texas for assisted living in Round Rock, Texas. Its licensed capacity is 10 residents.
Does Lilisity rate A Serene Setting?
No. We publish state licensing details for A Serene Setting but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does A Serene Setting cost?
Assisted Living in Williamson County typically starts at $3,600 to $5,000 a month. Based on 15 communities that publish prices. These are area figures, not this community's price. A Serene Setting does not publish its prices.
How do I contact A Serene Setting?
Use A Serene Setting's website, aserenesetting.com, or visit at 2101 Cross Creek Trl, Round Rock, TX 78681.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid