Assisted Living
Changing Seasons on Blanco
16400 Blanco Rd, San Antonio, TX 78232 · Map
Licensed for 119 residents · RESIDENTIAL CARE HOMES OF AMERICA LLC
Changing Seasons on Blanco is a state-licensed assisted living community in San Antonio, Texas. It is licensed for 119 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
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: Apr 23, 2025. See the record
License
Active, 119 residents
Assisted Living Facility TYPE B 307788, current license dated Apr 16, 2020. Licensee RESIDENTIAL CARE HOMES OF AMERICA LLC.
Nearest emergency room
2.4 miles
Baptist Neighborhood Hospital Thousand Oaks, rated 5 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 |
|---|---|---|---|---|---|
| Changing Seasons on Blanco this community | 119 | Not published | Active | 7 violations, 0 penalties | |
| Cornerstone Assisted Living | 1.0 mi | 6 | Not published | Active | 5 violations, 0 penalties |
| Lynridge of San Antonio | 1.4 mi | 186 | Not published | Active | 6 violations, 0 penalties |
| Arden Courts of San Antonio | 1.7 mi | 64 | Not published | Active | 17 violations, 1 penalties |
| Seasons Alzheimer's Care & Assisted Living, Huebner Rd | 2.0 mi | 67 | Not published | Active | 8 violations, 2 penalties |
State inspection record7 violations, 0 penalties
- Most recent comprehensive inspection
- April 23, 2025
- Health violations cited
- 0
- Life Safety Code violations cited
- 7
- Administrative penalties
- 0
Violations cited, most recent first
- April 23, 2025, Life Safety Code: The facility failed to inspect, test, and maintain fire sprinkler system components.
- April 23, 2025, Life Safety Code: The facility failed to test and maintain an emergency generator that provides power to emergency lighting.
- April 23, 2025, Life Safety Code: The facility failed to conduct and document a risk assessment for potential emergencies or disasters.
- April 23, 2025, Life Safety Code: The facility failed to include a section addressing evacuation in the emergency preparedness and response plan.
- April 23, 2025, Life Safety Code: The facility failed to include a section addressing transportation in the emergency preparedness and response plan.
- April 23, 2025, Life Safety Code: The facility failed to have a program to inspect, test, and maintain the fire sprinkler system and keep records of inspection, testing, and maintenance of the fire sprinkler system.
- April 23, 2025, Life Safety Code: The facility failed to store oxygen provided by the facility in a safe and sanitary manner.
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 119 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 RESIDENTIAL CARE HOMES OF AMERICA LLC
- License type
- Assisted Living Facility TYPE B
- License number
- 307788
- License status
- Active
- Current license dated
- 2020-04-16
- Licensed capacity
- 119
- Licensee
- RESIDENTIAL CARE HOMES OF AMERICA LLC
- County
- Bexar County
- Administrator
- Domingo Medina
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 2.4 mi, nursing home 2.0 mi, pharmacy 0.7 mi
- Nearest hospital with an emergency room
- Baptist Neighborhood Hospital Thousand Oaks, San Antonio. 2.4 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Sonterra Health Center, San Antonio. 2.0 miles away, straight line.
- Nearest home health agency office
- Enhabit Home Health, San Antonio. 2.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78232 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Stone Oak Dialysis, San Antonio, 2.7 miles away, straight line (CMS rating 4 of 5 stars)
North Central Kidney Disease Center, San Antonio, 3.4 miles away, straight line (CMS rating 3 of 5 stars)
Innovative Dialysis Solutions At Home Of Devine, San Antonio, 3.9 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 88 Medicare hospices tell CMS they serve ZIP code 78232.
Sacred Heart Enterprises, P.C., office in San Antonio, 0.7 miles away, straight line
Harbor Hospice Of North San Antonio Lp, office in San Antonio, 1.2 miles away, straight line
Harbor Hospice Of Central San Antonio Lp, office in San Antonio, 1.2 miles away, straight line - Nearest geriatric medicine practice
- Rise Up Rehab, LLC, San Antonio. 0.0 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 high; in FEMA's high-risk flood area (Zone AE)
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
- Zone AE: 1% annual chance flood area (high risk); base flood elevation set. This is inside FEMA's Special Flood Hazard Area, where flood insurance is required for federally backed mortgages. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding relatively high, wildfire very low, tornado very high, heat wave relatively high, 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 tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in April 2025. What was it, and how was it fixed?
- This address is in FEMA's high-risk flood area. Where do residents go in an evacuation, and how do you move them?
- 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?
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 very 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 | Could not read the site |
Common questionsAnswers to 4 questions families ask
What type of care does Changing Seasons on Blanco provide?
Changing Seasons on Blanco is licensed by the state of Texas for assisted living in San Antonio, Texas. Its licensed capacity is 119 residents.
Does Lilisity rate Changing Seasons on Blanco?
No. We publish state licensing details for Changing Seasons on Blanco 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 Changing Seasons on Blanco cost?
Assisted Living in Texas typically starts at $3,400 to $4,850 a month. Based on 260 communities that publish prices. These are area figures, not this community's price. Changing Seasons on Blanco does not publish its prices.
How do I contact Changing Seasons on Blanco?
Use Changing Seasons on Blanco's website, changingseasonsliving.com, or visit at 16400 Blanco Rd, San Antonio, TX 78232.
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