Texas Health and Human Services Commission HHSC List of Assisted Living Providers with an Active License as of 09/28/2021 Sorted by: County, City, Facility Name

County ANDERSON Reg Svcs: NACOGDOCHES GERIATRIC Region 04 Facility Information: Facility ID: 000821 License No.: 307194 Owner Information BROOKDALE PALESTINE BKD STERLING HOUSE OF PALESTINE, LLC 101 TRINTY COURT 6737 W WASHINGTON STREET, STE 2300 , PALESTINE TX 75801-6978 MILWAUKEE WI 54321 Phone (903) 729-1900 Fax (903) 729-5574 PHONE: FAX: TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STEPHEN SHEFFIELD License Eff Dt: 12/31/2020 License Exp Dt: 12/31/2023 Mgmt Co.:

County ANDERSON Reg Svcs: NACOGDOCHES GERIATRIC Region 04 Facility Information: Facility ID: 102438 License No.: 308207 Owner Information DOGWOOD TRAILS ASSISTED LIVING COMMUNITY WELLTOWER TENANT GROUP LLC 1625 SPRING ST 4500 DORR STREET , PALESTINE TX 75803 TOLEDO OHIO 43615 Phone 903 7230040 Fax 903 7230038 PHONE: FAX: TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 15 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CAYCIE COLLINS License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.: DOGWOOD TRAILS AL MC CARE PROPERTIES LLC

County ANDERSON Reg Svcs: NACOGDOCHES GERIATRIC Region 04 Facility Information: Facility ID: 106259 License No.: 148140 Owner Information WINDERMERE AT CARTMELL CARTMELL COMMUNITIES INC 30 VARIAH ST 2212 W REAGAN ST , PALESTINE TX 75801 PALESTINE TX 75801 Phone (903) 727-8500 Fax (903) 727-8501 PHONE: (903) 727-8500 FAX: (903) 727-8501 TOTAL Lic Capacity: 56 PRIVATE Beds: 56 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KIMBERLY REESE License Eff Dt: 10/02/2019 License Exp Dt: 10/02/2021 Mgmt Co.:

County ANDREWS Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 110140 License No.: 307301 Owner Information BEEHIVE HOMES OF ANDREWS BHH OPERATIONS OF TEXAS 3 2512 NW MUSTANG DRIVE , ANDREWS TX 79714 Phone Fax (505) 821-1834 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 05/08/2019 License Exp Dt: 05/08/2022 Mgmt Co.:

County ANGELINA Reg Svcs: NACOGDOCHES GERIATRIC Region 04 Facility Information: Facility ID: 000481 License No.: 149652 Owner Information NECHES HOUSE VERITAS SENIOR LIVING LLC 406 GOBBLERS KNOB RD 6858 SWINNEA RDBLDG 1A , LUFKIN TX 75904 SOUTHAVEN MS 38671 Phone (936) 639-9727 Fax (936) 639-9754 PHONE: (662) 510-5544 FAX: (662) 510-5471 TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LANA HINES License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 1 of 405 County ANGELINA Reg Svcs: NACOGDOCHES GERIATRIC Region 04 Facility Information: Facility ID: 000424 License No.: 146764 Owner Information PINECREST RETIREMENT COMMUNITY ASSISTED LIVING UNIT MRC PINECREST 1302 TOM TEMPLE DR 1302 TOM TEMPLE DR , LUFKIN TX 75904 LUFKIN TX 75904 Phone (936) 634-1054 Fax (936) 634-1056 PHONE: (281) 363-2600 FAX: (281) 292-6360 TOTAL Lic Capacity: 78 PRIVATE Beds: 78 Cert Alzh Capacity: 40 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KAREN LAZARINE License Eff Dt: 01/26/2019 License Exp Dt: 01/26/2022 Mgmt Co.: METHODIST RETIREMENT COMMUNITIES

County ANGELINA Reg Svcs: NACOGDOCHES GERIATRIC Region 04 Facility Information: Facility ID: 107217 License No.: 307201 Owner Information PINNACLE SENIOR LIVING OF LUFKIN PINNACLE SENIOR LIVING, LLC 615 WEST WHITEHOUSE , LUFKIN TX 75904 Phone (936) 219-1165 Fax PHONE: FAX: TOTAL Lic Capacity: 95 PRIVATE Beds: 95 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BECKY ELDRIDGE-CLARK License Eff Dt: 02/26/2021 License Exp Dt: 02/26/2024 Mgmt Co.:

County ARANSAS Reg Svcs: CORPUS CHRISTI 11 Region 07 Facility Information: Facility ID: 000715 License No.: 143313 Owner Information GULF POINTE VILLAGE MERIDIAN ROCKPORT ALF OE LP 900 ENTERPRISE 3811 TURTLE CREEK BLVDSTE 1050 , ROCKPORT TX 78382 DALLAS TX 75219 Phone (361) 729-5254 Fax (361) 729-3820 PHONE: (214) 651-4000 FAX: (214) 651-4001 TOTAL Lic Capacity: 40 PRIVATE Beds: 40 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: YVONNE PEREZ License Eff Dt: 09/01/2019 License Exp Dt: 09/01/2022 Mgmt Co.: HMG SERVICES, LLC

County ARMSTRONG Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 030075 License No.: 149181 Owner Information HUDSON HOUSE CLAUDE INC HUDSON HOUSE CLAUDE INC 301 TRICE ST PO BOX 190 , CLAUDE TX 79019 CLAUDE TX 79019 Phone (806) 226-4011 Fax (806) 226-7037 PHONE: (806) 226-4011 FAX: (806) 226-7037 TOTAL Lic Capacity: 20 PRIVATE Beds: 20 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JILL BENSON License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2022 Mgmt Co.: CLAUDE MANAGEMENT INC

County ATASCOSA Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 102169 License No.: 150073 Owner Information ARGENT COURT ATASCOSA COUNTY ARGENT PLEASANTON OPERATIONS LLC 1951 HWY 97 E 8301 BROADWAYSTE 319 , JOURDANTON TX 78026 SAN ANTONIO TX 78209 Phone (830) 769-9797 Fax PHONE: (210) 829-7121 FAX: (210) 372-4477 TOTAL Lic Capacity: 57 PRIVATE Beds: 57 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNIFER MILLER LVN License Eff Dt: 04/13/2020 License Exp Dt: 04/13/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 2 of 405 County ATASCOSA Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 100688 License No.: 148917 Owner Information MICHELLE'S CARE HOME JM MCCLELLAN PROPERTIES LLC 1310 POPLAR STREET , JOURDANTON TX 78026 Phone (830) 767-3082 Fax (830) 767-3082 PHONE: FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JERRY R MCCLELLAN License Eff Dt: 09/30/2019 License Exp Dt: 09/30/2022 Mgmt Co.:

County ATASCOSA Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 050122 License No.: 148492 Owner Information PLEASANTON ASSISTED LIVING HILL COUNTRY OUTREACH INC 2920 2ND ST 600 LESLIE DRIVE , PLEASANTON TX 78064 KERRVILLE TX 78028 Phone (830) 569-1851 Fax (830) 792-6965 PHONE: (830) 792-6886 FAX: (830) 792-6965 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: VIRGINIA L BULKLEY License Eff Dt: 11/07/2019 License Exp Dt: 11/07/2021 Mgmt Co.:

County ATASCOSA Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 000519 License No.: 307105 Owner Information OAK CREEK ESTATE ALF BENNY LOPEZ 309 OAK CREEK ESTATES ROAD P.O. BOX 1355 , POTEET TX 78065 POTEET TX 78065 Phone (830) 276-4248 Fax PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ABRAM LOPEZ License Eff Dt: 05/01/2020 License Exp Dt: 05/01/2023 Mgmt Co.:

County AUSTIN Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 102574 License No.: 148629 Owner Information ARBORS OF BRIARWOOD LTC OF AUSTIN COUNTY III, LLC 1517 W MAIN 1401 EAGLE LAKE RD , BELLVILLE TX 77418 SEALY TX 77474 Phone (979) 865-3969 Fax (979) 865-9963 PHONE: (832) 651-3694 FAX: (866) 224-5909 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: VIVIAN POWELL License Eff Dt: 10/01/2019 License Exp Dt: 10/01/2022 Mgmt Co.: VERTEX HEALTHCARE MANAGEMENT, LLC

County AUSTIN Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 030012 License No.: 148087 Owner Information ROSE HILL RETIREMENT HOME RH RETIREMENT HOMES LLC 318 S MASONIC 17410 HANKAR WAY , BELLVILLE TX 77418 RICHMOND TX 77407 Phone (979) 865-3883 Fax (281) 277-4663 PHONE: (713) 725-4913 FAX: (281) 277-4663 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SHEHNAZ KHANMOHAMED License Eff Dt: 06/01/2021 License Exp Dt: 06/01/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 3 of 405 County AUSTIN Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 105127 License No.: 147081 Owner Information OAK HAVEN ASSISTED LIVING OAK HAVEN ASSISTED LIVING LLC 16416 FORDTRAN BLVD PO BOX 177 , INDUSTRY TX 78944 INDUSTRY TEXAS 78944 Phone (979) 357-2535 Fax (979) 357-2534 PHONE: (979) 357-2535 FAX: (979) 357-2534 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JAMELYN STOKES License Eff Dt: 04/18/2019 License Exp Dt: 04/18/2021 Mgmt Co.:

County AUSTIN Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 110099 License No.: 307109 Owner Information BRAZOS CROSSING ASSISTED LIVING AARONS ASSISTED LIVING CENTERS LLC 526 WARD ST , SEALY TX 77474 Phone (979) 627-9333 Fax (979) 627-9332 PHONE: FAX: TOTAL Lic Capacity: 59 PRIVATE Beds: 59 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRISTINA J OLDAG License Eff Dt: 12/19/2020 License Exp Dt: 12/19/2023 Mgmt Co.:

County AUSTIN Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 105925 License No.: 150169 Owner Information VERANDA HOUSE ASSISTED LIVING SEALY SENIOR HOUSING CENTERS INC 526 FIFTH ST PO BOX 449 , SEALY TX 77474 KATY TX 77492 Phone (979) 627-7225 Fax (281) 310-8689 PHONE: (281) 804-6422 FAX: (281) 392-6659 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: CHRISTINA J OLDAG License Eff Dt: 05/25/2020 License Exp Dt: 05/25/2022 Mgmt Co.:

County BASTROP Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 100336 License No.: 146959 Owner Information ARGENT COURT ARGENT BASTROP OPERATIONS, LLC 508 OLD AUSTIN HWY 8301 BROADWAY STE 319 , BASTROP TX 78602 SAN ANTONIO TX 78209 Phone (512) 321-9500 Fax (512) 321-9508 PHONE: (210) 829-7121 FAX: (210) 829-0859 TOTAL Lic Capacity: 68 PRIVATE Beds: 68 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ASHLEY GUNTER License Eff Dt: 01/01/2019 License Exp Dt: 01/01/2022 Mgmt Co.:

County BASTROP Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 107132 License No.: 149662 Owner Information NEW HAVEN ASSISTED LIVING OF BASTROP NEW HAVEN HOLDINGS OF BASTROP LLC 2604 STATE HIGHWAY 71 E. BUILDING A PO BOX 1927 , BASTROP TX 78602 KYLE TX 78640 Phone (512) 428-8488 Fax (801) 606-2793 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MEGAN DESAULNIER License Eff Dt: 05/31/2020 License Exp Dt: 05/31/2023 Mgmt Co.: ENRICHED SENIOR LIVING LLC

Tuesday, September 28, 2021 Page 4 of 405 County BASTROP Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 107134 License No.: 149625 Owner Information NEW HAVEN ASSISTED LIVING OF BASTROP NEW HAVEN ASSISTED LIVING BASTROP LLC 2604 STATE HIGHWAY 71 E. BUILDING B PO BOX 1927 , BASTROP TX 78602 KYLE TX 78640 Phone (512) 428-8488 Fax PHONE: (512) 428-8488 FAX: (801) 606-2793 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SARAH CAHILL-DEYO License Eff Dt: 05/31/2020 License Exp Dt: 05/31/2022 Mgmt Co.: ENRICHED SENIOR LIVING LLC

County BAYLOR Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 001266 License No.: 146945 Owner Information JUST LIKE HOME SEYMOUR LLC JUST LIKE HOME SEYMOUR LLC 1137 W CALIFORNIA 1137 W. CALIFORNIA , SEYMOUR TX 76380 SEYMOUR TX 76380 Phone (940) 889-3551 Fax (940) 889-3551 PHONE: (940) 889-3551 FAX: (940) 889-3551 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STORMIE A CARRINGTON License Eff Dt: 04/01/2019 License Exp Dt: 04/01/2022 Mgmt Co.:

County BEE Reg Svcs: CORPUS CHRISTI 11 Region 07 Facility Information: Facility ID: 101015 License No.: 150025 Owner Information 801 GRAMMAN LLC 801 GRAMMAN LLC 801 E GRAMMAN 801 E GRAMMAN , BEEVILLE TX 78102 BEEVILLE TX 78102 Phone (361) 358-4900 Fax (361) 358-4909 PHONE: (361) 358-4900 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ANYSIA GOMEZ License Eff Dt: 05/02/2020 License Exp Dt: 05/02/2023 Mgmt Co.:

County BELL Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 105668 License No.: 144602 Owner Information LUVIDA MEMORY CARE MEMORY CARE MANAGEMENT, LC 2400 PIAZZA DRIVE 304 E. CHURCH AVENUE , BELTON TX 76513 KILLEEN TX 76541 Phone (254) 613-4119 Fax (254) 613-4555 PHONE: (254) 519-5801 FAX: (254) 519-5826 TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 48 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JANET ATKINS License Eff Dt: 03/26/2020 License Exp Dt: 03/26/2023 Mgmt Co.:

County BELL Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 104460 License No.: 148155 Owner Information STONEY BROOK OF BELTON 4K HOUSING INC 500 RIVER FAIR BLVD 317 MARTINIQUE PASS , BELTON TX 76513 LAKEWAY TX 78734 Phone (254) 933-3800 Fax PHONE: (469) 371-0445 FAX: (512) 761-3458 TOTAL Lic Capacity: 57 PRIVATE Beds: 57 Cert Alzh Capacity: 40 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MELISSA RUSSELL License Eff Dt: 04/27/2021 License Exp Dt: 04/27/2024 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

Tuesday, September 28, 2021 Page 5 of 405 County BELL Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 104420 License No.: 307712 Owner Information STONEY BROOK OF BELTON 4K HOUSING INC 500 RIVER FAIR BLVD 317 MARTINIQUE PASS , BELTON TX 76513 LAKEWAY TX 78734 Phone (254) 933-3800 Fax PHONE: (469) 371-0445 FAX: (512) 761-3458 TOTAL Lic Capacity: 56 PRIVATE Beds: 56 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MELISSA RUSSELL License Eff Dt: 04/27/2019 License Exp Dt: 04/27/2022 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

County BELL Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 030300 License No.: 148643 Owner Information THE ROSEWOOD RETIREMENT COMMUNITY PM MANAGEMENT KILLEEN I NC LLC 5700 E CENTRAL TEXAS EXPY 1717 W 6TH STSTE 450 , KILLEEN TX 76543 AUSITN TX 78703 Phone (254) 680-5020 Fax (254) 690-3238 PHONE: (512) 340-7829 FAX: (512) 480-0258 TOTAL Lic Capacity: 85 PRIVATE Beds: 85 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ESPERANZA BAKER License Eff Dt: 03/01/2021 License Exp Dt: 03/01/2024 Mgmt Co.: SENIOR CARE CENTER MANAGEMENT, LLC

County BELL Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 000302 License No.: 146841 Owner Information BROOKDALE WESTERN HILLS BROOKDALE SENIOR LIVING COMMUNITIES, INC 3902 W ADAMS AVE 6737 W WASHINGTON ST STE 2300 , TEMPLE TX 76504 MILWAUKEE WI 53214 Phone (254) 791-8000 Fax (254) 791-8003 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 54 PRIVATE Beds: 54 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROBI LEE License Eff Dt: 12/01/2020 License Exp Dt: 12/01/2023 Mgmt Co.:

County BELL Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 103463 License No.: 307403 Owner Information CANYON CREEK MEMORY CARE LOWES SENIOR LIVING, INC 4257 LOWES DRIVE , TEMPLE TX 76502 Phone (254) 773-3081 Fax (254) 231-3644 PHONE: FAX: TOTAL Lic Capacity: 52 PRIVATE Beds: 52 Cert Alzh Capacity: 52 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TABITHA TOEPFER License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.:

County BELL Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 000365 License No.: 149041 Owner Information ELMCROFT OF COTTONWOOD EC OPCO COTTONWOOD, LLC 3002 JACK RABBIT ROAD 500 NORTH HURSTBOURNE PARKWAYSUITE. 200 , TEMPLE TX 76502 LOUISVILLE KY 40222 Phone (254) 778-2222 Fax (254) 778-2845 PHONE: FAX: TOTAL Lic Capacity: 74 PRIVATE Beds: 74 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DARLENE RODRIGUEZ License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2022 Mgmt Co.: ECLIPSE PROTFOLIO OPERATIONS, LLC

Tuesday, September 28, 2021 Page 6 of 405 County BELL Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 030135 License No.: 146606 Owner Information GARDEN ESTATES OF TEMPLE ASSISTED LIVING COMMUNITY LSREF GOLDEN OPS 26 TX LLC 5320 LOOP 205 3500 LENOX ROAD NE STE 510 , TEMPLE TX 76502 ATLANTA GA 30326 Phone (254) 770-1017 Fax (254) 770-1101 PHONE: (770) 754-9660 FAX: (770) 754-3085 TOTAL Lic Capacity: 156 PRIVATE Beds: 156 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LANE JACKSON-ELLIS License Eff Dt: 01/15/2019 License Exp Dt: 01/15/2022 Mgmt Co.: SL TEMPLE, LLC

County BELL Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 103040 License No.: 308326 Owner Information THE MERCY HOUSE A DARSEA I LLC 2728 COTTONWOOD LANE , TEMPLE TX 76502 Phone 254 7719911 Fax (866) 577-7154 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PRESTON SEAGRAVES License Eff Dt: 11/28/2020 License Exp Dt: 11/28/2023 Mgmt Co.:

County BELL Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 103473 License No.: 148288 Owner Information THE MERCY HOUSE B COTTONWOOD MERCY HOUSE LLC 2728 COTTONWOOD LN 2728 COTTONWOOD LN , TEMPLE TX 76502 TEMPLE TX 76502 Phone (254) 771-9911 Fax (866) 577-7154 PHONE: (254) 771-9911 FAX: (866) 577-7154 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANTHONY G JETER License Eff Dt: 07/01/2019 License Exp Dt: 07/01/2021 Mgmt Co.: ALZ CARE LLC

County BELL Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 000973 License No.: 148693 Owner Information WILDFLOWER PLACE WILDFLOWER AID OPCO LLC 706 RED COAT DR 330 N WABASHSTE 3700 , TEMPLE TX 76504 CHICAGO IL 60611 Phone (254) 742-1581 Fax (254) 742-0425 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 47 PRIVATE Beds: 47 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DONNA METHERA License Eff Dt: 07/11/2019 License Exp Dt: 07/11/2021 Mgmt Co.: ENLIVANT AID NONCMBS MGMT LLC

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 000641 License No.: 148354 Owner Information RIOJAS ASSISTED LIVING HOME EDDIE RIOJAS 14212 GREENWOOD RD 14212 GREENWOOD RD , ATASCOSA TX 78002 ATASCOSA TX 78002 Phone (830) 709-3541 Fax (830) 709-3541 PHONE: (830) 709-4196 FAX: (830) 709-3541 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: EDDIE RIOJAS License Eff Dt: 09/12/2021 License Exp Dt: 09/12/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 7 of 405 County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 106533 License No.: 150140 Owner Information HAPPY LIVING CARE HOME HAPPY LIVING CARE HOME 9143 AQUA DRIVE 9143 AQUA DR , BOERNE TX 78006 BOERNE TX 78006 Phone (830) 755-4372 Fax (830) 755-4372 PHONE: FAX: TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BENJAMIN MOGOS License Eff Dt: 07/31/2021 License Exp Dt: 07/31/2024 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 105203 License No.: 150176 Owner Information NEURORESTORATIVE SAN ANTONIO MENTOR ABI, LLC 124 SOUTH WINSTON LANE 11937 US HWY 271 , CASTLE HILLS TX 78213 TYLER TX 75708 Phone (210) 979-0830 Fax (210) 979-0842 PHONE: (617) 790-4800 FAX: (617) 790-4271 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ISRAEL GARZA License Eff Dt: 08/01/2020 License Exp Dt: 08/01/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 030364 License No.: 146735 Owner Information ESPLANADE GARDENS SENIOR INC SILVERCREST PROPERTIES LLC 10790 TOEPPERWEIN 5402 PARKDALE DRSTE 301 , CONVERSE TX 78109 ST LOUIS PARK MN 55416 Phone (210) 566-7600 Fax (210) 566-7605 PHONE: (852) 922-9540 FAX: TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 60 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MELISSA VILLARREAL License Eff Dt: 03/17/2019 License Exp Dt: 03/17/2022 Mgmt Co.: SILVERCREST PROPERTIES LLC

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 105159 License No.: 145454 Owner Information MIRAMAR HOME CARE LAURA DORCA 8662 GAVEL DRIVE 8622 GAVEL DRIVE , CONVERSE TX 78109 CONVERSE TX 78109 Phone (210) 957-4769 Fax (210) 932-8250 PHONE: (210) 957-4769 FAX: (210) 932-8250 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RUBEN DORCA License Eff Dt: 08/30/2020 License Exp Dt: 08/30/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 105882 License No.: 146180 Owner Information HONEY'S HOUSE OF HELOTES RESIDENTIAL CARE HOMES OF AMERICA, LLC 10410 PARRIGIN RD PO BOX 961 , HELOTES TX 78023 HELOTES TEXAS 78240 Phone (210) 540-8288 Fax PHONE: (210) 540-8288 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL R KITCHEN License Eff Dt: 11/07/2020 License Exp Dt: 11/07/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 8 of 405 County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 106841 License No.: 147782 Owner Information HONEY'S HOUSE OF HELOTES II RESIDENTIAL CARE HOMES OF AMERICA, LLC 12445 FM 1560 N. PO BOX 961 , HELOTES TX 78023 HELOTES TEXAS 78240 Phone (210) 540-8288 Fax PHONE: (210) 540-8288 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL R KITCHEN License Eff Dt: 06/16/2021 License Exp Dt: 06/16/2024 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 030200 License No.: 145700 Owner Information BROOKDALE HOLLYWOOD PARK ESCNGH, LP 16911 SAN PEDRO 111 WESTWOOD PL STE 400 , HOLLYWOOD PARK TX 78232 BRENTWOOD TN 37027 Phone (210) 495-9340 Fax (210) 495-3570 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 101 PRIVATE Beds: 101 Cert Alzh Capacity: 28 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KATHRIN MILLER License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 103167 License No.: 145811 Owner Information COUNTRY LIFE ASSISTED LIVING CRS HEALTHCARE, LLC 16680 W FM 2790 S 16680 W FM 2790 S , LYTLE TX 78052 LYTLE TX 78052 Phone (830) 709-0163 Fax (877) 709-0163 PHONE: (830) 569-7510 FAX: (888) 398-5945 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHELSAE R URRABAZO License Eff Dt: 10/21/2021 License Exp Dt: 10/21/2024 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 106299 License No.: 149924 Owner Information GOLDEN YEARS ASSISTED LIVING EUGENE OLSON 16860 W. FM 2790 S PO BOX 132 , LYTLE TX 78052 LYTLE TX 78052 Phone (830) 772-5888 Fax (830) 772-5888 PHONE: (830) 772-5888 FAX: (830) 772-5888 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TERRY S CURRIE License Eff Dt: 01/21/2020 License Exp Dt: 01/21/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 010240 License No.: 307143 Owner Information A & R GOLDEN CASA ASSISTED LIVING, INC A & R GOLDEN CASA ASSISTED LIVING, INC 7715 BARREN RIDGE 8827 WIMBLEDON ST , SAN ANTONIO TX 78239 SAN ANTONIO TX 78239 Phone (210) 669-0967 Fax (210) 656-8024 PHONE: FAX: TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: AIDE VALDEZ GUERRERO License Eff Dt: 09/01/2018 License Exp Dt: 09/01/2020 Mgmt Co.:

Tuesday, September 28, 2021 Page 9 of 405 County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 106325 License No.: 148224 Owner Information A GOLDEN AGE ASSISTED LIVING LLC A GOLDEN AGE ASSISTED LIVING LLC 1635 HILLCREST DR 1635 HILLCREST DR , SAN ANTONIO TX 78228 SAN ANTONIO TX 78228 Phone (210) 430-6392 Fax (210) 432-2128 PHONE: (210) 430-6392 FAX: (210) 432-2128 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIELA F BUTUZA License Eff Dt: 09/22/2019 License Exp Dt: 09/22/2022 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 104864 License No.: 307375 Owner Information ADANTE ASSISTED LIVING WELLTOWER TCG RIDEA TENANT, LLC 2739 CEMBALO BLVD. 4500 DORR STREET , SAN ANTONIO TX 78230 TOLDEO OH 43615 Phone (210) 493-0103 Fax (210) 493-0102 PHONE: FAX: TOTAL Lic Capacity: 90 PRIVATE Beds: 90 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JULIE MCCARTY License Eff Dt: 04/01/2019 License Exp Dt: 04/01/2022 Mgmt Co.: SAGORA SENIOR LIVING, INC

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 100902 License No.: 150148 Owner Information AGAPE HOUSE II JUNE SORRELL 3443 WILLOWWOOD ST 2551 GROVE PARK , SAN ANTONIO TX 78219 SCHERTZ TX 78154 Phone (210) 253-9081 Fax PHONE: (210) 862-5221 FAX: (210) 475-3307 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JUNIORETTE SORRELL License Eff Dt: 09/18/2018 License Exp Dt: 06/30/2021 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 107133 License No.: 307115 Owner Information ALTERNATIVE SENIOR CARE LLC LA CANTERA ASSISTED LIVING AND MEMORY CARE LLC 7524 WILD EAGLE STREET , SAN ANTONIO TX 78255 Phone (206) 356-3468 Fax PHONE: FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 10 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: FLAVIUS RADU License Eff Dt: 01/03/2021 License Exp Dt: 01/03/2024 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 000881 License No.: 148952 Owner Information AMAZING PEACE HOME CARE LLC AMAZING PEACE HOME CARE LLC 1202 DONALDSON AVE 1202 DONALDSON AVE , SAN ANTONIO TX 78228 SAN ANTONIO TX 78228 Phone (210) 736-2305 Fax (210) 736-0226 PHONE: (210) 858-9585 FAX: (210) 736-0226 TOTAL Lic Capacity: 24 PRIVATE Beds: 24 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: FEDE C JOHN License Eff Dt: 11/15/2019 License Exp Dt: 11/15/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 10 of 405 County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 100310 License No.: 147711 Owner Information ANGEL PLACE ASSISTED LIVING HOMES INC #1 ANGEL PLACE ASSISTED LIVING HOMES INC 3907 SHERRIL BROOK DR 173 W LIGUSTRUM DR , SAN ANTONIO TX 78228 SAN ANTONIO TX 78228 Phone (210) 435-8234 Fax (210) 436-8893 PHONE: (210) 618-6436 FAX: (210) 401-1819 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LOWELL LAMASTER License Eff Dt: 01/27/2021 License Exp Dt: 01/27/2024 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 000660 License No.: 147085 Owner Information ANGEL PLACE ASSISTED LIVING HOMES INC #2 ANGEL PLACE ASSISTED LIVING HOMES INC 3911 SHERRIL BROOK DR 173 W LIGUSTRUM DR , SAN ANTONIO TX 78228 SAN ANTONIO TX 78228 Phone (210) 435-8234 Fax (210) 436-8893 PHONE: (210) 618-6436 FAX: (210) 401-1819 TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LOWELL LAMASTER License Eff Dt: 01/27/2021 License Exp Dt: 01/27/2024 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 100213 License No.: 147072 Owner Information ARDEN COURTS OF SAN ANTONIO ARDEN COURTS OF SAN ANTONIO TX LLC 15290 HUEBNER RD 333 NORTH SUMMIT ST , SAN ANTONIO TX 78231 TOLEDO OH 43604 Phone (210) 408-9100 Fax (210) 408-9101 PHONE: (419) 252-5518 FAX: (877) 385-9446 TOTAL Lic Capacity: 64 PRIVATE Beds: 64 Cert Alzh Capacity: 64 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PEGGY MCCARTER License Eff Dt: 04/07/2019 License Exp Dt: 04/07/2021 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 105837 License No.: 308310 Owner Information ARDEN PARK ASSISTED LIVING, LLC 21ST SENTRY STORAGE, LLC 7023 W. HAUSMAN ROAD , SAN ANTONIO TX 78249 Phone (210) 877-5386 Fax (210) 855-4014 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DORIS NEGRU License Eff Dt: 04/20/2021 License Exp Dt: 04/20/2024 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 104902 License No.: 145570 Owner Information ARNOLD HOUSE AT BLUE SKIES OF TEXAS EAST BST HEALTH SERVICES CORP 4917 RAVENSWOOD DRIVE 12455 FREEDOM WAY , SAN ANTONIO TX 78227 SAN ANTONIO TX 78245 Phone (210) 568-5061 Fax (210) 568-5155 PHONE: (210) 838-6332 FAX: (210) 838-6315 TOTAL Lic Capacity: 24 PRIVATE Beds: 24 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BJ WILLIAMSON License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 11 of 405 County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 107285 License No.: 307458 Owner Information ASSISTED LIVING AT SWANS LANDING CONCIERGE SENIOR SERVICES ENTERPRISES LLC 4154 SWANS LANDING , SAN ANTONIO TX 78217 Phone (210) 379-7340 Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TANPRASERTH VATANADILOK License Eff Dt: 08/19/2019 License Exp Dt: 08/19/2022 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 102947 License No.: 145686 Owner Information AUTISM TREATMENT CENTER INC AUTISTIC TREATMENT CENTER INC 16511 HUNTING VALLEY 15911 NACOGDOCHES ROAD , SAN ANTONIO TX 78247 SAN ANTONIO TEXAS 78247 Phone (210) 590-2107 Fax (210) 590-3143 PHONE: (972) 644-2076 FAX: (972) 644-5650 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MARIA DUNCAN License Eff Dt: 07/18/2020 License Exp Dt: 07/18/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 106309 License No.: 148658 Owner Information AUTISTIC TREATMENT CENTER AUTISTIC TREATMENT CENTER INC 16330 MARTINS FERRY 15911 NACOGDOCHES ROAD , SAN ANTONIO TX 78247 SAN ANTONIO TEXAS 78247 Phone (210) 590-2107 Fax (210) 590-3143 PHONE: (972) 644-2076 FAX: (972) 644-5650 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MARIA DUNCAN License Eff Dt: 12/15/2019 License Exp Dt: 12/15/2021 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 105328 License No.: 147589 Owner Information AUTUMN GROVE BLANCO GLEN HOPE HARBOR INC 1418 WALKERS WAY 317 MARTINIQUE PASS , SAN ANTONIO TX 78216 LAKEWAY TX 78734 Phone (210) 493-1181 Fax (210) 493-1185 PHONE: (469) 371-0445 FAX: (512) 761-3548 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JULIE CLEMENTS License Eff Dt: 02/26/2021 License Exp Dt: 02/26/2024 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 030361 License No.: 145486 Owner Information AUTUMN LEAVES RESIDENTIAL HOME WILMA J LA CROIX 6411 RIDGE PLACE 6411 RIDGE PLACE , SAN ANTONIO TX 78250 SAN ANTONIO TX 78250 Phone (210) 998-2208 Fax (210) 463-9374 PHONE: (210) 681-1343 FAX: (210) 681-2901 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: WILMA J LA CROIX License Eff Dt: 08/06/2020 License Exp Dt: 08/06/2023 Mgmt Co.: NA

Tuesday, September 28, 2021 Page 12 of 405 County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 105770 License No.: 147158 Owner Information AUTUMNGROVE COTTAGE STONE OAK GLEN HOPE HARBOR INC 20718 STONE OAK PKWY 317 MARTINIQUE PASS , SAN ANTONIO TX 78258 LAKEWAY TX 78734 Phone (210) 497-8645 Fax (210) 497-8614 PHONE: (469) 371-0445 FAX: (512) 761-3548 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JULIE CLEMENTS License Eff Dt: 02/26/2019 License Exp Dt: 02/26/2021 Mgmt Co.: WIND RIVER MANAGEMENT CORPORATION

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 106556 License No.: 145998 Owner Information AVALON MEMORY CARE MYSTIC PARK O'HARE MANAGEMENT LLC 8615 MYSTIC PARK 1625 N STEMMONS FRWY , SAN ANTONIO TX 78254 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 25 PRIVATE Beds: 25 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JUSTIN MESZAROS License Eff Dt: 10/21/2020 License Exp Dt: 10/21/2022 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 106230 License No.: 148393 Owner Information BADER HOUSE OF SHAVANO PARK 1 LTD DBA SODALIS SHAVANO PARK BADER HOUSE OF SHAVANO PARK 1, LTD 3411 PAESANO'S PARKWAY 3411 PAESANO'S PARKWAY , SAN ANTONIO TX 78231 SAN ANTONIO TX 78231 Phone (210) 408-1002 Fax (210) 408-1004 PHONE: (210) 332-8676 FAX: TOTAL Lic Capacity: 24 PRIVATE Beds: 24 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TRACI TAYLOR License Eff Dt: 09/02/2021 License Exp Dt: 09/02/2024 Mgmt Co.: TRILOGY SENIOR LIVING MANAGEMENT, LLC

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 110319 License No.: 307784 Owner Information BEEHIVE HOMES OF BABCOCK RIDGE TD ASSISTED LIVING LLC 6403 MELISSA ANN ST 6403 MELISSA ANN ST , SAN ANTONIO TX 78249 SAN ANTONIO TX 78249 Phone (210) 740-1050 Fax PHONE: (210) 740-1050 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: THOMAS WOOD License Eff Dt: 04/14/2020 License Exp Dt: 04/14/2023 Mgmt Co.: TD ASSISTED LIVING LLC

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 110322 License No.: 307787 Owner Information BEEHIVE HOMES OF CROWNRIDGE SIKORA CARE, LLC 6919 CAMP BULLIS RD 18 KAPP CYN , SAN ANTONIO TX 78256 SAN ANTONIO TX 78258 Phone (210) 874-5996 Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNIFER SIKORA License Eff Dt: 04/15/2020 License Exp Dt: 04/15/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 13 of 405 County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 104432 License No.: 145594 Owner Information BLOSSOM CARE ASSISTED LIVING, LLC BLOSSOM CARE ASSISTED LIVING, LLC 24803 BROAD OAK TRAIL 24803 BROAD OAK TRAIL , SAN ANTONIO TX 78255 SAN ANTONIO TX 78255 Phone (210) 267-9106 Fax (210) 272-0800 PHONE: 210 2679106 FAX: 210 2720800 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ELIZABETH DAVIS License Eff Dt: 08/26/2020 License Exp Dt: 08/26/2023 Mgmt Co.: BLOSSOM CARE ASSISTED LIVING, LLC

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 100822 License No.: 146044 Owner Information BOARDING WITH TENDER CARE INC BOARDING WITH TENDER CARE INC 1002 GALLATIN DR 1002 GALLATIN DR , SAN ANTONIO TX 78245 SAN ANTONIO TX 78245 Phone (210) 573-3680 Fax (210) 462-9197 PHONE: (210) 670-1440 FAX: (210) 675-2306 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RUTH ALDAPE CARDENAS License Eff Dt: 09/10/2018 License Exp Dt: 09/10/2020 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 030050 License No.: 145406 Owner Information BROOKDALE HAMILTON WOLFE ESC III LP 5331 HAMILTON WOLFE RD 6737 W WASHINGTON STREETSUITE 2300 , SAN ANTONIO TX 78229 MILWAUKEE WI 53214 Phone (210) 641-7200 Fax (210) 696-2911 PHONE: (615) 221-2250 FAX: (615) 221-2280 TOTAL Lic Capacity: 96 PRIVATE Beds: 96 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: VINCENT FALCON License Eff Dt: 09/18/2020 License Exp Dt: 09/18/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 030049 License No.: 148959 Owner Information BROOKDALE HAMILTON WOLFE ESC III LP 5331 HAMILTON WOLFE RD 6737 W WASHINGTON STREETSUITE 2300 , SAN ANTONIO TX 78229 MILWAUKEE WI 53214 Phone (210) 641-7200 Fax (210) 696-2911 PHONE: (615) 221-2250 FAX: (615) 221-2280 TOTAL Lic Capacity: 32 PRIVATE Beds: 32 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRIS D MILLER License Eff Dt: 09/18/2021 License Exp Dt: 09/18/2024 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 000350 License No.: 146116 Owner Information BROOKDALE MALTSBERGER BROOKDALE SENIOR LIVING COMMUNITIES, INC 13303 JONES MALTSBERGER RD 6737 W WASHINGTON ST STE 2300 , SAN ANTONIO TX 78247 MILWAUKEE WI 53214 Phone (210) 402-3800 Fax (210) 402-4047 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JESSICA MCMILLIAN License Eff Dt: 12/01/2020 License Exp Dt: 12/01/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 14 of 405 County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 030044 License No.: 146538 Owner Information BROOKDALE MEDICAL CENTER KINGSLEY ESC IV LP 9000 FLOYD CURL DR 6737 W, WASHINGTON ST SUITE 2300 , SAN ANTONIO TX 78240 MILWAUKEE WI 53214 Phone (210) 697-0772 Fax (210) 697-0653 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 136 PRIVATE Beds: 136 Cert Alzh Capacity: 27 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LORI HALL License Eff Dt: 01/01/2021 License Exp Dt: 01/01/2024 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 000360 License No.: 146278 Owner Information BROOKDALE MEDICAL CENTER WHITBY BROOKDALE SENIOR LIVING COMMUNITIES, INC 5996 WHITBY RD 6737 W WASHINGTON ST STE 2300 , SAN ANTONIO TX 78240 MILWAUKEE WI 53214 Phone (210) 561-9500 Fax (210) 561-9546 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HOLLY STEVENS-DAVIS License Eff Dt: 12/01/2020 License Exp Dt: 12/01/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 000731 License No.: 148230 Owner Information BROOKDALE N FREDERICKSBURG ROAD ESCNGH, LP 9505 FREDERICKSBURG RD 111 WESTWOOD PL STE 400 , SAN ANTONIO TX 78240 BRENTWOOD TN 37027 Phone (210) 641-6257 Fax (210) 641-6922 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TARIEQUA POWELL License Eff Dt: 10/01/2019 License Exp Dt: 10/01/2021 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 000313 License No.: 149904 Owner Information BROOKDALE NACOGDOCHES BROOKDALE SENIOR LIVING COMMUNITIES, INC 14595 NACOGDOCHES RD 6737 W WASHINGTON ST STE 2300 , SAN ANTONIO TX 78247 MILWAUKEE WI 53214 Phone (210) 653-6100 Fax (210) 653-2082 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 60 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LOLA DZIERZANSKI License Eff Dt: 12/01/2019 License Exp Dt: 12/01/2021 Mgmt Co.:

County BEXAR Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 030087 License No.: 148634 Owner Information BROOKDALE OAKWELL ESC IV LP 3360 OAKWELL COURT 6737 W, WASHINGTON ST SUITE 2300 , SAN ANTONIO TX 78218 MILWAUKEE WI 53214 Phone (210) 820-8744 Fax (210) 820-8233 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 136 PRIVATE Beds: 136 Cert Alzh Capacity: 34 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEAN FISCHBECK License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 15 of 405 County BEXAR Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 105931 License No.: 146849 Owner Information BROOKS HOME FOR SENIORS BROOKS HOME FOR SENIORS LLC 4139 BRIAR GLEN DR. 4139 BRIAR GLEN DR , SAN ANTONIO TX 78218 SAN ANTONIO TX 78218 Phone (210) 590-8927 Fax (210) 907-2513 PHONE: (210) 590-8927 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RUSANA BROOKS License Eff Dt: 01/29/2021 License Exp Dt: 01/29/2024 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 000652 License No.: 307666 Owner Information CAMINO REAL SENIOR LIVING MFF AMBER OAKS, LLC 4415 RIO DORO , SAN ANTONIO TX 78233 Phone (210) 653-3132 Fax (210) 653-9791 PHONE: FAX: TOTAL Lic Capacity: 205 PRIVATE Beds: 205 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JENNIFER ANDERSON License Eff Dt: 12/05/2019 License Exp Dt: 12/05/2022 Mgmt Co.: PRIORITY LIFE CARE LLC

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 106890 License No.: 148719 Owner Information CAROL ANN'S HOME CAROL ANN'S HOME INC 10506 WAYWARD 31 CHAMPIONS RUNS , SAN ANTONIO TX 78217 SAN ANTONIO TEXAS 78258 Phone (210) 621-3685 Fax (210) 354-7590 PHONE: (210) 621-3685 FAX: (210) 635-0110 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CAROL Q GHANBAR License Eff Dt: 12/22/2019 License Exp Dt: 12/22/2021 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 030254 License No.: 144136 Owner Information CAROL ANN'S HOME INC CAROL ANN'S HOME INC 8005 CHAMBERS RD 31 CHAMPIONS RUNS , SAN ANTONIO TX 78229 SAN ANTONIO TEXAS 78258 Phone (210) 621-3685 Fax (210) 635-0110 PHONE: (210) 621-3685 FAX: (210) 635-0110 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CAROL Q GHANBAR License Eff Dt: 02/04/2020 License Exp Dt: 02/04/2022 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 103570 License No.: 145957 Owner Information CAROL ANN'S HOME INC CAROL ANN'S HOME INC 4215 HILTON HEAD 31 CHAMPIONS RUNS , SAN ANTONIO TX 78217 SAN ANTONIO TEXAS 78258 Phone (210) 966-0656 Fax (210) 642-8113 PHONE: (210) 621-3685 FAX: (210) 635-0110 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: CAROL Q GHANBAR License Eff Dt: 10/14/2020 License Exp Dt: 10/14/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 16 of 405 County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 000432 License No.: 150137 Owner Information CASA FELICITAS KINCARE INCORPORATED 107 BARBARA DR 107 BARBARA DR , SAN ANTONIO TX 78216 SAN ANTONIO TX 78216 Phone (210) 349-4452 Fax (210) 822-2494 PHONE: (210) 824-5344 FAX: (210) 822-2494 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHARON D JOHNSON License Eff Dt: 09/10/2020 License Exp Dt: 09/10/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 106414 License No.: 307685 Owner Information CEDAR RANCH AT MILITARY DRIVE LBC WESTOVER HILLS LLC 10107 MILITARY DRIVE WEST , SAN ANTONIO TX 78251 Phone (210) 608-9302 Fax PHONE: FAX: TOTAL Lic Capacity: 56 PRIVATE Beds: 56 Cert Alzh Capacity: 56 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARGARET RODRIGUEZ License Eff Dt: 10/01/2019 License Exp Dt: 10/01/2022 Mgmt Co.: WR WESTOVER HILLS LLC

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 110323 License No.: 307788 Owner Information CHANGING SEASONS ON BLANCO RESIDENTIAL CARE HOMES OF AMERICA, LLC 16400 BLANCO RD PO BOX 961 , SAN ANTONIO TX 78232 HELOTES TEXAS 78240 Phone (210) 540-8288 Fax PHONE: (210) 540-8288 FAX: TOTAL Lic Capacity: 119 PRIVATE Beds: 119 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: WYNDEE RODRIGUEZ License Eff Dt: 04/16/2020 License Exp Dt: 04/16/2023 Mgmt Co.: RESIDENTIAL CARE HOMES OF AMERICA, LLC

County BEXAR Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 030045 License No.: 149631 Owner Information COLONIAL GARDENS OF SAN ANTONIO SA1 SOUTHWEST LTC SAN ANTONIO ALF LLC 20 LYNN BATTS LANE 5560 TENNYSON PARKWAYSUITE 210 , SAN ANTONIO TX 78218 PLANO TX 75024 Phone (210) 826-6594 Fax (210) 826-0063 PHONE: (469) 916-6100 FAX: (469) 916-6105 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GEORGINA MERRILL License Eff Dt: 07/01/2020 License Exp Dt: 07/01/2023 Mgmt Co.: SOUTHWEST LTC MANAGEMENT SERVICES LLC

County BEXAR Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 030288 License No.: 147994 Owner Information COLONIAL GARDENS OF SAN ANTONIO SA2 SOUTHWEST LTC SAN ANTONIO ALF LLC 10 LYNN BATTS LANE 5560 TENNYSON PARKWAYSUITE 210 , SAN ANTONIO TX 78218 PLANO TX 75024 Phone (210) 826-6594 Fax (210) 826-0063 PHONE: (469) 916-6100 FAX: (469) 916-6105 TOTAL Lic Capacity: 20 PRIVATE Beds: 20 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SELENA GAITAIN License Eff Dt: 05/01/2021 License Exp Dt: 05/01/2024 Mgmt Co.: SOUTHWEST LTC MANAGEMENT SERVICES LLC

Tuesday, September 28, 2021 Page 17 of 405 County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 106553 License No.: 146050 Owner Information CORNERSTONE ASSISTED LIVING CORNERSTONE ALF LLC 103 FAIRWAY CIRCLE 103 FAIRWAY CIRCLE , SAN ANTONIO TX 78232 SAN ANTONIO TX 78232 Phone (206) 349-1816 Fax (210) 908-9424 PHONE: (210) 908-9424 FAX: (210) 908-9424 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARCEL L TERMURE License Eff Dt: 11/08/2020 License Exp Dt: 11/08/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Z Region 07 Facility Information: Facility ID: 110467 License No.: 308111 Owner Information COTTAGES ON DANNY KAYE III RESIDENTIAL CARE HOMES OF AMERICA, LLC 5962 DANNY KAYE BUILDING 3 PO BOX 961 , SAN ANTONIO TX 78240 HELOTES TEXAS 78240 Phone (210) 556-5553 Fax PHONE: (210) 540-8288 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL R KITCHEN License Eff Dt: 01/29/2021 License Exp Dt: 01/29/2024 Mgmt Co.: RESIDENTIAL CARE HOMES OF AMERICA, LLC

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 000740 License No.: 307898 Owner Information DESERT SANDS ASSISTED LIVING LLC DESERT SANDS ASSISTED LIVING LLC 10218 DESERT SANDS , SAN ANTONIO TX 78216 Phone (210) 341-1012 Fax (210) 349-7876 PHONE: FAX: TOTAL Lic Capacity: 42 PRIVATE Beds: 42 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: THOMAS B OZGO License Eff Dt: 03/12/2020 License Exp Dt: 03/12/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 106675 License No.: 307480 Owner Information DISCOVERY VILLAGE AT DOMINION DSL TENANT II, LLC 6906 HEUERMAN ROAD 4500 DORR STREET , SAN ANTONIO TX 78257 TOLEDO OH 43615 Phone (210) 947-7000 Fax PHONE: FAX: TOTAL Lic Capacity: 148 PRIVATE Beds: 148 Cert Alzh Capacity: 45 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: WYNDEE RODRIGUEZ License Eff Dt: 04/01/2019 License Exp Dt: 04/01/2022 Mgmt Co.: AMERICAN TRUST SENIOR CARE, LLC

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 101047 License No.: 149735 Owner Information DOVES NEST ASSISTED LIVING, LLC ANA KHAN 14311 PARKHURST DR 14202 TURTLE ROCK ST , SAN ANTONIO TX 78232 SAN ANTONIO TX 78232 Phone (210) 865-3026 Fax (210) 496-0299 PHONE: (210) 865-3026 FAX: (210) 496-0299 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ANA M KHAN License Eff Dt: 12/08/2019 License Exp Dt: 12/08/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 18 of 405 County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 001075 License No.: 148010 Owner Information ELISAS FOSTERCARE ELISA M DURDA 147 CROESUS 147 CROESUS , SAN ANTONIO TX 78213 SAN ANTONIO TX 78213 Phone (210) 979-9251 Fax (210) 979-9251 PHONE: (210) 979-9251 FAX: (210) 979-9251 TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE C Administrator: ELISA M DURDA License Eff Dt: 09/26/2019 License Exp Dt: 09/26/2022 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 030383 License No.: 307018 Owner Information ELMCROFT OF WINDCREST EC OPCO WINDCREST, LLC 6849 CRESTWAY 1999 BRYAN ST. STE. 900 , SAN ANTONIO TX 78239 DALLAS TX 75201 Phone (210) 946-4994 Fax (210) 946-5775 PHONE: FAX: TOTAL Lic Capacity: 113 PRIVATE Beds: 113 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KRISTY GRAPHMAN License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2023 Mgmt Co.: HEARTHSTONE MANAGEMENT INC

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 101083 License No.: 149861 Owner Information ESDRAS MENDOZA MARIA G LOPEZ 4618 MANITOU DR 4618 MANITOU , SAN ANTONIO TX 78228 SAN ANTONIO TX 78228 Phone (210) 436-6885 Fax (210) 549-3394 PHONE: (210) 639-2560 FAX: (210) 431-7884 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ESDRAS MENDOZA License Eff Dt: 05/23/2020 License Exp Dt: 05/23/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 101026 License No.: 147293 Owner Information FAITH HOME ROSA CORTES 4218 CLEAR LAKE 13731 SUNNY GLEN , SAN ANTONIO TX 78217 SAN ANTONIO TX 78233 Phone (210) 637-7848 Fax (210) 348-5567 PHONE: (210) 859-5507 FAX: TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROSA L CORTES License Eff Dt: 05/14/2019 License Exp Dt: 05/14/2022 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 102535 License No.: 149661 Owner Information FENWOOD RESIDENTIAL HOME CARE FENWOOD HOME CARE ALF LLC 8862 FENWOOD 8862 FENWOOD , SAN ANTONIO TX 78250 SAN ANTONIO TX 78250 Phone (210) 296-7260 Fax (210) 233-6197 PHONE: (210) 233-6197 FAX: (210) 233-6197 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MARIA C MILLER License Eff Dt: 07/21/2018 License Exp Dt: 07/21/2020 Mgmt Co.:

Tuesday, September 28, 2021 Page 19 of 405 County BEXAR Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 106581 License No.: 148688 Owner Information FRANKLIN PARK ALAMO HEIGHTS ASSISTED LIVING FAM ALAMO HEIGHTS LTD 230 W. SUNSET ROAD 21260 GATHERING OAKSTE. 101 , SAN ANTONIO TX 78209 SAN ANTONIO TX 78260 Phone (210) 829-5955 Fax (210) 829-5953 PHONE: (210) 694-2223 FAX: (210) 694-2225 TOTAL Lic Capacity: 121 PRIVATE Beds: 121 Cert Alzh Capacity: 44 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAVID EWING License Eff Dt: 03/08/2021 License Exp Dt: 03/08/2024 Mgmt Co.: FRANKLIN APARTMENT MANAGEMENT LTD

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 104458 License No.: 147405 Owner Information FRANKLIN PARK SONTERRA ASSISTED LIVING FAM SONTERRA LTD 18323 SONTERRA PLACE 21260 GATHERING OKASTE 101 , SAN ANTONIO TX 78258 SAN ANTONIO TX 78260 Phone (210) 404-1444 Fax (210) 490-2801 PHONE: (210) 694-2223 FAX: (210) 594-2225 TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TAMMIE ROWE License Eff Dt: 06/01/2019 License Exp Dt: 06/01/2022 Mgmt Co.: FRANKLIN APARTMENT MANAGEMENT LTD

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 104834 License No.: 307495 Owner Information FRANKLIN PARK TPC PARKWAY FRANKLIN PARK STONE OAK, LTD 21802 ENCINO COMMONS 21260 GATHERING OAK SUITE #101 , SAN ANTONIO TX 78258 SAN ANTONIO TX 78260 Phone (210) 483-9999 Fax PHONE: (210) 694-2223 FAX: (210) 694-2225 TOTAL Lic Capacity: 125 PRIVATE Beds: 125 Cert Alzh Capacity: 71 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JACQUELINE BARRAGAN License Eff Dt: 06/01/2019 License Exp Dt: 06/01/2022 Mgmt Co.: FAM STONE OAK, LTD

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 030259 License No.: 148715 Owner Information FREEDOM HOUSE ALZHEIMER'S CARE AND RESEARCH CENTER ALZHEIMERS CARE AND RESEARCH CENTER FOUNDATION 12455 FREEDOM WAY 12455 FREEDOM WAY , SAN ANTONIO TX 78245 SAN ANTONIO TX 78245 Phone (210) 838-6300 Fax (210) 838-6310 PHONE: (210) 838-6300 FAX: (210) 838-6310 TOTAL Lic Capacity: 72 PRIVATE Beds: 72 Cert Alzh Capacity: 72 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KURT S RIEDEL License Eff Dt: 01/05/2020 License Exp Dt: 01/05/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 110295 License No.: 307714 Owner Information GOLDEN AGE HOME CARE LLC GOLDEN AGE HOME CARE LLC 5506 KING RICHARD ST , SAN ANTONIO TX 78229 Phone (714) 471-4981 Fax PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROXANA BIRTA License Eff Dt: 02/25/2020 License Exp Dt: 02/25/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 20 of 405 County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 106932 License No.: 308228 Owner Information GOLDEN OAKS ASSISTED LIVING MOSI LLC 242 EARLY TRAIL , SAN ANTONIO TX 78228 Phone (210) 931-7554 Fax (210) 855-8547 PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANDA STEFANESCU License Eff Dt: 04/17/2021 License Exp Dt: 04/17/2024 Mgmt Co.: NA

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 104091 License No.: 149906 Owner Information GOLDEN STAGE ASSISTED LIVING WHOLEHEARTED CARE LLC 24911 N SADDLE TRL , SAN ANTONIO TX 78255 Phone (210) 858-5200 Fax PHONE: FAX: TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GRACE OSBORNE License Eff Dt: 12/17/2020 License Exp Dt: 12/17/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 106543 License No.: 150089 Owner Information GREENWOOD HOME CARE GREENWOOD HOME CARE 6035 SPRING TIME DRIVE 6035 SPRING TIME DR. , SAN ANTONIO TX 78249 SAN ANTONIO TX 78249 Phone (210) 860-4307 Fax (210) 642-9043 PHONE: (210) 462-1543 FAX: (210) 462-9043 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BENJAMIN VESA License Eff Dt: 08/11/2020 License Exp Dt: 08/11/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 000926 License No.: 146569 Owner Information HAPPY HOME ADULT PERSONAL CARE HOME GERALDINE DOLORES WALKER 4635 LORD RD 4523 EMORY OAK WOODS , SAN ANTONIO TX 78220 SAN ANTONIO TX 78249 Phone (210) 267-8142 Fax (210) 493-8289 PHONE: FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: GERALDINE D WALKER License Eff Dt: 01/05/2019 License Exp Dt: 01/05/2022 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 103524 License No.: 147904 Owner Information HEART TO HEART RESIDENTIAL CARE HOME LLC HEART TO HEART RESIDENTIAL CARE HOME LLC 12119 SAN MIGUEL 12119 SAN MIGUEL , SAN ANTONIO TX 78233 SAN ANTONIO TX 78233 Phone (210) 777-1039 Fax (210) 564-9319 PHONE: (210) 777-1039 FAX: (210) 265-5516 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOYCE P KYLE License Eff Dt: 08/08/2019 License Exp Dt: 08/08/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 21 of 405 County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 106612 License No.: 148973 Owner Information HEARTIS SAN ANTONIO HEARTIS SAN ANTONIO PARTNERS LP 15430 HUEBNER ROAD 5910 N. CENTRAL EXPRESSWAYSUITE 1400 , SAN ANTONIO TX 78248 DALLAS TX 75206 Phone (210) 492-1928 Fax PHONE: (214) 916-5750 FAX: TOTAL Lic Capacity: 186 PRIVATE Beds: 186 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KARLA JACKSON License Eff Dt: 07/21/2021 License Exp Dt: 07/21/2024 Mgmt Co.: FRONTIER SENIOR LIVING LLC

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 105674 License No.: 148410 Owner Information HERITAGE CREEK HERITAGE CREEK ASSISTED LIVING INC 6538 ECKHERT RD. 6538 ECKHERT RD. , SAN ANTONIO TX 78240 SAN ANTONIO TX 78240 Phone (210) 446-2120 Fax PHONE: (210) 439-8729 FAX: TOTAL Lic Capacity: 52 PRIVATE Beds: 52 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRISTINA VARGA License Eff Dt: 11/01/2019 License Exp Dt: 11/01/2022 Mgmt Co.:

County BEXAR Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 000843 License No.: 148849 Owner Information HIGHLAND GARDENS PERSONAL CARE GLADYS M KOVAL & GEORGE J KOVAL 802 MONTICELLO 802 MONTICELLO , SAN ANTONIO TX 78223 SAN ANTONIO TX 78223 Phone (210) 534-9451 Fax (888) 333-1141 PHONE: (210) 534-9451 FAX: (888) 333-1141 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: GLADYS M KOVAL License Eff Dt: 11/01/2019 License Exp Dt: 11/01/2021 Mgmt Co.:

County BEXAR Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 101528 License No.: 149002 Owner Information HOPES RESIDENCE HEALTH OPERATION PROVIDING ECONOMICAL SOLUTIONS HOPES 5102 GAWAIN DR 5102 GAWAIN DR , SAN ANTONIO TX 78218 SAN ANTONIO TEXAS 78218 Phone (210) 559-2551 Fax (210) 559-1316 PHONE: FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MARY E JOHNSON License Eff Dt: 05/06/2019 License Exp Dt: 10/09/2021 Mgmt Co.:

County BEXAR Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 030354 License No.: 149414 Owner Information HOPES RESIDENCE HEALTH OPERATION PROVIDING ECONOMICAL SOLUTIONS HOPES 5046 GALAHAD DR 5102 GAWAIN DR , SAN ANTONIO TX 78218 SAN ANTONIO TEXAS 78218 Phone (210) 564-0870 Fax (210) 251-4279 PHONE: FAX: TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: HOPE S JOHNSON License Eff Dt: 07/29/2019 License Exp Dt: 07/29/2022 Mgmt Co.: HOPES, INC

Tuesday, September 28, 2021 Page 22 of 405 County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 106920 License No.: 307425 Owner Information HUMBLE 4 LIFE ASSISTED LIVING HUMBLE 4 LIFE ASSISTED LIVING LLC 8915 NEW WORLD , SAN ANTONIO TX 78239 Phone (360) 434-6642 Fax PHONE: FAX: TOTAL Lic Capacity: 28 PRIVATE Beds: 28 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: TEMIKA BRYANT License Eff Dt: 04/22/2019 License Exp Dt: 04/22/2022 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 050192 License No.: 147993 Owner Information IHCS RESIDENTIAL IHCS RESIDENTIAL 15218 PEBBLE FOREST DR 2935 THOUSAND OAKS #6STE 170 , SAN ANTONIO TX 78232 SAN ANTONIO TX 78247 Phone (210) 559-9500 Fax 866 343 7707 PHONE: (210) 888-0127 FAX: (866) 343-7702 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: GAYLE M WASHINGTON License Eff Dt: 10/16/2019 License Exp Dt: 10/16/2022 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 110189 License No.: 307412 Owner Information IMAGINE WELLNESS ASSISTED LIVING, LLC RIDGE OAK ASSISTED LIVING, LLC 13919 RIDGE OAK PARKWAY , SAN ANTONIO TX 78249 Phone (210) 908-8300 Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JAMES CALDWELL License Eff Dt: 10/14/2019 License Exp Dt: 07/23/2022 Mgmt Co.:

County BEXAR Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 100473 License No.: 149279 Owner Information INCARNATE WORD RETIREMENT COMMUNITY INC INCARNATE WORD RETIREMENT COMMUNITY INC 4707 BROADWAY 4707 BROADWAY ST , SAN ANTONIO TX 78209-6200 SAN ANTONIO TEXAS 78209 Phone 2108297561 ext 140 Fax (210) 832-0378 PHONE: (210) 829-7561 FAX: (210) 829-1601 TOTAL Lic Capacity: 45 PRIVATE Beds: 45 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: EVA QUINTANA License Eff Dt: 05/03/2020 License Exp Dt: 05/03/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 100102 License No.: 149496 Owner Information INDEPENDENCE HILL ASSISTED LIVING STONE OAK VILLAS II LTD 20500 HUEBNER RD 20500 HUEBNER RD , SAN ANTONIO TX 78258 SAN ANTONIO TX 78258 Phone (210) 482-2000 Fax (210) 482-2006 PHONE: (210) 615-4040 FAX: (210) 615-4288 TOTAL Lic Capacity: 115 PRIVATE Beds: 115 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MICHELLE HOUNET VOUTOUR License Eff Dt: 08/08/2019 License Exp Dt: 08/08/2021 Mgmt Co.: DIAL COMUNITIES INC

Tuesday, September 28, 2021 Page 23 of 405 County BEXAR Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 000945 License No.: 146619 Owner Information JUNIPER VILLAGE AT LINCOLN HEIGHTS SH OPCO LINCOLN HEIGHTS, LLC 855 E BASSE RD 6737 W WASHINGTON STSTE 2300 , SAN ANTONIO TX 78209 MILWAUKEE WI 53214 Phone (210) 930-1040 Fax (210) 930-1844 PHONE: (414) 918-5000 FAX: (414) 918-6076 TOTAL Lic Capacity: 97 PRIVATE Beds: 97 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TIFFANY WEISER License Eff Dt: 01/18/2019 License Exp Dt: 01/18/2022 Mgmt Co.: JUNIPER MANAGEMENT LLC

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 106149 License No.: 147042 Owner Information JUST LIKE HOME CARE JUST LIKE HOME CARE 4126 SHADY OAK ST 4126 SHADY OAK ST , SAN ANTONIO TX 78229 SAN ANTONIO TX 78229 Phone (210) 274-8280 Fax (210) 979-0239 PHONE: (210) 274-8280 FAX: (210) 979-0239 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CLAUDIA COSTESCU License Eff Dt: 03/20/2019 License Exp Dt: 03/20/2021 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 110338 License No.: 307837 Owner Information JUST LIKE HOME CARE FOR SENIORS INC JUST LIKE HOME CARE FOR SENIORS INC 6625 ADAIR DR 4126 SHADY OAK , SAN ANTONIO TX 78238 SAN ANTONIO TX 78229 Phone (210) 274-8280 Fax (210) 979-0239 PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAVID COSTESCU License Eff Dt: 05/07/2020 License Exp Dt: 05/07/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 000514 License No.: 146005 Owner Information KOVALS ADULT FOSTER HOME GLADYS M KOVAL & GEORGE J KOVAL 804 MONTICELLO 802 MONTICELLO , SAN ANTONIO TX 78223 SAN ANTONIO TX 78223 Phone (210) 534-9451 Fax (888) 333-1141 PHONE: (210) 534-9451 FAX: (888) 333-1141 TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: GLADYS M KOVAL License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 102599 License No.: 149859 Owner Information KSL TEXAS COMMUNITIES SA LLC KSL TEXAS COMMUNITIES SA LLC 8103 N HOLLOW 5790 FLEET STREETSUITE 300 , SAN ANTONIO TX 78240 CARLSBAD CA 92008 Phone (210) 558-7600 Fax (210) 558-7604 PHONE: (760) 804-5900 FAX: (760) 804-0589 TOTAL Lic Capacity: 61 PRIVATE Beds: 61 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: TERRY WUESTNEY License Eff Dt: 06/10/2020 License Exp Dt: 06/10/2023 Mgmt Co.: NORTHSTAR SENIOR LIVING, INC

Tuesday, September 28, 2021 Page 24 of 405 County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 105022 License No.: 148813 Owner Information LAKESIDE VILLAS AT THE ARC THE ARMY RETIREMENT RESIDENCE FOUNDATION SAN ANTONIO INC 10000 RHINELAND 7400 CRESTWAY DR , SAN ANTONIO TX 78239 SAN ANTONIO TX 78239 Phone (210) 646-5200 Fax (210) 646-5395 PHONE: (210) 646-5300 FAX: (210) 646-5395 TOTAL Lic Capacity: 68 PRIVATE Beds: 68 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KIMBERLY HAMPTON License Eff Dt: 12/21/2019 License Exp Dt: 12/21/2021 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 106118 License No.: 307560 Owner Information LANDON RIDGE ALAMO RANCH WELLTOWER TCG RIDEA TENANT, LLC 11349 ALAMO RANCH PARKWAY 4500 DORR STREET , SAN ANTONIO TX 78253 TOLDEO OH 43615 Phone (888) 212-1657 Fax PHONE: FAX: TOTAL Lic Capacity: 152 PRIVATE Beds: 152 Cert Alzh Capacity: 50 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KIMBERLY DEIKE License Eff Dt: 04/01/2019 License Exp Dt: 04/01/2022 Mgmt Co.: SAGORA SENIOR LIVING, INC

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 103438 License No.: 147442 Owner Information LEON SPRINGS LODGE LLC LEON SPRINGS LODGE LLC 24137 BOERNE STAGE RD 24137 BOERNE STAGE RD , SAN ANTONIO TX 78255 SAN ANTONIO TX 78255 Phone (210) 698-9365 Fax (210) 698-7322 PHONE: (210) 735-1190 FAX: (210) 735-8271 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: REBECCA SCHROEDER License Eff Dt: 07/02/2021 License Exp Dt: 07/02/2024 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 101035 License No.: 145683 Owner Information LIBERTY HOUSE AT BLUE SKIES OF TEXAS WEST BST HEALTH SERVICES CORP 5200 JOHN D RYAN BLVD 12455 FREEDOM WAY , SAN ANTONIO TX 78245 SAN ANTONIO TX 78245 Phone (210) 568-3420 Fax (210) 568-3336 PHONE: (210) 838-6332 FAX: (210) 838-6315 TOTAL Lic Capacity: 51 PRIVATE Beds: 51 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARSHA LLOYD License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 110359 License No.: 307906 Owner Information LIVING WITH CHOICES LIVING WITH CHOICES LLC 10327 LUZON DR. , SAN ANTONIO TX 78217 Phone (210) 748-2959 Fax PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PABLO GALLEGOS License Eff Dt: 06/17/2020 License Exp Dt: 06/17/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 25 of 405 County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 100358 License No.: 149678 Owner Information LOPEZ ASSISTED LIVING HOME LOPEZ ASSISTED LIVING HOMES INC 1611 W COMMERCE ST 3706 SHERRIL BROOK , SAN ANTONIO TX 78207 SAN ANTONIO TX 78228 Phone (210) 251-3896 Fax (210) 436-9106 PHONE: (210) 434-7216 FAX: (210) 436-9106 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: NORA L KUTTNER License Eff Dt: 11/07/2019 License Exp Dt: 11/07/2021 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 030366 License No.: 147892 Owner Information LOPEZ ASSISTED LIVING HOMES LOPEZ ASSISTED LIVING HOMES INC 3706 SHERRIL BROOK 3706 SHERRIL BROOK , SAN ANTONIO TX 78228 SAN ANTONIO TX 78228 Phone (210) 434-7216 Fax (210) 436-9106 PHONE: (210) 434-7216 FAX: (210) 436-9106 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MARY E LOPEZ License Eff Dt: 05/02/2019 License Exp Dt: 05/02/2022 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 103075 License No.: 145646 Owner Information LOPEZ HOMES LOPEZ HOME MCG LLC 118 WALLACE RD 4818 OAKWAY DR , SAN ANTONIO TX 78237 SAN ANTONIO TX 78228 Phone (210) 438-8750 Fax (210) 855-1220 PHONE: (210) 277-0494 FAX: (210) 314-5708 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: TOM G LOPEZ JR License Eff Dt: 09/04/2020 License Exp Dt: 09/04/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 101847 License No.: 150224 Owner Information LOPEZ HOMES MCG LLC LOPEZ HOME MCG LLC 511 W. QUILL 4818 OAKWAY DR , SAN ANTONIO TX 78228 SAN ANTONIO TX 78228 Phone (210) 432-0552 Fax (210) 314-5708 PHONE: (210) 277-0494 FAX: (210) 314-5708 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: TOM G LOPEZ JR License Eff Dt: 03/10/2020 License Exp Dt: 03/10/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 107213 License No.: 307189 Owner Information LOPEZ HOMES MCG LLC LOPEZ HOME MCG LLC 3707 CROSSETTE DRIVE 4818 OAKWAY DR , SAN ANTONIO TX 78228 SAN ANTONIO TX 78228 Phone (210) 352-5609 Fax (210) 855-1220 PHONE: (210) 277-0494 FAX: (210) 314-5708 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: TOM G LOPEZ JR License Eff Dt: 11/06/2020 License Exp Dt: 11/06/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 26 of 405 County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 106483 License No.: 147632 Owner Information LOPEZ HOMES MCG LLC LOPEZ HOME MCG LLC 4818 OAKWAY DR. 4818 OAKWAY DR , SAN ANTONIO TX 78228 SAN ANTONIO TX 78228 Phone (210) 277-0494 Fax (210) 314-5708 PHONE: (210) 277-0494 FAX: (210) 314-5708 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: TOM G LOPEZ JR License Eff Dt: 07/10/2019 License Exp Dt: 07/10/2021 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 105241 License No.: 145498 Owner Information MARINA'S ASSISTED LIVING LLC MARINA'S ASSISTED LIVING LLC 3515 BACKBAY DRIVE 3515 BACKBAY DRIVE , SAN ANTONIO TX 78230 SAN ANTONIO TX 78230 Phone (210) 257-9596 Fax (866) 745-1547 PHONE: (210) 257-9596 FAX: (866) 745-1547 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: FLORINA JARDA License Eff Dt: 08/30/2020 License Exp Dt: 08/30/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 101631 License No.: 149587 Owner Information MEADOWS MISSION ROAD DEVELOPMENTAL CENTER 8706 MISSION ROAD 8706 MISSION RD , SAN ANTONIO TX 78214 SAN ANTONIO TX 78214 Phone (210) 924-9265 Fax (210) 922-6006 PHONE: (210) 334-2437 FAX: (210) 922-6006 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LORA BUTLER License Eff Dt: 10/28/2021 License Exp Dt: 10/28/2024 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 106423 License No.: 149427 Owner Information MEMORY CARE OF WESTOVER HILLS TRIDENT HEALTHCARE PROPERTIES I LP 10910 TOWN CENTER DRIVE 400 W ILLINOISSTE 950 , SAN ANTONIO TX 78251 MIDLAND TX 79701 Phone (210) 802-6653 Fax PHONE: FAX: TOTAL Lic Capacity: 64 PRIVATE Beds: 64 Cert Alzh Capacity: 64 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TAWANA MCDANIEL License Eff Dt: 03/18/2020 License Exp Dt: 03/18/2023 Mgmt Co.: MEMORY CARE AMERICA, LLC

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 105454 License No.: 146547 Owner Information MENDOZA ASSISTED LIVING MARIA G LOPEZ 208 HOPE DR. 4618 MANITOU , SAN ANTONIO TX 78228 SAN ANTONIO TX 78228 Phone (210) 639-2560 Fax (210) 549-3394 PHONE: (210) 639-2560 FAX: (210) 431-7884 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ESDRAS MENDOZA License Eff Dt: 02/14/2019 License Exp Dt: 02/14/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 27 of 405 County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 110289 License No.: 146732 Owner Information MENTIS NEURO HEALTH MENTIS NEURO SAN ANTONIO LLC 18931 HARDY OAK BLVD 18937 E 128TH STREET SOUT , SAN ANTONIO TX 78258 BROKEN ARROW OK 74011 Phone (210) 599-4400 Fax (210) 599-1046 PHONE: (210) 599-4400 FAX: (210) 599-1046 TOTAL Lic Capacity: 24 PRIVATE Beds: 24 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRISTIN MOSES License Eff Dt: 02/18/2019 License Exp Dt: 01/15/2022 Mgmt Co.: MENTIS MANAGEMENT SERVICES, LLC

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 102302 License No.: 149905 Owner Information MI CASA ES SU CASA SUSIE M VILLARREAL 4902 E BEVERLY MAE DRIVE 4902 E BEVERLY MAE , SAN ANTONIO TX 78229 SAN ANTONIO TX 78229 Phone (210) 614-2913 Fax (210) 614-4768 PHONE: (210) 614-2913 FAX: (210) 614-2913 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SUSIE M VILLARREAL License Eff Dt: 05/27/2020 License Exp Dt: 05/27/2023 Mgmt Co.: NA

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 110100 License No.: 149005 Owner Information MISSION ROAD DEVELOPMENTAL CENTER MISSION ROAD DEVELOPMENTAL CENTER 12102 TREEWELL GLEN 8706 MISSION RD , SAN ANTONIO TX 78249 SAN ANTONIO TX 78214 Phone (210) 561-2715 Fax (210) 692-1524 PHONE: (210) 334-2437 FAX: (210) 922-6006 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARY G BELLAMY License Eff Dt: 02/25/2020 License Exp Dt: 02/25/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 000938 License No.: 149006 Owner Information MISSION ROAD DEVELOPMENTAL CENTER COUNTRY BREEZE MISSION ROAD DEVELOPMENTAL CENTER 6706 COUNTRY BREEZE 8706 MISSION RD , SAN ANTONIO TX 78240 SAN ANTONIO TX 78214 Phone (210) 334-2437 Fax (210) 922-6006 PHONE: (210) 334-2437 FAX: (210) 922-6006 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARY G BELLAMY License Eff Dt: 02/25/2020 License Exp Dt: 02/25/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 103268 License No.: 150119 Owner Information MISSION ROAD DEVELOPMENTAL CENTER COUNTRY HAVEN MISSION ROAD DEVELOPMENTAL CENTER 6827 COUNTRY HAVEN 8706 MISSION RD , SAN ANTONIO TX 78240 SAN ANTONIO TX 78214 Phone (210) 558-7638 Fax (210) 692-1524 PHONE: (210) 334-2437 FAX: (210) 922-6006 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARY G BELLAMY License Eff Dt: 02/25/2020 License Exp Dt: 02/25/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 28 of 405 County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 103269 License No.: 307239 Owner Information MISSION ROAD DEVELOPMENTAL CENTERCENTER SPRING MISSION ROAD DEVELOPMENTAL CENTER 7830 CENTER SPRING 8706 MISSION RD , SAN ANTONIO TX 78244 SAN ANTONIO TX 78214 Phone (210) 688-4187 Fax (210) 688-4189 PHONE: (210) 334-2437 FAX: (210) 922-6006 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARY G BELLAMY License Eff Dt: 11/12/2020 License Exp Dt: 11/12/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 106652 License No.: 146463 Owner Information NEURORESTORATIVE SAN ANTONIO FIVE OAKS MENTOR ABI, LLC 239 FIVE OAKS DR 11937 US HWY 271 , SAN ANTONIO TX 78209 TYLER TX 75708 Phone (210) 832-0007 Fax (210) 832-0012 PHONE: (617) 790-4800 FAX: (617) 790-4271 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRISTIN MOSES License Eff Dt: 01/04/2021 License Exp Dt: 01/04/2024 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 102550 License No.: 147159 Owner Information NEWFOREST ESTATES PACIFICA NEW F ESTATES LLC 5034 NEWFOREST DRIVE 1775 HANCOCK STREETSUITE 200 , SAN ANTONIO TX 78229 SAN DIEGO CA 92110 Phone (210) 680-3649 Fax (210) 680-8108 PHONE: (619) 296-9000 FAX: (619) 296-9090 TOTAL Lic Capacity: 32 PRIVATE Beds: 32 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LISA MARIE FLORES License Eff Dt: 05/22/2021 License Exp Dt: 05/22/2024 Mgmt Co.: PACIFICA SENIOR LIVING LLC

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 106041 License No.: 307490 Owner Information PAAM CARE, LLC PAAM CARE, LLC 322 EARLY TRAIL , SAN ANTONIO TX 78228 Phone (210) 888-5486 Fax (210) 277-0487 PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: POONAM SINGH License Eff Dt: 05/13/2019 License Exp Dt: 05/13/2022 Mgmt Co.: NO MANAGING COMPANY

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 104918 License No.: 147693 Owner Information PAMS HOME CARE PAMS HOME CARE 2322 FRONTIER TRAIL NA , SAN ANTONIO TX 78251 NA NA Phone (210) 787-9340 Fax (210) 520-1525 PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: PAMELA C OHIRI License Eff Dt: 07/30/2021 License Exp Dt: 07/30/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 29 of 405 County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 110154 License No.: 307334 Owner Information PARKWAY ASSISTED LIVING LLC PARKWAY ASSISTED LIVING LLC 4331 PARKWAY DRIVE 1815 HIGHLAND MIST LANE , SAN ANTONIO TX 78228 SAN ANTONIO TX 78251 Phone (210) 430-3675 Fax (210) 662-0054 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: EDWARD MENDOZA License Eff Dt: 05/14/2019 License Exp Dt: 09/30/2021 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 110349 License No.: 307869 Owner Information PECAN VIEWS SENIOR CARE AUREATE CARE, INC 6960 PEMBROKE RD. 5683 VERBENA ST , SAN ANTONIO TX 78240 SAN ANTONIO TX 78240 Phone (210) 444-9739 Fax (210) 855-6792 PHONE: (971) 400-7746 FAX: (210) 855-6792 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ALEXANDRA F GHELIUC License Eff Dt: 06/03/2020 License Exp Dt: 06/03/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 106271 License No.: 145510 Owner Information PEMBROKE ANGEL CARE ASSISTED LIVING PEMBROKE ANGEL CARE LLC 6655 PEMBROKE RD 6655 PEMBROKE RD , SAN ANTONIO TX 78240 SAN ANTONIO TX 78240 Phone (206) 491-7872 Fax (210) 257-8298 PHONE: (210) 257-8298 FAX: (210) 257-8298 TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RODICA A TERMURE License Eff Dt: 08/16/2020 License Exp Dt: 08/16/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 000923 License No.: 149223 Owner Information PIPESTONE PLACE ASSISTED LIVING SEV INC 2104 PIPESTONE DR 2251 FAWN MIST LN , SAN ANTONIO TX 78232 SAN ANTONIO TX 78248 Phone (210) 545-6272 Fax (210) 579-6557 PHONE: (210) 722-5271 FAX: (210) 579-6557 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SAMUEL VESA License Eff Dt: 12/07/2019 License Exp Dt: 12/07/2021 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 106687 License No.: 145873 Owner Information POET'S WALK SAN ANTONIO PRESIDIO NJ TE LLC 5438 PRESIDIO PARKWAY 515 PLAINFIELD AVE SUITE 200 , SAN ANTONIO TX 78249 EDISON NJ 8817 Phone (210) 839-2199 Fax (210) 839-2198 PHONE: (732) 582-0400 FAX: (732) 582-0268 TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 70 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: WENDY J MARTIN License Eff Dt: 10/06/2020 License Exp Dt: 10/06/2023 Mgmt Co.: PRESIDIO NJ MANAGEMENT LLC

Tuesday, September 28, 2021 Page 30 of 405 County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 105623 License No.: 148709 Owner Information SEASON'S ALZHEIMERS AND ASSISTED CARE THE SEASONS ON TEZEL LLC 15170 NACOGDOCHES ROAD 15170 NACOGDOCHES RD , SAN ANTONIO TX 78247 SAN ANTONIO TEXAS 78258 Phone (210) 584-4238 Fax PHONE: (210) 584-4238 FAX: (210) 800-9756 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MONA TALUKDAR License Eff Dt: 09/25/2021 License Exp Dt: 09/25/2024 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 106894 License No.: 147422 Owner Information SEASONS ALZHEIMER'S CARE & ASSISTED LIVING LLC SEASONS ALZHEIMER'S CARE & ASSISTED LIVING LLC 15170 NACOGDOCHES ROAD BLDG 2 15170 NACOGDOCHES RD , SAN ANTONIO TX 78247 SAN ANTONIO TX 78247 Phone (210) 584-4238 Fax (210) 584-4238 PHONE: (210) 584-4238 FAX: (210) 800-8756 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LEENA MADANE License Eff Dt: 06/13/2019 License Exp Dt: 06/13/2022 Mgmt Co.: LA THEISS CONSULTING INC

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 104790 License No.: 145943 Owner Information SENIOR HAVEN ASSISTED LIVING LLC SENIOR HAVEN ASSISTED LIVING LLC 14706 HIDDEN GLEN WOODS PO BOX 781161 , SAN ANTONIO TX 78249 SAN ANTONIO TX 78278 Phone (210) 413-5072 Fax (210) 855-1767 PHONE: (210) 413-5072 FAX: (210) 267-5334 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARY L MOGA License Eff Dt: 10/18/2020 License Exp Dt: 10/18/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 106953 License No.: 307173 Owner Information SERENITY CARE, LLC SERENITY CARE LLC 5683 VERBENA ROAD , SAN ANTONIO TX 78240 Phone (210) 245-0882 Fax (210) 447-7281 PHONE: FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ESTHER GHELIUC License Eff Dt: 10/18/2020 License Exp Dt: 10/18/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 106523 License No.: 150276 Owner Information SERVING FAITHFULLY ASSISTED LIVING LLC SERVING FAITHFULLY ASSISTED LIVING, LLC 7521 LINKVIEW ST. 7521 LINKVIEW ST , SAN ANTONIO TX 78240 SAN ANTONIO TX 78240 Phone (210) 716-9534 Fax (210) 951-9039 PHONE: (210) 647-7303 FAX: (210) 951-9039 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VIORICA CRISTEA License Eff Dt: 04/13/2020 License Exp Dt: 04/13/2023 Mgmt Co.: SERVING FAITHFULLY ASSISTED LIVING, LLC

Tuesday, September 28, 2021 Page 31 of 405 County BEXAR Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 110340 License No.: 307845 Owner Information SHINING STARS ASSISTED LIVING LLC SHINING STARS ASSISTED LIVING LLC 401 BRYN MAWR , SAN ANTONIO TX 78209 Phone (210) 777-1039 Fax (210) 564-9319 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOYCE P KYLE License Eff Dt: 05/11/2020 License Exp Dt: 05/11/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 103082 License No.: 149407 Owner Information SILVER LAKE CASA DEL SOL PAZMINO ENTERPRISES INC 4330 SILVER LAKE DR 4330 SILVER LAKE DR , SAN ANTONIO TX 78219 SAN ANTONIO TX 78219 Phone (210) 359-1970 Fax (210) 622-0520 PHONE: (210) 849-7356 FAX: (210) 622-0520 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JORGE PAZMINO License Eff Dt: 06/15/2017 License Exp Dt: 12/31/2021 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 106767 License No.: 147611 Owner Information SODALIS AT STONE OAK SODALIS ELDER LIVING STONE OAK ASSISTED LIVING, LLC 25690 WILDERNESS OAKS 195 SOUTH ACADEMY AVENUE , SAN ANTONIO TX 78261 NEW BRAUNFELS TX 78130 Phone (830) 624-1044 Fax (830) 626-4884 PHONE: (830) 624-1044 FAX: (830) 629-4884 TOTAL Lic Capacity: 66 PRIVATE Beds: 66 Cert Alzh Capacity: 21 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CINDY KRISTEK License Eff Dt: 06/16/2021 License Exp Dt: 06/16/2024 Mgmt Co.: TRILOGY SENIOR LIVING, LLC

County BEXAR Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 106739 License No.: 308285 Owner Information SOUTHERN CARE ASSISTED LIVING LLC SOUTHERN CARE ASSISTED LIVING LLC 8919 SADDLE TRAIL , SAN ANTONIO TX 78255 Phone (210) 727-5353 Fax 210 2575197 PHONE: FAX: TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL COSA License Eff Dt: 05/31/2021 License Exp Dt: 05/31/2024 Mgmt Co.:

County BEXAR Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 010230 License No.: 150093 Owner Information ST MARYS ASSISTED LIVING INC ST MARYS ASSISTED LIVING INC 1618 S SAINT MARYS 1618 S ST MARYS , SAN ANTONIO TX 78210 SAN ANTONIO TX 78210 Phone (210) 532-7698 Fax (210) 532-6155 PHONE: (210) 532-7698 FAX: (210) 532-6155 TOTAL Lic Capacity: 40 PRIVATE Beds: 40 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JOSEPH RIOS License Eff Dt: 05/09/2020 License Exp Dt: 05/09/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 32 of 405 County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 105156 License No.: 147101 Owner Information STARLIGHT HOMES ASSISTED LIVING SHINES ASSISTED LIVING CARE LLC 4623 BRIARDALE ST 4623 BRIARDALE ST , SAN ANTONIO TX 78217 SAN ANTONIO TX 78217 Phone (210) 599-2707 Fax PHONE: (210) 560-1497 FAX: (210) 599-2707 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANDREEN N MCDONALD License Eff Dt: 05/07/2019 License Exp Dt: 05/07/2022 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 104245 License No.: 307550 Owner Information SUNSHINE SENIOR LIVING SUNSHINE SENIOR LIVING LLC 22310 CIELO VISTA , SAN ANTONIO TX 78255 Phone (210) 781-4873 Fax (210) 592-1252 PHONE: FAX: TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: FIBIA BAHNEAN License Eff Dt: 08/01/2019 License Exp Dt: 08/01/2022 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 102130 License No.: 145932 Owner Information SUSAN HOME CARE SUSAN HOME CARE, INC 8426 CASCADE RIDGE DR 8426 CASCADE RIDGE DRIVE , SAN ANTONIO TX 78239 SAN ANTONIO TX 78239 Phone (210) 630-9982 Fax (210) 590-0860 PHONE: (210) 630-9982 FAX: (210) 590-0866 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SUSAN J FREDERICK License Eff Dt: 11/24/2020 License Exp Dt: 11/24/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 000523 License No.: 149234 Owner Information THE ARMY RESIDENCE COMMUNITY HEALTH CARE CENTER THE ARMY RETIREMENT RESIDENCE FOUNDATION SAN ANTONIO INC 7402 CRESTWAY DRIVE 7400 CRESTWAY DR , SAN ANTONIO TX 78239 SAN ANTONIO TX 78239 Phone (210) 646-5200 Fax (210) 646-5395 PHONE: (210) 646-5300 FAX: (210) 646-5395 TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CYNTHIA WOODARD License Eff Dt: 02/01/2020 License Exp Dt: 02/01/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 105829 License No.: 146053 Owner Information THE CANYONS OF STONE OAK MEMORY CARE STONE OAK MEMORY CARE LLC 20271 STONE OAK PARKWAY 545 E JOHN CARPENTER FREEWAYSTE 500 , SAN ANTONIO TX 78258 IRVING TX 75062 Phone (210) 497-5200 Fax (210) 497-5502 PHONE: (210) 497-5200 FAX: (210) 497-5502 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 50 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMANDA KURTZ LVN License Eff Dt: 12/18/2020 License Exp Dt: 12/18/2023 Mgmt Co.: AMERICAN HEALTHCARE MANAGEMENT GROUP, LP

Tuesday, September 28, 2021 Page 33 of 405 County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 106324 License No.: 149067 Owner Information THE COTTAGES ON DANNY KAYE A RESIDENTIAL CARE HOMES OF AMERICA, LLC 5962 DANNY KAYE PO BOX 961 , SAN ANTONIO TX 78240 HELOTES TEXAS 78240 Phone (210) 540-8288 Fax PHONE: (210) 540-8288 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL R KITCHEN License Eff Dt: 01/07/2020 License Exp Dt: 01/07/2022 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 106326 License No.: 148868 Owner Information THE COTTAGES ON DANNY KAYE B RESIDENTIAL CARE HOMES OF AMERICA, LLC 5962 DANNY KAYE PO BOX 961 , SAN ANTONIO TX 78240 HELOTES TEXAS 78240 Phone (210) 233-9099 Fax (210) 233-9126 PHONE: (210) 540-8288 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL R KITCHEN License Eff Dt: 01/07/2020 License Exp Dt: 01/07/2022 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 050670 License No.: 307668 Owner Information THE ETTA ASSISTED LIVING AT SHAVANO PARK PAL SHAVANO PARK TRS, LLC 4096 DEZAVALA , SAN ANTONIO TX 78249 Phone (210) 408-7411 Fax (210) 408-6411 PHONE: FAX: TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ETHAN TROUT License Eff Dt: 12/03/2019 License Exp Dt: 12/03/2022 Mgmt Co.: AVENTINE HILL COMMUNITIES, LLC

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 050689 License No.: 307792 Owner Information THE ETTA MEMORY CARE AT SHAVANO PARK PAL SHAVANO PARK TRS, LLC 4096 DEZAVALA , SAN ANTONIO TX 78249 Phone (210) 408-7411 Fax (210) 408-6411 PHONE: FAX: TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ETHAN TROUT License Eff Dt: 12/03/2019 License Exp Dt: 12/03/2022 Mgmt Co.: AVENTINE HILL COMMUNITIES, LLC

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 105750 License No.: 307679 Owner Information THE GRANDVIEW OF WESTOVER HILLS, LLC THE GRANDVIEW OF WESTOVER HILLS, LLC 8627 LAKESIDE PARKWAY , SAN ANTONIO TX 78245-3261 Phone (210) 810-4900 Fax (726) 999-3625 PHONE: (210) 810-4900 FAX: (726) 999-3625 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 29 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ASHLEY LEWIS License Eff Dt: 10/31/2020 License Exp Dt: 10/31/2023 Mgmt Co.: SILVERPOINT SENIOR LIVING, LLC

Tuesday, September 28, 2021 Page 34 of 405 County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 101357 License No.: 307639 Owner Information THE HAVEN IN STONE OAK SNH LONGHORN TENANT LLC 511 KNIGHTS CROSS DRIVE , SAN ANTONIO TX 78258 Phone 210 4042687 Fax 210 4811599 PHONE: FAX: TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 60 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DODIE MARTINEZ License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.: FVE MANAGERS, INC

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 106655 License No.: 307337 Owner Information THE HERITAGE AT WESTOVER HILLS PAL WESTOVER HILLS TRS, LLC 4315 ROGERS ROAD , SAN ANTONIO TX 78251 Phone (210) 681-8638 Fax (210) 457-2250 PHONE: FAX: TOTAL Lic Capacity: 132 PRIVATE Beds: 132 Cert Alzh Capacity: 62 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PATRICIA BROWN License Eff Dt: 05/20/2019 License Exp Dt: 05/20/2022 Mgmt Co.: AVENTINE HILL COMMUNITIES, LLC

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 000793 License No.: 149721 Owner Information THE INN AT LOS PATIOS CANTON II, INC 8700 POST OAK LN 2403 GREYMOORE DR , SAN ANTONIO TX 78217 FRISCO TX 75034 Phone (210) 829-7357 Fax (210) 829-8238 PHONE: (972) 298-0411 FAX: (972) 283-0376 TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: KENDRA D SMITH License Eff Dt: 12/15/2019 License Exp Dt: 12/15/2022 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 000697 License No.: 150059 Owner Information THE KAULBACH ASSISTED LIVING CENTER MORNINGSIDE MINISTRIES 602 BABCOCK RD 700 BABCOCK RD , SAN ANTONIO TX 78201 SAN ANTONIO TX 78201-2600 Phone (210) 731-1204 Fax (210) 731-1132 PHONE: (210) 734-1000 FAX: (210) 734-1111 TOTAL Lic Capacity: 88 PRIVATE Beds: 88 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DION MUNOZ License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2023 Mgmt Co.:

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 105598 License No.: 144190 Owner Information THE LANDING AT STONE OAK SA NORTH OP CO LLC 19110 HUEBNER ROAD 5307 E MOCKINGBIRD LANESTE 1010 , SAN ANTONIO TX 78258 DALLAS TX 75206 Phone (210) 479-0155 Fax PHONE: (214) 370-2600 FAX: (214) 370-2699 TOTAL Lic Capacity: 67 PRIVATE Beds: 67 Cert Alzh Capacity: 67 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MAXI JIMENEZ License Eff Dt: 11/22/2019 License Exp Dt: 11/22/2021 Mgmt Co.: JERRY ERWIN ASSOCIATES LLC

Tuesday, September 28, 2021 Page 35 of 405 County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 101354 License No.: 307893 Owner Information THE LAURELS IN STONE OAK SNH LONGHORN TENANT LLC 575 KNIGHTS CROSS DRIVE , SAN ANTONIO TX 78258 Phone 210 2490991 Fax 210 4975143 PHONE: FAX: TOTAL Lic Capacity: 62 PRIVATE Beds: 62 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DODIE MARTINEZ License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.: FVE MANAGERS, INC

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 101554 License No.: 307617 Owner Information THE LAURELS IN STONE OAK SNH LONGHORN TENANT LLC 575 KNIGHTS CROSS DRIVE , SAN ANTONIO TX 78258 Phone 210 2490991 Fax 210 4975143 PHONE: FAX: TOTAL Lic Capacity: 62 PRIVATE Beds: 62 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DODIE MARTINEZ License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.: FVE MANAGERS, INC

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 030092 License No.: 146667 Owner Information THE LODGE AT LEON SPRINGS LEON SPRINGS LODGE LLC 24137 BOERNE STAGE RD 24137 BOERNE STAGE RD , SAN ANTONIO TX 78255 SAN ANTONIO TX 78255 Phone (210) 698-9365 Fax (210) 698-7322 PHONE: (210) 735-1190 FAX: (210) 735-8271 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: REBECCA SCHROEDER License Eff Dt: 02/07/2021 License Exp Dt: 02/07/2024 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 106221 License No.: 149942 Owner Information THE SEASON ON TEZEL THE SEASONS ON TEZEL LLC 8245 OLD TEZEL ROAD 15170 NACOGDOCHES RD , SAN ANTONIO TX 78250 SAN ANTONIO TEXAS 78258 Phone (210) 584-4238 Fax (210) 800-9756 PHONE: (210) 584-4238 FAX: (210) 800-9756 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MONA TALUKDAR License Eff Dt: 07/21/2021 License Exp Dt: 07/21/2024 Mgmt Co.:

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 106217 License No.: 146889 Owner Information THE SEASONS ON TEZEL THE SEASONS ON TEZEL LLC 8245 OLD TEZEL ROAD BLDG. 2 15170 NACOGDOCHES RD , SAN ANTONIO TX 78250 SAN ANTONIO TEXAS 78258 Phone (210) 584-4238 Fax (210) 800-9756 PHONE: (210) 584-4238 FAX: (210) 800-9756 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MONA TALUKDAR License Eff Dt: 05/15/2021 License Exp Dt: 05/15/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 36 of 405 County BEXAR Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 010295 License No.: 307750 Owner Information THE SPECIAL CARE CENTER AT THE FORUM AT LINCOLN HEIGHTS SNH LONGHORN TENANT LLC 311 WEST NOTTINGHAM , SAN ANTONIO TX 78209 Phone 210 8242314 Fax 210 8246556 PHONE: FAX: TOTAL Lic Capacity: 88 PRIVATE Beds: 88 Cert Alzh Capacity: 28 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BOYD L CORNELISON License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.: FVE MANAGERS, INC

County BEXAR Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 000777 License No.: 145022 Owner Information THE VILLAGE AT INCARNATE WORD INCARNATE WORD RETIREMENT COMMUNITY INC 4707 BROADWAY 4707 BROADWAY ST , SAN ANTONIO TX 78209 SAN ANTONIO TEXAS 78209 Phone (210) 829-7561 Fax (210) 829-0022 PHONE: (210) 829-7561 FAX: (210) 829-1601 TOTAL Lic Capacity: 42 PRIVATE Beds: 42 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RUTH ESPARZA License Eff Dt: 06/21/2020 License Exp Dt: 06/21/2023 Mgmt Co.: INCARNATE WORD RETIREMENT COMMUNITY INC

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 030265 License No.: 307793 Owner Information THE WILLIAM ASSISTED LIVING PAL CINNAMON HILL TRS, LLC 9203 CINNAMON HILL , SAN ANTONIO TX 78240 Phone (210) 641-5046 Fax (210) 641-5048 PHONE: FAX: TOTAL Lic Capacity: 100 PRIVATE Beds: 100 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JENNIFER ROBINSON License Eff Dt: 12/03/2019 License Exp Dt: 12/03/2022 Mgmt Co.: AVENTINE HILL COMMUNITIES, LLC

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 030324 License No.: 307676 Owner Information THE WILLIAM MEMORY CARE COTTAGE A PAL CINNAMON HILL TRS, LLC 9303 CINNAMON HILL , SAN ANTONIO TX 78240 Phone (210) 641-5046 Fax (210) 641-5048 PHONE: FAX: TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 14 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNIFER ROBINSON License Eff Dt: 12/03/2019 License Exp Dt: 12/03/2022 Mgmt Co.: AVENTINE HILL COMMUNITIES, LLC

County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 030333 License No.: 307693 Owner Information THE WILLIAM MEMORY CARE COTTAGE B PAL CINNAMON HILL TRS, LLC 9303 CINNAMON HILL , SAN ANTONIO TX 78240 Phone (210) 641-5046 Fax (210) 641-5048 PHONE: FAX: TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 14 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNIFER ROBINSON License Eff Dt: 10/14/2019 License Exp Dt: 10/14/2022 Mgmt Co.: BKD TWENTYONE MANAGEMENT COMPANY, INC

Tuesday, September 28, 2021 Page 37 of 405 County BEXAR Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 104309 License No.: 307822 Owner Information THE WILLIAM MEMORY CARE COTTAGE C PAL CINNAMON HILL TRS, LLC 9303 CINNAMON HILL , SAN ANTONIO TX 78240 Phone (210) 641-5046 Fax (210) 641-5046 PHONE: FAX: TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 14 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNIFER ROBINSON License Eff Dt: 12/03/2019 License Exp Dt: 12/03/2022 Mgmt Co.: AVENTINE HILL COMMUNITIES, LLC

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 100251 License No.: 307296 Owner Information VENTURA HILLS AMERICAN EAGLE CASTLE HILLS LLC 1207 JACKSON KELLER RD , SAN ANTONIO TX 78213 Phone (210) 375-8132 Fax (210) 375-2341 PHONE: FAX: TOTAL Lic Capacity: 31 PRIVATE Beds: 31 Cert Alzh Capacity: 31 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LORI HALL License Eff Dt: 12/20/2020 License Exp Dt: 12/20/2023 Mgmt Co.: BROOKDALE CASTLE HILLS, LLC

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 100252 License No.: 307221 Owner Information VENTURA HILLS AMERICAN EAGLE CASTLE HILLS LLC 1207 JACKSON KELLER ROAD , SAN ANTONIO TX 78213 Phone (210) 375-8132 Fax (210) 375-2341 PHONE: FAX: TOTAL Lic Capacity: 160 PRIVATE Beds: 160 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LORI HALL License Eff Dt: 12/20/2018 License Exp Dt: 12/20/2020 Mgmt Co.: BROOKDALE CASTLE HILLS, LLC

County BEXAR Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 100002 License No.: 148216 Owner Information WOODCREST HOME FOR SENIOR CITIZENS VILMA D STOLZE 11307 FOREST SHOWER 7728 FOREST STREAM , SAN ANTONIO TX 78233 SAN ANTONIO TX 78233 Phone (210) 599-3053 Fax (210) 627-6322 PHONE: (210) 627-6322 FAX: (210) 627-6322 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VILMA D STOLZE License Eff Dt: 07/27/2019 License Exp Dt: 07/27/2021 Mgmt Co.:

County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 105889 License No.: 150080 Owner Information ALPHA SENIOR CARE HOME ALPHA SENIOR CARE HOME LLC 96 WINDMILL ROAD 96 WINDMILL ROAD , SHAVANO PARK TX 78231 SHAVANO PARK TX 78231 Phone (210) 290-9131 Fax (210) 290-9131 PHONE: (210) 347-8302 FAX: (210) 290-9131 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GREGORY H BILA License Eff Dt: 11/17/2021 License Exp Dt: 11/17/2024 Mgmt Co.: NA

Tuesday, September 28, 2021 Page 38 of 405 County BEXAR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 106436 License No.: 148783 Owner Information SHAVANO PARK SENIOR LIVING MERIDIAN SHAVANO PARK ALALZ OE LP 3220 N. LOOP 1604 W 3811 TURTLE CREEK BLVD.SUITE 1050 , SHAVANO PARK TX 78231 DALLAS TX 75219 Phone (210) 492-4040 Fax (210) 493-2559 PHONE: (214) 651-4000 FAX: (214) 651-4001 TOTAL Lic Capacity: 90 PRIVATE Beds: 90 Cert Alzh Capacity: 44 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JACK VINCENT License Eff Dt: 01/27/2020 License Exp Dt: 01/27/2022 Mgmt Co.: INTEGRAL SENIOR LIVING MANAGEMENT, LLC

County BLANCO Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 000522 License No.: 145965 Owner Information HENRY HOUSE ASSISTED LIVING LC HENRY HOUSE ASSISTED LIVING LC 515 3RD ST PO BOX 399 , BLANCO TX 78606 BLANCO TX 78606 Phone (830) 833-4674 Fax (830) 833-4684 PHONE: (830) 833-4674 FAX: (830) 833-5684 TOTAL Lic Capacity: 42 PRIVATE Beds: 42 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DIAMA ISIDRO License Eff Dt: 10/20/2020 License Exp Dt: 10/20/2023 Mgmt Co.:

County BOSQUE Reg Svcs: WACO Region 05 Facility Information: Facility ID: 103643 License No.: 146326 Owner Information COLLEGE HILL ASSISTED LIVING LUTHERAN SUNSET MINISTRIES 1700 W 9TH ST PO BOX 71 , CLIFTON TX 76634 CLIFTON TX 76634 Phone (254) 675-8637 Fax (254) 675-3044 PHONE: (254) 675-8637 FAX: (254) 675-3044 TOTAL Lic Capacity: 32 PRIVATE Beds: 32 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHERRIE BRADLEY License Eff Dt: 12/30/2020 License Exp Dt: 12/30/2023 Mgmt Co.:

County BOWIE Reg Svcs: TYLER NE TEAM Region 04 Facility Information: Facility ID: 107018 License No.: 148302 Owner Information AUTUMN WIND NEW BOSTON M & B NEW BOSTON LLC 1 AUTUMN CIRCLE 1 AUTUMN CIRCLE , NEW BOSTON TX 75570 NEW BOSTON TX 75570 Phone (903) 628-0477 Fax (903) 628-0478 PHONE: (903) 628-0477 FAX: (903) 628-0478 TOTAL Lic Capacity: 75 PRIVATE Beds: 75 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TRACY GARRETT License Eff Dt: 10/09/2019 License Exp Dt: 10/09/2021 Mgmt Co.: M & B NEW BOSTON LLC

County BOWIE Reg Svcs: TYLER NE TEAM Region 04 Facility Information: Facility ID: 000759 License No.: 148328 Owner Information BROOKDALE TEXARKANA BROOKDALE SENIOR LIVING COMMUNITIES, INC 4204 MOORES LN 6737 W WASHINGTON ST STE 2300 , TEXARKANA TX 75503 MILWAUKEE WI 53214 Phone (903) 838-3562 Fax (903) 832-8787 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ABDOL (ALEX) GANJIZADEH License Eff Dt: 11/01/2019 License Exp Dt: 11/01/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 39 of 405 County BOWIE Reg Svcs: TYLER NE TEAM Region 04 Facility Information: Facility ID: 000326 License No.: 146736 Owner Information CORNERSTONE RETIREMENT COMMUNITY PERSONAL CARE UNIT METHODIST RETIREMENT COMMUNITIES 4100 MOORES LN 1440 LAKE FRONT CIRCLE, SUITE 140 , TEXARKANA TX 75503 THE WOODLANDS TX 77380 Phone (903) 832-5515 Fax (903) 832-5553 PHONE: FAX: TOTAL Lic Capacity: 66 PRIVATE Beds: 66 Cert Alzh Capacity: 36 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KELLY BOWENS License Eff Dt: 03/24/2019 License Exp Dt: 03/24/2022 Mgmt Co.: METHODIST RETIREMENT COMMUNITIES

County BOWIE Reg Svcs: TYLER NE TEAM Region 04 Facility Information: Facility ID: 030066 License No.: 148652 Owner Information MSHC COLONIAL LODGE OF TEXARKANA LLC MSHC COLONIAL LODGE OF TEXARKANA LLC 5001 N ELIZABETH 4939 ELIZABETH , TEXARKANA TX 75503 TEXARKANA TX 75503 Phone (903) 792-0838 Fax (903) 793-4562 PHONE: (903) 832-0429 FAX: (903) 255-0385 TOTAL Lic Capacity: 45 PRIVATE Beds: 45 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LISA L RICH License Eff Dt: 10/01/2019 License Exp Dt: 10/01/2022 Mgmt Co.:

County BOWIE Reg Svcs: TYLER NE TEAM Region 04 Facility Information: Facility ID: 104639 License No.: 308352 Owner Information MSHC MAGNOLIA AT THE OAKS LLC MSHC MAGNOLIA AT THE OAKS LLC 4205 RICHMOND MEADOWS 4939 ELIZABETH ST , TEXARKANA TX 75503 TEXARKANA TX 75503 Phone (903) 838-7319 Fax 90383800494 PHONE: FAX: TOTAL Lic Capacity: 40 PRIVATE Beds: 40 Cert Alzh Capacity: 40 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LYNDY WHEAT License Eff Dt: 01/05/2021 License Exp Dt: 01/05/2024 Mgmt Co.: RIEBE INVESTMENT GROUP INC

County BOWIE Reg Svcs: TYLER NE TEAM Region 04 Facility Information: Facility ID: 106791 License No.: 148549 Owner Information MSHC THE OAKS ASSISTED LIVING LLC MSHC THE OAKS ASSISTED LIVING LLC 4317 B MCKNIGHT RD 4939 ELIZABETH , TEXARKANA TX 75503 TEXARKANA TX 75503 Phone (903) 838-5001 Fax (903) 838-4898 PHONE: (903) 832-0429 FAX: (903) 255-0385 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMBER RUNION License Eff Dt: 10/10/2021 License Exp Dt: 10/10/2024 Mgmt Co.:

County BOWIE Reg Svcs: TYLER NE TEAM Region 04 Facility Information: Facility ID: 000937 License No.: 148562 Owner Information MSHC THE OAKS ASSISTED LIVING LLC MSHC THE OAKS ASSISTED LIVING LLC 4317 MCKNIGHT RD 4939 ELIZABETH , TEXARKANA TX 75503 TEXARKANA TX 75503 Phone (903) 838-5001 Fax (903) 838-4898 PHONE: (903) 832-0429 FAX: (903) 255-0385 TOTAL Lic Capacity: 80 PRIVATE Beds: 80 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RHONDA BOHANON License Eff Dt: 10/01/2019 License Exp Dt: 10/01/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 40 of 405 County BOWIE Reg Svcs: TYLER NE TEAM Region 04 Facility Information: Facility ID: 030351 License No.: 148250 Owner Information MSHC WHISPERING PINES OF TEXARKANA LLC MSHC WHISPERING PINES OF TEXARKANA LLC 5002 N ELIZABETH 4939 ELIZABETH , TEXARKANA TX 75503 TEXARKANA TX 75503 Phone (903) 792-8014 Fax (903) 792-6689 PHONE: (903) 832-0429 FAX: (903) 255-0385 TOTAL Lic Capacity: 45 PRIVATE Beds: 45 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MEGAN CARROLL License Eff Dt: 10/01/2021 License Exp Dt: 10/01/2024 Mgmt Co.:

County BOWIE Reg Svcs: TYLER NE TEAM Region 04 Facility Information: Facility ID: 106200 License No.: 147100 Owner Information THE RETREAT AT KENWOOD THE RETREAT AT KENWOOD INC 210 N. KENWOOD 210 N KENWOOD , TEXARKANA TX 75501 TEXARKANA TX 75501 Phone (903) 336-6134 Fax (903) 336-6135 PHONE: (903) 336-6134 FAX: (903) 336-6135 TOTAL Lic Capacity: 80 PRIVATE Beds: 80 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TERRY MAY License Eff Dt: 05/04/2021 License Exp Dt: 05/04/2024 Mgmt Co.:

County BRAZORIA Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 104341 License No.: 149003 Owner Information DESIRE TO LIVE DESIRE TO LIVE 2220 CR 144 3083 SILVER CEDAR TR. , ALVIN TX 77511 KATY TX 77449 Phone (832) 512-3863 Fax 844 594 1392 PHONE: (832) 512-3863 FAX: (281) 331-0453 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: WANDA F BUTLER License Eff Dt: 08/26/2019 License Exp Dt: 08/26/2021 Mgmt Co.:

County BRAZORIA Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 050756 License No.: 308053 Owner Information EVENING STAR PERSONAL CARE HOME MVSSL, INC 2960 ROWAN BURTON RD , ALVIN TX 77511 Phone (281) 331-6753 Fax (281) 585-3914 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DARLA T HILL License Eff Dt: 07/06/2020 License Exp Dt: 07/06/2023 Mgmt Co.: MVSSL

County BRAZORIA Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 102809 License No.: 147348 Owner Information KOZY KORNER ASSISTED LIVING VSSL INVESTMENT INC 1501 PARKWAY PO BOX 1726 , ALVIN TX 77511 ALVIN TX 77512 Phone (281) 245-6119 Fax (281) 585-3914 PHONE: (832) 890-9005 FAX: (281) 585-8914 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DARLA T HILL License Eff Dt: 04/28/2021 License Exp Dt: 04/28/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 41 of 405 County BRAZORIA Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 105031 License No.: 148834 Owner Information LABORING WITH LOVED ONES PERSONAL CARE HOME ALVIN LABOR OF LOVE MINISTRIES 6911 COUNTY RD 171 240 E HOUSE ST , ALVIN TX 77511 ALVIN TX 77511 Phone (281) 581-9991 Fax (281) 581-9991 PHONE: (281) 585-9109 FAX: (281) 581-2045 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ALVIN W GILLS License Eff Dt: 03/20/2020 License Exp Dt: 03/20/2023 Mgmt Co.:

County BRAZORIA Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 105654 License No.: 148953 Owner Information COUNTRY VILLAGE CARE INC COUNTRY VILLAGE CARE INC 721 W MULBERRY 721 W. MULBERRY , ANGLETON TX 77515 ANGLETON TX 77515 Phone (979) 849-8281 Fax (979) 849-0249 PHONE: (979) 849-8281 FAX: (979) 849-0249 TOTAL Lic Capacity: 32 PRIVATE Beds: 32 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMY J STEWART License Eff Dt: 02/13/2020 License Exp Dt: 02/13/2022 Mgmt Co.:

County BRAZORIA Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 000918 License No.: 146432 Owner Information COUNTRY VILLAGE CARE INC P C COUNTRY VILLAGE CARE INC 721 W MULBERRY 721 W. MULBERRY , ANGLETON TX 77515 ANGLETON TX 77515 Phone (979) 849-8281 Fax (979) 849-0249 PHONE: (979) 849-8281 FAX: (979) 849-0249 TOTAL Lic Capacity: 38 PRIVATE Beds: 38 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SARA T RICHARDS License Eff Dt: 02/01/2021 License Exp Dt: 02/01/2024 Mgmt Co.:

County BRAZORIA Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 106477 License No.: 149488 Owner Information K'S PLACE PERSONAL CARE HOME LLC K'S PLACE PERSONAL CARE HOME LLC 25806 CR 46 25806 CR 46 , ANGLETON TX 77515 ANGLETON TX 77515 Phone (979) 922-1800 Fax (979) 922-1800 PHONE: (979) 922-1800 FAX: (979) 922-1800 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KRISTINA DALCHAU License Eff Dt: 06/03/2020 License Exp Dt: 06/03/2023 Mgmt Co.:

County BRAZORIA Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 000712 License No.: 147161 Owner Information WHITE'S COTTAGE CENTER WHITE'S COTTAGE CENTER 332 MARSHALL ALLEY 332 MARSHALL ALLEY , ANGLETON TX 77515 ANGLETON TX 77515 Phone (979) 849-4744 Fax (979) 849-3506 PHONE: (979) 849-4744 FAX: (979) 849-3506 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ROBIN GALLOWAY License Eff Dt: 05/15/2021 License Exp Dt: 05/15/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 42 of 405 County BRAZORIA Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 105675 License No.: 149461 Owner Information CARRIAGE INNLAKE JACKSON CARDINAL BAY, INC 130 LAKE ROAD 317 MARTINIQUE PASS , LAKE JACKSON TX 77566 LAKEWAY TX 78734 Phone (979) 285-0300 Fax (979) 285-0338 PHONE: (972) 377-3309 FAX: TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JUSTIN GRAVES License Eff Dt: 05/26/2020 License Exp Dt: 05/26/2022 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

County BRAZORIA Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 030051 License No.: 148996 Owner Information ELMCROFT OF LAKE JACKSON EC OPCO LAKE JACKSON, LLC 206 OAK DRIVE SOUTH 500 NORTH HURSTBOURNE PARKWAYSUITE. 200 , LAKE JACKSON TX 77566 LOUISVILLE KY 40222 Phone (979) 297-5577 Fax (979) 297-5623 PHONE: (502) 357-9000 FAX: (502) 357-9441 TOTAL Lic Capacity: 108 PRIVATE Beds: 108 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TRACY SOILEAU License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2023 Mgmt Co.: ECLIPSE PROTFOLIO OPERATIONS, LLC

County BRAZORIA Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 000980 License No.: 307476 Owner Information REVERED TEXAN HEARTH & HOME LLC CNM LONG TERM CARE, LLC 1005 SYCAMORE STREET , LAKE JACKSON TX 77566 Phone (979) 266-9982 Fax (979) 266-9982 PHONE: FAX: TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KAREN D KRUG License Eff Dt: 04/20/2019 License Exp Dt: 04/20/2022 Mgmt Co.:

County BRAZORIA Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 105865 License No.: 147093 Owner Information ORCHARD PARK AT SOUTHFORK SOUTHFORK SENIOR CARE, LLC 3151 SOUTHFORK PARKWAY 1000 LEGION PLACESUITE 1600 , MANVEL TX 77578 ORLANDO FL 32801 Phone (713) 960-4727 Fax (972) 385-0029 PHONE: (407) 999-2400 FAX: (407) 999-7759 TOTAL Lic Capacity: 136 PRIVATE Beds: 136 Cert Alzh Capacity: 75 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEBBIE TAYLOR License Eff Dt: 04/02/2019 License Exp Dt: 04/02/2022 Mgmt Co.: NORTHSTAR SENIOR LIVING, INC

County BRAZORIA Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 105398 License No.: 147082 Owner Information SIX PALMS AT DAMOOR ESTATES, LLC SIX PALMS AT DAMOOR ESTATES LLC 5409 CROIX RD 5815 AVE A , MANVEL TX 77578 ROSHARON TX 77578 Phone (281) 692-9226 Fax (281) 692-9226 PHONE: (281) 543-9458 FAX: (281) 369-3635 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JACKIE MOORE License Eff Dt: 05/29/2021 License Exp Dt: 05/29/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 43 of 405 County BRAZORIA Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 104029 License No.: 147714 Owner Information AUTUMN GROVEPEARLAND GLEN HOPE HARBOR INC 3403 SOUTHFORK PARKWAY 317 MARTINIQUE PASS , PEARLAND TX 77578 LAKEWAY TX 78734 Phone (281) 489-1505 Fax (281) 489-3380 PHONE: (469) 371-0445 FAX: (512) 761-3548 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHERI FULLER License Eff Dt: 02/26/2021 License Exp Dt: 02/26/2024 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

County BRAZORIA Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 030227 License No.: 149937 Owner Information BROOKDALE PEARLAND ARC PEARLAND L P 2121 SCARSDALE BLVD 111 WESTWOOD PLSTE 400 , PEARLAND TX 77581 BRENTWOOD TN 37027 Phone (281) 464-8740 Fax (281) 464-8739 PHONE: (615) 221-2250 FAX: (615) 221-2280 TOTAL Lic Capacity: 19 PRIVATE Beds: 19 Cert Alzh Capacity: 19 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PHIL TANNER License Eff Dt: 07/25/2020 License Exp Dt: 07/25/2023 Mgmt Co.:

County BRAZORIA Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 030110 License No.: 147768 Owner Information BROOKDALE PEARLAND ARC PEARLAND L P 2121 SCARSDALE BLVD 111 WESTWOOD PLSTE 400 , PEARLAND TX 77581 BRENTWOOD TN 37027 Phone (281) 464-8740 Fax (281) 464-8739 PHONE: (615) 221-2250 FAX: (615) 221-2280 TOTAL Lic Capacity: 84 PRIVATE Beds: 84 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: PENNY CLARK License Eff Dt: 07/25/2021 License Exp Dt: 07/25/2024 Mgmt Co.:

County BRAZORIA Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 103887 License No.: 146615 Owner Information COLONIAL OAKS AT PEARLAND COLONIAL OAKS SENIOR LIVING PEARLAND MANAGEMENT TX, LLC 2940 CULLEN PARKWAY 2100 THIRD AVENUE NORTH SUITE 600 , PEARLAND TX 77584 BIRMINGHAM AL 35203 Phone (281) 997-2500 Fax (281) 997-1080 PHONE: (205) 987-5500 FAX: (205) 327-6880 TOTAL Lic Capacity: 108 PRIVATE Beds: 108 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LAKEYA PATTERSON License Eff Dt: 11/30/2020 License Exp Dt: 11/30/2023 Mgmt Co.: COLONIAL OAKS SENIOR LIVING, LLC

County BRAZORIA Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 104926 License No.: 307868 Owner Information CREEKSIDE ALZHEIMER'S SPECIAL CARE CENTER SH1 DISCOVERY HOUSTON OPCO LLC 11200 DISCOVERY BAY DRIVE , PEARLAND TX 77584 Phone 713 4363941 Fax 713 4364159 PHONE: FAX: TOTAL Lic Capacity: 45 PRIVATE Beds: 45 Cert Alzh Capacity: 45 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEBBIE TAYLOR License Eff Dt: 02/19/2020 License Exp Dt: 02/19/2023 Mgmt Co.: JERRY ERWIN ASSOCIATES LLC

Tuesday, September 28, 2021 Page 44 of 405 County BRAZORIA Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 105090 License No.: 150178 Owner Information LAKEHOUSE ON DIXIE LAKEHOUSE ON DIXIE INC 3504 DIXIE FARM ROAD 4615 LA PAZ ST , PEARLAND TX 77581 PASADENA TX 77504 Phone (281) 992-2650 Fax PHONE: (281) 723-3861 FAX: TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SARITA N LEE License Eff Dt: 12/30/2020 License Exp Dt: 12/30/2023 Mgmt Co.:

County BRAZORIA Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 110243 License No.: 307561 Owner Information LANDING AT WATERCREST SHADOW CREEK RANCH PEARLAND AL GROUP LP 2907 BROADWAY BEND DR. , PEARLAND TX 77584 Phone (832) 305-9000 Fax (817) 337-7506 PHONE: FAX: TOTAL Lic Capacity: 129 PRIVATE Beds: 129 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PATRICK PEERENBOOM License Eff Dt: 11/19/2019 License Exp Dt: 11/19/2022 Mgmt Co.: INTEGRATED SENIOR LIVING LLC

County BRAZORIA Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 105584 License No.: 148572 Owner Information LIGHT HEART MEMORY CARE PEARLAND ALZHEIMER'S RESIDENTIAL MANAGEMENT INC 6923 AMIE LN 1615 BOWLINE , PEARLAND TX 77584 HOUSTON TX 77062 Phone (281) 282-0770 Fax (281) 280-8048 PHONE: (281) 282-0770 FAX: (281) 280-8048 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HEATHER MACK License Eff Dt: 12/17/2019 License Exp Dt: 12/17/2022 Mgmt Co.:

County BRAZORIA Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 106727 License No.: 146753 Owner Information PROVERBIAL CARE ETTE ENTERPRISES INC 4604 W. WALNUT 4604 W. WALNUT ST , PEARLAND TX 77581 PEARLAND TX 77581 Phone (281) 412-4444 Fax 18442720040 PHONE: (281) 412-4444 FAX: (844) 272-0017 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TAYRAY N JASMINE License Eff Dt: 02/16/2021 License Exp Dt: 02/16/2024 Mgmt Co.:

County BRAZORIA Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 100756 License No.: 149344 Owner Information TRINITY OAKS OF PEARLAND CHG SENIOR LIVING OF PEARLAND LLC 3033 PEARLAND PKWY 2200 ROSS AVE.#5400 , PEARLAND TX 77581 DALLAS TX 45201 Phone (281) 997-8880 Fax (281) 997-8497 PHONE: (469) 621-6708 FAX: (469) 621-6678 TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JOE BURST License Eff Dt: 04/27/2020 License Exp Dt: 04/27/2022 Mgmt Co.: CHG SENIOR LIVING MANAGEMENT, LLC

Tuesday, September 28, 2021 Page 45 of 405 County BRAZORIA Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 102247 License No.: 148724 Owner Information THE FOUNTAINS SWEENY HOSPITAL DISTRICT 1101 E 2ND ST SAME , SWEENY TX 77480 SWEENY TX 77480 Phone (979) 548-1524 Fax (979) 548-1526 PHONE: (979) 548-1598 FAX: (979) 548-1595 TOTAL Lic Capacity: 46 PRIVATE Beds: 46 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VERONICA HARVEY License Eff Dt: 09/07/2021 License Exp Dt: 09/07/2024 Mgmt Co.: NA

County BRAZOS Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 000495 License No.: 148061 Owner Information BROADMOOR PLACE MILLICAN AID OPCO LLC 2601 E VILLA MARIA 330 N WABASH AVESTE 3700 , BRYAN TX 77802 CHICAGO IL 60611 Phone (979) 823-4446 Fax (979) 731-8254 PHONE: FAX: TOTAL Lic Capacity: 36 PRIVATE Beds: 36 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CLETIS BROCK License Eff Dt: 07/11/2019 License Exp Dt: 07/11/2022 Mgmt Co.: ENLIVANT AID FNMAB MGMT LLC

County BRAZOS Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 105402 License No.: 149380 Owner Information CARRIAGE INNBRYAN CARDINAL BAY, INC 4235 BOONVILLE RD 317 MARTINIQUE PASS , BRYAN TX 77802 LAKEWAY TX 78734 Phone (979) 731-1300 Fax (979) 774-0840 PHONE: (972) 377-3309 FAX: TOTAL Lic Capacity: 41 PRIVATE Beds: 41 Cert Alzh Capacity: 15 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LAURIE LEWIS License Eff Dt: 05/26/2020 License Exp Dt: 05/26/2023 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

County BRAZOS Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 104850 License No.: 148692 Owner Information CRESTVIEW RETIREMENT COMMUNITY MRC CRESTVIEW 2505 E VILLA MARIA ROAD 2505 E VILLA MARIA RD , BRYAN TX 77802 BRYAN TX 77802 Phone (979) 776-4778 Fax (979) 774-7579 PHONE: (281) 363-2600 FAX: (281) 292-6360 TOTAL Lic Capacity: 72 PRIVATE Beds: 72 Cert Alzh Capacity: 18 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MICHAEL G ADAMS License Eff Dt: 11/04/2021 License Exp Dt: 11/04/2024 Mgmt Co.: METHODIST RETIREMENT COMMUNITIES

County BRAZOS Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 000946 License No.: 148067 Owner Information DANSBY HOUSE INC DANSBY HOUSE INC 703 DEAN PO BOX 1773 , BRYAN TX 77803 BRYAN TX 77806 Phone (979) 823-1030 Fax (979) 823-1030 PHONE: (979) 823-1030 FAX: (979) 823-1030 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BARBARA BOONE License Eff Dt: 08/14/2019 License Exp Dt: 08/14/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 46 of 405 County BRAZOS Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 102654 License No.: 150218 Owner Information HUDSON CREEK ALZHEIMER'S SPECIAL CARE CENTER BRYAN SENIOR HOUSING I OPCO LLC 3850 COPPERCREST DR ONE TOWN CENTER RDSTE 300 , BRYAN TX 77802 BOCA RATON FL 33486 Phone (979) 774-0700 Fax (979) 774-7568 PHONE: (561) 300-6281 FAX: (561) 300-6290 TOTAL Lic Capacity: 66 PRIVATE Beds: 66 Cert Alzh Capacity: 66 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JAMIE DAPRILE License Eff Dt: 08/31/2019 License Exp Dt: 08/31/2022 Mgmt Co.: JERRY ERWIN ASSOCIATES LLC

County BRAZOS Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 104683 License No.: 149390 Owner Information ISLE AT WATERCRESTBRYAN CHP ISLE AT WATERCRESTBRYAN TX TENANT CORP 4091 EASTCHESTER DRIVE 4091 EASTCHESTER DRIVE , BRYAN TX 77802 BRYAN TX 77802 Phone (979) 774-3401 Fax (979) 774-3021 PHONE: (979) 774-3401 FAX: TOTAL Lic Capacity: 98 PRIVATE Beds: 98 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NIGEL SKYTE License Eff Dt: 04/30/2020 License Exp Dt: 04/30/2023 Mgmt Co.: INTEGRATED SENIOR LIVING LLC

County BRAZOS Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 106931 License No.: 148642 Owner Information PARC AT TRADITIONS PARC TRADITIONS LP 3095 CLUB DRIVE 3095 CLUB DRIVE , BRYAN TX 77807 BRYAN TX 77807 Phone (979) 213-4200 Fax (979) 213-4205 PHONE: (979) 213-4200 FAX: (979) 213-4205 TOTAL Lic Capacity: 80 PRIVATE Beds: 80 Cert Alzh Capacity: 26 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANNE REGGIE License Eff Dt: 10/26/2019 License Exp Dt: 10/26/2021 Mgmt Co.: PARC COMMUNITIES LLC

County BRAZOS Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 000903 License No.: 145439 Owner Information PARK PLACE HEALTH ENRICHMENT AND LONGEVITY INSTITUTE INC 8733 N HWY 6 8733 N HWY 6 , BRYAN TX 77807 BRYAN TX 77807 Phone (979) 778-3003 Fax (979) 778-3096 PHONE: (979) 778-3003 FAX: (979) 778-3096 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DEBRA ALSIP License Eff Dt: 10/31/2020 License Exp Dt: 10/31/2023 Mgmt Co.:

County BRAZOS Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 030358 License No.: 147360 Owner Information ST JOSEPH MANOR ST JOSEPH MANOR 2333 MANOR DR 2333 MANOR DR , BRYAN TX 77802 BRYAN TX 77802 Phone (979) 821-7330 Fax (979) 821-7301 PHONE: (979) 821-7330 FAX: (979) 821-7301 TOTAL Lic Capacity: 44 PRIVATE Beds: 44 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RICARDO DIAZ License Eff Dt: 07/16/2021 License Exp Dt: 07/16/2024 Mgmt Co.: NA

Tuesday, September 28, 2021 Page 47 of 405 County BRAZOS Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 000621 License No.: 148417 Owner Information BLUEBONNET PLACE BLUEBONNET AID OPCO LLC 3601 VICTORIA AVE 330 N WABASHSTE 3700 , COLLEGE STATION TX 77845 CHICAGO IL 60611 Phone (979) 693-9699 Fax (979) 694-2850 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PAIGE DUDLEY License Eff Dt: 07/11/2021 License Exp Dt: 07/11/2024 Mgmt Co.: ENLIVANT AID KB MGMT LLC

County BRAZOS Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 107163 License No.: 307184 Owner Information MRC THE LANGFORD MRC SENIOR LIVING DBA MRC THE LANGFORD 1851 CARROLL FANCHER WAY 1440 LAKE FRONT CIRCLE STE#110 , COLLEGE STATION TX 77845 THE WOODLANDS TX 77380 Phone (979) 704-6600 Fax PHONE: FAX: TOTAL Lic Capacity: 66 PRIVATE Beds: 66 Cert Alzh Capacity: 18 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KARA BEATHARD License Eff Dt: 03/01/2021 License Exp Dt: 03/01/2024 Mgmt Co.: METHODIST RETIREMENT COMMUNITIES

County BRAZOS Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 110307 License No.: 307747 Owner Information PEACH CREEK ALF #1 LLC PEACH CREEK ALF #1 LLC 1488 STOKES CIRCLE 503 ARBOR POINT CT , COLLEGE STATION TX 77845 PINEHURST TEXAS 77362 Phone (979) 431-4135 Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RACHEL HARRIS License Eff Dt: 03/23/2020 License Exp Dt: 03/23/2023 Mgmt Co.:

County BRAZOS Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 110347 License No.: 307866 Owner Information SODALIS OPERATING COMPANY, LLCCOLLEGE STATION OPERATIONS SODALIS OPERATING COMPANY, LLC 3211 HARVEY RD , COLLEGE STATION TX 77845 Phone Fax PHONE: FAX: TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 26 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 06/02/2020 License Exp Dt: 06/02/2023 Mgmt Co.: TRILOGY SENIOR LIVING, LLC

County BRAZOS Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 000727 License No.: 149672 Owner Information THE WATERFORD AT COLLEGE STATION CSL CE COLLEGE STATION LLC 1103 ROCK PRAIRIE RD 14160 DALLAS PKWYSTE 300 , COLLEGE STATION TX 77845 DALLAS TX 75254 Phone (979) 694-6496 Fax (888) 753-6262 PHONE: (972) 305-4776 FAX: (512) 391-4776 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 27 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RAELINA MILLER License Eff Dt: 03/30/2020 License Exp Dt: 03/30/2023 Mgmt Co.: CAPITAL SENIOR LIVING INC

Tuesday, September 28, 2021 Page 48 of 405 County BROWN Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 000312 License No.: 145298 Owner Information REDSTONE PARK LIVE OAKS HOLDINGS LLC 2410 SONGBIRD CIR 1230 ROSECRANS AVE STE 405 , BROWNWOOD TX 76801 MANHATTAN BEACH CA 90266 Phone (325) 643-9056 Fax (325) 643-9055 PHONE: (310) 725-0120 FAX: (310) 469-0114 TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JANIE HARPER License Eff Dt: 09/02/2020 License Exp Dt: 09/02/2023 Mgmt Co.: TITAN SENQUEST MANAGEMENT INC

County BROWN Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 104032 License No.: 145774 Owner Information THE CHATFIELD ASSISTED LIVING BROWNWOOD I ENTERPRISES, LLC 1605 CALVERT ROAD SAME , BROWNWOOD TX 76804 FORT WORTH TX 76109 Phone (325) 200-4904 Fax (325) 200-4905 PHONE: (817) 348-8841 FAX: (817) 348-0466 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRISTINE OLIVER License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2023 Mgmt Co.: CREATIVE SOLUTIONS IN HEALTHCARE, INC

County BROWN Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 102913 License No.: 149441 Owner Information ALDERSGATE ENRICHMENT CENTER INC ALDERSGATE ENRICHMENT CENTER INC 5001 HWY 183/84 E PO BOX 1406 , EARLY TX 76802 BROWNWOOD TX 76804 Phone (325) 646-5608 Fax (325) 643-6333 PHONE: (325) 646-5608 FAX: (325) 643-6333 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BOBBI ROBERTS License Eff Dt: 04/18/2020 License Exp Dt: 04/18/2023 Mgmt Co.:

County BROWN Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 030226 License No.: 146845 Owner Information ALDERSGATE ENRICHMENT CENTER INC ALDERSGATE ENRICHMENT CENTER INC 5001 HWY 183/84 E PO BOX 1406 , EARLY TX 76802 BROWNWOOD TX 76804 Phone (325) 646-5608 Fax (325) 643-6333 PHONE: (325) 646-5608 FAX: (325) 643-6333 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: TAMMY CASPAR License Eff Dt: 01/15/2019 License Exp Dt: 01/15/2022 Mgmt Co.:

County BROWN Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 000354 License No.: 147865 Owner Information ROLLING OAKS PERSONAL CARE INC VICKIE E RICE 5151 CR 292 13601 FM 1176 , EARLY TX 76802 SANTA ANNA TX 76878 Phone (325) 646-4771 Fax (325) 646-6971 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: VICKIE E RICE License Eff Dt: 07/01/2019 License Exp Dt: 07/01/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 49 of 405 County BURLESON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 103836 License No.: 148426 Owner Information COPPERAS HOLLOW NURSING & REHABILITATION CENTER TICKNOR ENTERPRISES CALDWELL LLC 343 COUNTRY CLUB DR PO BOX 151105 , CALDWELL TX 77836 ARLINGTON TX 76015 Phone (979) 567-6400 Fax (979) 567-6434 PHONE: (817) 269-3375 FAX: (979) 567-4315 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JONNE YOUNG License Eff Dt: 08/01/2019 License Exp Dt: 08/01/2022 Mgmt Co.: TICKNOR ENTERPRISES CALDWELL LLC

County BURNET Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 101942 License No.: 149063 Owner Information COUNTRY OAKS AT HAMILTON CREEK COUNTRY OAKS ASSISTED LIVING 407 W JACKSON ST 407 W JACKSON ST , BURNET TX 78611 BURNET TX 78611 Phone (512) 756-4724 Fax (512) 756-1387 PHONE: (512) 756-4724 FAX: (512) 756-2646 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BOBETTE LINDSEY License Eff Dt: 08/23/2019 License Exp Dt: 08/23/2021 Mgmt Co.:

County BURNET Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 100800 License No.: 146522 Owner Information PAFFORD PLACE DMKF, INC 615 CR 340 A 615 CR 340-A , BURNET TX 78611 BURNET TX 78611 Phone (512) 756-7854 Fax (512) 756-8088 PHONE: (512) 756-7854 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MICHELE FIPPS License Eff Dt: 12/10/2020 License Exp Dt: 12/10/2023 Mgmt Co.:

County BURNET Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 100058 License No.: 145946 Owner Information 800 CLAREMONT MARBLE FALLS ASSISTED LIVING LLC 800 CLAREMONT 800 CLAREMONT , MARBLE FALLS TX 78654 MARBLE FALLS TX 78654 Phone (830) 693-6446 Fax (830) 693-8249 PHONE: (830) 693-6446 FAX: (830) 693-8249 TOTAL Lic Capacity: 35 PRIVATE Beds: 35 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JUDITH A TRUSSELL License Eff Dt: 10/31/2020 License Exp Dt: 10/31/2023 Mgmt Co.:

County BURNET Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 105513 License No.: 148149 Owner Information ARBOR HOUSE OF MARBLE FALLS MARBLE FALLS TX ARBOR HOUSE LP 1801 KING ROAD 1801 KING ROAD , MARBLE FALLS TX 78654 MARBLE FALLS TX 78654 Phone (830) 613-3260 Fax PHONE: (405) 801-2879 FAX: (405) 360-3301 TOTAL Lic Capacity: 52 PRIVATE Beds: 52 Cert Alzh Capacity: 18 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RHONDA TEDFORD License Eff Dt: 07/18/2019 License Exp Dt: 07/18/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 50 of 405 County BURNET Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 101238 License No.: 146322 Owner Information GATEWAY GARDENS SNH SE TENANT TRS INC 605 GATEWAY CENTRAL 400 CENTRE STREET ATTN: LICENSING , MARBLE FALLS TX 78654 NEWTON MA 2458 Phone (830) 693-1903 Fax (830) 693-1990 PHONE: (617) 796-8350 FAX: (617) 796-8349 TOTAL Lic Capacity: 52 PRIVATE Beds: 52 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMBER COX License Eff Dt: 03/31/2021 License Exp Dt: 03/31/2024 Mgmt Co.: FVE MANAGERS, INC

County BURNET Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 000875 License No.: 146251 Owner Information GATEWAY VILLA SNH SE TENANT TRS INC 601 STEVE HAWKINS PKWY 400 CENTRE STREET ATTN: LICENSING , MARBLE FALLS TX 78654 NEWTON MA 2458 Phone (830) 693-1800 Fax (830) 693-2564 PHONE: (617) 796-8350 FAX: (617) 796-8349 TOTAL Lic Capacity: 32 PRIVATE Beds: 32 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BETTY FERGESON License Eff Dt: 12/19/2020 License Exp Dt: 12/19/2023 Mgmt Co.: FVE MANAGERS, INC

County CALDWELL Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 103391 License No.: 150296 Owner Information GARDEN GATE ASSISTED LIVING OF LOCKHART, LLC GARDEN GATE HOLDINGS OF LOCKHART, LLC 1017 BOIS D'ARC ST 215 S LAMAR BLVD STE G , LOCKHART TX 78644 AUSTIN TX 78704 Phone (512) 620-0900 Fax (512) 620-0904 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: CAROL DENNY SHEFFLER License Eff Dt: 03/07/2020 License Exp Dt: 03/07/2023 Mgmt Co.: GARDEN GATE ASSISTED LIVING OF LOCKHART, LLC

County CALDWELL Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 000767 License No.: 150141 Owner Information GOLDEN AGE HOME PERSONAL CARE GOLDEN AGE HOME 1505 S MAIN ST 1505 S MAIN ST , LOCKHART TX 78644 LOCKHART TX 78644 Phone (512) 398-2421 Fax (512) 398-5591 PHONE: (512) 398-2421 FAX: (512) 398-5591 TOTAL Lic Capacity: 44 PRIVATE Beds: 44 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NICOLE BURNETT License Eff Dt: 03/19/2020 License Exp Dt: 03/19/2023 Mgmt Co.:

County CALDWELL Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 000763 License No.: 148403 Owner Information RESCARE PREMIER ROCA VISTA TANGRAM REHABILITATION NETWORK INC 320 MILL RD 9901 LINN STATION RD , MAXWELL TX 78656 LOUISVILLE KY 40223 Phone (512) 357-6022 Fax (512) 357-2523 PHONE: (502) 394-2100 FAX: (502) 394-2285 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: CHARLES JAMES License Eff Dt: 10/15/2019 License Exp Dt: 10/15/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 51 of 405 County CALDWELL Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 000435 License No.: 148995 Owner Information RESCARE PREMIER SIERRA VERDE TANGRAM REHABILITATION NETWORK INC 2385 FM 1984 AT REEDVILLE 9901 LINN STATION RD , MAXWELL TX 78656 LOUISVILLE KY 40223 Phone (512) 357-6033 Fax (512) 357-2902 PHONE: (502) 394-2100 FAX: (502) 394-2285 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ASHLEY FRANKS License Eff Dt: 10/15/2019 License Exp Dt: 10/15/2022 Mgmt Co.:

County CALHOUN Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 102951 License No.: 149497 Owner Information TRINITY SHORES OF PORT LAVACA CHG SENIOR LIVING OF PORT LAVACA LLC 201 TRINITY SHORES DR 2200 ROSS AVESTE. 5400 , PORT LAVACA TX 77979 DALLAS TX 75201 Phone (361) 552-2333 Fax (361) 552-6103 PHONE: (469) 621-6708 FAX: (469) 621-6678 TOTAL Lic Capacity: 100 PRIVATE Beds: 100 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JAMIE TUNNELL License Eff Dt: 04/27/2020 License Exp Dt: 04/27/2023 Mgmt Co.: CHG SENIOR LIVING MANAGEMENT, LLC

County CAMERON Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 000734 License No.: 150117 Owner Information SPANISH MEADOWS EMPIRE SPANISH MEADOWS LTD 440 E RUBEN M TORRES BLVD 25009 OAKHURST DR. , BROWNSVILLE TX 78520 SPRING TX 77386 Phone (956) 546-7378 Fax (956) 546-8562 PHONE: (281) 465-0636 FAX: (281) 465-0748 TOTAL Lic Capacity: 94 PRIVATE Beds: 94 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JULIO GONZALES License Eff Dt: 09/01/2020 License Exp Dt: 09/01/2022 Mgmt Co.:

County CAMERON Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 100341 License No.: 149293 Owner Information ANGELCARE ACRES ANGELCARE HOMES LLC 27927 SOUTH PALM BLVD 27927 SOUTH PALM BLVD , HARLINGEN TX 78552 HARLINGEN TX 78552 Phone (956) 357-3317 Fax (214) 212-6435 PHONE: (956) 357-3317 FAX: (214) 212-6435 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JANICE A ROBINSON RN License Eff Dt: 04/01/2018 License Exp Dt: 04/01/2020 Mgmt Co.:

County CAMERON Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 101249 License No.: 149701 Owner Information ANGELCARE HAVEN ANGELCARE HOMES LLC 2509 CLIFFORD DR 27927 SOUTH PALM BLVD , HARLINGEN TX 78550 HARLINGEN TX 78552 Phone (956) 564-1473 Fax (888) 718-7869 PHONE: (956) 357-1524 FAX: (888) 718-7869 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JANICE A ROBINSON RN License Eff Dt: 03/09/2020 License Exp Dt: 03/09/2023 Mgmt Co.: ANGELCARE HOMES LLC

Tuesday, September 28, 2021 Page 52 of 405 County CAMERON Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 000721 License No.: 307454 Owner Information GOLDEN PALMS REHABILITATION AND RETIREMENT SANTIAGO HEALTHCARE INC 2101 TREASURE HILLS BOULEVARD 27101 PUERTA REAL, SUITE 450 , HARLINGEN TX 78550 MISSION VIEJO CA 92691 Phone 956 4303100 Fax 956 4303175 PHONE: FAX: TOTAL Lic Capacity: 51 PRIVATE Beds: 51 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RICK LEONARD License Eff Dt: 06/01/2019 License Exp Dt: 06/01/2022 Mgmt Co.: PCPMG OF TEXAS, LLC

County CAMERON Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 030052 License No.: 149420 Owner Information VALLEY VIEW SENIOR LIVING CSL HARLINGEN COURT LLC 900 CAMELOT DR 3973 WEST VICKERY BLVD. SUITE 101 , HARLINGEN TX 78550 FORT WORTH TX 76107 Phone (956) 226-0630 Fax PHONE: (469) 387-3158 FAX: (817) 386-8324 TOTAL Lic Capacity: 129 PRIVATE Beds: 129 Cert Alzh Capacity: 34 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RICHARD MANCHA License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County CAMERON Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 101432 License No.: 148001 Owner Information WOOD LIVING CENTER OF HARLINGEN 6 WOOD CARE CENTERS INC 715 N AVE H 3610 BARNETT RD , HARLINGEN TX 78550 WICHITA FALLS TX 76310 Phone (956) 428-7012 Fax (956) 440-9242 PHONE: (940) 767-0463 FAX: (940) 767-0466 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BEATRICE GARCIA License Eff Dt: 11/11/2019 License Exp Dt: 11/11/2021 Mgmt Co.:

County CAMERON Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 104513 License No.: 147973 Owner Information BELLA VILLA ASSISTED LIVING KJDO HEALTHCARE INC 7385 OLD MILITARY RD 7385 OLD MILITARY RD , VILLA NUEVA TX 78520 BROWNSVILLE TX 78520 Phone (956) 455-0501 Fax (956) 544-8301 PHONE: (956) 559-0553 FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NORMA GRACIA License Eff Dt: 06/14/2019 License Exp Dt: 06/14/2021 Mgmt Co.:

County CAMP Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 102361 License No.: 148433 Owner Information SOUTHERN WIND MANOR SOUTHERN WIND MANOR 618 QUITMAN ST PO BOX 970 , PITTSBURG TX 75686 PITTSBURG TX 75686 Phone (903) 855-1555 Fax (903) 855-1585 PHONE: FAX: TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MATTHEW WALLACE License Eff Dt: 09/19/2019 License Exp Dt: 12/31/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 53 of 405 County CASS Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 030365 License No.: 150014 Owner Information WESLEY HOUSE WESLEY HOUSE ATLANTA LLC 1102 S WILLIAMS , ATLANTA TX 75551 Phone (903) 796-6300 Fax (903) 796-6325 PHONE: FAX: TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LINDA HILL License Eff Dt: 08/04/2020 License Exp Dt: 08/04/2023 Mgmt Co.: WESLEY PARTNERS II, LLC

County CHEROKEE Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 000990 License No.: 149562 Owner Information ANGELINA HOUSE VERITAS SENIOR LIVING LLC 211 PHILIP ST 6858 SWINNEA RDBLDG 1A , JACKSONVILLE TX 75766 SOUTHAVEN MS 38671 Phone (903) 589-1105 Fax (903) 586-4811 PHONE: (662) 510-5544 FAX: (662) 510-5471 TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LINZEY CAMPBELL License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2023 Mgmt Co.:

County CHEROKEE Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 110417 License No.: 308022 Owner Information CP JACKSONVILLE TX LLC CP JACKSONVILLE TX LLC 2120 E. RUSK STREET , JACKSONVILLE TX 75766 Phone Fax PHONE: FAX: TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 11/02/2020 License Exp Dt: 11/02/2023 Mgmt Co.: CP ASSISTED LIVING MANAGEMENT LLC

County CHEROKEE Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 104948 License No.: 145642 Owner Information THE TRINITY ASSISTED LIVING OF JACKSONVILLE JACKSONVILLE I ENTERPRISES LLC 131 ZIMMERMAN ST SAME , JACKSONVILLE TX 75766 FORT WORTH TX 76109 Phone (903) 284-6135 Fax (903) 284-6123 PHONE: (817) 348-8959 FAX: (817) 348-0466 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GILBERT GONZALES License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2023 Mgmt Co.: CREATIVE SOLUTIONS IN HEALTHCARE, INC

County CHILDRESS Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 000982 License No.: 150203 Owner Information COTTAGE VILLAGE COTTAGE VILLAGE LIVING, LLC 204 FIFTH ST N E 204 FIFTH ST NE , CHILDRESS TX 79201 CHILDRESS TX 79201 Phone (940) 937-2045 Fax (940) 937-2517 PHONE: (940) 937-2045 FAX: (940) 937-2517 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAVID C KARNES License Eff Dt: 06/01/2020 License Exp Dt: 06/01/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 54 of 405 County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 110370 License No.: 307932 Owner Information AVALON MEMORY CARE AVALON DEMENTIA CARE MANAGEMENT LLC 750 N. GREENVILLE AVE 1625 N STEMMONS FRWY , ALLEN TX 75002 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 27 PRIVATE Beds: 27 Cert Alzh Capacity: 27 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JONATHAN C SEIB License Eff Dt: 08/07/2020 License Exp Dt: 08/07/2023 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 106236 License No.: 148789 Owner Information BERTHA'S CARE HOME, LLC BERTHA'S CARE HOME LLC 713 ROLLING HILLS DR P.O. BOX 867682 , ALLEN TX 75002 PLANO TX Phone (972) 521-2014 Fax (866) 508-5011 PHONE: (972) 521-2014 FAX: (972) 521-2063 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JEPKEMBOI MURAYA License Eff Dt: 12/30/2019 License Exp Dt: 12/30/2022 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 106750 License No.: 146461 Owner Information CHRISTIAN CARE COMMUNITIES AND SERVICES ALLEN CHRISTIAN CARE CENTERS INC 560 PRESTIGE CIRCLE 900 WIGGINS PKWY , ALLEN TX 75002 MESQUITE TX 75150 Phone (972) 686-2460 Fax (866) 529-7011 PHONE: (972) 686-2460 FAX: (866) 216-7525 TOTAL Lic Capacity: 88 PRIVATE Beds: 88 Cert Alzh Capacity: 18 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROBERT BRALEY License Eff Dt: 01/11/2021 License Exp Dt: 01/11/2024 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 106778 License No.: 308136 Owner Information GRACIOUS FOUNTAIN SENIOR LIVING, LLC GRACIOUS FOUNTAIN SENIOR LIVING, LLC 307 N FOUNTAIN GATE DR. , ALLEN TX 75002 Phone (214) 785-7085 Fax (214) 785-7085 PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SUSAN CHEMIRMIR License Eff Dt: 05/15/2020 License Exp Dt: 05/15/2023 Mgmt Co.: NA

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 106840 License No.: 148236 Owner Information GRAND BROOK MEMORY CARE OF ALLEN ALLEN MEMORY CARE LLC 965 JUNCTION DR 965 JUNCTION DR , ALLEN TX 75013 ALLEN TX 75013 Phone (469) 331-8200 Fax (469) 519-4151 PHONE: (469) 331-8200 FAX: (469) 519-4151 TOTAL Lic Capacity: 36 PRIVATE Beds: 36 Cert Alzh Capacity: 36 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOANNA RAZOWSKI License Eff Dt: 10/06/2021 License Exp Dt: 10/06/2024 Mgmt Co.: CONSTANT CARE MANAGEMENT COMPANY

Tuesday, September 28, 2021 Page 55 of 405 County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 104406 License No.: 146171 Owner Information GROOM SENIOR LIVING INC GROOM SENIOR LIVING INC 304 WILLOW CREEK CIR 100 ALLENTOWN PKWYSTE 214 , ALLEN TX 75002 ALLEN TX 75002 Phone (214) 383-9077 Fax (214) 383-7594 PHONE: (214) 383-9077 FAX: (214) 383-7594 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 14 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAVID H GROOM License Eff Dt: 09/10/2020 License Exp Dt: 09/10/2023 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 104699 License No.: 149480 Owner Information HERITAGE HOUSE OF ALLEN THE HERITAGE HOUSE OF PLANO, LLC 1521 YORKSHIRE DR 1802 WEANNE DRIVE , ALLEN TX 75002 RICHARDSON TX 75082 Phone (214) 785-7695 Fax (469) 573-9352 PHONE: (214) 632-2382 FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CYNTHIA BOGGS License Eff Dt: 05/01/2020 License Exp Dt: 05/01/2023 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 102185 License No.: 147382 Owner Information MUSTANG CREEK ESTATES ALLEN HOUSE 1 MCE OP CO LLC 710 CREEK VALLEY COURT 2701 DALLAS PKWYSTE 175 , ALLEN TX 75002 PLANO TX 75093 Phone (972) 359-0200 Fax (469) 519-1042 PHONE: (214) 396-5828 FAX: (972) 502-9985 TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 13 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RENEE D RAMSEY License Eff Dt: 02/20/2019 License Exp Dt: 02/20/2022 Mgmt Co.: CLERMONT MANAGEMENT LLC

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 102183 License No.: 147267 Owner Information MUSTANG CREEK ESTATES ALLEN HOUSE 2 MCE OP CO LLC 712 CREEK VALLEY COURT 2701 DALLAS PKWYSTE 175 , ALLEN TX 75002 PLANO TX 75093 Phone (214) 396-5828 Fax (972) 502-9985 PHONE: (214) 396-5828 FAX: (972) 502-9985 TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RENEE D RAMSEY License Eff Dt: 02/20/2021 License Exp Dt: 02/20/2024 Mgmt Co.: CLERMONT MANAGEMENT LLC

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 103493 License No.: 147045 Owner Information MUSTANG CREEK ESTATES ALLEN HOUSE 3 MCE OP CO LLC 714 CREEK VALLEY CT 2701 DALLAS PKWYSTE 175 , ALLEN TX 75002 PLANO TX 75093 Phone (214) 396-5828 Fax (972) 502-9985 PHONE: (214) 396-5828 FAX: (972) 502-9985 TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RENEE D RAMSEY License Eff Dt: 02/20/2021 License Exp Dt: 02/20/2024 Mgmt Co.: CLERMONT MANAGEMENT LLC

Tuesday, September 28, 2021 Page 56 of 405 County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 103492 License No.: 147887 Owner Information MUSTANG CREEK ESTATES ALLEN HOUSE 4 MCE OP CO LLC 716 CREEK VALLEY CT 2701 DALLAS PKWYSTE 175 , ALLEN TX 75002 PLANO TX 75093 Phone (214) 396-5828 Fax (972) 502-9985 PHONE: (214) 396-5828 FAX: (972) 502-9985 TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RENEE D RAMSEY License Eff Dt: 02/20/2021 License Exp Dt: 02/20/2024 Mgmt Co.: CLERMONT MANAGEMENT LLC

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 102182 License No.: 147269 Owner Information MUSTANG CREEK ESTATES ALLEN HOUSE 5 AND 6 MCE OP CO LLC 720 CREEK VALLEY COURT 2701 DALLAS PKWYSTE 175 , ALLEN TX 75002 PLANO TX 75093 Phone (214) 396-5828 Fax (972) 502-9985 PHONE: (214) 396-5828 FAX: (972) 502-9985 TOTAL Lic Capacity: 26 PRIVATE Beds: 26 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RENEE D RAMSEY License Eff Dt: 02/20/2021 License Exp Dt: 02/20/2024 Mgmt Co.: CLERMONT MANAGEMENT LLC

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 110524 License No.: 308338 Owner Information NEDGES NEST NEDGES NEST LLC 1608 WARM SPRINGS DR 1608 WARM SPRINGS DRIVE , ALLEN TX 75002 ALLEN TX 75002 Phone Fax (214) 383-7412 PHONE: (469) 675-3962 FAX: (214) 383-7412 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 05/13/2021 License Exp Dt: 05/13/2024 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 030385 License No.: 307398 Owner Information SPARKS LOVING CARE HOME MICHAEL SPARKS 999 W FOREST GROVE RD , ALLEN TX 75002 Phone (972) 562-7172 Fax (972) 562-7172 PHONE: FAX: TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: KELLY SPARKS License Eff Dt: 01/02/2019 License Exp Dt: 01/02/2022 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 106459 License No.: 307824 Owner Information THE HERITAGE AT TWIN CREEKS 920 STOCKTON DRIVE, LP 920 STOCKTON DRIVE , ALLEN TX 75013 Phone 214 5099005 Fax PHONE: FAX: TOTAL Lic Capacity: 113 PRIVATE Beds: 113 Cert Alzh Capacity: 46 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PAULA HICKS License Eff Dt: 07/27/2019 License Exp Dt: 07/27/2022 Mgmt Co.: SURPASS SENIOR LIVING

Tuesday, September 28, 2021 Page 57 of 405 County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 105828 License No.: 145479 Owner Information THE MULBERRY HOUSE III MCKINNEY ASSISTED LIVING INC 1056 BALMORHEA DR 2620 ST MICHELLE , ALLEN TX 75013 MCKINNEY TX 75070 Phone (469) 640-1555 Fax (469) 795-6208 PHONE: (214) 945-0009 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAVID B KNIGHT License Eff Dt: 07/08/2020 License Exp Dt: 07/08/2023 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 106350 License No.: 147912 Owner Information VITALITY COURT TEXAS STAR VSL ALLEN LLC 650 S GREENVILLE AVENUE 370 MALLORY STATIONSTE. 511 , ALLEN TX 75002 FRANKLIN TN 37067 Phone (972) 678-5400 Fax (972) 678-4019 PHONE: (615) 538-3200 FAX: TOTAL Lic Capacity: 111 PRIVATE Beds: 111 Cert Alzh Capacity: 23 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VAN MILLS License Eff Dt: 04/01/2019 License Exp Dt: 04/01/2022 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 000717 License No.: 143912 Owner Information BRINLEE CREEK RANCH PATE REHABILITATION ENDEAVORS, INC 3325 PATE WAY BUILDING I 2655 VILLA CREEK STE 140 , ANNA TX 75409 DALLAS TX 75234 Phone (972) 838-2602 Fax (972) 837-4105 PHONE: (972) 241-9334 FAX: (972) 484-4739 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KHADEEM CAMPBELL License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 102515 License No.: 144832 Owner Information BRINLEE CREEK RANCH HILLTOP HOUSE PATE REHABILITATION ENDEAVORS, LLC 3325 PATE WAYBLDG E , ANNA TX 75409 Phone (972) 838-2602 Fax (972) 837-1205 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: THOMAS YOUNG III License Eff Dt: 06/12/2020 License Exp Dt: 06/12/2023 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 030281 License No.: 144424 Owner Information BRINLEE CREEK RANCH WEST CAMPUS PATE REHABILITATION ENDEAVORS, INC 3325 PATE WAY BLDG H 2655 VILLA CREEK STE 140 , ANNA TX 75409 DALLAS TX 75234 Phone (972) 838-2602 Fax (972) 837-4105 PHONE: (972) 241-9334 FAX: (972) 484-4739 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MELODEE CHANDLER License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 58 of 405 County COLLIN Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 101109 License No.: 146685 Owner Information AT HOME LUXURY ASSISTED LIVING II LLC AT HOME LUXURY ASSISTED LIVING II LLC 7038 LATTIMORE DRIVE 7541 ROYAL PLACE , DALLAS TX 75252 DALLAS TX 75230 Phone (214) 403-0445 Fax (214) 750-4425 PHONE: (214) 403-0445 FAX: (214) 750-4425 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NOELLE DESRUISSEAUX License Eff Dt: 05/30/2021 License Exp Dt: 05/30/2024 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 105439 License No.: 148754 Owner Information B & Y CARE HOMES HOPE LIVING GROUP HOME LLC 4311 BRETTON BAY LN SAME , DALLAS TX 75287 DALLAS TX 75287 Phone (972) 349-9251 Fax (972) 349-9251 PHONE: (682) 552-5318 FAX: (817) 719-3043 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ALICE K JOHNSON License Eff Dt: 09/02/2019 License Exp Dt: 09/02/2021 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 105429 License No.: 146375 Owner Information CONTINUING CARE AT HIGHLAND SPRINGS HIGHLAND SPRINGS INC 7910 FRANKFORD ROAD 8000 FRANKFORD ROAD , DALLAS TX 75252 DALLAS TX 75252 Phone (972) 656-3500 Fax (972) 232-8002 PHONE: (972) 232-8005 FAX: (972) 232-8002 TOTAL Lic Capacity: 88 PRIVATE Beds: 88 Cert Alzh Capacity: 36 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNIFER FOX License Eff Dt: 02/12/2021 License Exp Dt: 02/12/2024 Mgmt Co.: ERICKSON LIVING MANAGEMENT LLC

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 107006 License No.: 307943 Owner Information JACKSON'S PLACE EGANZA INCORPORATED 4014 VILLA GROVE DRIVE 101 SOUTH COIT ROAD SUITE 36 282 , DALLAS TX 75287 RICHARDSON TEXAS 75080 Phone (972) 248-0757 Fax (972) 248-8995 PHONE: (214) 694-7192 FAX: 972 248 8995 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PETER EGANZA License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.: EGANZA INCORPORATED

County COLLIN Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 104808 License No.: 149527 Owner Information NEW HORIZON HOMES LLC NEW HORIZON HOMES LLC 6806 ROCKY TOP CIRCLE 1920 N COIT ROAD SUITE 200-303 , DALLAS TX 75252 RICHARDSON TX 75080 Phone (972) 248-6316 Fax PHONE: (214) 469-4169 FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BUKEKILE DUBE License Eff Dt: 04/01/2020 License Exp Dt: 04/01/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 59 of 405 County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 103845 License No.: 149841 Owner Information BETHESDA GARDENS FRISCO BSLC FRISCO LLC 10588 LEGACY DR 15475 GLENEAGLE DR , FRISCO TX 75034 COLORADO SPRINGS CO 80921 Phone (469) 362-8545 Fax (469) 362-7408 PHONE: (719) 481-0100 FAX: (719) 481-5484 TOTAL Lic Capacity: 100 PRIVATE Beds: 100 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TOMMIE HICKOK License Eff Dt: 05/02/2020 License Exp Dt: 05/02/2022 Mgmt Co.: BETHESDA FOUNDATION

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 104607 License No.: 144941 Owner Information HUNTLEIGH CARE HOMES WIMBERLEY HUNTLEIGH CARE HOMES, LLC 13305 WIMBERLEY DRIVE PO BOX 5120 , FRISCO TX 75035 FRISCO TEXAS 75035 Phone (214) 415-8943 Fax (214) 618-1028 PHONE: (972) 455-8280 FAX: (972) 455-8281 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RICHARD H REIFSCHNEIDER License Eff Dt: 06/15/2020 License Exp Dt: 06/15/2023 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 105384 License No.: 146989 Owner Information HUNTLEIGH CARE HOMES LLC HUNTLEIGH CARE HOMES, LLC 6974 WAVERLY LANE PO BOX 5120 , FRISCO TX 75035 FRISCO TEXAS 75035 Phone (972) 455-8280 Fax (972) 455-8281 PHONE: (972) 455-8280 FAX: (972) 455-8281 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BETHANY LEIGH SUNSHINE License Eff Dt: 03/20/2019 License Exp Dt: 03/20/2022 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 106466 License No.: 150012 Owner Information LA FONTAINE MEMORY CARE GO OPERATIONS 1 LLC 11777 LEBANON ROAD 11777 LEBANON ROAD , FRISCO TX 75035 FRISCO TX 75035 Phone (214) 618-9519 Fax PHONE: (214) 618-9519 FAX: TOTAL Lic Capacity: 40 PRIVATE Beds: 40 Cert Alzh Capacity: 40 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PAMELA SCHMIDT License Eff Dt: 03/16/2020 License Exp Dt: 03/16/2022 Mgmt Co.: PRINCE & LUFFEY LLC

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 106610 License No.: 146341 Owner Information PARKVIEW IN FRISCO WATERMARK PARKVIEW AL, LLC 7420 ROLLING BROOK 7420 ROLLING BROOK , FRISCO TX 75034 FRISCO TX 75034 Phone (972) 377-6744 Fax (469) 362-2588 PHONE: (972) 377-6744 FAX: (469) 362-2588 TOTAL Lic Capacity: 57 PRIVATE Beds: 57 Cert Alzh Capacity: 18 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAVID GUSTAFSON License Eff Dt: 12/28/2020 License Exp Dt: 12/28/2023 Mgmt Co.: WATERMARK RETIREMENT COMMUNITIES, LLC

Tuesday, September 28, 2021 Page 60 of 405 County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 100201 License No.: 147725 Owner Information PARSONS HOUSE FRISCO FRISCO SENIOR HOUSING LP 5850 OHIO DRIVE 1 NORTH CALLE CESAR CHAVEZSUITE 200 , FRISCO TX 75035 SANTA BARBARA CA 93103 Phone (972) 668-4100 Fax (972) 668-4161 PHONE: (805) 564-3341 FAX: TOTAL Lic Capacity: 100 PRIVATE Beds: 100 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROBIN PAYNE License Eff Dt: 04/26/2019 License Exp Dt: 04/26/2021 Mgmt Co.: PARSONS FAMILY MANAGEMENT LLC

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 106148 License No.: 147931 Owner Information SADDLE BROOK MEMORY CARE COMMUNITY FRISCO MEMORY CARE, LLC 9966 LEGACY DRIVE 111 MARKET STREET NESUITE 200 , FRISCO TX 75034 OLYMPIA WA 98501 Phone (214) 494-4264 Fax (214) 494-4265 PHONE: (360) 867-1900 FAX: (360) 867-1956 TOTAL Lic Capacity: 65 PRIVATE Beds: 65 Cert Alzh Capacity: 65 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROBERT W BENNETT License Eff Dt: 07/21/2019 License Exp Dt: 07/21/2021 Mgmt Co.: KOELSCH SENIOR COMMUNITIES LLC

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 104019 License No.: 144925 Owner Information SUNRISE OF FRISCO MS FRISCO SH LLC 2680 LEGACY DRIVE 7902 WESTPARK DRIVE , FRISCO TX 75034 MCLEAN VA 22102 Phone (469) 362-1313 Fax (469) 362-1488 PHONE: (502) 779-4700 FAX: (502) 779-4701 TOTAL Lic Capacity: 104 PRIVATE Beds: 104 Cert Alzh Capacity: 43 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHERYL WHITE License Eff Dt: 05/01/2020 License Exp Dt: 05/01/2023 Mgmt Co.: SUNRISE SENIOR LIVING MANAGEMENT, INC

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 106486 License No.: 149564 Owner Information THE COTTAGES AT CHAPEL CREEK THE COTTAGES AT CHAPEL CREEK LLC 8111 WADE BOULEVARD 4514 TRAVIS STREETSUITE #211 , FRISCO TX 75034 DALLAS TX 75205 Phone (972) 668-5200 Fax (972) 668-5201 PHONE: (214) 526-0021 FAX: (888) 255-3821 TOTAL Lic Capacity: 90 PRIVATE Beds: 90 Cert Alzh Capacity: 90 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARY POOLE License Eff Dt: 03/07/2020 License Exp Dt: 03/07/2022 Mgmt Co.: THE COTTAGES SENIOR LIVING LLC

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 110210 License No.: 307464 Owner Information WINDHAVEN SENIOR LIVING LTD WINDHAVEN SENIOR LIVING LTD 2828 C NATURE WAY 4500 RATLIFF LANE SUITE 115 , FRISCO TX 75033 ADDISON TX 75001 Phone (972) 248-0260 Fax (972) 248-0276 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KAREN QUALLS License Eff Dt: 08/28/2019 License Exp Dt: 08/28/2022 Mgmt Co.: WINDHAVEN MANAGEMENT LLC

Tuesday, September 28, 2021 Page 61 of 405 County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 105635 License No.: 149262 Owner Information ALPHA & OMEGA RESIDENTIAL CARE HOME ALPHA & OMEGA RESIDENTIAL CARE HOME LLC 9604 LOG RUN CT 1004 CHARTSWORTH DR , MCKINNEY TX 75072 ANNA TX 75409 Phone (972) 346-2280 Fax (972) 346-2280 PHONE: (972) 346-2280 FAX: (972) 346-2280 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ALICE M LANG License Eff Dt: 03/29/2020 License Exp Dt: 03/29/2022 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 105884 License No.: 149590 Owner Information ANTHOLOGY OF STONEBRIDGE RANCH CA SENIOR MCKINNEY OPERATOR LLC 3300 S STONEBRIDGE DR 1 PRUDENTIAL PLZ 130 E RANDOLPH STSTE 2100 , MCKINNEY TX 75070 CHICAGO IL 60601 Phone (972) 804-4122 Fax (972) 542-9101 PHONE: (312) 994-1880 FAX: TOTAL Lic Capacity: 132 PRIVATE Beds: 132 Cert Alzh Capacity: 36 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEWAYNE VANCE License Eff Dt: 05/01/2020 License Exp Dt: 08/22/2022 Mgmt Co.: CA SENIOR MCKINNEY MANAGEMENT, LLC

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 107087 License No.: 149303 Owner Information AVALON MEMORY CARE AVALON DEMENTIA CARE MANAGEMENT LLC 5401 A MCKINNEY RANCH 1625 N STEMMONS FRWY , MCKINNEY TX 75070 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JONATHAN C SEIB License Eff Dt: 02/21/2020 License Exp Dt: 02/21/2023 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 103912 License No.: 148882 Owner Information AVALON MEMORY CARE AVALON DEMENTIA CARE MANAGEMENT LLC 1801 MEADOW RANCH RD 1625 N STEMMONS FRWY , MCKINNEY TX 75071 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JONATHAN C SEIB License Eff Dt: 12/31/2019 License Exp Dt: 12/31/2021 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 030021 License No.: 148739 Owner Information BROOKDALE STONEBRIDGE RANCH ESC IV LP 1650 S STONEBRIDGE DR 6737 W, WASHINGTON ST SUITE 2300 , MCKINNEY TX 75070 MILWAUKEE WI 53214 Phone (972) 529-1420 Fax (972) 542-9270 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 136 PRIVATE Beds: 136 Cert Alzh Capacity: 40 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANDREA BRATCHER License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 62 of 405 County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 110415 License No.: 308020 Owner Information CARIAD AT NORTH BROOK MCKINNEY OP, LLC 2301 N BROOK , MCKINNEY TX 75069 Phone (972) 542-6006 Fax (972) 542-6006 PHONE: FAX: TOTAL Lic Capacity: 49 PRIVATE Beds: 49 Cert Alzh Capacity: 21 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GABRIELLE HENDERSON License Eff Dt: 12/03/2020 License Exp Dt: 12/03/2023 Mgmt Co.: ELMINGTON SENIOR LIVING, LLC

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 106597 License No.: 149368 Owner Information CASTLERIDGE SENIOR LIVING LLC CASTLERIDGE SENIOR LIVING, LLC 5100 SPICEWOOD DRIVE PO BOX 867682 , MCKINNEY TX 75070 PLANO TX 75086 Phone (214) 548-4708 Fax (214) 548-4708 PHONE: (214) 842-4112 FAX: (866) 508-5011 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JEPKEMBOI MURAYA License Eff Dt: 04/03/2020 License Exp Dt: 04/03/2023 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 102733 License No.: 148082 Owner Information CORNERSTONE MINISTRIES INC CORNERSTONE MINISTRIES INC 3933 CR 317 3933 COUNTY ROAD 317 , MCKINNEY TX 75069 MCKINNEY TX 75069 Phone (469) 424-1887 Fax PHONE: FAX: TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DOUG SCHULTE License Eff Dt: 02/24/2021 License Exp Dt: 02/24/2024 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 102401 License No.: 149030 Owner Information GRAND BROOK MEMORY CARE OF MCKINNEY MCKINNEY OPCO LLC 175 PLATEAU DR 7708 SAN JACINTO PLACEUNIT 100 , MCKINNEY TX 75069 PLANO TX 75024 Phone (972) 542-0606 Fax (972) 542-0614 PHONE: (469) 331-8200 FAX: (469) 519-4151 TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 48 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ORACIA SAVAGE License Eff Dt: 12/23/2019 License Exp Dt: 12/23/2021 Mgmt Co.: CONSTANT CARE MANAGEMENT COMPANY

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 105058 License No.: 144669 Owner Information GREENFIELD RESIDENTIAL CARE HOMES LLC GREENFIELD RESIDENTIAL CARE HOMES LLC 3401 LOS ALAMOS LANE 3401 LOS ALAMOS LANE , MCKINNEY TX 75070 MCKINNEY TX 75070 Phone (972) 540-1274 Fax (469) 619-4565 PHONE: (972) 540-1274 FAX: (469) 619-4565 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: EPIPHANIA DUBE License Eff Dt: 05/16/2020 License Exp Dt: 05/16/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 63 of 405 County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 106764 License No.: 147764 Owner Information HARBORCHASE OF MCKINNEY HARBOR MCKINNEY OPERATING LLC 265 PLATEAU DRIVE 1440 HIGHWAY A1A , MCKINNEY TX 75069 VERO BEACH FL 32963 Phone (469) 712-7660 Fax (469) 712-7661 PHONE: (469) 712-7660 FAX: (469) 712-7661 TOTAL Lic Capacity: 73 PRIVATE Beds: 73 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ASHLEY J CLARK License Eff Dt: 07/25/2019 License Exp Dt: 07/25/2022 Mgmt Co.: HARBOR MCKINNEY MANAGEMENT LLC

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 110376 License No.: 307952 Owner Information HIDDEN SPRINGS SENIOR LIVING HIDDEN SPRING OPCO LTD 6421 MCKINNEY RANCH PARKWAY , MCKINNEY TX 75070 Phone Fax (214) 368-7341 PHONE: FAX: TOTAL Lic Capacity: 78 PRIVATE Beds: 78 Cert Alzh Capacity: 27 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 07/28/2020 License Exp Dt: 07/28/2023 Mgmt Co.: 12 OAKS MANAGEMENT SERVICES, INC

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 107188 License No.: 307004 Owner Information LEGEND ASSISTED LIVING AND MEMORY CARE OF MCKINNEY DFW ALF 2 LLC 220 S. CRUTCHER CROSSING 8415 E 21ST N, SUITE 100 , MCKINNEY TX 75070 WICHITA KANSAS 67206 Phone (972) 540-5100 Fax PHONE: FAX: TOTAL Lic Capacity: 101 PRIVATE Beds: 101 Cert Alzh Capacity: 21 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CINDY POETSCHKE License Eff Dt: 08/15/2020 License Exp Dt: 08/15/2023 Mgmt Co.: LEGEND SENIOR LIVING LLC

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 000645 License No.: 307417 Owner Information NORTH BROOK PLACE MCKINNEY OP, LLC 2301 N BROOK , MCKINNEY TX 75069 Phone (972) 542-6006 Fax (972) 542-8008 PHONE: FAX: TOTAL Lic Capacity: 55 PRIVATE Beds: 55 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LASHUNDA KING License Eff Dt: 04/18/2019 License Exp Dt: 04/18/2022 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 106702 License No.: 148897 Owner Information OXFORD GRAND AT MCKINNEY ASHR MCKINNEY, LLC 2851 ORCHID DR. , MCKINNEY TX 75070 Phone (469) 714-0806 Fax (469) 714-0809 PHONE: FAX: TOTAL Lic Capacity: 95 PRIVATE Beds: 95 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KEVIN MILLER License Eff Dt: 04/27/2021 License Exp Dt: 04/27/2024 Mgmt Co.: OXFORD MANAGEMENT GROUP LLC

Tuesday, September 28, 2021 Page 64 of 405 County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 104660 License No.: 307229 Owner Information RANDY LEE SENIOR LIVING JANE JEBICHII 308 RANDY LEE LANE , MCKINNEY TX 75071 Phone (214) 382-8163 Fax (214) 382-8163 PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JANE JEBICHII License Eff Dt: 11/30/2020 License Exp Dt: 11/30/2023 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 000659 License No.: 147917 Owner Information REDBUD PLACE REDBUD AID OPCO LLC 101 W WILSON CREEK PKWY 330 N WABASHSTE 3700 , MCKINNEY TX 75069 CHICAGO IL 60611 Phone (972) 562-9698 Fax (972) 542-5162 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRISTINA RHODES License Eff Dt: 07/11/2021 License Exp Dt: 07/11/2024 Mgmt Co.: ENLIVANT AID FR MGMT LLC

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 105339 License No.: 146921 Owner Information SEREIN RESIDENTIAL CARE HOME SEREIN RESIDENTIAL CARE HOME LLC 4401 CITABRIA DRIVE 4401 CITABRIA DRIVE , MCKINNEY TX 75070 MC KINNEY TX 75070 Phone (214) 592-8454 Fax (214) 592-8414 PHONE: (214) 592-8454 FAX: (214) 592-8414 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 6 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VIVIEN A IJOMAH License Eff Dt: 04/04/2021 License Exp Dt: 04/04/2024 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 104253 License No.: 308222 Owner Information STONEFIELD ASSISTED LIVING AND MEMORY CARE WELLTOWER TENANT GROUP LLC 2701 ALMA ROAD 4500 DORR STREET , MCKINNEY TX 75070 TOLEDO OHIO 43615 Phone 214 4911710 Fax 214 4911711 PHONE: FAX: TOTAL Lic Capacity: 90 PRIVATE Beds: 90 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANDREA BRATCHER License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.: STONEFIELD AL MC CARE PROPERTIES LLC

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 110373 License No.: 307944 Owner Information TERESA'S HOUSE TERESA'S HOUSECRAIG RANCH LLC 6521 COLLIN-MCKINNEY PARKWAY , MCKINNEY TX 75070 Phone Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 08/17/2020 License Exp Dt: 08/17/2023 Mgmt Co.: TG SENIOR SERVICES LLC

Tuesday, September 28, 2021 Page 65 of 405 County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 110394 License No.: 307989 Owner Information TERESA'S HOUSE TERESA'S HOUSECRAIG RANCH LLC 6511 COLLIN-MCKINNEY PARKWAY , MCKINNEY TX 75070 Phone Fax (469) 591-1090 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 09/30/2020 License Exp Dt: 09/30/2023 Mgmt Co.: TG SENIOR SERVICES LLC

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 110372 License No.: 307942 Owner Information TERESA'S HOUSE TERESA'S HOUSECRAIG RANCH LLC 6531 COLLIN-MCKINNEY PARKWAY , MCKINNEY TX 75070 Phone Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 08/17/2020 License Exp Dt: 08/17/2023 Mgmt Co.: TG SENIOR SERVICES LLC

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 104787 License No.: 307540 Owner Information THE IVY OF MCKINNEY 3392 MEDICAL CENTER DRIVE, LP 3392 MEDICAL CENTER DRIVE , MCKINNEY TX 75069 Phone 972 3518888 Fax PHONE: FAX: TOTAL Lic Capacity: 90 PRIVATE Beds: 90 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RUTH AUSTIN License Eff Dt: 09/16/2019 License Exp Dt: 09/16/2022 Mgmt Co.: SURPASS SENIOR LIVING

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 104759 License No.: 307645 Owner Information THE IVY OF MCKINNEY 3392 MEDICAL CENTER DRIVE, LP 3352 MEDICAL CENTER DRIVE , MCKINNEY TX 75069 Phone 972 3518888 Fax (972) 548-0477 PHONE: FAX: TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RUTH AUSTIN License Eff Dt: 08/12/2019 License Exp Dt: 08/12/2022 Mgmt Co.: SURPASS SENIOR LIVING

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 030148 License No.: 146977 Owner Information THE MULBERRY HOUSE #1 MCKINNEY ASSISTED LIVING INC 2620 SAINT MICHELLE 2620 ST MICHELLE , MCKINNEY TX 75070 MCKINNEY TX 75070 Phone (214) 592-8593 Fax (214) 592-8205 PHONE: (214) 945-0009 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RACHEAL C KNIGHT License Eff Dt: 03/15/2021 License Exp Dt: 03/15/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 66 of 405 County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 101626 License No.: 147004 Owner Information THE MULBERRY HOUSE #2 MCKINNEY ASSISTED LIVING INC 3216 BRENTWOOD DR 2620 ST MICHELLE , MCKINNEY TX 75070 MCKINNEY TX 75070 Phone (214) 592-8593 Fax PHONE: (214) 945-0009 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DAVID B KNIGHT License Eff Dt: 03/15/2019 License Exp Dt: 03/15/2022 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 030286 License No.: 148438 Owner Information VILLAGIO OF MCKINNEY SELECT OPERATIONS OF MCKINNEY LLC 1601 W ELDORADO PKWY PO BOX 1750 , MCKINNEY TX 75069 ALEDO TX 76008 Phone (972) 569-8660 Fax (972) 569-8663 PHONE: (405) 822-7328 FAX: (888) 753-6262 TOTAL Lic Capacity: 72 PRIVATE Beds: 72 Cert Alzh Capacity: 72 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RENDI PIERCE License Eff Dt: 09/30/2021 License Exp Dt: 09/30/2024 Mgmt Co.: SUMMIT SENIOR LIVING LLC

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 105295 License No.: 307482 Owner Information LYNRIDGE ASSISTED LIVING WELLTOWER TCG RIDEA TENANT, LLC 304 WEST FM 544 4500 DORR STREET , MURPHY TX 75094 TOLDEO OH 43615 Phone (972) 544-7654 Fax PHONE: FAX: TOTAL Lic Capacity: 90 PRIVATE Beds: 90 Cert Alzh Capacity: 33 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARK A TERRY License Eff Dt: 04/01/2019 License Exp Dt: 04/01/2022 Mgmt Co.: SAGORA SENIOR LIVING, INC

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 106089 License No.: 147437 Owner Information THE HERITAGE HOUSE OF MURPHY THE HERITAGE HOUSE OF PLANO LLC 612 MAIZE DR 900 17TH ST , MURPHY TX 75094 PLANO TX 75074 Phone (469) 250-1430 Fax PHONE: (214) 632-2382 FAX: (469) 573-9352 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CYNTHIA BOGGS License Eff Dt: 07/02/2021 License Exp Dt: 07/02/2024 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 106352 License No.: 148867 Owner Information ANTHOLOGY OF PLANO CA SENIOR PLANO OPERATOR LLC 3670 MAPLESHADE LANE 1 PRUDENTIAL PLAZA 130 EAST RANDOLSUITE 2100 , PLANO TX 75075 CHICAGO IL 60601 Phone (972) 964-8444 Fax (972) 964-8445 PHONE: (312) 994-1880 FAX: TOTAL Lic Capacity: 112 PRIVATE Beds: 112 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LINDA CRAUN License Eff Dt: 05/01/2020 License Exp Dt: 12/08/2021 Mgmt Co.: CA SENIOR PLANO MANAGEMENT, LLC

Tuesday, September 28, 2021 Page 67 of 405 County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 105554 License No.: 148812 Owner Information ARBOR HILLS MEMORY CARE COMMUNITY PLANO ARBOR HILLS LLC 2625 W. PLANO PARKWAY 111 MARKET ST NESTE 200 , PLANO TX 75075 OLYMPIA WA 98501 Phone (972) 509-8905 Fax (972) 509-8906 PHONE: (360) 867-1900 FAX: (360) 867-1954 TOTAL Lic Capacity: 69 PRIVATE Beds: 69 Cert Alzh Capacity: 69 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEBBIE SMITH License Eff Dt: 07/22/2019 License Exp Dt: 07/22/2022 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 107282 License No.: 307366 Owner Information ARMS OF HOPE RESIDENTIAL CARE HOME ARMS OF HOPE LLC 2517 DOWNING DR , PLANO TX 75023 Phone (469) 298-2840 Fax PHONE: FAX: TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MILTON MAHUWE License Eff Dt: 06/19/2019 License Exp Dt: 06/19/2022 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 030015 License No.: 149313 Owner Information AVALON MEMORY CARE SPARROWS POINT AVALON DEMENTIA CARE MANAGEMENT LLC 5013 SPARROWS PT 1625 N STEMMONS FRWY , PLANO TX 75023 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JONATHAN C SEIB License Eff Dt: 04/15/2020 License Exp Dt: 04/15/2023 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 030217 License No.: 148769 Owner Information AVENDELLE ASSISTED LIVING MERKSEM AVENDELLE ASSISTED LIVING DFW LLC 2104 MERKSEM CT 807 FORESTCREST CT , PLANO TX 75025 EULESS TX 76039 Phone (972) 943-5999 Fax (972) 943-0524 PHONE: (919) 606-5945 FAX: (817) 785-3778 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TERRY L HUBBARD License Eff Dt: 06/26/2021 License Exp Dt: 06/26/2024 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 106731 License No.: 147141 Owner Information BADER HOUSE OF PLANO PITTMAN CREEK MEMORY CARE LTD 1667 W PLANO PKWY 215 S. LAMAR BLVDSUITE G , PLANO TX 75075 AUSTIN TX 78704 Phone (972) 881-1826 Fax (972) 881-1852 PHONE: (512) 656-8006 FAX: (512) 474-2802 TOTAL Lic Capacity: 26 PRIVATE Beds: 26 Cert Alzh Capacity: 26 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NORA GRAVOIS License Eff Dt: 04/17/2021 License Exp Dt: 04/17/2024 Mgmt Co.: TRILOGY SENIOR LIVING MANAGEMENT, LLC

Tuesday, September 28, 2021 Page 68 of 405 County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 000356 License No.: 145624 Owner Information BROOKDALE COLLIN OAKS ESCNGH, LP 4045 W 15TH ST 111 WESTWOOD PL STE 400 , PLANO TX 75093 BRENTWOOD TN 37027 Phone (972) 519-0480 Fax (972) 519-9765 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 116 PRIVATE Beds: 116 Cert Alzh Capacity: 27 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEBBIE ADAMS License Eff Dt: 10/07/2020 License Exp Dt: 10/07/2023 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 030404 License No.: 146711 Owner Information BROOKDALE CREEKSIDE ESC IV LP 2000 W SPRING CREEK PKWY 6737 W, WASHINGTON ST SUITE 2300 , PLANO TX 75023 MILWAUKEE WI 53214 Phone (972) 312-9993 Fax (972) 312-1984 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 56 PRIVATE Beds: 56 Cert Alzh Capacity: 56 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: WENDY LEE License Eff Dt: 03/31/2019 License Exp Dt: 03/31/2022 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 030405 License No.: 146630 Owner Information BROOKDALE SPRING CREEK GARDENS SH OPCO SPRING CREEK GARDENS, LLC 6410 OLD ORCHARD DR 1920 MAIN ST. STE. 1200 , PLANO TX 75023 IRVING CA 92614 Phone (972) 208-9865 Fax (972) 208-9896 PHONE: (949) 407-0700 FAX: (949) 407-8000 TOTAL Lic Capacity: 72 PRIVATE Beds: 72 Cert Alzh Capacity: 31 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KALYNNE WOLFORD License Eff Dt: 01/18/2019 License Exp Dt: 01/18/2022 Mgmt Co.: SPRING CREEK SA OPCO, LLC

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 110388 License No.: 307978 Owner Information CARIAD AT VILLAGE CREEK PLANO OP, LLC 5217 VILLAGE CREEK DRIVE , PLANO TX 75093 Phone (972) 735-0306 Fax (972) 735-0326 PHONE: FAX: TOTAL Lic Capacity: 65 PRIVATE Beds: 65 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RHODA CRISWELS License Eff Dt: 10/22/2020 License Exp Dt: 10/22/2023 Mgmt Co.: ELMINGTON SENIOR LIVING, LLC

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 030165 License No.: 149733 Owner Information COLLIN CREEK ASSISTED LIVING CENTER INC COLLIN CREEK ASSISTED LIVING CENTER, INC 6400 CHEYENNE TR 6400 CHEYENNE TR , PLANO TX 75023 PLANO TX 75023 Phone (972) 769-1109 Fax (972) 769-1113 PHONE: (972) 769-1109 FAX: (972) 769-1113 TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: COREY VAILLANT License Eff Dt: 10/19/2019 License Exp Dt: 10/19/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 69 of 405 County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 105153 License No.: 146130 Owner Information FOUR SEASONS SENIOR LIVING II FOUR SEASONS SENIOR LIVING II LLC 9620 BULL CREEK 2785 ROCK BROOK DR #205 , PLANO TX 75023 LEWISVILLE TX 75067 Phone (972) 422-1562 Fax (972) 584-9885 PHONE: (972) 584-9880 FAX: (972) 584-9885 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MURAD MADHANI License Eff Dt: 12/18/2020 License Exp Dt: 12/18/2023 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 103687 License No.: 131705 Owner Information GROOM SENIOR CARE HOMES INC GROOM SENIOR CARE HOMES INC 1525 AYLESBURY 100 ALLENTOWN PKWYSTE 214 , PLANO TX 75075 ALLEN TX 75002 Phone (972) 398-2920 Fax (214) 495-8055 PHONE: (214) 383-9077 FAX: (214) 383-7594 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 9 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KAREN BARBATO License Eff Dt: 01/21/2011 License Exp Dt: 01/21/2013 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 106589 License No.: 308137 Owner Information HARBORCHASE OF PLANO SILVERSTONE HARBORCHASE PLANO OPERATING, LLC 5340 TOWNE SQUARE DRIVE 5340 TOWNE SQUARE DR , PLANO TX 75024 PLANO TX 75024 Phone (972) 362-1110 Fax (972) 362-1109 PHONE: (972) 362-1110 FAX: (972) 362-1109 TOTAL Lic Capacity: 148 PRIVATE Beds: 148 Cert Alzh Capacity: 76 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ASHLEY J CLARK License Eff Dt: 01/29/2021 License Exp Dt: 01/29/2024 Mgmt Co.: HARBOR PLANO MANAGEMENT LLC

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 110469 License No.: 308113 Owner Information LOCARDIA HOME CARE LIVING LLC LOCARDIA HOME CARE LIVING LLC 1504 SACRAMENTO TERRACE P O BOX 968 , PLANO TX 75075 ALLEN TX 75013 Phone (214) 299-9819 Fax (214) 501-2798 PHONE: (214) 552-5606 FAX: (972) 985-4548 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CALTUS CHADUKA License Eff Dt: 02/24/2021 License Exp Dt: 02/24/2024 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 106251 License No.: 148177 Owner Information LOCARDIA HOME CARE LIVING LLC LOCARDIA HOME CARE LIVING LLC 2609 WEBSTER DR P O BOX 968 , PLANO TX 75075 ALLEN TX 75013 Phone (972) 964-8127 Fax (972) 985-4548 PHONE: (214) 552-5606 FAX: (972) 985-4548 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CALTUS CHADUKA License Eff Dt: 09/21/2021 License Exp Dt: 09/21/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 70 of 405 County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 103405 License No.: 146397 Owner Information MISSION RIDGE RESIDENTIAL CARE JIUNY ENTERPRISES, LLC 3320 CANONCITA LN 3320 CANONCITA LN , PLANO TX 75023 PLANO TX 75023 Phone (972) 985-6050 Fax (972) 985-4793 PHONE: (214) 674-2227 FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JUAN C MARTIN License Eff Dt: 12/31/2020 License Exp Dt: 12/31/2022 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 102845 License No.: 148600 Owner Information MORE THAN HOME RESIDENTIAL CARE EUSTINA CHOTO 3109 PHAETON CT 3109 PHAETON CT , PLANO TX 75023 PLANO TX 75023 Phone (972) 849-4529 Fax (972) 599-4219 PHONE: (972) 849-4529 FAX: TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: EUSTINA CHOTO License Eff Dt: 10/18/2019 License Exp Dt: 10/18/2022 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 103239 License No.: 147999 Owner Information NORTH TEXAS PERSONAL CARE HOMES INC NORTH TEXAS PERSONAL CARE HOMES INC 2916 CHALFONT 17207 GRAYSTONE DR , PLANO TX 75023 DALLAS TX 75248 Phone (469) 360-4493 Fax (972) 618-0962 PHONE: (469) 360-4493 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BRYAN L MORRIS License Eff Dt: 06/30/2019 License Exp Dt: 06/30/2021 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 102673 License No.: 307795 Owner Information PRESTONWOOD COURT PRESTONWOOD SENIOR CARE LLC 7001 W PLANO PARKWAY , PLANO TX 75093 Phone (469) 521-7638 Fax (972) 306-2285 PHONE: FAX: TOTAL Lic Capacity: 132 PRIVATE Beds: 132 Cert Alzh Capacity: 18 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MICHELE ALEXANDER License Eff Dt: 10/24/2019 License Exp Dt: 10/24/2022 Mgmt Co.: SLH DALLAS NORTH MANAGER, LLC

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 106591 License No.: 146820 Owner Information R L G DIGNIFIED LIVING OF PLANO LLC RLG DIGNIFIED LIVING OF PLANO LLC 2816 TALLAHASSEE COURT 2816 TALLAHASSEE COURT , PLANO TX 75074 PLANO TX 75074 Phone 4697861573972849566 Fax (972) 767-3211 PHONE: 972 8495667 FAX: (972) 767-3211 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LINAH JOKONYA SIFFLET License Eff Dt: 02/02/2021 License Exp Dt: 02/02/2024 Mgmt Co.: NA

Tuesday, September 28, 2021 Page 71 of 405 County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 105204 License No.: 308159 Owner Information SILVER LEAF ASSISTED LIVING SILVER LEAF ASSISTED LIVING LLC 3200 APPALACHIAN WAY PO BOX 191088 , PLANO TX 75075 DALLAS TEXAS 75034 Phone (914) 643-6335 Fax (972) 985-6075 PHONE: FAX: TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 5 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL BLACKBURN License Eff Dt: 03/31/2021 License Exp Dt: 03/31/2024 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 106449 License No.: 308348 Owner Information SILVER LEAF ASSISTED LIVING, LLC SILVER LEAF ASSISTED LIVING LLC 3417 CROSS BEND ROAD PO BOX 191088 , PLANO TX 75023 DALLAS TEXAS 75034 Phone (914) 643-6335 Fax (972) 867-6644 PHONE: FAX: TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL BLACKBURN License Eff Dt: 03/31/2021 License Exp Dt: 03/02/2024 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 107073 License No.: 308178 Owner Information SILVER LEAF ASSISTED LIVING, LLC SILVER LEAF ASSISTED LIVING LLC 3204 APPALACHIAN WAY PO BOX 191088 , PLANO TX 75075 DALLAS TEXAS 75034 Phone (914) 643-6335 Fax (972) 867-6644 PHONE: FAX: TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL BLACKBURN License Eff Dt: 02/02/2021 License Exp Dt: 02/02/2024 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 103360 License No.: 308289 Owner Information SILVER LEAF ASSISTED LIVING, LLC SILVER LEAF ASSISTED LIVING LLC 3453 HEARST CASTLE WAY PO BOX 191088 , PLANO TX 75025 DALLAS TEXAS 75034 Phone (914) 643-6335 Fax (972) 618-0316 PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL BLACKBURN License Eff Dt: 04/15/2021 License Exp Dt: 04/15/2024 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 103444 License No.: 308240 Owner Information SILVER LEAF ASSISTED LIVING, LLC SILVER LEAF ASSISTED LIVING LLC 3400 REMINGTON DRIVE , PLANO TX 75023 Phone (914) 643-6335 Fax (972) 867-6644 PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 6 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL BLACKBURN License Eff Dt: 03/02/2021 License Exp Dt: 03/02/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 72 of 405 County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 000799 License No.: 150206 Owner Information SILVERMARK ASSISTED LIVING PLANO PLANO SCAL LLC 5521 VILLAGE CREEK DR , PLANO TX 75093 Phone 866 3046801 Fax 972 3003640 PHONE: FAX: TOTAL Lic Capacity: 51 PRIVATE Beds: 51 Cert Alzh Capacity: 56 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PEGGY A JACKSON License Eff Dt: 08/01/2020 License Exp Dt: 08/01/2023 Mgmt Co.: SILVERCARE MANAGEMENT, LLC

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 110287 License No.: 307682 Owner Information SUNNY OAK ASSISTED LIVING & MEMORY CARE HOME, LLC SUNNY OAK ASSISTED LIVING & MEMORY CARE HOME, LLC 2625 PIN OAK LANE , PLANO TX 75075 Phone (972) 596-6333 Fax (972) 596-4859 PHONE: FAX: TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LIXIN CHEN License Eff Dt: 12/18/2019 License Exp Dt: 12/18/2022 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 102620 License No.: 149544 Owner Information SUNRISE SENIOR LIVING OF PLANO HCRI SUN III TENANT LP 4800 W PARKER RD 7902 WESTPARK DRSTE T-900 , PLANO TX 75093 MCLEAN VA 22102 Phone (972) 985-9181 Fax (972) 985-9196 PHONE: (703) 273-7500 FAX: (888) 358-3259 TOTAL Lic Capacity: 123 PRIVATE Beds: 123 Cert Alzh Capacity: 50 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRISTINE ROSE License Eff Dt: 10/12/2019 License Exp Dt: 10/12/2022 Mgmt Co.: SUNRISE SENIOR LIVING MANAGEMENT, INC

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 105952 License No.: 307681 Owner Information THE AUBERGE AT PLANO A MEMORY CARE COMMUNITY WELLTOWER TENANT GROUP LLC 3690 MAPLESHADE LANE 4500 DORR STREET , PLANO TX 75075 TOLEDO OHIO 43615 Phone 972 9850220 Fax PHONE: FAX: TOTAL Lic Capacity: 90 PRIVATE Beds: 90 Cert Alzh Capacity: 90 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNIFER REAGAN License Eff Dt: 07/01/2019 License Exp Dt: 07/01/2022 Mgmt Co.: PLANO MC CARE PROPERTIES, LLC

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 102496 License No.: 147250 Owner Information THE GARDEN VIEW HOME THE GARDENS RESIDENTIAL CARE HOMES INC 6500 GENESEO CIR 2672 DAFFODIL DR , PLANO TX 75023 RICHARDSON TEXAS 75082 Phone (972) 208-2859 Fax (972) 491-5895 PHONE: (469) 323-3283 FAX: (972) 491-5895 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SAMUEL B RODGERS License Eff Dt: 04/10/2019 License Exp Dt: 04/10/2022 Mgmt Co.: THE GARDENS RESIDENTIAL CARE HOMES INC

Tuesday, September 28, 2021 Page 73 of 405 County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 106269 License No.: 144949 Owner Information THE HEALTHCARE RESORT OF PLANO OAK POINT HEALTHCARE INC 3325 W PLANO PKWY 29222 RANCHO VIEJO RD. #127 , PLANO TX 75075 SAN JUAN CAPISTRANO CA 92675 Phone (972) 596-1260 Fax (972) 596-1395 PHONE: (972) 596-1260 FAX: (972) 596-1395 TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TRAVIS WILSON License Eff Dt: 05/13/2020 License Exp Dt: 05/13/2023 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 110320 License No.: 307785 Owner Information THE HERITAGE HOUSE OF PLANO, LLC THE HERITAGE HOUSE OF PLANO, LLC 7517 WHITE CASTLE LANE 1802 WEANNE DRIVE , PLANO TX 75025 RICHARDSON TX 75082 Phone (214) 632-2382 Fax PHONE: (214) 632-2382 FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CYNTHIA M DESIMONE-BOGGS License Eff Dt: 03/14/2020 License Exp Dt: 03/14/2023 Mgmt Co.: THE HERITAGE HOUSE OF PLANO, LLC

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 103432 License No.: 147866 Owner Information THE LEGACY WILLOW BEND, INC THE LEGACY WILLOW BEND, INC 6101 OHIO DR STE 600 6101 OHIO , PLANO TX 75024 PLANO TX 75024 Phone (972) 468-6160 Fax (972) 468-6169 PHONE: (972) 714-8922 FAX: (214) 291-9882 TOTAL Lic Capacity: 72 PRIVATE Beds: 72 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMANDA M ROBINSON License Eff Dt: 07/24/2019 License Exp Dt: 07/24/2021 Mgmt Co.: THE LEGACY SENIOR COMMUNITIES INC

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 100348 License No.: 145795 Owner Information THE WATERFORD AT PLANO ASSISTED LIVING COMMUNITY TRIAD SENIOR LIVING II LP 3401 PREMIER DR 14160 DALLAS PRWY STE 300 , PLANO TX 75023 DALLAS TX 75254 Phone (972) 423-7400 Fax (972) 423-8898 PHONE: (972) 770-5600 FAX: TOTAL Lic Capacity: 57 PRIVATE Beds: 57 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARY S CABLE License Eff Dt: 09/17/2020 License Exp Dt: 09/17/2023 Mgmt Co.: CAPITAL SENIOR LIVING INC

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 110222 License No.: 307498 Owner Information VANA CAPITAL GROUP LLC DBA ALMA RESIDENTIAL CARE VANA CAPITAL GROUP LLC 1117 BASS DR. , PLANO TX 75025 Phone (469) 573-5155 Fax (972) 767-4587 PHONE: FAX: TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CARLA BANONI UMPIRE License Eff Dt: 09/05/2019 License Exp Dt: 09/05/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 74 of 405 County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 030011 License No.: 307404 Owner Information VILLAGE CREEK PLACE PLANO OP, LLC 5217 VILLAGE CREEK DR. , PLANO TX 75093 Phone (972) 735-0306 Fax (972) 735-0326 PHONE: FAX: TOTAL Lic Capacity: 66 PRIVATE Beds: 66 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RHODA CRISWELS License Eff Dt: 04/18/2019 License Exp Dt: 04/18/2022 Mgmt Co.: 0

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 100450 License No.: 143504 Owner Information VILLAGIO OF PLANO SELECT OPERATIONS OF PLANO LLC 2129 BAYHILL DR PO BOX 1750 , PLANO TX 75023 ALEDO TX 76008 Phone (972) 612-9336 Fax (972) 612-7927 PHONE: (405) 822-7328 FAX: (888) 753-6262 TOTAL Lic Capacity: 32 PRIVATE Beds: 32 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TIREATHA MOORE License Eff Dt: 10/01/2019 License Exp Dt: 10/01/2022 Mgmt Co.: SUMMIT SENIOR LIVING LLC

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 100148 License No.: 307500 Owner Information WYNDHAM COURT OF PLANO 12 OAKS PLANO OPCO, LLC 3000 MIDWAY ROAD , PLANO TX 75093 Phone (972) 473-7400 Fax (972) 473-7403 PHONE: FAX: TOTAL Lic Capacity: 88 PRIVATE Beds: 88 Cert Alzh Capacity: 78 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RONALD P LEWIS License Eff Dt: 10/17/2020 License Exp Dt: 10/17/2023 Mgmt Co.: 12 OAKS MANAGEMENT SERVICES, INC

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 104286 License No.: 144923 Owner Information VILLA ASUNCION INDEPENDENT AND ASSISTED LIVING CENTER VILLA ASUNCION INDEPENDENT LIVING CTR LLC 830 E PRINCETON DR 6521 GENESEO , PRINCETON TX 75407 PLANO TX 75023 Phone (972) 734-8823 Fax (972) 734-3828 PHONE: (972) 618-8172 FAX: (972) 734-3828 TOTAL Lic Capacity: 96 PRIVATE Beds: 96 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: PETER DE PUTRON License Eff Dt: 05/04/2018 License Exp Dt: 08/31/2021 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 030128 License No.: 148165 Owner Information VILLA ASUNCION INDEPENDENT AND ASSISTED LIVING CENTER VILLA ASUNCION INDEPENDENT LIVING CTR LLC 830 E PRINCETON BLVD 6521 GENESEO , PRINCETON TX 75407 PLANO TX 75023 Phone (972) 734-8823 Fax (972) 734-3828 PHONE: (972) 618-8172 FAX: (972) 734-3828 TOTAL Lic Capacity: 80 PRIVATE Beds: 80 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ASUNCION A ACOSTA License Eff Dt: 08/17/2017 License Exp Dt: 08/31/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 75 of 405 County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 103322 License No.: 150166 Owner Information ECKELBERRY'S ELDERLY CARE INC ECKELBERRY'S ELDERLY CARE INC 500 WILLOWVIEW DR 500 WILLOWVIEW DR , PROSPER TX 75078 PROSPER TX 75078 Phone (972) 347-3069 Fax (866) 278-8020 PHONE: (972) 347-3069 FAX: (866) 278-8020 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SUSAN L CLARKSON License Eff Dt: 10/20/2019 License Exp Dt: 10/20/2021 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 110146 License No.: 307314 Owner Information TRIBUTE SENIOR LIVING ELDER LIVING OPERATIONS PROSPER LP 190 N. PRESTON RD , PROSPER TX 75078 Phone Fax PHONE: FAX: TOTAL Lic Capacity: 84 PRIVATE Beds: 84 Cert Alzh Capacity: 58 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 05/24/2019 License Exp Dt: 08/31/2021 Mgmt Co.: TG SENIOR SERVICES LLC

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 030379 License No.: 148385 Owner Information DIGNIFIED LIVING DIGNIFIED LIVING LLC 2206 BLUE CYPRESS DR 2713 YAGGI DR , RICHARDSON TX 75082 FLOWER MOUND TX 75082 Phone (972) 907-1420 Fax (972) 691-6530 PHONE: (817) 586-9575 FAX: (972) 437-7813 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SARAH KAPTEN License Eff Dt: 10/06/2019 License Exp Dt: 10/06/2021 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 102969 License No.: 145277 Owner Information DIGNIFIED LIVING, LLC DIGNIFIED LIVING LLC 3304 BLUE BELL PLACE 2713 YAGGI DR , RICHARDSON TX 75082 FLOWER MOUND TX 75082 Phone (972) 437-7827 Fax (972) 434-7813 PHONE: (817) 586-9575 FAX: (972) 437-7813 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SARAH KAPTEN License Eff Dt: 11/30/2020 License Exp Dt: 11/30/2023 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 106573 License No.: 146858 Owner Information HERITAGE HOUSE OF RICHARDSON THE HERITAGE HOUSE OF PLANO, LLC 2997 GREENFIELD DR 1802 WEANNE DRIVE , RICHARDSON TX 75082 RICHARDSON TX 75082 Phone (214) 632-2382 Fax (469) 573-9352 PHONE: (214) 632-2382 FAX: TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CYNTHIA BOGGS License Eff Dt: 03/23/2021 License Exp Dt: 03/23/2024 Mgmt Co.: THE HERITAGE HOUSE OF PLANO, LLC

Tuesday, September 28, 2021 Page 76 of 405 County COLLIN Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 102886 License No.: 146462 Owner Information THE FAMILY'S CHOICE ZJM ENTERPRISES INCORPORATED 2212 BLUEBONNET DR 7501 WOODBRIDGE PLACE , RICHARDSON TX 75082 GARLAND TEXAS 75044 Phone (214) 272-9755 Fax (214) 272-9755 PHONE: (469) 235-8195 FAX: (972) 675-0370 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOY U MMBIFWA License Eff Dt: 02/27/2019 License Exp Dt: 02/27/2022 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 107033 License No.: 148278 Owner Information MUSTANG CREEK ESTATES SACHSE HOUSE A MCE IV OP CO LLC 3900 RANCH RD 2701 DALLAS PKWYSTE 175 , SACHSE TX 75048 PLANO TX 75093 Phone (972) 342-3030 Fax (972) 502-9985 PHONE: (214) 683-5111 FAX: (972) 502-9985 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RENEE D RAMSEY License Eff Dt: 10/23/2019 License Exp Dt: 10/23/2021 Mgmt Co.: CLERMONT MANAGEMENT LLC

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 107252 License No.: 150196 Owner Information MUSTANG CREEK ESTATES SACHSE HOUSE B MCE IV OP CO LLC 3900 RANCH ROAD 2701 DALLAS PKWYSTE 175 , SACHSE TX 75048 PLANO TX 75093 Phone (972) 342-3030 Fax (972) 502-9985 PHONE: (214) 683-5111 FAX: (972) 502-9985 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RENEE D RAMSEY License Eff Dt: 08/01/2020 License Exp Dt: 08/01/2023 Mgmt Co.: CLERMONT MANAGEMENT LLC

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 107071 License No.: 148735 Owner Information MUSTANG CREEK ESTATES SACHSE HOUSE C MCE IV OP CO LLC 3900 RANCH ROAD 2701 DALLAS PKWYSTE 175 , SACHSE TX 75048 PLANO TX 75093 Phone (972) 342-3030 Fax (972) 502-9985 PHONE: (214) 683-5111 FAX: (972) 502-9985 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RENEE D RAMSEY License Eff Dt: 01/16/2020 License Exp Dt: 01/16/2023 Mgmt Co.: CLERMONT MANAGEMENT LLC

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 107197 License No.: 150151 Owner Information MUSTANG CREEK ESTATES SACHSE HOUSE D MCE IV OP CO LLC 3900 RANCH ROAD 2701 DALLAS PKWYSTE 175 , SACHSE TX 75048 PLANO TX 75093 Phone (972) 342-3030 Fax (972) 502-9985 PHONE: (214) 683-5111 FAX: (972) 502-9985 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RENEE D RAMSEY License Eff Dt: 08/03/2020 License Exp Dt: 08/03/2023 Mgmt Co.: CLERMONT MANAGEMENT LLC

Tuesday, September 28, 2021 Page 77 of 405 County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 107172 License No.: 149818 Owner Information MUSTANG CREEK ESTATES SACHSE HOUSES E AND F MCE IV OP CO LLC 3900 RANCH ROAD 2701 DALLAS PKWYSTE 175 , SACHSE TX 75048 PLANO TX 75093 Phone (972) 342-3030 Fax (972) 502-9985 PHONE: (214) 683-5111 FAX: (972) 502-9985 TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RENEE D RAMSEY License Eff Dt: 06/14/2020 License Exp Dt: 06/14/2023 Mgmt Co.: CLERMONT MANAGEMENT LLC

County COLLIN Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 110339 License No.: 307842 Owner Information JOYFUL ASSISTED LIVING HOME,LLC JOYFUL ASSISTED LIVING HOME,LLC 2931 GLENDALE DR , WYLIE TX 75098 Phone (408) 963-8271 Fax PHONE: FAX: TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROZINA KIFLE License Eff Dt: 05/12/2020 License Exp Dt: 05/12/2023 Mgmt Co.:

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 110104 License No.: 307156 Owner Information NEW HAVEN ASSISTED LIVING OF WYLIE LLC NEW HAVEN ASSISTED LIVING OF WYLIE LLC 800 WEST BROWN ST., BLDG. A PO BOX 1297 , WYLIE TX 75098 EAGLE ID 83616 Phone (214) 242-6982 Fax (801) 606-2793 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ARSI CARTER License Eff Dt: 01/31/2019 License Exp Dt: 10/29/2021 Mgmt Co.: ENRICHED SENIOR LIVING LLC

County COLLIN Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 107240 License No.: 307152 Owner Information NEW HAVEN ASSISTED LIVING OF WYLIE, LLC NEW HAVEN ASSISTED LIVING OF WYLIE LLC 800 W. BROWN ST. PO BOX 1297 , WYLIE TX 75098 EAGLE ID 83616 Phone (214) 242-6982 Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ARSI CARTER License Eff Dt: 01/24/2019 License Exp Dt: 01/24/2022 Mgmt Co.: ENRICHED SENIOR LIVING LLC

County COLLINGSWORTH Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 101264 License No.: 149422 Owner Information PARK VIEW MANOR ASSISTED LIVING COLLINGSWORTH COUNTY HOSPITAL DISTRICT 1016 16TH ST PO BOX 1112 , WELLINGTON TX 79095 WELLINGTON TX 79095 Phone (806) 447-1186 Fax (806) 447-1416 PHONE: (806) 447-2521 FAX: (806) 447-2421 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHARON LANDESS License Eff Dt: 06/25/2019 License Exp Dt: 06/25/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 78 of 405 County COLORADO Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 030222 License No.: 147890 Owner Information COLUMBUS OAKS HEALTHCARE COMMUNITY DHC OPCOCOLUMBUS, LLC 203 CHARTER ST 210 MAGNATE DR., STE 100 , COLUMBUS TX 78934 LAFAYETTE LA 70508 Phone (979) 732-2347 Fax (979) 732-3473 PHONE: (337) 456-8502 FAX: (337) 237-0359 TOTAL Lic Capacity: 40 PRIVATE Beds: 40 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MELANIE M MAY License Eff Dt: 08/01/2019 License Exp Dt: 12/31/2021 Mgmt Co.: DYNASTY HEALTHCARE MANAGEMENT

County COLORADO Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 100620 License No.: 146500 Owner Information HOMESTEAD ASSISTED LIVING WEIMAR ASSISTED LIVING PARTNERS INC 302 YOUENS DR 8505 TECHNOLOGY FOREST #1004 , WEIMAR TX 78962 THE WOODLANDS TX 77381 Phone (979) 725-8669 Fax (979) 725-8460 PHONE: (281) 414-5744 FAX: (866) 354-8161 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KATHY DAUGHTREY License Eff Dt: 01/01/2021 License Exp Dt: 01/01/2024 Mgmt Co.: GULF COAST LTC PARTNERS, INC

County COMAL Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 106854 License No.: 147629 Owner Information BULVERDE ASSISTED LIVING INC BULVERDE ASSISTED LIVING INC 1396 BULVERDE ROAD 1396 BULVERDE RD , BULVERDE TX 78163 BULVERDE TX 78163 Phone (830) 980-2254 Fax (210) 783-8256 PHONE: (830) 980-2254 FAX: (210) 496-7746 TOTAL Lic Capacity: 40 PRIVATE Beds: 40 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JOI TAYLOR License Eff Dt: 07/10/2019 License Exp Dt: 07/10/2022 Mgmt Co.: BULVERDE ASSISTED LIVING MANAGEMENT LLC

County COMAL Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 101536 License No.: 150264 Owner Information GARDEN RIDGE ASSISTED LIVING MARIA MAGDALENA LOPEZ 9621 MEADOW RUE , GARDEN RIDGE TX 78266 Phone (210) 744-2971 Fax (210) 651-7400 PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NORMA LOPEZ License Eff Dt: 09/19/2020 License Exp Dt: 09/19/2023 Mgmt Co.:

County COMAL Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 101917 License No.: 146608 Owner Information SODALIS ELDER LIVING GRACELAND SODALIS GRACELAND LLC 19095 FM 2252 195 S ACADEMY , GARDEN RIDGE TX 78266 NEW BRAUNFELS TX 78130 Phone (210) 651-6377 Fax (210) 651-0957 PHONE: (830) 624-1044 FAX: (830) 629-4884 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 9 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CANDACE LOGAN License Eff Dt: 01/23/2021 License Exp Dt: 01/23/2024 Mgmt Co.: TRILOGY SENIOR LIVING

Tuesday, September 28, 2021 Page 79 of 405 County COMAL Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 000380 License No.: 146216 Owner Information BROOKDALE NEW BRAUNFELS BROOKDALE SENIOR LIVING COMMUNITIES, INC 2457 LOOP 337 6737 W WASHINGTON ST STE 2300 , NEW BRAUNFELS TX 78130 MILWAUKEE WI 53214 Phone (830) 606-5300 Fax (830) 625-7958 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JULIA GRUSS License Eff Dt: 12/01/2020 License Exp Dt: 12/01/2023 Mgmt Co.:

County COMAL Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 000529 License No.: 149421 Owner Information EDEN HOME INC EDEN HOME INC 631 LAKEVIEW BLVD 631 LAKEVIEW BLVD , NEW BRAUNFELS TX 78130 NEW BRAUNFELS TX 78130 Phone (830) 625-6291 Fax (830) 620-7786 PHONE: (830) 500-2351 FAX: (830) 620-7786 TOTAL Lic Capacity: 64 PRIVATE Beds: 64 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SANDI SHAHAN License Eff Dt: 05/30/2020 License Exp Dt: 05/30/2023 Mgmt Co.:

County COMAL Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 106312 License No.: 307847 Owner Information ELAN WESTPOINTE SABRA TRS HOLDINGS, LLC 2140 INDEPENDENCE DRIVE 18500 VAN KARMAN AVE., SUITE 550 , NEW BRAUNFELS TX 78132 IRVINE CA 92612 Phone 830 4834900 Fax 830 6288021 PHONE: FAX: TOTAL Lic Capacity: 128 PRIVATE Beds: 128 Cert Alzh Capacity: 38 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ELIZABETH STONE License Eff Dt: 01/15/2020 License Exp Dt: 01/15/2023 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County COMAL Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 103402 License No.: 147717 Owner Information GRUENE SENIOR LIVING LP GRUENE SENIOR LIVING LP 1820 E COMMON ST 1820 E COMMON ST , NEW BRAUNFELS TX 78130 NEW BRAUNFELS TX 78130 Phone (830) 626-2111 Fax (830) 626-2115 PHONE: (830) 626-2111 FAX: (830) 626-2115 TOTAL Lic Capacity: 84 PRIVATE Beds: 84 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEBORAH FENDLEY License Eff Dt: 07/29/2019 License Exp Dt: 07/29/2021 Mgmt Co.:

County COMAL Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 106504 License No.: 149484 Owner Information MEMORY CARE OF NEW BRAUNFELS MCA NEW BRAUNFELS OPERATING COMPANY, LLC 2022 TEXAS 46 4009 HILLSBORO PIKESTE#211 , NEW BRAUNFELS TX 78132 NASHVILLE TN 37215 Phone (830) 420-5882 Fax (830) 629-2389 PHONE: (615) 297-0500 FAX: TOTAL Lic Capacity: 64 PRIVATE Beds: 64 Cert Alzh Capacity: 64 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VIVIAN WIDEMAN License Eff Dt: 05/26/2020 License Exp Dt: 05/26/2022 Mgmt Co.: MCA MANAGEMENT COMPANY INC

Tuesday, September 28, 2021 Page 80 of 405 County COMAL Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 000396 License No.: 146652 Owner Information OAKTREE ASSISTED LIVING BAYWIND VILLAGE INC 1750 HIGHWAY 46 WEST 411 ALABAMA AVE , NEW BRAUNFELS TX 78132 LEAGUE CITY TX 77573 Phone (830) 608-9222 Fax (830) 608-0995 PHONE: (281) 332-4189 FAX: (281) 316-2715 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROBERT E HOLMQUIST License Eff Dt: 04/05/2019 License Exp Dt: 04/05/2022 Mgmt Co.:

County COMAL Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 103926 License No.: 307484 Owner Information RIO TERRA ASSISTED LIVING WELLTOWER TCG RIDEA TENANT, LLC 2294 COMMON ST. 4500 DORR STREET , NEW BRAUNFELS TX 78130 TOLDEO OH 43615 Phone (830) 221-4800 Fax (830) 221-4850 PHONE: FAX: TOTAL Lic Capacity: 75 PRIVATE Beds: 75 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GINA BOGGS License Eff Dt: 04/01/2019 License Exp Dt: 04/01/2022 Mgmt Co.: SAGORA SENIOR LIVING, INC

County COMAL Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 030347 License No.: 149211 Owner Information SODALIS ELDER LIVING NEW BRAUNFELS I ALZ CARE LLC 550 ROCK ST BLDG B 302 CROSS STREET , NEW BRAUNFELS TX 78130 NEW BRAUNFELS TX 78130 Phone (830) 624-7702 Fax (830) 608-0309 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHELCIE MORENO License Eff Dt: 01/14/2020 License Exp Dt: 01/14/2023 Mgmt Co.: TRILOGY SENIOR LIVING, LLC

County COMAL Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 103037 License No.: 149213 Owner Information SODALIS ELDER LIVING NEW BRAUNFELS III ALZ CARE LLC 550 ROCK ST BLDG A 302 CROSS STREET , NEW BRAUNFELS TX 78130 NEW BRAUNFELS TX 78130 Phone (830) 624-7702 Fax (830) 629-4884 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHELNEQUIL BROOKS License Eff Dt: 12/11/2019 License Exp Dt: 12/11/2022 Mgmt Co.: TRILOGY SENIOR LIVING, LLC

County COMAL Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 106447 License No.: 150282 Owner Information THE VILLAGE OF GARDEN RIDGE THE VILLAGE OF GARDEN RIDGE ASSISTED LIVING INC 9514 FM 1863 9514 FM 1863 , SAN ANTONIO TX 78266 SAN ANTONIO TX 78266 Phone (210) 860-8964 Fax (210) 651-7400 PHONE: (210) 860-8964 FAX: (830) 438-0632 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARIA M LOPEZ License Eff Dt: 03/22/2020 License Exp Dt: 03/22/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 81 of 405 County COMANCHE Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 101251 License No.: 148826 Owner Information THE WHITESTONE COMANCHE COUNTY ASSISTED LIVING INC 100 ALAMO 100 ALAMO , COMANCHE TX 76442 COMANCHE TX 76442 Phone (325) 356-9303 Fax (325) 356-3875 PHONE: (325) 356-9303 FAX: (325) 356-3875 TOTAL Lic Capacity: 36 PRIVATE Beds: 36 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CRYSTAL JOHNSON License Eff Dt: 02/12/2020 License Exp Dt: 02/12/2023 Mgmt Co.:

County COOKE Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 110114 License No.: 307452 Owner Information WESLEY HOUSE WESLEY HOUSE LINDALE LLC 3291 E BROADWAY 110 DALLAS ST , GAINESVILLE TX 76240 MT. VERNON TX 75457 Phone Fax (940) 301-5039 PHONE: (903) 537-4116 FAX: (903) 270-6227 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 26 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 04/29/2019 License Exp Dt: 04/29/2022 Mgmt Co.:

County COOKE Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 000997 License No.: 147694 Owner Information WHEELER PLACE WHEELER AID OPCO LLC 2310 E BROADWAY ST 330 N WABASH AVESTE 3700 , GAINESVILLE TX 76240 CHICAGO IL 60611 Phone (940) 668-8977 Fax (940) 668-8262 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 51 PRIVATE Beds: 51 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RHODA CRISWELS License Eff Dt: 07/11/2021 License Exp Dt: 07/11/2024 Mgmt Co.: ENLIVANT AID CMBS MGMT LLC

County CORYELL Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 106941 License No.: 307140 Owner Information ALL AMERICAN ASSISTED LIVING FACILITY, LLC ALL AMERICAN DREAM ASSISTED LIVING FACILITY, LLC 809 RODNEY AVENUE , COPPERAS COVE TX 76522 Phone (254) 577-5547 Fax PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ADEMOLA OLATUNJI License Eff Dt: 01/15/2021 License Exp Dt: 01/15/2024 Mgmt Co.:

County CORYELL Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 104600 License No.: 307132 Owner Information STONEY BROOK OF COPPERAS COVE 4K HOUSING INC 1808 MARTIN LUTHER KING JR DRIVE 317 MARTINIQUE PASS , COPPERAS COVE TX 76522 LAKEWAY TX 78734 Phone (254) 547-1700 Fax (254) 547-1788 PHONE: (469) 371-0445 FAX: (512) 761-3458 TOTAL Lic Capacity: 28 PRIVATE Beds: 28 Cert Alzh Capacity: 28 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SANDY CARLSON License Eff Dt: 04/27/2019 License Exp Dt: 04/27/2022 Mgmt Co.: SB SENIOR LIVING MANAGEMENT COMPANY LLC

Tuesday, September 28, 2021 Page 82 of 405 County CORYELL Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 104601 License No.: 148213 Owner Information STONEY BROOK OF COPPERAS COVE 4K HOUSING INC 1808 MARTIN LUTHER KING JR DRIVE 317 MARTINIQUE PASS , COPPERAS COVE TX 76522 LAKEWAY TX 78734 Phone (254) 547-1700 Fax (254) 547-1788 PHONE: (469) 371-0445 FAX: (512) 761-3458 TOTAL Lic Capacity: 52 PRIVATE Beds: 52 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LUCILLE LUNA License Eff Dt: 04/27/2021 License Exp Dt: 04/27/2024 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

County CORYELL Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 030000 License No.: 145845 Owner Information CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY 1507 W MAIN ST 1507 W MAIN STREET , GATESVILLE TX 76528 GATESVILLE TX 76528 Phone (254) 248-6293 Fax (254) 248-6331 PHONE: (254) 865-6251 FAX: (254) 248-6306 TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SUSIE KEENEY License Eff Dt: 10/13/2020 License Exp Dt: 10/13/2023 Mgmt Co.: NA

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 105835 License No.: 307733 Owner Information A CARING HOME WITH FRIENDS ASSISTED LIVING CEDARS VILLAGE, LLC 1501 MCCOY PL 1501 MCCOY PLACE , CARROLLTON TX 75006 CARROLLTON TX 75006 Phone (817) 889-4886 Fax (469) 289-6888 PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RANI HARB License Eff Dt: 04/30/2019 License Exp Dt: 04/30/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 106695 License No.: 146412 Owner Information BRIARVIEW SENIOR LIVING TCG CARROLLTON CAMPUS, LLC 2645 E TRINITY MILLS RD 801 CHERRY ST STE 2400 UNIT 31 , CARROLLTON TX 75006 FORT WORTH TX 76102 Phone (972) 418-1400 Fax PHONE: (817) 446-4792 FAX: (817) 446-0923 TOTAL Lic Capacity: 109 PRIVATE Beds: 109 Cert Alzh Capacity: 31 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NICOLE DODSON License Eff Dt: 01/11/2019 License Exp Dt: 01/11/2022 Mgmt Co.: SAGORA SENIOR LIVING, INC

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 106316 License No.: 148886 Owner Information OXFORD GLEN AT CARROLLTON OXFORD CARROLLTON MEMORY CARE LTD 2221 MARSH LANE 125 N MARKETSTE 1230 , CARROLLTON TX 75006 WICHITA KS 67202 Phone (972) 820-5975 Fax PHONE: (316) 201-3210 FAX: (316) 201-3219 TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 70 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SUSAN COOPMAN-MOSER License Eff Dt: 10/21/2019 License Exp Dt: 10/21/2022 Mgmt Co.: OXFORD MANAGEMENT GROUP LLC

Tuesday, September 28, 2021 Page 83 of 405 County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 000300 License No.: 149182 Owner Information CEDAR HILLS SENIOR LIVING CEDAR SENIOR LIVING, INC 602 E BELTLINE RD 602 EAST BELTLINE ROAD , CEDAR HILL TX 75104 CEDAR HILL TX 75104 Phone (972) 291-5000 Fax (972) 291-5046 PHONE: (972) 291-5000 FAX: (972) 291-5046 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ZETISHA STOKES License Eff Dt: 02/01/2020 License Exp Dt: 02/01/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 103024 License No.: 145870 Owner Information ELSHADAI CARE HOME ELIZABETH AYORINDE 1225 NUTTING STREET 1225 NUTTING ST , CEDAR HILL TX 75104 CEDAR HILL TX 75104 Phone (972) 291-7445 Fax (972) 293-2777 PHONE: (214) 715-5725 FAX: (927) 293-2777 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ELIZABETH AYORINDE License Eff Dt: 09/26/2020 License Exp Dt: 09/26/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 102594 License No.: 308154 Owner Information MORADA CEDAR HILL HP CEDAR HILL OPCO I, LLC 235 W. PLEASANT RUN RD. , CEDAR HILL TX 75104 Phone 972 2914955 Fax (972) 293-0531 PHONE: FAX: TOTAL Lic Capacity: 85 PRIVATE Beds: 85 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TINA WILLIAMS License Eff Dt: 02/01/2021 License Exp Dt: 04/11/2022 Mgmt Co.: MORADA SENIOR LIVING LLC

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 104206 License No.: 150286 Owner Information PASSIONATE LIVING INC PASSIONATE LIVING INC 489 KENYA ST 489 KENYA STREET , CEDAR HILL TX 75104 CEDAR HILL TX 75104 Phone (214) 886-0094 Fax (972) 230-1975 PHONE: (972) 291-1384 FAX: (214) 905-0809 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: STELLA I OMENIHU License Eff Dt: 06/09/2020 License Exp Dt: 06/09/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 110396 License No.: 307991 Owner Information SHINY DAYS HEALTH CARE ,LLC SHINY DAYS HEALTH CARE, LLC 1033 SUFFOLK LN. 606 HENSLEE DR , CEDAR HILL TX 75104 EULESS TEXAS 76040 Phone (214) 493-0951 Fax PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MARO AWADALLA License Eff Dt: 10/23/2020 License Exp Dt: 10/23/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 84 of 405 County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 101774 License No.: 147906 Owner Information CHRISTUS ST JOSEPH VILLAGE CHRISTUS HEALTH 1201 E SANDY LAKE RD 919 HIDDEN RIDGE , COPPELL TX 75019 IRVING TEXAS 75038 Phone (972) 304-0300 Fax (972) 462-1099 PHONE: (972) 304-0300 FAX: (972) 462-1099 TOTAL Lic Capacity: 54 PRIVATE Beds: 54 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MITCHELL GEORGE License Eff Dt: 07/01/2019 License Exp Dt: 07/01/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 105609 License No.: 149658 Owner Information FOUR SEASONS SENIOR LIVING V LLC 4SSL HOLDINGS, LLC 205 PLANTATION DR 2785 ROCK BROOK DR #305 , COPPELL TX 75019 LEWISVILLE TEXAS 75067 Phone (972) 584-9880 Fax (972) 584-9885 PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MURAD MADHANI License Eff Dt: 01/15/2020 License Exp Dt: 01/15/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 105575 License No.: 147411 Owner Information RIVER OAKS ASSISTED LIVING AND MEMORY CARE COPPELL ALF LLC 1530 E. SANDY LAKE RD 8415 E 21ST STREET NORTHSTE 100 , COPPELL TX 75019 WICHITA KS 67206 Phone (214) 390-2450 Fax (214) 390-5025 PHONE: (316) 616-6288 FAX: (316) 616-6255 TOTAL Lic Capacity: 86 PRIVATE Beds: 86 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KELLY DAWN CASTELLAW-ALLEN License Eff Dt: 06/15/2019 License Exp Dt: 06/15/2022 Mgmt Co.: LEGEND SENIOR LIVING LLC

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 102051 License No.: 148407 Owner Information 3 ANGELS CAREGIVERS NATIVIDAD CHIPANA 9754 AMBERLEY DR 9754 AMBERLEY DR , DALLAS TX 75243 DALLAS TX 75243 Phone (214) 575-3585 Fax PHONE: (214) 575-3585 FAX: (214) 575-3585 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NATIVIDAD CHIPANA License Eff Dt: 10/18/2019 License Exp Dt: 10/18/2021 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 001275 License No.: 150041 Owner Information ADA M KING ADULT FOSTER HOME ADA M KING 1320 BAR HARBOR DR 1320 BAR HARBER DR , DALLAS TX 75232 DALLAS TX 75232 Phone (214) 375-5254 Fax PHONE: (214) 375-5254 FAX: TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE C Administrator: ADA KING License Eff Dt: 03/12/2020 License Exp Dt: 03/12/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 85 of 405 County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 107016 License No.: 148805 Owner Information ADORA MIDTOWN PARK ADORA 9 OPERATIONS, LLC 8130 MEADOW DRIVE 15851 N. DALLAS PARKWAYSTE 1220 , DALLAS TX 75231 ADDISON TX 75001 Phone (214) 765-3300 Fax (214) 765-3333 PHONE: (505) 369-0113 FAX: (505) 369-0113 TOTAL Lic Capacity: 29 PRIVATE Beds: 29 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JAMES H GROSS License Eff Dt: 01/29/2020 License Exp Dt: 01/29/2022 Mgmt Co.: STONEGATE SENIOR LIVING LLC

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 050024 License No.: 148449 Owner Information AGAPE PLACE I I AGAPE PLACE PERSONAL CARE HOMES INC 631 W 10TH ST PO BOX 4026 , DALLAS TX 75208 DALLAS TX 75208 Phone (214) 941-9925 Fax (214) 941-3822 PHONE: (214) 941-9925 FAX: (214) 941-3822 TOTAL Lic Capacity: 24 PRIVATE Beds: 24 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DANA S WHITE License Eff Dt: 03/03/2019 License Exp Dt: 03/03/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 000871 License No.: 146295 Owner Information AGAPE PLACE PERSONAL CARE HOME AGAPE PLACE PERSONAL CARE HOMES INC 801 W 10TH ST , DALLAS TX 75208 Phone (214) 941-9925 Fax (214) 941-3822 PHONE: FAX: TOTAL Lic Capacity: 28 PRIVATE Beds: 28 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DANA S WHITE License Eff Dt: 03/03/2020 License Exp Dt: 03/03/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 105680 License No.: 146754 Owner Information ALBERT ASSISTED LIVING FACILITY IMAOBONG UDOH AND AUGUSTINE UDOH 4666 LA RUE ST 4666 LA RUE ST , DALLAS TX 75211 DALLAS TX 75211 Phone (214) 566-7094 Fax (972) 575-8926 PHONE: (214) 566-7094 FAX: (972) 575-8926 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: EMMANUEL UDOH License Eff Dt: 03/02/2019 License Exp Dt: 03/02/2021 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 103315 License No.: 148322 Owner Information ANGEL HANDS JANICE L AUSTINDOUGLAS 3337 GLADIOLUS LN 3337 GLADIOLUS LN , DALLAS TX 75233 DALLAS TX 75233 Phone (214) 337-9409 Fax (214) 337-9409 PHONE: (214) 337-9409 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JANICE L AUSTIN-DOUGLAS License Eff Dt: 03/31/2019 License Exp Dt: 03/31/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 86 of 405 County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 106500 License No.: 307589 Owner Information ASSISTED LIVING & MEMORY CARE AT ROYAL GARDENS JTL HEALTHCARE LLC 3808 ROYAL LANE 519 MONTE VISTA DR , DALLAS TX 75229 DALLAS TX 75223 Phone (469) 779-7778 Fax (972) 620-2259 PHONE: (214) 683-2194 FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNY LE License Eff Dt: 05/31/2019 License Exp Dt: 05/31/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 104329 License No.: 144810 Owner Information AT HOME ELDERLY LIVING, LLC AT HOME ELDERLY LIVING, LLC 7541 ROYAL PLACE 7541 ROYAL PLACE , DALLAS TX 75230 DALLAS TX 75230 Phone (214) 403-0445 Fax PHONE: (214) 264-1826 FAX: (214) 613-1036 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NOELLE DESRUISSEAUX License Eff Dt: 09/23/2019 License Exp Dt: 09/23/2021 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 105690 License No.: 145341 Owner Information AT HOME LUXURY ASSISTED LIVING II, LLC AT HOME LUXURY ASSISTED LIVING II LLC 6946 FOREST LANE 7541 ROYAL PLACE , DALLAS TX 75230 DALLAS TX 75230 Phone (214) 361-8791 Fax (214) 613-1036 PHONE: (214) 403-0445 FAX: (214) 750-4425 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NOELLE DESRUISSEAUX License Eff Dt: 04/25/2020 License Exp Dt: 04/25/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 000651 License No.: 144993 Owner Information AUTUMN LEAVES PERSONAL CARE UNIT LCSAL LLC 1010 EMERALD ISLE DR CAPITAL SQUARE 400 LOCUST ST, STE 820 , DALLAS TX 75218 DES MOINES IA 50309 Phone (214) 328-4161 Fax (214) 319-9184 PHONE: (515) 875-4651 FAX: (515) 875-4780 TOTAL Lic Capacity: 58 PRIVATE Beds: 58 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LINDA CARCANO License Eff Dt: 06/30/2020 License Exp Dt: 06/30/2023 Mgmt Co.: NA

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 010380 License No.: 149495 Owner Information AVALON MEMORY CARE AVALON DEMENTIA CARE MANAGEMENT LLC 4330 ALLENCREST 1625 N STEMMONS FRWY , DALLAS TX 75244 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TIM SEIB License Eff Dt: 05/30/2020 License Exp Dt: 05/30/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 87 of 405 County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 030116 License No.: 149271 Owner Information AVALON MEMORY CARE CANONGATE AVALON DEMENTIA CARE MANAGEMENT LLC 7212 CANONGATE DR 1625 N STEMMONS FRWY , DALLAS TX 75248 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JONATHAN C SEIB License Eff Dt: 04/01/2020 License Exp Dt: 04/01/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 030058 License No.: 150170 Owner Information AVALON MEMORY CARE CRESTMERE AVALON DEMENTIA CARE MANAGEMENT LLC 6217 CRESTMERE DR 1625 N STEMMONS FRWY , DALLAS TX 75240 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 12 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TIM SEIB License Eff Dt: 07/31/2020 License Exp Dt: 07/31/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 030065 License No.: 149174 Owner Information AVALON MEMORY CARE GLENDORA AVALON DEMENTIA CARE MANAGEMENT LLC 7315 GLENDORA AVE 1625 N STEMMONS FRWY , DALLAS TX 75230 DALLAS TX 75207 Phone (214) 373-8617 Fax (214) 373-8617 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TIM SEIB License Eff Dt: 12/31/2019 License Exp Dt: 12/31/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 030106 License No.: 149965 Owner Information AVALON MEMORY CARE ROYAL CIRCLE AVALON DEMENTIA CARE MANAGEMENT LLC 7355 ROYAL CIRCLE 1625 N STEMMONS FRWY , DALLAS TX 75230 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 10 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JONATHAN C SEIB License Eff Dt: 07/31/2020 License Exp Dt: 07/31/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 030202 License No.: 149551 Owner Information AVALON MEMORY CARE HUGHES CIRCLE AVALON DEMENTIA CARE MANAGEMENT LLC 13215 HUGHES CIR 1625 N STEMMONS FRWY , DALLAS TX 75240 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 10 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JONATHAN C SEIB License Eff Dt: 06/30/2020 License Exp Dt: 06/30/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 88 of 405 County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 030224 License No.: 149969 Owner Information AVALON MEMORY CAREQUARTERWAY AVALON DEMENTIA CARE MANAGEMENT LLC 6908 QUARTERWAY 1625 N STEMMONS FRWY , DALLAS TX 75248 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 10 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JONATHAN C SEIB License Eff Dt: 07/31/2020 License Exp Dt: 07/31/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 102140 License No.: 148310 Owner Information AVENDELLE ASSISTED LIVING LAVENDALE AVENDELLE ASSISTED LIVING DFW LLC 7205 LAVENDALE CIR 807 FORESTCREST CT , DALLAS TX 75230 EULESS TX 76039 Phone (214) 361-4886 Fax (214) 272-3338 PHONE: (919) 606-5945 FAX: (817) 785-3778 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TERRY L HUBBARD License Eff Dt: 06/26/2021 License Exp Dt: 06/26/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 000391 License No.: 147930 Owner Information AVENDELLE ASSISTED LIVING MEADOW AVENDELLE ASSISTED LIVING DFW LLC 7123 MEADOW RD 807 FORESTCREST CT , DALLAS TX 75230 EULESS TX 76039 Phone (214) 346-9901 Fax (214) 346-0824 PHONE: (919) 606-5945 FAX: (817) 785-3778 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TERRY L HUBBARD License Eff Dt: 06/26/2021 License Exp Dt: 06/26/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 101218 License No.: 147861 Owner Information AVENDELLE ASSISTED LIVING MERRIMAN AVENDELLE ASSISTED LIVING DFW LLC 7125 MERRIMAN PKWY 807 FORESTCREST CT , DALLAS TX 75231 EULESS TX 76039 Phone (214) 553-9965 Fax (214) 272-3338 PHONE: (919) 606-5945 FAX: (817) 785-3778 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TERRY L HUBBARD License Eff Dt: 07/08/2021 License Exp Dt: 07/08/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 030211 License No.: 148758 Owner Information AVENDELLE ASSISTED LIVING ROYAL AVENDELLE ASSISTED LIVING DFW LLC 3925 ROYAL LN 807 FORESTCREST CT , DALLAS TX 75229 EULESS TX 76039 Phone (214) 654-0483 Fax (214) 350-3862 PHONE: (919) 606-5945 FAX: (817) 785-3778 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TERRY L HUBBARD License Eff Dt: 06/26/2021 License Exp Dt: 06/26/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 89 of 405 County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 030208 License No.: 147776 Owner Information AVENDELLE ASSISTED LIVING SPANKY AVENDELLE ASSISTED LIVING DFW LLC 6906 SPANKY BRANCH 807 FORESTCREST CT , DALLAS TX 75248 EULESS TX 76039 Phone (972) 380-0418 Fax (972) 248-7827 PHONE: (919) 606-5945 FAX: (817) 785-3778 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TERRY L HUBBARD License Eff Dt: 06/26/2021 License Exp Dt: 06/26/2024 Mgmt Co.: AVENDELLE ASSISTED LIVING DFW LLC

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 100846 License No.: 146496 Owner Information BAKERS HOME REGINA A JOHNSON 6125 SINGING HILLS 6125 SINGING HILLS DR , DALLAS TX 75241 DALLAS TX 75241 Phone (214) 372-8490 Fax (972) 228-1628 PHONE: (214) 372-8490 FAX: (972) 228-1628 TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE C Administrator: REGINA JOHNSON License Eff Dt: 11/01/2018 License Exp Dt: 10/09/2021 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 104943 License No.: 308210 Owner Information BEAUTIFUL GARDENS ASSISTED LIVING WARNERS WELLNESS AND RELAXATION CENTER LLC 5105 CREIGHTON DR , DALLAS TX 75214 Phone 972 9134690 Fax (972) 807-2179 PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STEPHEN WARNER License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 105593 License No.: 147035 Owner Information BELMONT VILLAGE TURTLE CREEK TENANT LLC BELMONT VILLAGE TURTLE CREEK TENANT LLC 3535 N. HALL STREET 7660 WOODWAY DR., SUITE 400 , DALLAS TX 75219 HOUSTON TX 77063 Phone (214) 559-7015 Fax (214) 559-2663 PHONE: (419) 247-2800 FAX: (419) 247-2826 TOTAL Lic Capacity: 225 PRIVATE Beds: 225 Cert Alzh Capacity: 60 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NANCY SANDERS License Eff Dt: 04/01/2021 License Exp Dt: 04/01/2024 Mgmt Co.: BELMONT VILLAGE LP

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 110200 License No.: 307428 Owner Information BIR JV LLP DBA BAYLOR SCOTT & WHITE INSTITUTE FOR REHABILITATION NEURO TRANSITIONAL BIR JV LLP CARE 3601 SWISS AVENUE 4714 GETTYSBURG RD , DALLAS TX 75204 MECHANICSBURG` PA 17055 Phone (717) 980-2521 Fax (717) 980-2521 PHONE: (717) 972-1100 FAX: TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JANE BOUTTE License Eff Dt: 08/01/2019 License Exp Dt: 08/01/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 90 of 405 County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 110309 License No.: 307751 Owner Information BLESSINGS OF LOVE CORPORATION BLESSINGS OF LOVE CORPORATION 1208 WILLOW GLEN DR , DALLAS TX 75232 Phone (469) 396-2532 Fax (214) 594-7649 PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SHERRIE ANDERSON License Eff Dt: 01/07/2020 License Exp Dt: 01/07/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 000371 License No.: 148018 Owner Information BROOKDALE LAKE HIGHLANDS ESCNGH, LP 9715 PLANO RD 111 WESTWOOD PL STE 400 , DALLAS TX 75238 BRENTWOOD TN 37027 Phone (214) 343-7445 Fax (214) 343-9193 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 116 PRIVATE Beds: 116 Cert Alzh Capacity: 26 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JACKIE WEST License Eff Dt: 10/01/2019 License Exp Dt: 10/01/2021 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 010356 License No.: 147247 Owner Information BROOKDALE WHITE ROCK ESC IV LP 9271 WHITE ROCK TRL 6737 W, WASHINGTON ST SUITE 2300 , DALLAS TX 75238 MILWAUKEE WI 53214 Phone (615) 221-2250 Fax (615) 221-2280 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 56 PRIVATE Beds: 56 Cert Alzh Capacity: 56 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KATIE HUSSEY License Eff Dt: 03/31/2019 License Exp Dt: 03/31/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 100042 License No.: 147190 Owner Information C C YOUNG MEMORIAL HOME C C YOUNG MEMORIAL HOME 4847 WEST LAWTHER DR STE 100 4847 W LAWTHER DRSTE 100 , DALLAS TX 75214 DALLAS TX 75214 Phone (214) 827-8080 Fax (214) 841-2890 PHONE: (214) 827-8080 FAX: (214) 841-2890 TOTAL Lic Capacity: 88 PRIVATE Beds: 88 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHASTITY LOVE License Eff Dt: 05/26/2019 License Exp Dt: 05/26/2021 Mgmt Co.: CC YOUNG

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 110489 License No.: 146696 Owner Information C C YOUNG MEMORIAL HOME C C YOUNG MEMORIAL HOME 4849 W LAWTHER DR 4847 W LAWTHER DRSTE 100 , DALLAS TX 75214 DALLAS TX 75214 Phone (214) 827-8080 Fax (214) 841-2890 PHONE: (214) 827-8080 FAX: (214) 841-2890 TOTAL Lic Capacity: 55 PRIVATE Beds: 55 Cert Alzh Capacity: 55 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHASTITY LOVE License Eff Dt: 02/01/2020 License Exp Dt: 02/09/2022 Mgmt Co.: CC YOUNG

Tuesday, September 28, 2021 Page 91 of 405 County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 030302 License No.: 149224 Owner Information CARUTH HAVEN COURT DALLAS SENIOR HOUSING I OPCO LLC 5585 CARUTH HAVEN LN ONE TOWN CENTER RD.STE. 300 , DALLAS TX 75225 BOCA RATON FL 33486 Phone (214) 368-8545 Fax (214) 368-8998 PHONE: (561) 300-6281 FAX: (561) 300-6290 TOTAL Lic Capacity: 95 PRIVATE Beds: 95 Cert Alzh Capacity: 95 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: EILLEEN ALDRIDGE License Eff Dt: 08/31/2019 License Exp Dt: 10/31/2021 Mgmt Co.: AMERICAN TRUST SENIOR CARE, LLC

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 104962 License No.: 150121 Owner Information CHATTINGTON MANOR E & J COTTAGES LLC 7508 CHATTINGTON DRIVE 7508 CHATTINGTON DR , DALLAS TX 75248 DALLAS TX 75248 Phone (972) 788-1820 Fax (982) 788-1969 PHONE: (972) 788-1820 FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: EUNICE RODGERS License Eff Dt: 02/01/2020 License Exp Dt: 02/01/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 101308 License No.: 148618 Owner Information COLES RESIDENTIAL HOME BARBARA J COLE 1364 GILLETTE ST 1364 GILLETTE ST , DALLAS TX 75217 DALLAS TX 75217 Phone (214) 391-8097 Fax PHONE: (214) 391-8097 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BARBARA J COLE License Eff Dt: 08/02/2021 License Exp Dt: 08/02/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 030151 License No.: 149144 Owner Information COMMUNITY HOMES FOR ADULTS INC COMMUNITY HOMES FOR ADULTS INCORPORATED 15606 MOONDUST DR 13101 PRESTON RD STE 312 , DALLAS TX 75248 DALLAS TX 75240 Phone (214) 373-8600 Fax (214) 373-8601 PHONE: (214) 373-8600 FAX: (214) 373-8601 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LISA J BRODSKY License Eff Dt: 09/28/2019 License Exp Dt: 09/28/2021 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 100715 License No.: 307309 Owner Information CRYSTAL CREEK AT PRESTON HOLLOW CHG SENIOR LIVING PRESTON HOLLOW LLC 11409 NORTH CENTRAL EXPRESSWAY 2200 ROSS AVESUITE 5400 , DALLAS TX 75243 DALLAS TX 75201 Phone (214) 363-5100 Fax (214) 363-5133 PHONE: (469) 621-6700 FAX: (469) 621-6678 TOTAL Lic Capacity: 82 PRIVATE Beds: 82 Cert Alzh Capacity: 28 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KRISTI M BLACKWELL License Eff Dt: 04/04/2020 License Exp Dt: 04/04/2022 Mgmt Co.: CHG SENIOR LIVING MANAGEMENT, LLC

Tuesday, September 28, 2021 Page 92 of 405 County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 101446 License No.: 143899 Owner Information DARNELL RESIDENTIAL CARE JACQUELINE DARNELL 7532 GAYGLEN DR 7532 GAYGLEN DR , DALLAS TX 75217 DALLAS TX 75217 Phone (214) 398-8642 Fax (214) 398-8642 PHONE: (214) 398-8642 FAX: (214) 398-8642 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JACQUELINE DARNELL License Eff Dt: 08/19/2019 License Exp Dt: 08/19/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 105061 License No.: 148251 Owner Information DESTINY ROSE RESIDENTIAL CARE FACILITY DESTINY ROSE RESIDENTIAL CARE FACILITY 1620 GLEN AVE P.O. BOX 543174 , DALLAS TX 75216 GRAND PRAIRIE TEXAS 75054 Phone (214) 778-7228 Fax (214) 377-5009 PHONE: (214) 778-7228 FAX: (214) 377-5009 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: TONI M MARTIN-MOORE License Eff Dt: 06/27/2021 License Exp Dt: 06/27/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 103393 License No.: 147006 Owner Information ENTRUST SENIOR LIVING OF DESOTO ENTRUST SENIOR LIVING, LLC 8027 W VIRGINIA , DALLAS TX 75237 Phone (972) 298-1331 Fax (241) 484-3932 PHONE: FAX: TOTAL Lic Capacity: 52 PRIVATE Beds: 52 Cert Alzh Capacity: 52 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PAULA HICKS License Eff Dt: 03/01/2021 License Exp Dt: 03/01/2024 Mgmt Co.: NORTHSTAR SENIOR LIVING, INC

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 101550 License No.: 147336 Owner Information EVERGREEN ASSISTED LIVING LLC EVERGREEN ASSISTED LIVING LLC 6322 PINEVIEW RD 16910 DALLAS PARKWAY # 210 , DALLAS TX 75248 DALLAS TX 75248 Phone (972) 733-2988 Fax (972) 930-7966 PHONE: (972) 733-2988 FAX: (972) 930-7966 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VINIL R PATEL License Eff Dt: 02/20/2021 License Exp Dt: 02/20/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 000383 License No.: 149734 Owner Information EVERGREEN ASSISTED LIVING LLC EVERGREEN ASSISTED LIVING LLC 6521 CLEARHAVEN CIR 16910 DALLAS PARKWAY # 210 , DALLAS TX 75248 DALLAS TX 75248 Phone (972) 930-7999 Fax (972) 930-7966 PHONE: (972) 733-2988 FAX: (972) 930-7966 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 6 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VINIL R PATEL License Eff Dt: 11/30/2019 License Exp Dt: 11/30/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 93 of 405 County DALLAS Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 104581 License No.: 147291 Owner Information EVERGREEN ASSISTED LIVING LLC EVERGREEN ASSISTED LIVING LLC 16830 HUNTERS POINT DR 16910 DALLAS PARKWAY # 210 , DALLAS TX 75248 DALLAS TX 75248 Phone (972) 733-2988 Fax (972) 930-7966 PHONE: (972) 733-2988 FAX: (972) 930-7966 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VINIL R PATEL License Eff Dt: 02/11/2021 License Exp Dt: 02/11/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 103088 License No.: 140678 Owner Information EVERGREEN ASSISTED LIVING LLC EVERGREEN ASSISTED LIVING LLC 16401 AMBERWOOD RD 16910 DALLAS PARKWAY # 210 , DALLAS TX 75248 DALLAS TX 75248 Phone (972) 735-9604 Fax (972) 733-2988 PHONE: (972) 733-2988 FAX: (972) 930-7966 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VINIL R PATEL License Eff Dt: 11/28/2020 License Exp Dt: 11/28/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 103092 License No.: 146678 Owner Information FAITH HOME ASSISTED LIVING FAITH ASSISTED LIVING LLC 2155 GAYLORD 2155 GAYLORD , DALLAS TX 75227 DALLAS TX 75227 Phone (214) 275-5791 Fax (972) 496-8432 PHONE: (469) 733-3261 FAX: (214) 275-5791 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: KONETTE HORTON License Eff Dt: 01/01/2021 License Exp Dt: 01/01/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 105845 License No.: 148644 Owner Information FAITH MINISTRIES OF TEXAS FAITH MINISTRIES OF TEXAS 1537 GILLETTE ST. 1229 E. PLEASANT RUN RD.STE. 124 , DALLAS TX 75217 DESOTO TX 75115 Phone (469) 774-3053 Fax PHONE: (469) 774-3053 FAX: (800) 381-2143 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DEMETRA DONALDSON License Eff Dt: 07/31/2019 License Exp Dt: 07/31/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 101878 License No.: 146628 Owner Information FOWLER CHRISTIAN APARTMENTS INC FOWLER CHRISTIAN APARTMENTS INC 105 JULIETTE FOWLER ST 105 JULIETTE FOWLER ST , DALLAS TX 75214 DALLAS TX 75214 Phone (214) 821-4061 Fax (214) 818-0345 PHONE: (214) 821-4061 FAX: (214) 818-0345 TOTAL Lic Capacity: 25 PRIVATE Beds: 25 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MAURICE SIMMONS License Eff Dt: 02/17/2021 License Exp Dt: 02/17/2024 Mgmt Co.: JULIETTE FOWLER COMMUNITIES INC ENTITY

Tuesday, September 28, 2021 Page 94 of 405 County DALLAS Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 050166 License No.: 148725 Owner Information GRACEFIELD RESIDENTIAL CAREHOME DELINDA RICHARDSON 7412 GRACEFIELD LN 10455 N CENTRAL EXP# 109BOX 294 , DALLAS TX 75248 DALLAS TX 75231 Phone (214) 207-6605 Fax PHONE: (214) 207-6605 FAX: (214) 342-8641 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DELINDA RICHARDSON License Eff Dt: 08/30/2017 License Exp Dt: 05/31/2021 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 102136 License No.: 146693 Owner Information GRIFFINS HOMECARE HAVEN GRIFFINS HOME CARE HAVEN 1208 WHISPERING CIR 1208 WHISPERING CIR , DALLAS TX 75241 DALLAS TX 75241 Phone (214) 372-6831 Fax (214) 372-1743 PHONE: (214) 372-6831 FAX: (214) 372-1743 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DARRENCE E GRIFFIN License Eff Dt: 03/09/2019 License Exp Dt: 03/09/2022 Mgmt Co.: GRIFFINS HOME CARE HAVEN

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 101573 License No.: 146078 Owner Information HAZELS HOME CARE LLC HAZEL'S HOME CARE LLC 533 HIGHFALL DRIVE 533 HIGHFALL DR , DALLAS TX 75232 DALLAS TX 75232 Phone (214) 372-2054 Fax (214) 374-7721 PHONE: (214) 372-2054 FAX: (214) 374-7721 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: HAZEL L GRADY - DO NOT USE - DUPLICATE License Eff Dt: 12/30/2018 License Exp Dt: 04/30/2021 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 050499 License No.: 144910 Owner Information HELEN'S CARE HELENS CARE INC 2318 MORRELL AVE 2318 MORRELL AVE , DALLAS TX 75203 DALLAS TX 75203 Phone (214) 946-8697 Fax PHONE: (817) 360-3201 FAX: (214) 946-8697 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: HELEN AKANNI License Eff Dt: 06/09/2020 License Exp Dt: 06/09/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 050617 License No.: 147323 Owner Information HELPING HANDS CARE INC HELPING HANDS CARE, INC 2923 GLADIOLUS LN 121 N LAUREL SPRINGS DR , DALLAS TX 75233 DESOTO TEXAS 75115 Phone (469) 323-0516 Fax (972) 559-2090 PHONE: (214) 467-8781 FAX: (972) 559-2090 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BOBBI HOWARD License Eff Dt: 02/24/2021 License Exp Dt: 02/24/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 95 of 405 County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 105825 License No.: 145879 Owner Information HOUSE OF VICTORY HOUSE OF VICTORY 2819 AINWICK CT 2819 AINWICK CT , DALLAS TX 75227 DALLAS TX 75227 Phone (469) 569-0288 Fax (214) 275-4676 PHONE: (469) 569-0288 FAX: (214) 275-4676 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: VALERIA BROWN License Eff Dt: 09/17/2020 License Exp Dt: 09/17/2023 Mgmt Co.: HOUSE OF VICTORY

County DALLAS Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 000942 License No.: 307475 Owner Information IRIS MEMORY CARE OF TURTLE CREEK IMC TURTLE CREEK, LLC 3611 DICKASON AVE , DALLAS TX 75219 Phone (214) 559-0140 Fax (214) 559-0171 PHONE: FAX: TOTAL Lic Capacity: 54 PRIVATE Beds: 54 Cert Alzh Capacity: 54 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JASON WOOD License Eff Dt: 06/08/2019 License Exp Dt: 06/08/2022 Mgmt Co.: IRIS SENIOR LIVING, LLC

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 103659 License No.: 143639 Owner Information JACKSONS PLACE EGANZA INCORPORATED 7210 DUFFIELD DR 101 SOUTH COIT ROAD SUITE 36 282 , DALLAS TX 75248 RICHARDSON TEXAS 75080 Phone (972) 248-9795 Fax (972) 248-8995 PHONE: (214) 694-7192 FAX: 972 248 8995 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOY U MMBIFWA License Eff Dt: 12/15/2019 License Exp Dt: 12/15/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 050139 License No.: 146674 Owner Information JACKSONS PLACE EGANZA INCORPORATED 7615 MEADOW RD 101 SOUTH COIT ROAD SUITE 36 282 , DALLAS TX 75230 RICHARDSON TEXAS 75080 Phone (214) 295-4632 Fax (972) 248-8995 PHONE: (214) 694-7192 FAX: 972 248 8995 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOY U MMBIFWA License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 105873 License No.: 145930 Owner Information JACKSONS PLACE EGANZA INCORPORATED 9010 WOODHURST DR 101 SOUTH COIT ROAD SUITE 36 282 , DALLAS TX 75243 RICHARDSON TEXAS 75080 Phone (214) 242-9882 Fax (972) 248-8995 PHONE: (214) 694-7192 FAX: 972 248 8995 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOY U MMBIFWA License Eff Dt: 11/25/2020 License Exp Dt: 11/25/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 96 of 405 County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 101130 License No.: 149946 Owner Information JACKSONS PLACE EGANZA INCORPORATED 11240 HILLCREST RD 101 SOUTH COIT ROAD SUITE 36 282 , DALLAS TX 75230 RICHARDSON TEXAS 75080 Phone (214) 696-1643 Fax (972) 248-8995 PHONE: (214) 694-7192 FAX: 972 248 8995 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 9 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOY U MMBIFWA License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 100028 License No.: 146017 Owner Information JONES BOARD AND CARE JONES BOARD AND CARE 612 MISTY GLEN LN 808 WHITESTONE LANE , DALLAS TX 75232 DALLAS TEXAS 75232 Phone (214) 372-6313 Fax (469) 248-2520 PHONE: (972) 230-2448 FAX: (972) 230-4321 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: WYOMIA JONES License Eff Dt: 10/31/2020 License Exp Dt: 10/31/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 000978 License No.: 146765 Owner Information JUNIPER VILLAGE AT PRESTON HOLLOW SH OPCO PRESTON LLC 12400 PRESTON RD 1920 MAIN STSTE 1200 , DALLAS TX 75230 IRVINE CA 92614 Phone (972) 661-3111 Fax (972) 661-9551 PHONE: (949) 407-0700 FAX: (949) 407-8000 TOTAL Lic Capacity: 107 PRIVATE Beds: 107 Cert Alzh Capacity: 28 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KRISTEN F HAGAN License Eff Dt: 01/18/2021 License Exp Dt: 01/18/2024 Mgmt Co.: JUNIPER MANAGEMENT LLC DUPLICATE ACCT DO NOT USE

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 102840 License No.: 148454 Owner Information KINGS HELPING HAND INC KINGS HELPING HAND INC 421 GLEN OAKS BLVD 421 GLEN OAKS , DALLAS TX 75232 DALLAS TX 75232 Phone (214) 374-1880 Fax (214) 374-0209 PHONE: (214) 374-1880 FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: PRINCESS DANIELS License Eff Dt: 05/29/2020 License Exp Dt: 05/29/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 105062 License No.: 149612 Owner Information KIYA'S & KETHAN'S HAVEN ASSISTED LIVING DEIDRA WHYETEBABERS 1611 WINDCHIME DR P.O. BOX 765296 , DALLAS TX 75224 DALLAS TX 75376 Phone (469) 399-0559 Fax (469) 372-0763 PHONE: FAX: TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DEIDRA WHYETE-BABERS License Eff Dt: 07/16/2020 License Exp Dt: 07/16/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 97 of 405 County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 106161 License No.: 147630 Owner Information LAKEWEST ASSISTED LIVING LW ALF OPS CO LLC 3494 KINGBRIDGE STREET 1500 WATERS RIDGE DR , DALLAS TX 75212 LEWISVILLE TX 75057 Phone (469) 206-0640 Fax (469) 206-0641 PHONE: (214) 392-9991 FAX: (972) 899-4806 TOTAL Lic Capacity: 128 PRIVATE Beds: 128 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VON VU-GARCIA License Eff Dt: 07/09/2019 License Exp Dt: 07/09/2021 Mgmt Co.: STONEGATE SENIOR LIVING LLC

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 105262 License No.: 147241 Owner Information MANCHESTER QUEENS FERRY LLC MANCHESTER QUEENS FERRY LLC 7701 QUEENSFERRY DRIVE 5720 LBJ FREEWAYSUITE 630 , DALLAS TX 75248 DALLAS TX 75240 Phone (972) 385-0664 Fax (972) 385-0758 PHONE: (972) 423-3600 FAX: (972) 423-5889 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VADIM KRASOVITSKY License Eff Dt: 05/01/2021 License Exp Dt: 05/01/2024 Mgmt Co.: MANCHESTER MANAGEMENT LLC

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 103885 License No.: 148044 Owner Information MANCHESTER SPRING VALLEY LLC MANCHESTER SPRING VALLEY LLC 7109 SPRING VALLEY 5720 LBJSTE 630 , DALLAS TX 75254 DALLAS TX 75240 Phone (972) 385-7797 Fax (972) 385-7608 PHONE: (972) 423-3600 FAX: (972) 423-5889 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VADIM KRASOVITSKY License Eff Dt: 06/09/2019 License Exp Dt: 06/09/2022 Mgmt Co.: MANCHESTER MANAGEMENT LLC

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 103915 License No.: 147805 Owner Information MANCHESTER ST MICHAELS LLC MANCHESTER ST MICHAELS LLC 10754 ST MICHAELS 5720 LBJ FREEWAY, SUITE 630 , DALLAS TX 75230 DALLAS TX 75240 Phone (214) 987-2710 Fax (972) 432-3600 PHONE: (972) 423-3600 FAX: (972) 423-5889 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VADIM KRASOVITSKY License Eff Dt: 07/09/2019 License Exp Dt: 07/09/2022 Mgmt Co.: MANCHESTER MANAGEMENT LLC

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 105045 License No.: 149718 Owner Information MANCHESTER TRANQUILLA LLC MANCHESTER TRANQUILLA LLC 1438 TRANQUILLA 5720 LBJ FRWYSTE 630 , DALLAS TX 75218 DALLAS TX 75240 Phone (214) 660-7969 Fax (214) 660-8795 PHONE: (972) 423-3600 FAX: (972) 423-5889 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VADIM KRASOVITSKY License Eff Dt: 02/26/2021 License Exp Dt: 02/26/2024 Mgmt Co.: MANCHESTER MANAGEMENT LLC

Tuesday, September 28, 2021 Page 98 of 405 County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 106490 License No.: 150221 Owner Information MASONS PERSONAL CARE HOMES #2 MASONS PERSONAL CARE HOMES 10451 SUMMER OAKS DR 1819 ARAPAHO TRL , DALLAS TX 75227 MESQUITE TX 75149 Phone (972) 222-0414 Fax (972) 222-0417 PHONE: (972) 222-0414 FAX: (972) 222-0417 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BORIS E MASON License Eff Dt: 08/13/2020 License Exp Dt: 08/13/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 000539 License No.: 150164 Owner Information MONTICELLO WEST LCSMW LLC 5114 MCKINNEY AVE 400 LOCUST ST STE. 820 , DALLAS TX 75205 DES MOINES IA 50309 Phone (214) 528-0660 Fax (214) 520-2511 PHONE: (515) 875-4671 FAX: (515) 875-4780 TOTAL Lic Capacity: 159 PRIVATE Beds: 159 Cert Alzh Capacity: 49 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOANNE K WINLAND License Eff Dt: 06/30/2020 License Exp Dt: 06/30/2023 Mgmt Co.: NA

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 103515 License No.: 146241 Owner Information MORNING STARR NEW BEGINNINGS MORNING STARR NEW BEGINNINGS 814 AMAROSA RD 1242 APRIL SHOWERS LN , DALLAS TX 75217 LANCASTER TEXAS 75134 Phone (469) 236-4913 Fax (972) 224-0088 PHONE: (469) 236-4913 FAX: (972) 218-9246 TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SAPERINA D WINBUSH License Eff Dt: 11/25/2020 License Exp Dt: 11/25/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 105579 License No.: 149667 Owner Information MORNING STARR NEW BEGINNINGS MORNING STARR NEW BEGINNINGS 3935 OAK ARBOR DR 1242 APRIL SHOWERS LN , DALLAS TX 75233 LANCASTER TEXAS 75134 Phone (469) 236-4913 Fax (972) 224-0088 PHONE: (469) 236-4913 FAX: (972) 218-9246 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SAPERINA D WINBUSH License Eff Dt: 12/11/2019 License Exp Dt: 12/11/2021 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 106244 License No.: 145050 Owner Information MORNING STARR NEW BEGINNINGS MORNING STARR NEW BEGINNINGS 9016 TAMPAS LN 1242 APRIL SHOWERS LN , DALLAS TX 75227 LANCASTER TEXAS 75134 Phone (469) 236-4913 Fax (972) 224-0088 PHONE: (469) 236-4913 FAX: (972) 218-9246 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SAPERINA D WINBUSH License Eff Dt: 08/31/2020 License Exp Dt: 08/31/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 99 of 405 County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 100851 License No.: 145963 Owner Information NEW HORIZON HOMES LLC NEW HORIZON HOMES LLC 7304 CAMPBELL RD 1920 N COIT ROAD SUITE 200-303 , DALLAS TX 75248 RICHARDSON TX 75080 Phone (214) 469-4169 Fax (214) 594-7750 PHONE: (214) 469-4169 FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BUKEKILE DUBE License Eff Dt: 04/01/2020 License Exp Dt: 04/01/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 103114 License No.: 149253 Owner Information OAKS ASSISTED LIVING OAKS RESIDENTIAL LIVING CORPORATION 3327 SPRINGWOOD LN OAK ASSISTED LIVING 3327 SPRINGWOOD LN , DALLAS TX 75233 DALLAS TX 75233 Phone (214) 325-8628 Fax PHONE: (214) 325-8628 FAX: TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: NEDRA KYLES License Eff Dt: 07/13/2019 License Exp Dt: 07/13/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 030155 License No.: 146814 Owner Information PARSONS HOUSE PRESTON HOLLOW LP PARSONS HOUSE PRESTON HOLLOW LP 4205 W NW HWY 1 NORTH CALLE CESAR CHAVEZ STE 200 , DALLAS TX 75220 SANTA BARBARA CA 93103 Phone (214) 357-7900 Fax (214) 357-8677 PHONE: (805) 564-3341 FAX: (805) 966-2009 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CAMERON R PARSONS License Eff Dt: 01/06/2019 License Exp Dt: 01/06/2022 Mgmt Co.: THE PARSONS GROUP, INC

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 030156 License No.: 146751 Owner Information PARSONS HOUSE PRESTON HOLLOW LP PARSONS HOUSE PRESTON HOLLOW LP 4205 W NW HWY 1 NORTH CALLE CESAR CHAVEZ STE 200 , DALLAS TX 75220 SANTA BARBARA CA 93103 Phone (214) 357-7900 Fax (214) 357-8677 PHONE: (805) 564-3341 FAX: (805) 966-2009 TOTAL Lic Capacity: 51 PRIVATE Beds: 51 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CAMERON R PARSONS License Eff Dt: 01/06/2019 License Exp Dt: 01/06/2022 Mgmt Co.: THE PARSONS GROUP, INC

County DALLAS Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 105940 License No.: 145325 Owner Information PEARL NORDAN CARE CENTER ASSISTED LIVING JULIETTE FOWLER COMMUNITIES INC 1260 ABRAMS 1234 ABRAMS RD , DALLAS TX 75214 DALLAS TX 75214 Phone (214) 827-0813 Fax PHONE: (214) 827-0813 FAX: TOTAL Lic Capacity: 78 PRIVATE Beds: 78 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DIANA L PATTEN License Eff Dt: 08/26/2020 License Exp Dt: 08/26/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 100 of 405 County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 105712 License No.: 146073 Owner Information PEARL'S PLACE MY SECOND CHANCE INC 1657 S. CORINTH ST RD. 3832 S. LANCASTER RD. , DALLAS TX 75203 DALLAS TX 75216 Phone (214) 374-1104 Fax (214) 941-1167 PHONE: (214) 374-1104 FAX: (214) 942-1167 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ROYCE T ADAMS License Eff Dt: 12/16/2023 License Exp Dt: 12/16/2026 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 105773 License No.: 146185 Owner Information PREMIER HOME LIVING PREMIER HOME LIVING LLC 8014 INWOOD RD 3609 EMILY DR , DALLAS TX 75209 PLANO TX 75093 Phone (214) 351-1900 Fax (214) 351-1900 PHONE: (214) 437-7726 FAX: (214) 351-1900 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAVID POLLOCK License Eff Dt: 12/02/2020 License Exp Dt: 12/02/2023 Mgmt Co.: NA

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 000540 License No.: 146671 Owner Information PRESBYTERIAN VILLAGE NORTH ASSISTED LIVING FACILITY PRESBYTERIAN VILLAGE NORTH 8750 WESTMINSTER TERRACE 8600 SKYLINE DR , DALLAS TX 75243 DALLAS TX 75243 Phone (214) 355-9201 Fax (214) 355-9100 PHONE: (214) 355-9019 FAX: (214) 355-9050 TOTAL Lic Capacity: 155 PRIVATE Beds: 155 Cert Alzh Capacity: 44 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HEATHER ASHBY License Eff Dt: 01/01/2021 License Exp Dt: 01/01/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 101775 License No.: 145433 Owner Information RENAISSANCE ASSISTED LIVING LLC RENAISSANCE ASSISTED LIVING LLC 7315 OAKSTONE DR 7710 KITTERY LN , DALLAS TX 75249 ARLINGTON TX 76002 Phone (972) 298-0507 Fax (817) 887-2359 PHONE: (817) 419-8909 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: IRENE E NGWA License Eff Dt: 08/18/2018 License Exp Dt: 12/31/2020 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 105715 License No.: 149627 Owner Information RENEE'S HOUSE RENEE'S HOUSE 5748 PLUM DALE ROAD 5748 PLUM DALE RD , DALLAS TX 75241 DALLAS TEXAS 75241 Phone (469) 563-8884 Fax (469) 442-0121 PHONE: (469) 563-8884 FAX: (469) 442-0121 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MARQIESE MILORD-SIMS License Eff Dt: 07/17/2020 License Exp Dt: 07/17/2023 Mgmt Co.: RENEE'S HOUSE

Tuesday, September 28, 2021 Page 101 of 405 County DALLAS Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 105125 License No.: 148336 Owner Information SAGE OAK ASSISTED LIVING AT NORWAY PLACE SAGE OAK HOLDINGS III LLC 6906 NORWAY PLACE 3824 CEDAR SPRINGS #512 , DALLAS TX 75230 DALLAS TX 75219 Phone (214) 954-7499 Fax (888) 316-9124 PHONE: (318) 458-3554 FAX: (888) 316-9124 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SKYLER PENTHENY License Eff Dt: 06/05/2019 License Exp Dt: 06/05/2022 Mgmt Co.: SAGE OAK SENIOR LIVING, LLC

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 105993 License No.: 148716 Owner Information SAGE OAK ASSISTED LIVING OF LAKEWOOD SAGE OAK HOLDINGS V LLC 7260 E. MOCKINGBIRD LN 3824 CEDAR SPRINGS#512 , DALLAS TX 75214 DALLAS TX 75219 Phone (972) 803-5531 Fax (888) 316-9124 PHONE: (318) 458-3554 FAX: (888) 316-9124 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JEFF L KAUFFMAN License Eff Dt: 07/31/2021 License Exp Dt: 07/31/2024 Mgmt Co.: SAGE OAK SENIOR LIVING II LLC

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 107155 License No.: 307079 Owner Information SAGE OAK HOLDINGS IV, LLC SAGE OAK HOLDINGS IV, LLC 7129 ABERDEEN , DALLAS TX 75230 Phone (469) 466-9735 Fax 18883169124 PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JEFF L KAUFFMAN License Eff Dt: 09/20/2020 License Exp Dt: 09/20/2023 Mgmt Co.: SAGE OAK SENIOR LIVING, LLC

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 110453 License No.: 308082 Owner Information SAGE OAK HOLDINGS VI, LLC SAGE OAK HOLDINGS VI, LLC 4408 FOREST BEND RD , DALLAS TX 75244 Phone (972) 908-9094 Fax 18883169124 PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LOE HORNBUCKLE License Eff Dt: 12/22/2020 License Exp Dt: 12/22/2023 Mgmt Co.: SAGE OAK SENIOR LIVING OF FOREST BEND, LLC

County DALLAS Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 106588 License No.: 146211 Owner Information SAGE OAK LIVING OF PRESTON HOLLOW SAGE OAK HOLDINGS, LLC 5733 FOREST 3824 CEDAR SPRINGS #512 , DALLAS TX 75230 DALLAS TX 75219 Phone (469) 708-9625 Fax (972) 807-2179 PHONE: (469) 708-9625 FAX: (972) 807-2179 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LOE HORNBUCKLE License Eff Dt: 12/01/2020 License Exp Dt: 12/01/2023 Mgmt Co.: SAGE OAK, LLC

Tuesday, September 28, 2021 Page 102 of 405 County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 030103 License No.: 144920 Owner Information SIGNATURE POINTE LCSSP LLC 14655 PRESTON RD CAPITAL SQUARE 400 LOCUST ST STE 820 , DALLAS TX 75254 DES MOINES IA 50309 Phone (972) 726-7575 Fax (972) 726-9742 PHONE: (515) 875-4590 FAX: (515) 875-4780 TOTAL Lic Capacity: 76 PRIVATE Beds: 76 Cert Alzh Capacity: 28 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JORDAN S BLAKE License Eff Dt: 06/30/2020 License Exp Dt: 06/30/2023 Mgmt Co.: NA

County DALLAS Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 100888 License No.: 308322 Owner Information SILVER LEAF ASSISTED LIVING, LLC SILVER LEAF ASSISTED LIVING LLC 17207 GRAYSTONE DRIVE PO BOX 191088 , DALLAS TX 75248 DALLAS TEXAS 75034 Phone (914) 643-6335 Fax (972) 732-6186 PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL BLACKBURN License Eff Dt: 04/15/2021 License Exp Dt: 04/15/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 106617 License No.: 146023 Owner Information SIMPSON PLACE SP ALF OPS CO, LLC 3922 SIMPSON STREET 1500 WATERS RIDGE DRIVE , DALLAS TX 75246 LEWISVILLE TX 75057 Phone (214) 231-0864 Fax (214) 231-0865 PHONE: (972) 899-4401 FAX: (972) 899-4806 TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ALICIA SMITH License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.: STONEGATE SENIOR LIVING LLC

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 105219 License No.: 146683 Owner Information SPEARS HOUSE OF CARE SPEARS HOUSE OF CARE 734 SEABEACH ROAD 734 SEABEACH ROAD , DALLAS TX 75232 DALLAS TX 75232 Phone (972) 224-8704 Fax (972) 224-5747 PHONE: (972) 224-8704 FAX: (972) 224-5747 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: CHIQUITA DENEEN SPEARS License Eff Dt: 02/07/2021 License Exp Dt: 02/07/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 000406 License No.: 149329 Owner Information ST JOSEPH'S RESIDENCE INC ST JOSEPH'S RESIDENCE INC 330 W PEMBROKE AVE 330 W PEMBROKE AVE , DALLAS TX 75208 DALLAS TX 75208-6532 Phone (214) 948-3597 Fax (214) 948-0358 PHONE: (214) 948-3597 FAX: (214) 948-0358 TOTAL Lic Capacity: 89 PRIVATE Beds: 89 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: CAROLINA S BOTERO License Eff Dt: 08/11/2020 License Exp Dt: 08/11/2023 Mgmt Co.: ST JOSEPH'S RESIDENCE INC

Tuesday, September 28, 2021 Page 103 of 405 County DALLAS Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 102967 License No.: 149044 Owner Information STELLA ROAD ASSISTED LIVING AVIS L YOUNG SR 1840 STELLA AVE , DALLAS TX 75203 Phone (214) 942-3215 Fax (214) 948-0204 PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: FRANCES ABRON License Eff Dt: 09/26/2021 License Exp Dt: 09/26/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 102658 License No.: 147287 Owner Information SUNRISE SENIOR LIVING OF HILLCREST SZR HILLCREST SENIOR LIVING LLC 13001 HILLCREST RD 7902 WESTPARK DRIVE , DALLAS TX 75240 MCLEAN VA 22102 Phone (972) 385-5267 Fax (972) 385-5268 PHONE: (502) 357-9000 FAX: (503) 357-9441 TOTAL Lic Capacity: 115 PRIVATE Beds: 115 Cert Alzh Capacity: 43 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SUSAN LIVELY License Eff Dt: 04/26/2021 License Exp Dt: 04/26/2024 Mgmt Co.: SUNRISE SENIOR LIVING MANAGEMENT, INC

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 102742 License No.: 149455 Owner Information TALCO HOUSE INC TALCO HOUSE INC 2328 TALCO DR 2328 TALCO DR. , DALLAS TX 75241 DALLAS TX 75241 Phone (214) 375-7075 Fax (214) 372-7149 PHONE: (972) 415-6117 FAX: (214) 372-3801 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: EDITH H SCOTT License Eff Dt: 03/17/2020 License Exp Dt: 03/17/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 104427 License No.: 307346 Owner Information TEARS OF A ANGEL JANICE L AUSTINDOUGLAS 1206 DEERWOOD DRIVE 3337 GLADIOLUS LN , DALLAS TX 75232 DALLAS TX 75233 Phone (214) 524-1596 Fax PHONE: (214) 337-9409 FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JANICE L AUSTIN-DOUGLAS License Eff Dt: 02/26/2021 License Exp Dt: 02/26/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 105604 License No.: 146027 Owner Information TEXSEN GROUP HOMES, LLC TEXSEN GROUP HOMES LLC 3755 CROWN SHORE DR 4304 WILLIAMSON LN , DALLAS TX 75244 CARROLTON TX 75010 Phone (972) 241-6035 Fax (972) 939-4805 PHONE: (469) 892-5332 FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CORBIN E JEFFRIES JR. License Eff Dt: 09/30/2020 License Exp Dt: 09/30/2022 Mgmt Co.: NA

Tuesday, September 28, 2021 Page 104 of 405 County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 030401 License No.: 308144 Owner Information THE AVENUES OF PARK FOREST ACADIA ALF OWNER LLC 3344 FOREST LANE , DALLAS TX 75234 Phone (972) 247-2266 Fax (972) 620-0514 PHONE: FAX: TOTAL Lic Capacity: 108 PRIVATE Beds: 108 Cert Alzh Capacity: 21 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CANDY SMITH License Eff Dt: 07/18/2020 License Exp Dt: 07/18/2023 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 050274 License No.: 146104 Owner Information THE FAMILYS CHOICE ZJM ENTERPRISES INCORPORATED 17217 GRAYSTONE DR 7501 WOODBRIDGE PLACE , DALLAS TX 75248 GARLAND TEXAS 75044 Phone (972) 248-1075 Fax (972) 248-1075 PHONE: (469) 235-8195 FAX: (972) 675-0370 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOY U MMBIFWA License Eff Dt: 11/08/2020 License Exp Dt: 11/08/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 050387 License No.: 149483 Owner Information THE FAMILY'S CHOICE ZJM ENTERPRISES INCORPORATED 7048 HILLWOOD LN 7501 WOODBRIDGE PLACE , DALLAS TX 75248 GARLAND TEXAS 75044 Phone (972) 233-3228 Fax (972) 233-3228 PHONE: (469) 235-8195 FAX: (972) 675-0370 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOY U MMBIFWA License Eff Dt: 10/01/2019 License Exp Dt: 10/01/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 103967 License No.: 144309 Owner Information THE FAMILY'S CHOICE ZJM ENTERPRISES INCORPORATED 7405 HILLWOOD LANE 7501 WOODBRIDGE PLACE , DALLAS TX 75248 GARLAND TEXAS 75044 Phone (972) 788-0874 Fax (972) 788-0872 PHONE: (469) 235-8195 FAX: (972) 675-0370 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOY U MMBIFWA License Eff Dt: 03/11/2020 License Exp Dt: 03/11/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 000772 License No.: 307740 Owner Information THE FORUM AT PARK LANE SNH LONGHORN TENANT LLC 7831 PARK LANE , DALLAS TX 75225 Phone 214 3699905 Fax 214 3681760 PHONE: FAX: TOTAL Lic Capacity: 65 PRIVATE Beds: 65 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: EBONI GONZALES License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.: FVE MANAGERS, INC

Tuesday, September 28, 2021 Page 105 of 405 County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 110406 License No.: 308005 Owner Information THE LEGACY MIDTOWN PARK THE LEGACY MIDTOWN PARK, INC 8260 MANDERVILLE LANE , DALLAS TX 75231 Phone Fax (469) 497-3840 PHONE: FAX: TOTAL Lic Capacity: 98 PRIVATE Beds: 98 Cert Alzh Capacity: 36 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 11/17/2020 License Exp Dt: 11/17/2023 Mgmt Co.: THE LEGACY SENIOR COMMUNITIES INC

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 106237 License No.: 147191 Owner Information THE MERIDIAN AT KESSLER PARK PACIFICA HARBORVIEWKESSLER LLC 2522 FORT WORTH AVENUE 175 HANCOCK STREETSTE 200 , DALLAS TX 75211 SAN DIEGO CA 92110 Phone (214) 943-2523 Fax (214) 943-2523 PHONE: (619) 296-9000 FAX: (619) 296-9090 TOTAL Lic Capacity: 85 PRIVATE Beds: 85 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: TERRY ACKER License Eff Dt: 04/06/2019 License Exp Dt: 04/06/2021 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 101023 License No.: 145188 Owner Information THE PLAZA AT EDGEMERE ASSISTED LIVING NORTHWEST SENIOR HOUSING CORPORATION 8502 EDGEMERE 5601 DALLAS PARKWAY, STE 200 , DALLAS TX 75225 ADDISON TX 75001 Phone (214) 615-7045 Fax (214) 615-7046 PHONE: (469) 576-1345 FAX: (214) 623-6115 TOTAL Lic Capacity: 129 PRIVATE Beds: 129 Cert Alzh Capacity: 45 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LESLIE D BROWNLEE License Eff Dt: 08/08/2020 License Exp Dt: 08/08/2023 Mgmt Co.: GREYSTONE MANAGEMENT SERVICES COMPANY LLC

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 107074 License No.: 149863 Owner Information THE PRESTON OF THE PARK CITIES SILVERSTONE HARBORCHASE PARK CITIES OPERATING LLC 5917 SHERRY LN 5917 SHERRY LN , DALLAS TX 75225 DALLAS TX 75225 Phone (469) 904-1394 Fax (469) 904-1395 PHONE: (469) 904-1394 FAX: (469) 904-1395 TOTAL Lic Capacity: 179 PRIVATE Beds: 179 Cert Alzh Capacity: 38 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AARON J DENOVELLIS License Eff Dt: 08/01/2019 License Exp Dt: 11/30/2020 Mgmt Co.: WATERMARK RETIREMENT COMMUNITIES, LLC

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 103556 License No.: 149856 Owner Information THE RESERVE AT NORTH DALLAS COIT SENIOR CARE, LLC 12271 COIT RD 1000 LEGION PLACE, SUITE 1600 , DALLAS TX 75251 ORLANDO FL 32801 Phone (972) 866-7575 Fax (972) 702-9443 PHONE: (407) 999-2400 FAX: (407) 999-7759 TOTAL Lic Capacity: 33 PRIVATE Beds: 33 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: KRISTEN HARDY License Eff Dt: 05/14/2020 License Exp Dt: 05/14/2022 Mgmt Co.: SLH DALLAS MANAGER, LLC

Tuesday, September 28, 2021 Page 106 of 405 County DALLAS Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 106147 License No.: 148649 Owner Information THE TRADITIONLOVERS LANE ASSISTED LIVING AND MEMORY CARE LOVERS TRADITION II LP 5855 MILTON AVENUE 5850 EAST LOVERS LANESUITE 100 , DALLAS TX 75206 DALLAS TX 75206 Phone (214) 361-2219 Fax (314) 361-2283 PHONE: (214) 221-8200 FAX: (214) 221-8222 TOTAL Lic Capacity: 130 PRIVATE Beds: 130 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: WINNIE MOMANYI License Eff Dt: 11/10/2019 License Exp Dt: 11/10/2021 Mgmt Co.: TRADITION MANAGEMENT, LLC

County DALLAS Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 106306 License No.: 148884 Owner Information THE TRADITIONPRESTONWOOD ASSISTED LIVING AND MEMORY CARE PRESTONWOOD TRADITION AL LP 5555 ARAPAHO ROAD 5850 EAST LOVERS LANESTE 100 , DALLAS TX 75248 DALLAS TX 75206 Phone (972) 661-1880 Fax (972) 661-1881 PHONE: (214) 221-8200 FAX: (214) 221-8222 TOTAL Lic Capacity: 130 PRIVATE Beds: 130 Cert Alzh Capacity: 46 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DUSTIN H ALLEN License Eff Dt: 11/17/2019 License Exp Dt: 11/17/2022 Mgmt Co.: TRADITION MANAGEMENT, LLC

County DALLAS Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 000541 License No.: 150235 Owner Information THE VILLAGES OF DALLAS ALICE BRANCH HEALTHCARE INC 550 E ANN ARBOR AVE 550 E ANN ARBOR AVE , DALLAS TX 75216 DALLAS TX 75216 Phone (214) 376-1701 Fax (214) 778-6059 PHONE: (214) 376-1701 FAX: (214) 778-6059 TOTAL Lic Capacity: 71 PRIVATE Beds: 71 Cert Alzh Capacity: 28 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SKYLER PETERSON License Eff Dt: 05/01/2020 License Exp Dt: 05/01/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 101142 License No.: 148729 Owner Information TOPHILL PERSONAL CARE SENIOR MANAGEMENT SOLUTIONS INC 7116 TOPHILL CIR 14905 OAKS NORTH DR , DALLAS TX 75248 DALLAS TX 75254 Phone (972) 740-6776 Fax (972) 386-7906 PHONE: (214) 762-8242 FAX: (972) 788-8147 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARK P WHITMAN License Eff Dt: 12/01/2019 License Exp Dt: 12/01/2021 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 102921 License No.: 145142 Owner Information TRINITY RESIDENTIAL CARE TRINITY RESIDENTIAL CARE 1427 CARAVAN TRAIL 333 COLD WATER DRIVE , DALLAS TX 75241 DESOTO TEXAS 75115 Phone (214) 374-7458 Fax (214) 242-4598 PHONE: FAX: TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOYCE A TURNER License Eff Dt: 03/13/2020 License Exp Dt: 03/13/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 107 of 405 County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 104125 License No.: 149686 Owner Information TRINITYFAITH'S PLACE II TRINITYFAITH'S PLACE INC 2205 INCA P O BOX 1718 , DALLAS TX 75216 DESOTO TEXAS 75217 Phone (972) 814-3573 Fax (866) 582-6837 PHONE: (214) 814-3573 FAX: (214) 374-5683 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LYTRIANA K HILL License Eff Dt: 03/26/2020 License Exp Dt: 03/26/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 103245 License No.: 145217 Owner Information TRINITYFAITH'S PLACE INC TRINITYFAITH'S PLACE INC 2209 INCA P O BOX 1718 , DALLAS TX 75216 DESOTO TEXAS 75217 Phone (972) 814-3573 Fax (866) 582-6837 PHONE: (214) 814-3573 FAX: (214) 374-5683 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LYTRIANA K HILL License Eff Dt: 04/04/2020 License Exp Dt: 04/04/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 104038 License No.: 308069 Owner Information TRUEWOOD BY MERRILL, PARK CENTRAL MERRILL GARDENS LLC 7750 LBJ FREEWAY 1938 FAIRVIEW AVE ESTE 300 , DALLAS TX 75251 SEATTLE WA 98102 Phone (972) 661-9990 Fax (972) 661-9991 PHONE: (206) 676-5300 FAX: (206) 676-5353 TOTAL Lic Capacity: 213 PRIVATE Beds: 213 Cert Alzh Capacity: 85 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BENNIE GRIFFIN License Eff Dt: 02/10/2020 License Exp Dt: 02/10/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 110263 License No.: 307615 Owner Information VENTANA BY BUCKNER BUCKNER SENIOR LIVING, INC 8301 N CENTRAL EXPRESSWAY , DALLAS TX 75201 Phone Fax (214) 758-8153 PHONE: FAX: TOTAL Lic Capacity: 68 PRIVATE Beds: 68 Cert Alzh Capacity: 28 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 12/30/2019 License Exp Dt: 12/30/2022 Mgmt Co.: BUCKNER RETIREMENT SERVICES, INC

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 104469 License No.: 148448 Owner Information VILLAGES OF LAKE HIGHLANDS ASSISTED LIVING JSC LAKE HIGHLANDS OPERATIONS LP 8615 LULLWATER DR 3899 MAPLE AVESTE 300 , DALLAS TX 75238 DALLAS TX 75219 Phone (214) 221-0444 Fax (214) 221-1568 PHONE: (214) 220-4900 FAX: (214) 220-4949 TOTAL Lic Capacity: 23 PRIVATE Beds: 23 Cert Alzh Capacity: 23 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ADAM KOLL License Eff Dt: 01/04/2020 License Exp Dt: 01/04/2023 Mgmt Co.: CELEBRATION SENIOR CARE LLC

Tuesday, September 28, 2021 Page 108 of 405 County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 000542 License No.: 149835 Owner Information WALNUT PLACE PC UNIT LCSWP LLC 5515 GLEN LAKES DR 400 LOCUST ST STE 820 , DALLAS TX 75231 DES MOINES IA 50309 Phone (214) 361-8923 Fax (214) 361-4782 PHONE: (515) 875-4671 FAX: (515) 875-4780 TOTAL Lic Capacity: 100 PRIVATE Beds: 100 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DUSTY DAVIS License Eff Dt: 06/30/2020 License Exp Dt: 06/30/2023 Mgmt Co.: NA

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 105843 License No.: 145850 Owner Information WILSON ASSISTANT LIVING WILSON ASSISTANT LIVING 1537 SUTTER 6316 FOREST KNOLL TRL , DALLAS TX 75216 DALLAS TX 75232 Phone (469) 387-9761 Fax (214) 371-1433 PHONE: (469) 387-9761 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SOMOVA WILSON License Eff Dt: 11/19/2020 License Exp Dt: 11/19/2023 Mgmt Co.: WILSON ASSISTANT LIVING

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 103317 License No.: 307602 Owner Information A COMPASSIONATE ASSISTED LIVING LLC A COMPASSIONATE ASSISTED LIVING LLC 1008 SPRINGBROOK DRIVE , DESOTO TX 75115 Phone (469) 917-9249 Fax (951) 742-1629 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JONATHAN DARKO License Eff Dt: 05/01/2019 License Exp Dt: 05/01/2022 Mgmt Co.: A COMPASSIONATE ASSISTED LIVING LLC

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 105996 License No.: 147162 Owner Information A DAUGHTERS CARE A DAUGHTERS CARE LLC 521 SHENANDOAH DR 523 SHENNANDOAH DR. , DESOTO TX 75115 DESOTO TX 75115 Phone (214) 400-8687 Fax PHONE: (214) 400-8687 FAX: (972) 748-2604 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JUAH DAVIS License Eff Dt: 04/17/2019 License Exp Dt: 04/17/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 105465 License No.: 308138 Owner Information AVICTORIAN PLACE WEST LAKE ASSISTED LIVING 1003 WESTLAKE DR , DESOTO TX 75115 Phone (972) 925-0774 Fax (972) 850-9524 PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JEROME D GUILLORY License Eff Dt: 10/04/2019 License Exp Dt: 10/04/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 109 of 405 County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 000814 License No.: 149102 Owner Information DEER CREEK SENIOR LIVING DE SOTO SENIOR LIVING, INC 747 WEST PLEASANT RUN 747 WEST PLEASANT RUN , DESOTO TX 75115 DESOTO TX 75115 Phone (972) 274-1700 Fax (972) 274-1488 PHONE: (972) 274-1700 FAX: (972) 274-1488 TOTAL Lic Capacity: 58 PRIVATE Beds: 58 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DELLA PRUITT License Eff Dt: 02/01/2020 License Exp Dt: 02/01/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 105365 License No.: 147248 Owner Information FREEMANS ASSISTED LIVING FREEMANS ASSISTED LIVING LLC 500 CREEKTREE DRIVE PO BOX 1574 , DESOTO TX 75115 MANSFIELD TX 76063 Phone (972) 310-8741 Fax (888) 817-8064 PHONE: (972) 310-8741 FAX: (888) 817-8064 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: NOLAN FREEMAN License Eff Dt: 03/01/2019 License Exp Dt: 03/01/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 100513 License No.: 149542 Owner Information GOD IS LOVE PERSONAL CARE HOME INC GOD IS LOVE PERSONAL CARE HOME INC 231 CHARLES ST 231 CHARLES ST , DESOTO TX 75115 DESOTO TX 75115 Phone (972) 228-4321 Fax (972) 228-4321 PHONE: (972) 228-4321 FAX: (972) 228-4321 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ELIZABETH PETERS License Eff Dt: 02/26/2020 License Exp Dt: 02/26/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 102991 License No.: 146434 Owner Information HAZELS HOME CARE LLC HAZEL'S HOME CARE LLC 820 E WINTERGREEN RD 533 HIGHFALL DR , DESOTO TX 75115 DALLAS TX 75232 Phone (214) 372-2054 Fax (214) 374-7721 PHONE: (214) 372-2054 FAX: (214) 374-7721 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: HAZEL L GRADY - DO NOT USE - DUPLICATE License Eff Dt: 12/30/2018 License Exp Dt: 04/30/2021 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 103650 License No.: 148217 Owner Information RISING SUN RESIDENTIAL CARE FACILITY INC #2 RISING SUN RESIDENTIAL CARE FACILITY INC 325 SQUIREBROOK DR 325 SQUIREBROOK DR , DESOTO TX 75115 DESOTO TX 75115 Phone (469) 245-4990 Fax (469) 533-4902 PHONE: (469) 245-4990 FAX: TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: TONYA C ROBERTS License Eff Dt: 09/01/2019 License Exp Dt: 09/01/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 110 of 405 County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 106522 License No.: 146046 Owner Information GOOD LIFE SENIOR LIVING DUNCANVILLE SENIOR CARE, LLC 302 W WHEATLAND RD B 588 WHITE MOUNTAIN MEADOWS DR , DUNCANVILLE TX 75116 RUIDOSO NM 88345 Phone (972) 780-2273 Fax PHONE: (806) 790-1958 FAX: (866) 203-8851 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARI C HICKEY License Eff Dt: 10/25/2020 License Exp Dt: 10/25/2023 Mgmt Co.: TASCOSA MANAGEMENT, LLC

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 106521 License No.: 146047 Owner Information GOOD LIFE SENIOR LIVING DUNCANVILLE SENIOR CARE LLC 302 W WHEATLAND RD A P O BOX 34 , DUNCANVILLE TX 75116 CAUSEY NM 88113 Phone (972) 780-2273 Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROBERT JOHNSON License Eff Dt: 10/25/2020 License Exp Dt: 10/25/2023 Mgmt Co.: TASCOSA MANAGEMENT, LLC

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 106818 License No.: 147168 Owner Information GRACEFUL ARMS SENIOR LIVING LLC GRACEFUL ARMS SENIOR LIVING LLC 1415 BIG STONE GAP ROAD 445 E FM 1382STE 3-421 , DUNCANVILLE TX 75137 CEDAR HILL TX 75104 Phone (469) 297-0430 Fax (469) 776-5200 PHONE: (469) 297-0430 FAX: (469) 776-5200 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JERRY K REED License Eff Dt: 05/03/2021 License Exp Dt: 05/03/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 030289 License No.: 148535 Owner Information BROOKDALE FARMERS BRANCH ESCNGH, LP 13505 WEBB CHAPEL RD 111 WESTWOOD PL STE 400 , FARMERS BRANCH TX 75234 BRENTWOOD TN 37027 Phone (972) 241-3955 Fax (972) 241-4090 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 105 PRIVATE Beds: 105 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PRESTON SMITH JR License Eff Dt: 10/01/2019 License Exp Dt: 10/01/2021 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 101493 License No.: 144839 Owner Information ABBA CARE ASSISTED LIVINGA ABBA CARE INC 1207 HIGH GROVE DR 1201 HIGH GROVE DR , GARLAND TX 75041 GARLAND TX 75041 Phone (972) 840-1515 Fax (972) 840-1511 PHONE: (972) 840-9292 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARIA VICTORIA V VILLAPANDO License Eff Dt: 01/22/2020 License Exp Dt: 01/22/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 111 of 405 County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 101492 License No.: 146477 Owner Information ABBA CARE ASSISTED LIVINGB ABBA CARE INC 1201 HIGH GROVE DR 1201 HIGH GROVE DR , GARLAND TX 75041 GARLAND TX 75041 Phone (972) 840-9292 Fax (972) 840-9291 PHONE: (972) 840-9292 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARIA VICTORIA V VILLAPANDO License Eff Dt: 01/22/2021 License Exp Dt: 01/22/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 105839 License No.: 148034 Owner Information AVALON MEMORY CARE AVALON DEMENTIA CARE MANAGEMENT LLC 1150 COLONEL DRIVE 1625 N STEMMONS FRWY , GARLAND TX 75043 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 24 PRIVATE Beds: 24 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JONATHAN C SEIB License Eff Dt: 09/30/2019 License Exp Dt: 09/30/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 000696 License No.: 147443 Owner Information BROOKDALE CLUB HILL BLCCLUB HILL LLC 1321 COLONEL DR 111 WESTWOOD PLACESTE 400 , GARLAND TX 75043 BRENTWOOD TN 37027 Phone (972) 278-8500 Fax (972) 271-9931 PHONE: (615) 221-2250 FAX: (615) 221-5284 TOTAL Lic Capacity: 134 PRIVATE Beds: 134 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MAX RASQUINHA License Eff Dt: 07/05/2019 License Exp Dt: 07/05/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 110492 License No.: 308174 Owner Information CHRISTHOUSE ASSISTED LIVING INC POSHCARE ASSISTED LIVING INC 1710 TOBIN TRAIL 3706 SOUTH COUNTRY CLUB ROAD , GARLAND TX 75043 GARLAND TX 75043 Phone (214) 532-4167 Fax (214) 988-3032 PHONE: (469) 910-8064 FAX: (214) 988-3032 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL BEDIAKO License Eff Dt: 02/09/2021 License Exp Dt: 02/09/2024 Mgmt Co.: POSHCARE ASSISTED LIVING INC

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 106663 License No.: 307923 Owner Information COLONIAL OAKS AT CAMPBELL PARK COLONIAL OAKS AT FIREWHEEL PROPERTY COMPANY, LLC 1501 W CAMPBELL ROAD , GARLAND TX 75044 Phone 972 5304182 Fax PHONE: FAX: TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TANYA THORNTON LVN License Eff Dt: 05/01/2020 License Exp Dt: 05/01/2023 Mgmt Co.: COLONIAL OAKS AT FIREWHEEL MANAGER, LLC

Tuesday, September 28, 2021 Page 112 of 405 County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 104782 License No.: 148304 Owner Information FAITH COMFORT OAKS SPRINGS HOME FAITH COMFORT CARE HOME LLC 3001 OAK SPRING DR 525 BIRCH LN , GARLAND TX 75044 RICHARDSON TEXAS 75081 Phone (214) 299-9088 Fax (972) 664-0720 PHONE: (214) 607-8763 FAX: (972) 664-0720 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LOISE MATTHEWS License Eff Dt: 09/28/2019 License Exp Dt: 09/28/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 106555 License No.: 146355 Owner Information GARLAND SERENITY HOME GARLAND SERENITY HOME LLC 4626 CANDLESTICK DR 4626 CANDLESTICK DR. , GARLAND TX 75043 GARLAND TX 75043 Phone (214) 952-3818 Fax (972) 240-0296 PHONE: (214) 952-3818 FAX: (972) 240-0296 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ADELA M FLOAREA License Eff Dt: 11/10/2020 License Exp Dt: 11/10/2023 Mgmt Co.: GARLAND SERENITY HOME LLC

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 102820 License No.: 144724 Owner Information GRAND BROOK MEMORY CARE OF GARLAND GARLAND OPCO LLC 5600 NORTH SHILOH RD 7708 SAN JACINTO PLACE UNIT 100 , GARLAND TX 75044 PLANO TX 75024 Phone (972) 530-7700 Fax (972) 530-7707 PHONE: (469) 331-8200 FAX: (469) 519-4151 TOTAL Lic Capacity: 46 PRIVATE Beds: 46 Cert Alzh Capacity: 46 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JUDY SONNTAG License Eff Dt: 12/23/2017 License Exp Dt: 12/23/2019 Mgmt Co.: CONSTANT CARE MANAGEMENT COMPANY

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 100067 License No.: 148881 Owner Information HERITAGE HOUSE OF GARLAND THE HERITAGE HOUSE OF PLANO LLC 1201 CARDIGAN ST 900 17TH ST , GARLAND TX 75040 PLANO TX 75074 Phone (972) 530-1671 Fax (469) 573-9352 PHONE: (214) 632-2382 FAX: (469) 573-9352 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CYNTHIA M DESIMONE-BOGGS License Eff Dt: 12/28/2019 License Exp Dt: 12/28/2021 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 106028 License No.: 146420 Owner Information MAYBERRY GARDENS MAYBERRY GARDENS INC 3260 N GARLAND AVE 3272 N GARLAND AVE , GARLAND TX 75040 GARLAND TX 75040 Phone (972) 675-3603 Fax (972) 675-3603 PHONE: (972) 675-3603 FAX: (972) 675-3603 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 12 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ADRIAN HEWITT License Eff Dt: 01/22/2021 License Exp Dt: 01/22/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 113 of 405 County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 105352 License No.: 146102 Owner Information MAYBERRY GARDENS ASSISTED LIVING MAYBERRY GARDENS INC 3258 N GARLAND AVE 3272 N GARLAND AVE , GARLAND TX 75040 GARLAND TX 75040 Phone (972) 675-3603 Fax (972) 675-3603 PHONE: (972) 675-3603 FAX: (972) 675-3603 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 13 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ADRIAN HEWITT License Eff Dt: 12/18/2020 License Exp Dt: 12/18/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 030413 License No.: 147913 Owner Information MAYBERRY GARDENS ASSISTED LIVING 2 MAYBERRY GARDENS INC 3252 N GARLAND AVE 3272 N GARLAND AVE , GARLAND TX 75040 GARLAND TX 75040 Phone (468) 332-5961 Fax (972) 675-3504 PHONE: (972) 675-3603 FAX: (972) 675-3603 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SCOTT R MAYBERRY License Eff Dt: 10/07/2021 License Exp Dt: 10/07/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 010268 License No.: 146524 Owner Information MAYBERRY GARDENS ASSISTED LIVING 3 MAYBERRY GARDENS INC 3256 3260 3262 3264 3266 3268 3270N GARLAND AVE 3272 N GARLAND AVE , GARLAND TX 75040 GARLAND TX 75040 Phone (972) 675-8572 Fax (972) 675-3504 PHONE: (972) 675-3603 FAX: (972) 675-3603 TOTAL Lic Capacity: 79 PRIVATE Beds: 79 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ADRIAN HEWITT License Eff Dt: 12/08/2018 License Exp Dt: 12/08/2020 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 105351 License No.: 146029 Owner Information MAYBERRY GARDENS ASSISTED LIVING FACILITY MAYBERRY GARDENS INC 3254 N GARLAND AVE 3272 N GARLAND AVE , GARLAND TX 75040 GARLAND TX 75040 Phone (972) 675-3603 Fax (972) 675-3603 PHONE: (972) 675-3603 FAX: (972) 675-3603 TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SCOTT R MAYBERRY License Eff Dt: 11/21/2020 License Exp Dt: 11/21/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 107275 License No.: 307611 Owner Information MAYBERRY GARDENS HOUSE 4 MAYBERRY GARDENS INC 3256 N GARLAND AVE 3272 N GARLAND AVE , GARLAND TX 75040 GARLAND TX 75040 Phone (972) 675-3603 Fax PHONE: (972) 675-3603 FAX: (972) 675-3603 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ADRIAN HEWITT License Eff Dt: 12/17/2019 License Exp Dt: 12/17/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 114 of 405 County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 030292 License No.: 146681 Owner Information MAYBERRY GARDENS INC MAYBERRY GARDENS INC 3250 N GARLAND AVE 3272 N GARLAND AVE , GARLAND TX 75040 GARLAND TX 75040 Phone (972) 414-6394 Fax (972) 675-3504 PHONE: (972) 675-3603 FAX: (972) 675-3603 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SCOTT R MAYBERRY License Eff Dt: 04/02/2021 License Exp Dt: 04/02/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 110312 License No.: 307758 Owner Information NEURORESTORATIVE TEXAS CAREMERIDIAN, LLC 2301 W. CAMPBELL RD. , GARLAND TX 75044 Phone (469) 369-0628 Fax (469) 447-8995 PHONE: FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHELSIE BATISTE License Eff Dt: 03/13/2020 License Exp Dt: 03/13/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 106925 License No.: 148750 Owner Information POSHCARE ASSISTED LIVING INC POSHCARE ASSISTED LIVING INC 3706 SOUTH COUNTRY CLUB ROAD 3706 SOUTH COUNTRY CLUB ROAD , GARLAND TX 75043 GARLAND TX 75043 Phone (214) 478-3669 Fax (469) 910-8064 PHONE: (469) 910-8064 FAX: (214) 988-3032 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BETTY DWOMO-BEDIAKO License Eff Dt: 12/04/2019 License Exp Dt: 12/19/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 030394 License No.: 147525 Owner Information SILVER CREEK ASSISTED LIVING GARLAND SCAL GARLAND LLC 1246 COLONEL DR 2501 E HEBRON PKWYSTE 100C , GARLAND TX 75043 CARROLTON TX 75010 Phone (469) 814-0412 Fax (469) 814-0292 PHONE: (469) 814-0412 FAX: (469) 814-0292 TOTAL Lic Capacity: 118 PRIVATE Beds: 118 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SANDRA MOTHERSELL License Eff Dt: 07/02/2019 License Exp Dt: 07/02/2022 Mgmt Co.: SILVERCARE MANAGEMENT, LLC

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 107044 License No.: 149249 Owner Information SKYLINE RESIDENTIAL HOMES LLC SKYLINE RESIDENTIAL HOMES LLC 1925 TOLER TRAIL 1925 TOLER TRAIL , GARLAND TX 75043 GARLAND TX 75043 Phone (214) 597-1035 Fax (469) 543-6029 PHONE: (469) 543-6029 FAX: (469) 543-6029 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BRANCH JOYCE License Eff Dt: 04/06/2020 License Exp Dt: 04/06/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 115 of 405 County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 104041 License No.: 147765 Owner Information SPRINGFIELD SENIOR LIVING SPRINGFIELD SENIOR LIVING, LLC 1817 ROYAL CREST DRSPRINGFIELD SENIOR LIVING , GARLAND TX 75043 Phone (214) 501-2025 Fax (214) 593-3235 PHONE: FAX: TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHIBU SAMUEL License Eff Dt: 12/03/2020 License Exp Dt: 12/03/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 103200 License No.: 146799 Owner Information A HOUSE OF HOPE SHIRLEY DABBS 2010 BURROWS TRAIL 2010 BURROWS TRAIL , GRAND PRAIRIE TX 75052 GRAND PRAIRIE TX 75052 Phone (214) 793-5918 Fax (972) 641-4505 PHONE: (972) 641-4505 FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SHIRLEY DABBS License Eff Dt: 03/24/2021 License Exp Dt: 03/24/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 110416 License No.: 308021 Owner Information MAYBERRY GARDENS MG AL GRAND PRAIRIE LLC 540 E POLO ROAD BUILDING 5 3272 N GARLAND AVE , GRAND PRAIRIE TX 75052 GARLAND TX 75040 Phone Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 11/25/2020 License Exp Dt: 11/25/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 110297 License No.: 307722 Owner Information MAYBERRY GARDENS MG AL GRAND PRAIRIE LLC 540 E POLO ROAD BUILDING 1 3272 N GARLAND AVE , GRAND PRAIRIE TX 75052 GARLAND TX 75040 Phone Fax (972) 975-9044 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 03/04/2020 License Exp Dt: 03/04/2023 Mgmt Co.: MG AL PARENT, LLC

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 110331 License No.: 307810 Owner Information MAYBERRY GARDENS MG AL GRAND PRAIRIE LLC 540 E POLO ROAD BUILDING 3 3272 N GARLAND AVE , GRAND PRAIRIE TX 75052 GARLAND TX 75040 Phone (972) 975-9044 Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: WESLEY M STAUB License Eff Dt: 04/21/2020 License Exp Dt: 04/21/2023 Mgmt Co.: MG AL PARENT, LLC

Tuesday, September 28, 2021 Page 116 of 405 County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 110476 License No.: 308121 Owner Information MAYBERRY GARDENS MG AL GRAND PRAIRIE LLC 540 E POLO ROAD BUILDING 4 3272 N GARLAND AVE , GRAND PRAIRIE TX 75052 GARLAND TX 75040 Phone Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 10/27/2020 License Exp Dt: 10/27/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 110332 License No.: 307812 Owner Information MAYBERRY GARDENS GRAND PRAIRIE BUILDING 2 MG AL GRAND PRAIRIE LLC 540 E POLO ROAD BUILDING 2 3272 N GARLAND AVE , GRAND PRAIRIE TX 75052 GARLAND TX 75040 Phone Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 04/21/2020 License Exp Dt: 04/21/2023 Mgmt Co.: MG AL PARENT, LLC

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 030313 License No.: 308164 Owner Information MORADA GRAND PRAIRIE HP GRAND PRAIRIE OPCO, LLC 355 W WESTCHESTER PKWY , GRAND PRAIRIE TX 75052 Phone (972) 263-3663 Fax NA PHONE: FAX: TOTAL Lic Capacity: 114 PRIVATE Beds: 114 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ROBERT BODIEN License Eff Dt: 02/01/2021 License Exp Dt: 02/01/2024 Mgmt Co.: MORADA SENIOR LIVING LLC

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 105270 License No.: 146443 Owner Information PBH RESIDENTIAL CARE HOMES L P PBH RESIDENTIAL CARE HOMES LP 921 NW 9TH ST PO BOX 535293 , GRAND PRAIRIE TX 75050 GRAND PRAIRIE TX 75053 Phone (214) 443-8180 Fax (972) 660-2204 PHONE: (469) 682-6670 FAX: (972) 660-2204 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LISA A TUPPER License Eff Dt: 01/16/2020 License Exp Dt: 01/16/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 104792 License No.: 150113 Owner Information PBH RESIDENTIAL CARE HOMES LP PBH RESIDENTIAL CARE HOMES LP 902 N.W. 8TH ST PO BOX 535293 , GRAND PRAIRIE TX 75050 GRAND PRAIRIE TX 75053 Phone (972) 863-1000 Fax (972) 660-2204 PHONE: (469) 682-6670 FAX: (972) 660-2204 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LISA A TUPPER License Eff Dt: 10/13/2019 License Exp Dt: 10/13/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 117 of 405 County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 104869 License No.: 148089 Owner Information RENON ASSISTED LIVING LLC RENON ASSISTED LIVING LLC 119 MATAMOROS STREET 119 MATAMOROA ST , GRAND PRAIRIE TX 75051 GRAND PRAIRIE TX 75051 Phone (469) 441-3619 Fax (214) 412-2246 PHONE: (214) 412-2246 FAX: (214) 412-2246 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RITA O ONOUHA License Eff Dt: 07/02/2021 License Exp Dt: 07/02/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 030399 License No.: 148483 Owner Information THE ESTATES AT GRAND PRAIRIE THE ESTATES AT GRAND PRAIRIE INC 1005 SW 3RD ST 1005 SW 3RD ST , GRAND PRAIRIE TX 75051 GRAND PRAIRIE TX 75051 Phone (972) 237-1943 Fax (972) 237-5964 PHONE: (972) 237-1905 FAX: (972) 237-5964 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GLEN CAVINESS License Eff Dt: 02/28/2020 License Exp Dt: 02/28/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 030237 License No.: 149395 Owner Information AVALON MEMORY CARE AVALON DEMENTIA CARE MANAGEMENT LLC 3400 N COUNTRY CLUB RD 1625 N STEMMONS FRWY , IRVING TX 75062 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 48 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JONATHAN C SEIB License Eff Dt: 01/31/2020 License Exp Dt: 01/31/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 010313 License No.: 307664 Owner Information CEDAR CREST OF IRVING, LLC CEDAR CREST OF IRVING, LLC 2425 TEXAS DRIVE , IRVING TX 75062 Phone (972) 659-6800 Fax (972) 659-6904 PHONE: FAX: TOTAL Lic Capacity: 113 PRIVATE Beds: 113 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DON BLACKWELL License Eff Dt: 07/01/2019 License Exp Dt: 07/01/2022 Mgmt Co.: SILVERPOINT SENIOR LIVING, LLC

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 101049 License No.: 149770 Owner Information CENTRE FOR NEURO SKILLS CENTRE FOR NEURO SKILLS, INC TEXAS 3941-47 PORTLAND 5215 ASHE RD , IRVING TX 75038 BAKERSFIELD CA 93313 Phone (972) 580-8500 Fax (972) 255-3162 PHONE: (661) 872-3408 FAX: (661) 872-5150 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BRITTANY HENDERSON License Eff Dt: 11/30/2020 License Exp Dt: 11/30/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 118 of 405 County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 104301 License No.: 145407 Owner Information CENTRE FOR NEURO SKILLS CENTRE FOR NEURO SKILLS, INC TEXAS 3849-3855 PORTLAND ST 5215 ASHE RD , IRVING TX 75038 BAKERSFIELD CA 93313 Phone (972) 580-8500 Fax (972) 255-3162 PHONE: (661) 872-3408 FAX: (661) 872-5150 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BRITTANY HENDERSON License Eff Dt: 09/02/2020 License Exp Dt: 09/02/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 105190 License No.: 145593 Owner Information CENTRE FOR NEURO SKILLS CENTRE FOR NEURO SKILLS, INC TEXAS 3841-3847 PORTLAND STREET 3841, 3843, 3845, 3847 5215 ASHE RD , IRVING TX 75038 BAKERSFIELD CA 93313 Phone 972 580 8500 Fax 972 255 3162 PHONE: (661) 872-3408 FAX: (661) 872-5150 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BRITTANY HENDERSON License Eff Dt: 08/16/2020 License Exp Dt: 08/16/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 101050 License No.: 147810 Owner Information CENTRE FOR NEURO SKILLS CENTRE FOR NEURO SKILLS, INC TEXAS 3951-57 PORTLAND 5215 ASHE RD , IRVING TX 75038 BAKERSFIELD CA 93313 Phone (972) 594-0549 Fax (972) 580-8500 PHONE: (661) 872-3408 FAX: (661) 872-5150 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BRITTANY HENDERSON License Eff Dt: 06/20/2021 License Exp Dt: 06/20/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 000684 License No.: 148068 Owner Information CENTRE FOR NEURO SKILLS UNIT 1 CENTRE FOR NEURO SKILLS, INC TEXAS 3901-3907 PORTLAND 5215 ASHE RD , IRVING TX 75038 BAKERSFIELD CA 93313 Phone (972) 580-8500 Fax (972) 255-3162 PHONE: (661) 872-3408 FAX: (661) 872-5150 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOHN RICHARDSON License Eff Dt: 08/03/2019 License Exp Dt: 08/03/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 000949 License No.: 149995 Owner Information CENTRE FOR NEURO SKILLS UNIT 2 CENTRE FOR NEURO SKILLS, INC TEXAS 3911 PORTLAND 5215 ASHE RD , IRVING TX 75038 BAKERSFIELD CA 93313 Phone (972) 580-8500 Fax (972) 255-3162 PHONE: (661) 872-3408 FAX: (661) 872-5150 TOTAL Lic Capacity: 1 PRIVATE Beds: 1 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BRITTANY HENDERSON License Eff Dt: 08/03/2020 License Exp Dt: 08/03/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 119 of 405 County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 000685 License No.: 149780 Owner Information CENTRE FOR NEURO SKILLS UNIT 3 CENTRE FOR NEURO SKILLS, INC TEXAS 3921-3927 PORTLAND 5215 ASHE RD , IRVING TX 75038 BAKERSFIELD CA 93313 Phone (972) 580-8500 Fax (972) 255-3162 PHONE: (661) 872-3408 FAX: (661) 872-5150 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BRITTANY HENDERSON License Eff Dt: 08/03/2020 License Exp Dt: 08/03/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 000686 License No.: 147997 Owner Information CENTRE FOR NEURO SKILLS UNIT 4 CENTRE FOR NEURO SKILLS, INC TEXAS 3931-3937 PORTLAND 5215 ASHE RD , IRVING TX 75038 BAKERSFIELD CA 93313 Phone (972) 580-8500 Fax (972) 255-3162 PHONE: (661) 872-3408 FAX: (661) 872-5150 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOHN RICHARDSON License Eff Dt: 08/03/2019 License Exp Dt: 08/03/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 105957 License No.: 308009 Owner Information MACARTHUR HILLS KINWEST SENIOR CARE LLC 1295 KINWEST PARKWAY , IRVING TX 75063 Phone (469) 251-4349 Fax PHONE: FAX: TOTAL Lic Capacity: 130 PRIVATE Beds: 130 Cert Alzh Capacity: 50 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARY CRUZ License Eff Dt: 10/24/2019 License Exp Dt: 10/24/2022 Mgmt Co.: SLH DALLAS NORTH MANAGER, LLC

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 101605 License No.: 307506 Owner Information THE AUBERGE AT VALLEY RANCH A MEMORY CARE COMMUNITY WELLTOWER TENANT GROUP LLC 8855 WEST VALLEY RANCH PARKWAY 4500 DORR STREET , IRVING TX 75063 TOLEDO OHIO 43615 Phone 972 8318200 Fax 972 8311515 PHONE: FAX: TOTAL Lic Capacity: 68 PRIVATE Beds: 68 Cert Alzh Capacity: 68 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JUSTINA POWER License Eff Dt: 07/01/2019 License Exp Dt: 07/01/2022 Mgmt Co.: IRVING MC CARE PROPERTIES, LLC

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 110113 License No.: 307244 Owner Information THE CASITAS AT LAS BRISAS IRVING LONG TERM CARE LLC 3421 W. STORY ROAD 3421 W STORY RD , IRVING TX 75038 IRVING TX 75038 Phone (832) 285-4798 Fax (469) 212-1086 PHONE: (832) 285-4798 FAX: (469) 212-1086 TOTAL Lic Capacity: 54 PRIVATE Beds: 54 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CLAY NYIAN License Eff Dt: 04/16/2021 License Exp Dt: 04/16/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 120 of 405 County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 100037 License No.: 149869 Owner Information TOWNE LAKE COURT PATE REHABILITATION ENDEAVORS, INC 200 ESTERS RD 2655 VILLA CREEK STE 140 , IRVING TX 75061 DALLAS TX 75234 Phone (972) 514-6032 Fax (972) 514-6054 PHONE: (972) 241-9334 FAX: (972) 484-4739 TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GREG GRINSTEAD License Eff Dt: 07/11/2020 License Exp Dt: 07/11/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 101521 License No.: 149189 Owner Information VIP LIVING CENTER IRVING VIP LIVING CENTERS LLC 3219 VINSON CT 121 N MACARTHUR BLVD , IRVING TX 75060 IRVING TX 75061 Phone (972) 513-0224 Fax 18882675850 PHONE: (972) 254-4477 FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOHN A ROSS License Eff Dt: 11/22/2021 License Exp Dt: 11/22/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 000561 License No.: 307288 Owner Information WEST FORK VILLAGE 12 OAKS IRVING OPCO, LLC 720 N BRITAIN ROAD , IRVING TX 75061 Phone (972) 721-1500 Fax (972) 438-4074 PHONE: FAX: TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: REBECCA CLARK License Eff Dt: 10/17/2020 License Exp Dt: 10/17/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 106354 License No.: 143992 Owner Information A DAUGHTERS CARE A DAUGHTERS CARE LLC 1237 CEDARBROOK TRAIL 523 SHENNANDOAH DR. , LANCASTER TX 75146 DESOTO TX 75115 Phone (214) 400-8687 Fax (972) 748-2604 PHONE: (214) 400-8687 FAX: (972) 748-2604 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JUAH DAVIS License Eff Dt: 12/11/2019 License Exp Dt: 12/11/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 103109 License No.: 146709 Owner Information ANGELS OF HANDS ASSISTED LIVING ANGELS OF HANDS HOME HEALTH AGENCY CORP 2401 N HOUSTON SCHOOL RD PO BOX 181 , LANCASTER TX 75134 DESOTO TEXAS 75123 Phone (972) 572-1873 Fax (972) 572-1890 PHONE: (972) 572-1873 FAX: (972) 572-1890 TOTAL Lic Capacity: 24 PRIVATE Beds: 24 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: EMILY M BARNES License Eff Dt: 04/10/2021 License Exp Dt: 04/10/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 121 of 405 County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 103018 License No.: 146521 Owner Information ANTHONY'S COMMUNITY HOME ANTHONY'S COMMUNITY HOME 1334 MEADOW GLEN 1334 MEADOW GLEN , LANCASTER TX 75146 LANCASTER TX 75146 Phone (972) 230-8441 Fax PHONE: 214 8862100 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: FELICIA C EVANS License Eff Dt: 02/12/2021 License Exp Dt: 02/12/2024 Mgmt Co.: ANTHONY'S COMMUNITY HOME

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 103420 License No.: 148558 Owner Information BRIXTON VILLAGE ASSISTED LIVING BRIXTON VILLAGE FOR THE ELDERLY INC 107 N STEWART AVENUE 1115 W.MAIN ST , LANCASTER TX 75146 LANCASTER TX 75146 Phone (972) 224-8367 Fax (972) 224-8317 PHONE: (214) 315-0130 FAX: (972) 224-8317 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ADEYINKA ADEOYE License Eff Dt: 08/21/2019 License Exp Dt: 08/21/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 100424 License No.: 148065 Owner Information HACKBERRY HOUSE ASSOCIATION FOR IMPROVING MEDICAL SERVICES CORPORATION 111 HACKBERRY ST PO BOX 217 , LANCASTER TX 75146 LANCASTER TX 75146 Phone (972) 227-5839 Fax (972) 227-1212 PHONE: (972) 227-5839 FAX: (972) 227-1212 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: EVELYN V BELCHER License Eff Dt: 08/06/2019 License Exp Dt: 08/06/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 105086 License No.: 148206 Owner Information HOUSE OF ELEGANCE ASSISTANT LIVING BARBARA G SMITH 909 PEPPERIDGE CT 909 PEPPERIDGE CT , LANCASTER TX 75134 LANCASTER TX 75134 Phone (972) 275-0175 Fax (972) 275-0175 PHONE: (972) 275-0175 FAX: (972) 224-0088 TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BARBARA G SMITH MS. License Eff Dt: 06/24/2017 License Exp Dt: 06/30/2021 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 050536 License No.: 307241 Owner Information MAGNOLIA SENIOR LIVING MAGNOLIA SENIOR LIVING 870 MAGNOLIA LN , LANCASTER TX 75146 Phone (972) 218-5534 Fax (972) 224-5589 PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MEGAN GUILLORY License Eff Dt: 06/22/2019 License Exp Dt: 06/22/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 122 of 405 County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 000695 License No.: 148442 Owner Information MEADOWCREEK SENIOR LIVING PLEASANT RUN SENIOR LIVING INC 2400 WEST PLEASANT RUN RD 2400 WEST PLEASANT RUN ROAD , LANCASTER TX 75146 LANCASTER TX 75146 Phone (972) 274-5000 Fax (972) 274-1851 PHONE: (972) 445-7532 FAX: (972) 274-1851 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROCIO VEGA License Eff Dt: 06/16/2019 License Exp Dt: 06/16/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 104968 License No.: 149047 Owner Information MORNING STARR NEW BEGINNINGS MORNING STARR NEW BEGINNINGS 1855 WINDSOR DR 1242 APRIL SHOWERS LN , LANCASTER TX 75134 LANCASTER TEXAS 75134 Phone (972) 218-9246 Fax (972) 224-0088 PHONE: (469) 236-4913 FAX: (972) 218-9246 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SAPERINA D WINBUSH License Eff Dt: 01/24/2020 License Exp Dt: 01/24/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 103501 License No.: 149408 Owner Information MORNING STARR NEW BEGINNINGS MORNING STARR NEW BEGINNINGS 1242 APRIL SHOWERS LANE 1242 APRIL SHOWERS LN , LANCASTER TX 75134 LANCASTER TEXAS 75134 Phone (469) 236-4913 Fax (972) 224-0088 PHONE: (469) 236-4913 FAX: (972) 218-9246 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SAPERINA D WINBUSH License Eff Dt: 08/05/2019 License Exp Dt: 08/05/2021 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 101506 License No.: 149893 Owner Information ASSISTED LIVING COTTAGE INC ASSISTED LIVING COTTAGE INC 1106 SEASHELL DR 1106 SEASHELL DR , MESQUITE TX 75149 MESQUITE TEXAS 75149 Phone (972) 329-6069 Fax (972) 329-5175 PHONE: (214) 334-6395 FAX: (972) 329-5175 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NEVA L JACKSON License Eff Dt: 08/01/2020 License Exp Dt: 08/01/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 000485 License No.: 148055 Owner Information BRADFIELD PLACE BRADFIELD AID OPCO LLC 3700 OATES DR 330 N WABASH AVESTE 3700 , MESQUITE TX 75150 CHICAGO IL 60611 Phone (972) 613-8632 Fax (972) 613-0905 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 58 PRIVATE Beds: 58 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RACHEL SUTER License Eff Dt: 07/11/2019 License Exp Dt: 07/11/2022 Mgmt Co.: ENLIVANT AID CMBS MGMT LLC

Tuesday, September 28, 2021 Page 123 of 405 County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 050648 License No.: 148820 Owner Information CAMBRIDGE COURT ASSISTED LIVING & MEMORY CARE COMMUNITY CCAL RE 2013 LLC 711 MATADOR LN 777 MAIN STSUITE 2300 , MESQUITE TX 75149 FORT WORTH TX 76102 Phone (972) 285-9800 Fax (972) 285-9134 PHONE: (817) 386-8888 FAX: (817) 386-8324 TOTAL Lic Capacity: 135 PRIVATE Beds: 135 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOY PEPPER License Eff Dt: 12/19/2019 License Exp Dt: 12/19/2021 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 000700 License No.: 146844 Owner Information CHRISTIAN CARE CENTER INC BENTLEY PERSONAL CARE UNIT CHRISTIAN CARE CENTERS INC 1010 WIGGINS PKWY 900 WIGGINS PKWY , MESQUITE TX 75150 MESQUITE TX 75150 Phone (972) 686-3000 Fax (866) 216-7525 PHONE: (972) 686-2460 FAX: (866) 216-7525 TOTAL Lic Capacity: 69 PRIVATE Beds: 69 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STEPHANIE PAUL License Eff Dt: 03/16/2019 License Exp Dt: 10/31/2021 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 105435 License No.: 149838 Owner Information FREDISOLO ANNOINTED HOMES FREDISOLO ANNOINTED HOMES 1400 PARKWOOD TRAIL 1400 PARKWOOD TRAIL , MESQUITE TX 75149 MESQUITE TX 75149 Phone (214) 753-9396 Fax (972) 222-9039 PHONE: (214) 753-9396 FAX: (972) 222-9039 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: FREDICA B KIAWU LVN License Eff Dt: 07/22/2020 License Exp Dt: 07/22/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 102608 License No.: 307429 Owner Information GILMOREROSS LIFE CENTER GILMOREROSS LIFE CENTER LLC 1025 CAVERN DR , MESQUITE TX 75181 Phone (972) 222-4272 Fax PHONE: FAX: TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ERNA TILLMON License Eff Dt: 06/19/2019 License Exp Dt: 06/19/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 102752 License No.: 146285 Owner Information MASONS PERSONAL CARE HOMES MASONS PERSONAL CARE HOMES 1819 ARAPAHO TRL 1819 ARAPAHO TRL , MESQUITE TX 75149 MESQUITE TX 75149 Phone (972) 222-0414 Fax (972) 222-0417 PHONE: (972) 222-0414 FAX: (972) 222-0417 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BORIS E MASON License Eff Dt: 12/05/2020 License Exp Dt: 12/05/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 124 of 405 County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 104008 License No.: 148532 Owner Information NOTICE CARE HOMES NATALIE J MILAS 2724 DANIEL CREEK 2724 DANIEL CREEK , MESQUITE TX 75181 MESQUITE TX 75181 Phone (972) 222-7388 Fax (972) 222-2398 PHONE: (214) 282-0009 FAX: (972) 222-2398 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NATALIE J MILAS License Eff Dt: 09/24/2021 License Exp Dt: 09/24/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 105774 License No.: 150125 Owner Information NOTICE CARE HOMES NOTICE CARE HOMES LLC 926 LAKESHORE DRIVE 2618 CROSSCREEK LN , MESQUITE TX 75149 MESQUITE TX 75181 Phone (214) 282-0009 Fax (972) 222-2398 PHONE: (214) 282-0009 FAX: (972) 222-2398 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NATALIE J MILAS License Eff Dt: 01/23/2020 License Exp Dt: 01/23/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 104471 License No.: 145417 Owner Information NOTICE RESIDENTIAL CARE HOME NOTICE CARE HOMES LLC 2618 CROSSCREEK LN 2618 CROSSCREEK LN , MESQUITE TX 75181 MESQUITE TX 75181 Phone (214) 282-0009 Fax (972) 222-2398 PHONE: (214) 282-0009 FAX: (972) 222-2398 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NATALIE J MILAS License Eff Dt: 09/09/2020 License Exp Dt: 09/09/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 101440 License No.: 146570 Owner Information SOPHYAS ASSISTED LIVING, LLC SOPHYA'S ASSISTED LIVING LLC 2621 BEEMAN DR 207 CLARY DR , MESQUITE TX 75181 MESQUITE TX 75149 Phone 972 3330943 Fax 214 3066527 PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SOPHYA MILAS License Eff Dt: 01/21/2021 License Exp Dt: 01/21/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 100885 License No.: 144457 Owner Information THE COURTYARD AT CHRISTIAN CARE CENTER CHRISTIAN CARE CENTERS INC 950 WIGGINS PARKWAY 900 WIGGINS PKWY , MESQUITE TX 75150 MESQUITE TX 75150 Phone (972) 698-2626 Fax (972) 698-2630 PHONE: (972) 686-2460 FAX: (866) 216-7525 TOTAL Lic Capacity: 44 PRIVATE Beds: 44 Cert Alzh Capacity: 44 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PETER DE PUTRON License Eff Dt: 01/22/2020 License Exp Dt: 01/22/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 125 of 405 County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 030337 License No.: 147135 Owner Information ARDEN COURTS OF RICHARDSON ARDEN COURTS OF RICHARDSON TX LLC 410 BUCKINGHAM RD 333 NORTH SUMMIT ST , RICHARDSON TX 75081 TOLEDO OH 43604 Phone (972) 235-1200 Fax (972) 235-1267 PHONE: (419) 252-5500 FAX: (877) 385-9446 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 60 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MICHAEL KNIGHT License Eff Dt: 04/07/2019 License Exp Dt: 07/30/2021 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 000704 License No.: 147488 Owner Information COTTONWOOD CREEK HEALTHCARE COMMUNITY DHC OPCO RICHARDSON, LLC 1111 W SHORE DR 1111 W. SHORE DR , RICHARDSON TX 75080 RICHARDSON TX 75080 Phone (972) 783-8000 Fax (972) 783-4267 PHONE: (337) 456-8502 FAX: (337) 237-0359 TOTAL Lic Capacity: 124 PRIVATE Beds: 124 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KYLE T COLEMAN License Eff Dt: 06/01/2019 License Exp Dt: 06/01/2022 Mgmt Co.: DYNASTY HEALTHCARE MANAGEMENT

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 103842 License No.: 147302 Owner Information FAITH COMFORT CARE HOME LLC FAITH COMFORT CARE HOME LLC 525 BIRCH LN 525 BIRCH LN , RICHARDSON TX 75081 RICHARDSON TEXAS 75081 Phone (972) 664-0740 Fax (972) 664-0720 PHONE: (214) 607-8763 FAX: (972) 664-0720 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LOISE MATTHEWS License Eff Dt: 09/22/2019 License Exp Dt: 09/22/2021 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 001506 License No.: 146202 Owner Information FIELDWOOD AUTISTIC TREATMENT CENTER INC 406 FIELDWOOD , RICHARDSON TX 75081 Phone (972) 690-4011 Fax (972) 644-5650 PHONE: FAX: TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANNA P HUNDLEY License Eff Dt: 01/21/2019 License Exp Dt: 01/21/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 010312 License No.: 307753 Owner Information FRANKLIN PARK APPLETREE, LTD FRANKLIN PARK APPLETREE, LTD 870 ARAPAHO ROAD 21260 GATHERING OAK, SUITE 101 , RICHARDSON TX 75080 SAN ANTONIO TX 78260 Phone (972) 889-2300 Fax (972) 889-8863 PHONE: FAX: TOTAL Lic Capacity: 126 PRIVATE Beds: 126 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANA D BECHTOLD License Eff Dt: 12/18/2019 License Exp Dt: 12/18/2022 Mgmt Co.: FAM APPLETREE SENIORS, LTD

Tuesday, September 28, 2021 Page 126 of 405 County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 106642 License No.: 146970 Owner Information GLORIOUS RESIDENTIAL PLACE AMANICARE TRANSPORTATION SERVICES INC 1800 LONGMONT PLACE 1124 COOLIDGE STREET , RICHARDSON TX 75081 PLANO TX 75094 Phone (469) 567-3900 Fax (972) 578-0103 PHONE: (972) 400-0148 FAX: TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KAHUYE KILLO License Eff Dt: 04/04/2021 License Exp Dt: 04/04/2024 Mgmt Co.: NA

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 105765 License No.: 146544 Owner Information GUARDIAN ANGELS GROUP HOME LLC GUARDIAN ANGELS LOVE AND CARE LLC 426 BIRCH LANE 426 BIRCH LANE , RICHARDSON TX 75081 RICHARDSON TX 75081 Phone (972) 234-4041 Fax (972) 234-4041 PHONE: (972) 234-4041 FAX: (972) 234-4041 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JANE W MBURU License Eff Dt: 11/30/2020 License Exp Dt: 11/30/2023 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 030278 License No.: 146821 Owner Information PARK BEND AUTISTIC TREATMENT CENTER INC 410 PARK BEND 15911 NACOGDOCHES ROAD , RICHARDSON TX 75081 SAN ANTONIO TEXAS 78247 Phone (972) 234-5348 Fax (972) 644-5650 PHONE: (972) 644-2076 FAX: (972) 644-5650 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANNA P HUNDLEY License Eff Dt: 03/26/2021 License Exp Dt: 03/26/2024 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 010273 License No.: 307643 Owner Information THE MONARCH AT RICHARDSON SABRA TRS HOLDINGS, LLC 1493 RICHARDSON DRIVE 18500 VAN KARMAN AVE., SUITE 550 , RICHARDSON TX 75080 IRVINE CA 92612 Phone 972 2313313 Fax 972 2312923 PHONE: FAX: TOTAL Lic Capacity: 114 PRIVATE Beds: 114 Cert Alzh Capacity: 28 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KIM HORN License Eff Dt: 11/01/2019 License Exp Dt: 11/01/2022 Mgmt Co.: RICHARDSON SA OPCO, LLC

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 101007 License No.: 148708 Owner Information THE WELLINGTON AT ARAPAHO ASSISTED LIVING COMMUNITY TRIAD SENIOR LIVING IV LP 600 W ARAPAHO RD 14160 DALLAS PKWYSTE 300 , RICHARDSON TX 75080 DALLAS TX 75254 Phone (469) 330-2800 Fax (469) 330-2299 PHONE: (972) 770-5600 FAX: (972) 770-5666 TOTAL Lic Capacity: 57 PRIVATE Beds: 57 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRISTINE CLARK License Eff Dt: 09/17/2019 License Exp Dt: 09/17/2022 Mgmt Co.: CAPITAL SENIOR LIVING INC

Tuesday, September 28, 2021 Page 127 of 405 County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 106770 License No.: 307489 Owner Information TWIN RIVERS ASSISTED LIVING AND MEMORY CARE CPF SENIOR LIVING TWIN RIVERS, LLC 1720 N. PLANO ROAD , RICHARDSON TX 75081 Phone (972) 979-4333 Fax PHONE: FAX: TOTAL Lic Capacity: 122 PRIVATE Beds: 122 Cert Alzh Capacity: 21 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRIS HENGER License Eff Dt: 08/01/2019 License Exp Dt: 08/01/2022 Mgmt Co.: CPF GRACE MANAGEMENT, LLC

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 107124 License No.: 150229 Owner Information IRIS MEMORY CARE OF ROWLETT IMC ROWLETT LLC 4906 MILLER RD 1919 MCKINNEY AVESTE 2097 , ROWLETT TX 75088 DALLAS TX 75201 Phone (214) 907-9277 Fax (214) 502-8996 PHONE: (817) 776-7890 FAX: (469) 906-2555 TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 48 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ELLEN JEAN RAWLINSON License Eff Dt: 07/31/2020 License Exp Dt: 07/31/2023 Mgmt Co.: IRIS SENIOR LIVING, LLC

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 000830 License No.: 148455 Owner Information MERCER PLACE MERCER AID OPCO LLC 5701 DEXHAM RD 330 N WABASH AVESTE 3700 , ROWLETT TX 75088 CHICAGO IL 60611 Phone (972) 463-1646 Fax (972) 475-7311 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 42 PRIVATE Beds: 42 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RACHEL GILBERT License Eff Dt: 07/11/2021 License Exp Dt: 07/11/2024 Mgmt Co.: ENLIVANT AID CMBS MGMT LLC

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 107055 License No.: 149603 Owner Information THE OAKS AT LIBERTY GROVE QUALITY SENIOR LIVING INC 7904 CHIESA RD 740 I 30 E , ROWLETT TX 75089 SULPHUR SPRINGS TX 75482 Phone (469) 559-6601 Fax (972) 755-4665 PHONE: (469) 559-6601 FAX: TOTAL Lic Capacity: 84 PRIVATE Beds: 84 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JANIE JOLLY License Eff Dt: 04/24/2020 License Exp Dt: 04/24/2022 Mgmt Co.:

County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 110429 License No.: 308050 Owner Information ARIEL POINTE SENIOR LIVING CSL SACHSE 2017 LLC 3400 MILES RD. , SACHSE TX 75048 Phone (469) 661-0506 Fax PHONE: FAX: TOTAL Lic Capacity: 97 PRIVATE Beds: 97 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNI KNUTSON License Eff Dt: 12/14/2020 License Exp Dt: 12/14/2023 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

Tuesday, September 28, 2021 Page 128 of 405 County DALLAS Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 105791 License No.: 149866 Owner Information OXFORD GLEN AT SACHSE OXFORD SACHSE MEMORY CARE LTD 4546 BUNKER HILL RD 125 N MARKETSTE 1416 , SACHSE TX 75048 WICHITA KS 67202 Phone (214) 449-1884 Fax (469) 814-9175 PHONE: (316) 201-3210 FAX: (316) 201-3219 TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 42 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNI KNUTSON License Eff Dt: 06/05/2020 License Exp Dt: 06/05/2023 Mgmt Co.: OXFORD MANAGEMENT GROUP LLC

County DALLAS Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 106937 License No.: 307564 Owner Information LONG CREEK ASSISTED LIVING AND MEMORY CARE HSHLONG CREEK MANAGEMENT TX, LLC 301 TC LUPTON BLVD , SUNNYVALE TX 75182 Phone (469) 563-7899 Fax (469) 563-7899 PHONE: FAX: TOTAL Lic Capacity: 84 PRIVATE Beds: 84 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NEELI SMITH License Eff Dt: 11/19/2019 License Exp Dt: 11/19/2022 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County DAWSON Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 103079 License No.: 148201 Owner Information BEEHIVE HOMES OF LAMESA RATHMANN CARE LLC 101 NE 27TH ST 8100 WYOMING BLVD NESTE M4 #273 , LAMESA TX 79331 ALBUQUERQUE NM 87113 Phone (806) 872-0629 Fax (806) 872-0651 PHONE: (505) 480-1445 FAX: (505) 508-2837 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KACI PORTERFIELD License Eff Dt: 07/16/2021 License Exp Dt: 07/16/2024 Mgmt Co.:

County DAWSON Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 104153 License No.: 150152 Owner Information BEEHIVE HOMES OF LAMESA 2 LAMESA CARE LLC 109 NE 27TH STREET 8100 WYOMING BLVDSTE M4 - 273 , LAMESA TX 79331 ALBUQUERQUE NM 87113 Phone (806) 872-0629 Fax (806) 872-0651 PHONE: (505) 480-1445 FAX: (505) 821-1834 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KACI PORTERFIELD License Eff Dt: 03/29/2020 License Exp Dt: 03/29/2023 Mgmt Co.:

County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 030359 License No.: 147712 Owner Information ATRIA CARROLLTON WG CARROLLTON SH LLC 1825 ARBOR CREEK DR ATTN: LEGAL DEPT 300 E MARKET STSTE 100 , CARROLLTON TX 75010 LOUISVILLE KY 40202 Phone (972) 862-8700 Fax (972) 307-5865 PHONE: (502) 779-4700 FAX: (502) 779-4749 TOTAL Lic Capacity: 125 PRIVATE Beds: 125 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RODNEY D SMITH License Eff Dt: 05/12/2021 License Exp Dt: 05/12/2024 Mgmt Co.: ATRIA MANAGEMENT COMPANY LLC

Tuesday, September 28, 2021 Page 129 of 405 County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 101033 License No.: 150103 Owner Information AUTUMN LEAVES OF NORTH CARROLLTON AT CASTLE HILLS CARROLLTON AUTUMN LEAVES LP 1800 KING ARTHUR BLVD 545 E JOHN CARPENTER FRWYSTE 500 , CARROLLTON TX 75010 IRVING TX 75062 Phone (972) 492-7700 Fax (972) 492-7704 PHONE: (214) 845-4500 FAX: (214) 845-4501 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 50 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: FRANCIS S SMITH License Eff Dt: 07/19/2020 License Exp Dt: 07/19/2023 Mgmt Co.: TLG FAMILY MANGEMENT, LLC

County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 105959 License No.: 145816 Owner Information AVALON AT WILLOW BEND WISMISS MANAGEMENT, LLC 4229 MARSH LANE 1625 NORTH STEMMONS FREEWAY , CARROLLTON TX 75007 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 32 PRIVATE Beds: 32 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TIM SEIB License Eff Dt: 10/24/2020 License Exp Dt: 10/24/2023 Mgmt Co.:

County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 106406 License No.: 149310 Owner Information AVALON AT WILLOW BEND II WISMISS MANAGEMENT, LLC 4233 MARSH LANE 1625 NORTH STEMMONS FREEWAY , CARROLLTON TX 75007 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 25 PRIVATE Beds: 25 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JIM PRIEBE License Eff Dt: 05/18/2020 License Exp Dt: 05/18/2022 Mgmt Co.:

County DENTON Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 105078 License No.: 145260 Owner Information FOUR SEASONS SENIOR LIVING III 4SSL HOLDINGS, LLC 3805 GILLESPIE DR PO BOX 116666 , CARROLLTON TX 75010 CARROLLTON TX 75011 Phone (214) 492-2452 Fax (214) 295-0827 PHONE: (972) 584-9880 FAX: (972) 584-9885 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MURAD MADHANI License Eff Dt: 09/30/2020 License Exp Dt: 09/30/2023 Mgmt Co.:

County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 107279 License No.: 307203 Owner Information SILVER OAKS RESIDENTIAL ASSISTED LIVING SILVER OAKS SENIOR LIVING LLC 2134 LYMINGTON RD , CARROLLTON TX 75007 TX Phone (469) 289-0206 Fax (469) 892-5163 PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: THOMAS VARGHESE License Eff Dt: 03/08/2021 License Exp Dt: 03/08/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 130 of 405 County DENTON Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 105852 License No.: 148405 Owner Information SONOMA HOUSE ASSISTED LIVING LLC SONOMA HOUSE ASSISTED LIVING LLC 2044 E. HEBRON PARKWAY 5949 SHERRY LN STE 960 , CARROLLTON TX 75007 DALLAS TX 75225 Phone (972) 385-0500 Fax PHONE: (214) 463-2601 FAX: (214) 463-2613 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VETA REDMOND License Eff Dt: 11/10/2021 License Exp Dt: 11/10/2024 Mgmt Co.:

County DENTON Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 105849 License No.: 149270 Owner Information SONOMA HOUSE ASSISTED LIVING LLC SONOMA HOUSE ASSISTED LIVING LLC 2040 E HEBRON PRWY 5949 SHERRY LN STE 960 , CARROLLTON TX 75007 DALLAS TX 75225 Phone (972) 385-0500 Fax PHONE: (214) 463-2601 FAX: (214) 463-2613 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VETA REDMOND License Eff Dt: 05/01/2020 License Exp Dt: 05/01/2023 Mgmt Co.:

County DENTON Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 105700 License No.: 149062 Owner Information SONOMA HOUSE ASSISTED LIVING LLC SONOMA HOUSE ASSISTED LIVING LLC 2056 E. HEBRON PARKWAY 5949 SHERRY LN STE 960 , CARROLLTON TX 75007 DALLAS TX 75225 Phone (972) 385-0500 Fax PHONE: (214) 463-2601 FAX: (214) 463-2613 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VETA REDMOND License Eff Dt: 03/19/2020 License Exp Dt: 03/19/2023 Mgmt Co.:

County DENTON Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 105701 License No.: 144535 Owner Information SONOMA HOUSE ASSISTED LIVING LLC SONOMA HOUSE ASSISTED LIVING LLC 2052 E. HEBRON PARKWAY 5949 SHERRY LN STE 960 , CARROLLTON TX 75007 DALLAS TX 75225 Phone (972) 385-0500 Fax PHONE: (214) 463-2601 FAX: (214) 463-2613 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VETA REDMOND License Eff Dt: 04/08/2020 License Exp Dt: 04/08/2023 Mgmt Co.:

County DENTON Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 105850 License No.: 148189 Owner Information SONOMA HOUSE ASSISTED LIVING LLC SONOMA HOUSE ASSISTED LIVING LLC 2036 E. HEBRON PARKWAY 5949 SHERRY LN STE 960 , CARROLLTON TX 75007 DALLAS TX 75225 Phone (972) 385-0500 Fax PHONE: (214) 463-2601 FAX: (214) 463-2613 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VETA REDMOND License Eff Dt: 10/20/2021 License Exp Dt: 10/20/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 131 of 405 County DENTON Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 105851 License No.: 148819 Owner Information SONOMA HOUSE ASSISTED LIVING LLC SONOMA HOUSE ASSISTED LIVING LLC 2032 E. HEBRON PARKWAY 5949 SHERRY LN STE 960 , CARROLLTON TX 75007 DALLAS TX 75225 Phone (972) 385-0500 Fax PHONE: (214) 463-2601 FAX: (214) 463-2613 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VETA REDMOND License Eff Dt: 02/11/2020 License Exp Dt: 02/11/2023 Mgmt Co.:

County DENTON Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 105766 License No.: 144468 Owner Information SONOMA HOUSE ASSISTED LIVING LLC SONOMA HOUSE ASSISTED LIVING LLC 2048 E. HEBRON PARKWAY 5949 SHERRY LN STE 960 , CARROLLTON TX 75007 DALLAS TX 75225 Phone (972) 385-0500 Fax (214) 463-2613 PHONE: (214) 463-2601 FAX: (214) 463-2613 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VETA REDMOND License Eff Dt: 04/08/2020 License Exp Dt: 04/08/2023 Mgmt Co.:

County DENTON Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 104248 License No.: 147441 Owner Information TEXSEN GROUP HOMES LLC TEXSEN GROUP HOMES LLC 4304 WILLIAMSON LN 4304 WILLIAMSON LN , CARROLLTON TX 75010 CARROLTON TX 75010 Phone (469) 892-5332 Fax (972) 939-4805 PHONE: (469) 892-5332 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CORBIN E JEFFRIES JR. License Eff Dt: 06/23/2021 License Exp Dt: 06/23/2024 Mgmt Co.: TEXSEN GROUP HOMES LLC

County DENTON Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 000305 License No.: 148008 Owner Information VILLAGIO OF CARROLLTON SELECT OPERATIONS OF CARROLLTON LLC 1029 W SEMINOLE TRL P.O. BOX 1750 , CARROLLTON TX 75007 ALEDO TX 76008 Phone (972) 395-3553 Fax (888) 753-6262 PHONE: (888) 753-6262 FAX: TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 27 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ARSI CARTER License Eff Dt: 06/17/2019 License Exp Dt: 06/17/2022 Mgmt Co.: SUMMIT SENIOR LIVING LLC

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 101899 License No.: 149643 Owner Information AUTUMN OAKS OF CORINTH ASSISTED LIVING CORINTH ASSISTED CARE LP 3440 CORINTH PKWY 545 E JOHN CARPENTER FRWYSTE 500 , CORINTH TX 76208 IRVING TX 75062 Phone (940) 321-9933 Fax (940) 497-9200 PHONE: (214) 845-4500 FAX: (214) 845-4501 TOTAL Lic Capacity: 42 PRIVATE Beds: 42 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHERRY PICKENS License Eff Dt: 08/04/2020 License Exp Dt: 08/04/2023 Mgmt Co.: TLG FAMILY MANGEMENT, LLC

Tuesday, September 28, 2021 Page 132 of 405 County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 103403 License No.: 146289 Owner Information A JOYFUL JOURNEY ASSISTED LIVING LLC A JOYFUL JOURNEY ASSISTED LIVING LLC 804 ABBOTS LN 1540 NEELY TRAIL , DENTON TX 76205 VALLEY VIEW TX 76272 Phone (940) 393-2273 Fax PHONE: (940) 668-9008 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 6 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VICKY L GRAHAM License Eff Dt: 01/15/2021 License Exp Dt: 01/15/2024 Mgmt Co.:

County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 106583 License No.: 149890 Owner Information ANTHOLOGY OF DENTON CA SENIOR DENTON OPERATOR LLC 1919 BRINKER ROAD 1 PRUDENTIAL PLAZA130 EAST RANDOLPH STREET - STE 2100 , DENTON TX 76208 CHICAGO IL 60601 Phone (940) 380-9494 Fax (940) 380-9191 PHONE: (312) 994-1880 FAX: TOTAL Lic Capacity: 114 PRIVATE Beds: 114 Cert Alzh Capacity: 36 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LUCY TAMAYO License Eff Dt: 06/15/2020 License Exp Dt: 06/15/2023 Mgmt Co.: CA SENIOR DENTON MANAGEMENT, LLC

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 110523 License No.: 308337 Owner Information BELLAIRE RESIDENTIAL ASSISTED LIVING AND MEMORY CARE HH RESIDENTIAL CARE MANAGEMENT, INC 122 BELLAIRE DRIVE , BUILDING 2 7400 LIVINGSTON DRIVE , DENTON TX 76209 DENTON TEXAS 76210 Phone 940 3315400 Fax 940 3827645 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CINDY MCRAE License Eff Dt: 07/26/2021 License Exp Dt: 07/26/2024 Mgmt Co.: NA

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 110521 License No.: 308333 Owner Information BELLAIRE RESIDENTIAL ASSISTED LIVING AND MEMORY CARE HH RESIDENTIAL CARE MANAGEMENT, INC 122 BELLAIRE DRIVE, BUILDING 1 7400 LIVINGSTON DRIVE , DENTON TX 76209 DENTON TEXAS 76210 Phone 940 3315400 Fax 940 3827645 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KIMBERLY TRUAX License Eff Dt: 07/26/2021 License Exp Dt: 07/26/2024 Mgmt Co.: HH RESIDENTIAL CARE MANAGEMENT INC

County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 000498 License No.: 146573 Owner Information BROOKDALE DENTON NORTH BROOKDALE SENIOR LIVING COMMUNITIES, INC 2525 N HINKLE DR 6737 W WASHINGTON ST STE 2300 , DENTON TX 76201 MILWAUKEE WI 53214 Phone (940) 566-7054 Fax (940) 381-9977 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KATHY HAMILTON License Eff Dt: 12/01/2020 License Exp Dt: 12/01/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 133 of 405 County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 030309 License No.: 308249 Owner Information BROOKDALE DENTON SOUTH BKD STERLING HOUSE OF DENTONPARKWAY, LLC 2525 LILLIAN MILLER PARKWAY , DENTON TX 76210 Phone (940) 320-1926 Fax (940) 566-1360 PHONE: FAX: TOTAL Lic Capacity: 64 PRIVATE Beds: 64 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: KATHY HAMILTON License Eff Dt: 01/01/2021 License Exp Dt: 01/01/2024 Mgmt Co.: BROOKDALE SENIOR LIVING COMMUNITIES, INC

County DENTON Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 030109 License No.: 146208 Owner Information CARRIAGE HOUSE DENTON ASSISTED LIVING LP 1357 BERNARD ST 1615 W ABRAM ST STE 201 , DENTON TX 76201 ARLINGTON TX 76013-1788 Phone (940) 484-1066 Fax (940) 380-9606 PHONE: (817) 861-8442 FAX: (817) 549-9831 TOTAL Lic Capacity: 65 PRIVATE Beds: 65 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANA BASARA License Eff Dt: 07/13/2020 License Exp Dt: 07/13/2023 Mgmt Co.: ANGELES HOUSING CONCEPTS LTD

County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 102659 License No.: 148861 Owner Information DENTON GOLDEN MEADOWS 2 DENTON GOLDEN MEADOWS CARE INC 1805 WESTRIDGE STREET 3674 SERENDIPITY HILLS , DENTON TX 76210 CORINTH TX 76210 Phone (940) 565-1249 Fax (940) 566-1975 PHONE: (214) 334-5764 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARIAN H ROBINSON License Eff Dt: 10/11/2019 License Exp Dt: 10/11/2021 Mgmt Co.:

County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 101459 License No.: 148198 Owner Information DENTON GOLDEN MEADOWS CARE INC DENTON GOLDEN MEADOWS CARE INC 3200 DONNA ROAD 3674 SERENDIPITY HILLS , DENTON TX 76207 CORINTH TX 76210 Phone (214) 334-5764 Fax (940) 566-1975 PHONE: (214) 334-5764 FAX: TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARIAN H ROBINSON License Eff Dt: 10/15/2021 License Exp Dt: 10/15/2024 Mgmt Co.:

County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 110399 License No.: 307994 Owner Information FAIRHAVEN DENTON NEW HAVEN DEVELOPMENT OF DENTON LLC 2400 N. BELL AVE. , DENTON TX 76201 Phone Fax (801) 606-2793 PHONE: FAX: TOTAL Lic Capacity: 47 PRIVATE Beds: 47 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 11/11/2020 License Exp Dt: 11/11/2023 Mgmt Co.: ENRICHED SENIOR LIVING LLC

Tuesday, September 28, 2021 Page 134 of 405 County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 100868 License No.: 146806 Owner Information LAKE FOREST GOOD SAMARITAN VILLAGE ASSISTED LIVING THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 3901 MONTECITO DR 7304 GOOD SAMARITAN CT , DENTON TX 76210 EL PASO TEXAS 79912 Phone (940) 891-0856 Fax (940) 891-0866 PHONE: (605) 362-3100 FAX: (605) 362-3897 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RHONDA ELLIS License Eff Dt: 04/11/2021 License Exp Dt: 04/11/2024 Mgmt Co.:

County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 106330 License No.: 149738 Owner Information MAYBERRY GARDENS MG AL DENTON LLC 3636 TEASELY LANE BUILDING #5 3636 TEASLEY LN. , DENTON TX 76210 DENTON TX 76210 Phone (940) 600-4178 Fax PHONE: (940) 600-4178 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: WESLEY M STAUB License Eff Dt: 07/25/2020 License Exp Dt: 07/25/2023 Mgmt Co.: MG AL PARENT, LLC

County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 106310 License No.: 149468 Owner Information MAYBERRY GARDENS ASSISTED LIVING & MEMORY CARE HOMES DENTON MG AL DENTON LLC 3636 TEASLEY LANE 3636 TEASLEY LN. , DENTON TX 76210 DENTON TX 76210 Phone (940) 600-4178 Fax (940) 600-4178 PHONE: (940) 600-4178 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: WESLEY M STAUB License Eff Dt: 02/03/2020 License Exp Dt: 02/03/2023 Mgmt Co.: MG AL PARENT, LLC

County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 106327 License No.: 149418 Owner Information MAYBERRY GARDENS ASSISTED LIVING & MEMORY CARE HOMES DENTON HOUSE 2 MG AL DENTON LLC 3636 TEASLEY LANE #2 3636 TEASLEY LN. , DENTON TX 76210 DENTON TX 76210 Phone (940) 600-4178 Fax (940) 600-4178 PHONE: (940) 600-4178 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: WESLEY M STAUB License Eff Dt: 02/02/2020 License Exp Dt: 02/02/2023 Mgmt Co.: MG AL PARENT, LLC

County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 106328 License No.: 148864 Owner Information MAYBERRY GARDENS ASSISTED LIVING & MEMORY CARE HOMES DENTON HOUSE 3 MG AL DENTON LLC 3636 TEASLEY LANE #3 3636 TEASLEY LN. , DENTON TX 76210 DENTON TX 76210 Phone (940) 600-4178 Fax PHONE: (940) 600-4178 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: WESLEY M STAUB License Eff Dt: 01/06/2020 License Exp Dt: 01/06/2023 Mgmt Co.: MG AL PARENT, LLC

Tuesday, September 28, 2021 Page 135 of 405 County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 106329 License No.: 149981 Owner Information MAYBERRY GARDENS ASSISTED LIVING & MEMORY CARE HOMES DENTON HOUSE 4 MG AL DENTON LLC 3636 TEASLEY LN. BLDG 4 3636 TEASLEY LN. , DENTON TX 76210 DENTON TX 76210 Phone (940) 600-4178 Fax (940) 600-4178 PHONE: (940) 600-4178 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: WESLEY M STAUB License Eff Dt: 07/25/2020 License Exp Dt: 07/25/2023 Mgmt Co.: MG AL PARENT, LLC

County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 101950 License No.: 146262 Owner Information MORRISON RESIDENCE THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 2500 HINKLE DR 7304 GOOD SAMARITAN CT , DENTON TX 76201 EL PASO TEXAS 79912 Phone (940) 383-2651 Fax (940) 382-9306 PHONE: (605) 362-3100 FAX: (605) 362-3897 TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMY NEBOLA License Eff Dt: 12/01/2020 License Exp Dt: 12/01/2023 Mgmt Co.:

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 000544 License No.: 146990 Owner Information VINTAGE HEALTH CARE CENTER VINTAGE SCC LLC 205 N BONNIE BRAE 1717 W 6TH STREETSUITE 450 , DENTON TX 76201 AUSTIN TX 78703 Phone (940) 384-1500 Fax (940) 387-7139 PHONE: (512) 340-7829 FAX: (512) 480-0258 TOTAL Lic Capacity: 88 PRIVATE Beds: 88 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DOUG A LINZE License Eff Dt: 05/01/2019 License Exp Dt: 05/01/2022 Mgmt Co.: SAK SCC, LLC

County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 104946 License No.: 147771 Owner Information WILLOW BEND ASSISTED LIVING AND MEMORY CARE DENTON ALF LLC 2125 BRINKER ROAD 8415 EAST 21ST STREET NORTH SUITE 1 , DENTON TX 76208 WICHITA KS 67206 Phone (940) 381-3000 Fax (940) 381-0600 PHONE: (316) 616-6288 FAX: (316) 616-6255 TOTAL Lic Capacity: 86 PRIVATE Beds: 86 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANA ERWIN License Eff Dt: 06/16/2019 License Exp Dt: 06/16/2022 Mgmt Co.: LEGEND SENIOR LIVING LLC

County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 110302 License No.: 307734 Owner Information DAVIS FAMILY ELDER CARE DAVIS FAMILY ELDER CARE, LLC 185 CHINN CHAPEL 127 CHAPEL HILL DRIVE , DOUBLE OAK TX 75077 DOUBLE OAK TX 75077 Phone (909) 917-5853 Fax PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNIFER DAVIS License Eff Dt: 02/28/2020 License Exp Dt: 02/28/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 136 of 405 County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 102844 License No.: 149470 Owner Information AVALON MEMORY CARE AVALON DEMENTIA CARE MANAGEMENT LLC 6601 RAINTREE PLACE 1625 N STEMMONS FRWY , FLOWER MOUND TX 75022 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 13 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JONATHAN C SEIB License Eff Dt: 05/30/2020 License Exp Dt: 05/30/2022 Mgmt Co.:

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 106788 License No.: 147943 Owner Information AVANTI SENIOR LIVING AT FLOWER MOUND IP AVANTI FLOWER MOUND OPCO LLC 4041 LONG PRAIRIE ROAD 4041 LONG PRAIRIE ROAD , FLOWER MOUND TX 75028 FLOWER MOUND TX 77380 Phone (469) 294-1080 Fax PHONE: (469) 294-1080 FAX: TOTAL Lic Capacity: 98 PRIVATE Beds: 98 Cert Alzh Capacity: 40 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VICKI LEE-KING License Eff Dt: 08/15/2021 License Exp Dt: 08/15/2024 Mgmt Co.: AVANTI SL MANAGEMENT LLC

County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 110290 License No.: 307698 Owner Information COMPASSIONATE RESIDENTIAL LIVING LLC COMPASSIONATE RESIDENT LIVING LLC 1327 RIVER OAKS , FLOWER MOUND TX 75028 Phone (214) 783-2044 Fax PHONE: FAX: TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SOPHONIA DAVIS License Eff Dt: 02/19/2020 License Exp Dt: 02/19/2023 Mgmt Co.:

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 000398 License No.: 146788 Owner Information FLOWER MOUND ASSISTED LIVING COMMUNITY FLOWER MOUND ASSISTED LIVING LLC 6051 MORRISS RD 1914 WILLAMETTE FALLS DRSTE 230 , FLOWER MOUND TX 75028 WEST LINN OR 97068 Phone (972) 539-9444 Fax (972) 691-1914 PHONE: (971) 717-2475 FAX: (971) 303-7234 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KIM GERON License Eff Dt: 10/09/2018 License Exp Dt: 12/31/2020 Mgmt Co.: RIDGELINE MANAGEMENT COMPANY

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 105287 License No.: 148606 Owner Information ROSEWOOD ASSISTED LIVING AND MEMORY CARE FLOWER MOUND ALF LLC 4141 LONG PRAIRIE RD 8415 EAST 21ST ST NSTE 100 , FLOWER MOUND TX 75028 WICHITA KS 67206 Phone (972) 829-2050 Fax (972) 829-2051 PHONE: (316) 616-6288 FAX: (316) 615-6255 TOTAL Lic Capacity: 86 PRIVATE Beds: 86 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHANTAE SIMMONS License Eff Dt: 06/15/2021 License Exp Dt: 06/15/2024 Mgmt Co.: LEGEND SENIOR LIVING LLC

Tuesday, September 28, 2021 Page 137 of 405 County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 103044 License No.: 308086 Owner Information THE CROSSINGS AT FLOWER MOUND LSLH FLOWER MOUND LLC 3201 KARNES RD , FLOWER MOUND TX 75022 Phone (972) 355-5432 Fax (972) 355-0396 PHONE: FAX: TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 50 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TRACIE CHRISTIE License Eff Dt: 08/04/2020 License Exp Dt: 08/04/2023 Mgmt Co.: WR FLOWER MOUND LLC

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 106343 License No.: 146966 Owner Information THE OAKS AT FLOWER MOUND CSH FLOWER MOUND LICENSEE LLC 3281 LONG PRAIRIE 1275 PENNSYLVANIA AVE NW 2ND FL , FLOWER MOUND TX 75022 WASHINGTON DC 20004 Phone (469) 630-0800 Fax PHONE: (202) 469-8400 FAX: TOTAL Lic Capacity: 103 PRIVATE Beds: 103 Cert Alzh Capacity: 41 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHANNON CHARTIER License Eff Dt: 12/22/2020 License Exp Dt: 12/22/2023 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 110420 License No.: 308025 Owner Information BEEHIVE HOMES OF FRISCO EVANTAGE ASSISTED LIVING LLC 2660 B TIMBER RIDGE DRIVE, BUILDING B, 1143 HOLFORD DRIVE , FRISCO TX 75034 FRISCO TX 75036 Phone (469) 362-8232 Fax (469) 362-6016 PHONE: (805) 404-9154 FAX: (469) 362-8232 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAVID WILCOX License Eff Dt: 11/09/2020 License Exp Dt: 11/09/2023 Mgmt Co.:

County DENTON Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 106341 License No.: 307721 Owner Information BEEHIVE HOMES OF FRISCO EVANTAGE ASSISTED LIVING LLC 2660 TIMBER RIDGE DRIVE 1143 HOLFORD DRIVE , FRISCO TX 75036 FRISCO TX 75036 Phone (805) 304-0144 Fax PHONE: (805) 404-9154 FAX: (469) 362-8232 TOTAL Lic Capacity: 25 PRIVATE Beds: 25 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAVID WILCOX License Eff Dt: 03/17/2020 License Exp Dt: 03/17/2023 Mgmt Co.:

County DENTON Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 110357 License No.: 307905 Owner Information BEEHIVE HOMES OF FRISCO EVANTAGE ASSISTED LIVING LLC BUILDING A, 2660 A TIMBER RIDGE DRIVE 1143 HOLFORD DRIVE , FRISCO TX 75034 FRISCO TX 75036 Phone (469) 362-8232 Fax (469) 362-6016 PHONE: (805) 404-9154 FAX: (469) 362-8232 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAVID WILCOX License Eff Dt: 06/08/2020 License Exp Dt: 06/08/2023 Mgmt Co.: EVANTAGE ASSISTED LIVING LLC

Tuesday, September 28, 2021 Page 138 of 405 County DENTON Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 105024 License No.: 145056 Owner Information HUNTLEIGH CARE HOMES LLC CEDAR CREEK HUNTLEIGH CARE HOMES, LLC 3259 CEDAR CREEK TRAIL PO BOX 5120 , FRISCO TX 75034 FRISCO TEXAS 75035 Phone (214) 415-8943 Fax (214) 618-1028 PHONE: (972) 455-8280 FAX: (972) 455-8281 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 6 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RICHARD H REIFSCHNEIDER License Eff Dt: 06/15/2020 License Exp Dt: 06/15/2022 Mgmt Co.:

County DENTON Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 110217 License No.: 307478 Owner Information LAKE POINT ASSISTED LIVING LLC LAKE POINT ASSISTED LIVING LLC 20000 FIDDLERS GREEN ROAD P.O. BOX 191088 , FRISCO TX 75036 DALLAS TEXAS 75219 Phone (214) 937-4800 Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DELILIA SOUTER License Eff Dt: 09/16/2019 License Exp Dt: 09/16/2022 Mgmt Co.:

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 106761 License No.: 147107 Owner Information LANDING AT WATERMERE FRISCO FRISCO AL GROUP LP 4300 COTTON GIN ROAD 251 WATERMERE DR. , FRISCO TX 75034 SOUTHLAKE TX 76092 Phone (972) 798-7000 Fax PHONE: (817) 337-7505 FAX: (817) 337-7535 TOTAL Lic Capacity: 136 PRIVATE Beds: 136 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARK A TERRY License Eff Dt: 07/30/2021 License Exp Dt: 07/30/2024 Mgmt Co.: INTEGRATED SENIOR LIVING LLC

County DENTON Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 105813 License No.: 145600 Owner Information MUSTANG CREEK ESTATES FRISCO HOUSE A MUSTANG CREEK MANAGEMENT LLC 1200 W MAIN STREET 2701 DALLAS PKWY STE 175 , FRISCO TX 75034 PLANO TX 75093 Phone (214) 683-5111 Fax (972) 502-9985 PHONE: (214) 683-5111 FAX: (972) 502-9985 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RENEE D RAMSEY License Eff Dt: 09/19/2020 License Exp Dt: 09/19/2023 Mgmt Co.:

County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 105809 License No.: 149015 Owner Information MUSTANG CREEK ESTATES FRISCO HOUSE B MUSTANG CREEK MANAGEMENT LLC 1200 W MAIN ST 2701 DALLAS PKWY STE 175 , FRISCO TX 75034 PLANO TX 75093 Phone (214) 683-5111 Fax (972) 502-9985 PHONE: (214) 683-5111 FAX: (972) 502-9985 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RENEE D RAMSEY License Eff Dt: 10/15/2021 License Exp Dt: 10/15/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 139 of 405 County DENTON Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 105811 License No.: 145539 Owner Information MUSTANG CREEK ESTATES FRISCO HOUSE C AND D MUSTANG CREEK MANAGEMENT LLC 1200 MAIN ST 2701 DALLAS PKWY STE 175 , FRISCO TX 75033 PLANO TX 75093 Phone (214) 872-4242 Fax (972) 502-9985 PHONE: (214) 683-5111 FAX: (972) 502-9985 TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RENEE D RAMSEY License Eff Dt: 08/14/2020 License Exp Dt: 08/14/2023 Mgmt Co.:

County DENTON Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 105812 License No.: 146682 Owner Information MUSTANG CREEK ESTATES FRISCO HOUSE E MUSTANG CREEK MANAGEMENT LLC 1200 MAIN STREET 2701 DALLAS PKWY STE 175 , FRISCO TX 75034 PLANO TX 75093 Phone (214) 396-5828 Fax (972) 502-9985 PHONE: (214) 683-5111 FAX: (972) 502-9985 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RENEE D RAMSEY License Eff Dt: 02/04/2021 License Exp Dt: 02/04/2024 Mgmt Co.:

County DENTON Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 105814 License No.: 145450 Owner Information MUSTANG CREEK ESTATES FRISCO HOUSE F MUSTANG CREEK MANAGEMENT LLC 1200 MAIN ST 2701 DALLAS PKWY STE 175 , FRISCO TX 75034 PLANO TX 75093 Phone (214) 872-4242 Fax (972) 502-9985 PHONE: (214) 683-5111 FAX: (972) 502-9985 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RENEE D RAMSEY License Eff Dt: 08/14/2020 License Exp Dt: 08/14/2022 Mgmt Co.:

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 110160 License No.: 307358 Owner Information WINDHAVEN SENIOR LIVING FRISCO WINDHAVEN MANAGEMENT LLC 2828 A NATURE WAY 4500 RATLIFF LANE, SUITE 115 , FRISCO TX 75033 ADDISON TX 75001 Phone (972) 248-0260 Fax (972) 248-0276 PHONE: (972) 248-0860 FAX: (972) 248-0276 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KAREN QUAILS License Eff Dt: 06/12/2019 License Exp Dt: 06/12/2022 Mgmt Co.: WINDHAVEN MANAGEMENT LLC

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 110156 License No.: 307335 Owner Information WINDHAVEN SENIOR LIVING LTD WINDHAVEN SENIOR LIVING LTD 2828 B NATURE WAY , FRISCO TX 75033 Phone (972) 248-0260 Fax (972) 248-0276 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KAREN QUALLS License Eff Dt: 06/17/2019 License Exp Dt: 06/17/2022 Mgmt Co.: WINDHAVEN MANAGEMENT LLC

Tuesday, September 28, 2021 Page 140 of 405 County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 110136 License No.: 308323 Owner Information WINDHAVEN SENIOR LIVING, LTD WINDHAVEN SENIOR LIVING LTD 2828 NAUTRE WAY UNIT D , FRISCO TX 75033 Phone (972) 248-0260 Fax (972) 248-0276 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KAREN QUALLS License Eff Dt: 05/14/2019 License Exp Dt: 05/14/2022 Mgmt Co.: OHANA VENTURES

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 102151 License No.: 149521 Owner Information RAMBLING OAKS COURTYARD ASSISTED LIVING RESIDENCE RAMBLING OAKS COURTYARD ALR HIGHLAND VILLAGE LLC 110 BARNETT BLVD 1126 RAMBLING OAKS DR , HIGHLAND VILLAGE TX 75077 NORMAN OK 73072 Phone (972) 317-7733 Fax (972) 317-7734 PHONE: (405) 364-4370 FAX: TOTAL Lic Capacity: 79 PRIVATE Beds: 79 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STACEY SCARBOROUGH License Eff Dt: 09/27/2021 License Exp Dt: 09/27/2024 Mgmt Co.:

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 030067 License No.: 147317 Owner Information 4 SEASONS SENIOR LIVING IX 4SSL HOLDINGS, LLC 1724 MILESTONE RIDGE 2785 ROCK BROOK DR #305 , LEWISVILLE TX 75067 LEWISVILLE TEXAS 75067 Phone (972) 584-9880 Fax (972) 584-9885 PHONE: FAX: TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MURAD MADHANI License Eff Dt: 07/11/2021 License Exp Dt: 07/11/2024 Mgmt Co.:

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 102938 License No.: 145848 Owner Information 4 SEASONS SENIOR LIVING VI FOUR SEASONS SENIOR LIVING VI, LLC 2200 PEACHTREE LN 2785 ROCK BROOK DR#305 , LEWISVILLE TX 75067 LEWISVILLE TX 75067 Phone (972) 584-9880 Fax (972) 584-9885 PHONE: (972) 584-9880 FAX: (972) 584-9885 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MURAD MADHANI License Eff Dt: 11/10/2020 License Exp Dt: 11/10/2023 Mgmt Co.:

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 102343 License No.: 145966 Owner Information 4 SEASONS SENIOR LIVING VIII FOUR SEASONS SENIOR LIVING VIII LLC 2208 PEACHTREE LN PO BOX 116666 , LEWISVILLE TX 75067 CARROLLTON TX 75011 Phone (972) 584-9880 Fax (972) 584-9885 PHONE: (972) 584-9880 FAX: (972) 584-9885 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MURAD MADHANI License Eff Dt: 11/10/2020 License Exp Dt: 11/10/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 141 of 405 County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 110487 License No.: 308163 Owner Information AVALON MEMORY CARE AVALON DEMENTIA CARE MANAGEMENT LLC 1165 W ROUND GROVE RD 1625 N STEMMONS FRWY , LEWISVILLE TX 75067 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 27 PRIVATE Beds: 27 Cert Alzh Capacity: 27 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TIM SEIB License Eff Dt: 03/10/2021 License Exp Dt: 03/10/2024 Mgmt Co.:

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 106491 License No.: 145579 Owner Information BEEHIVE ASSISTED LIVING LEWISVILLE, FLOWER MOUND BHHLFM 1 LLC 301 N. GARDEN RIDGE BLVD PO 376 , LEWISVILLE TX 75067 COPPELL TX 75019 Phone (972) 410-5100 Fax (972) 905-7419 PHONE: (214) 455-8834 FAX: TOTAL Lic Capacity: 24 PRIVATE Beds: 24 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: WILLIAM C TABOR III License Eff Dt: 08/23/2020 License Exp Dt: 08/23/2023 Mgmt Co.:

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 107307 License No.: 307322 Owner Information BEEHIVE HOMES LEWISVILLE OLD TOWN BHHLOT LLC 477 W MAIN , LEWISVILLE TX 75057 Phone (469) 312-3034 Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOHN CALLAWAY License Eff Dt: 04/02/2019 License Exp Dt: 04/02/2022 Mgmt Co.:

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 101358 License No.: 307099 Owner Information BREEZEWOOD ASSISTED LIVING INC BREEZEWOOD ASSISTED LIVING INC 1101 BREEZEWOOD DR P O BOX 2666 , LEWISVILLE TX 75067 COPPELL TX 75019 Phone (469) 464-4911 Fax (469) 464-4911 PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAVID GACHIE License Eff Dt: 09/05/2020 License Exp Dt: 09/05/2023 Mgmt Co.:

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 000315 License No.: 148494 Owner Information BROOKDALE LEWISVILLE BROOKDALE SENIOR LIVING COMMUNITIES, INC 965 NORTH GARDEN RIDGE BLVD 6737 W WASHINGTON ST STE 2300 , LEWISVILLE TX 75077 MILWAUKEE WI 53214 Phone (972) 420-9600 Fax (972) 420-7698 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MONICA D DUBOSE License Eff Dt: 12/01/2019 License Exp Dt: 12/01/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 142 of 405 County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 030138 License No.: 308026 Owner Information CEDAR CREST OF LEWISVILLE BRIGHT LIVING LEWISVILLE, LLC 400 HIGHLAND DRIVE , LEWISVILLE TX 75067 Phone (972) 315-1532 Fax (972) 315-7284 PHONE: FAX: TOTAL Lic Capacity: 117 PRIVATE Beds: 117 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ALLEN LITTLE, LVN License Eff Dt: 03/13/2020 License Exp Dt: 03/13/2023 Mgmt Co.: SILVERPOINT SENIOR LIVING, LLC

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 103043 License No.: 147051 Owner Information FRANKIE LANE ASSISTED LIVING FL RESIDENTIAL CARE, LLC 429 FRANKIE LANE 429 FRANKIE LANE , LEWISVILLE TX 75057 LEWISVILLE TX 75057 Phone (469) 587-9796 Fax (972) 436-0547 PHONE: (469) 587-9796 FAX: (972) 436-0547 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARLA A WINIKKA License Eff Dt: 02/06/2021 License Exp Dt: 02/06/2024 Mgmt Co.:

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 107219 License No.: 307070 Owner Information GLENCAIRN HOUSE LIBERTY SENIOR RESIDENTIAL CARE HOMES LLC 1633 GENCAIRN LANE 1633 GLENCAIRN LANE , LEWISVILLE TX 75067 LEWISVILLE TX 75067 Phone (214) 222-2369 Fax (469) 385-8866 PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RUSINDER BAINS License Eff Dt: 10/09/2020 License Exp Dt: 10/09/2023 Mgmt Co.:

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 107037 License No.: 150043 Owner Information INSPIRED LIVING AT LEWISVILLE SENIOR CARE LIVING VII LLC 1080 W. ROUND GROVE ROAD 8380 BAY PINES BLVD3RD FLOOR , LEWISVILLE TX 75067 ST. PETERSBURG FL 33709 Phone (469) 702-0303 Fax (469) 702-0304 PHONE: (727) 592-8889 FAX: (727) 592-8388 TOTAL Lic Capacity: 177 PRIVATE Beds: 177 Cert Alzh Capacity: 54 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MELLISA DALEY License Eff Dt: 07/12/2020 License Exp Dt: 07/12/2023 Mgmt Co.: VALIDUS SENIOR LIVING REIT INVESTMENT MANAGEMENT CO LLC

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 010063 License No.: 149103 Owner Information LEWISVILLE ESTATES LEWISVILLE ELITE STREET LLC 800 COLLEGE PKWY 7887 SAN FELIPESUITE 237 , LEWISVILLE TX 75067 HOUSTON TX 77063 Phone (972) 434-1727 Fax (972) 434-1728 PHONE: FAX: TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ERIN MONTGOMERY License Eff Dt: 10/31/2020 License Exp Dt: 10/31/2023 Mgmt Co.: TARANTINO PROPERTIES, INC

Tuesday, September 28, 2021 Page 143 of 405 County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 106689 License No.: 146809 Owner Information METROPLEX RESIDENTIAL SENIOR CARE LLC METROPLEX RESIDENTIAL SENIOR CARE, LLC 1209 LOGAN DR. 3713 HIDALGO ST , LEWISVILLE TX 75077 IRVING TX 75062 Phone (469) 236-0126 Fax (214) 602-5441 PHONE: (469) 763-3587 FAX: (214) 602-5441 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CARMEN V PEREZ License Eff Dt: 03/03/2021 License Exp Dt: 03/03/2024 Mgmt Co.:

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 103138 License No.: 307471 Owner Information ROCKBROOK MEMORY CARE ROCKBROOK SENIOR LIVING INC 2215 ROCKBROOK DRIVE , LEWISVILLE TX 75067 Phone (972) 459-0600 Fax (972) 459-0609 PHONE: FAX: TOTAL Lic Capacity: 52 PRIVATE Beds: 52 Cert Alzh Capacity: 52 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TONYA WASHINGTON License Eff Dt: 04/01/2019 License Exp Dt: 04/01/2022 Mgmt Co.:

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 110305 License No.: 307744 Owner Information SUMMERTIME HOUSE LIBERTY SENIOR RESIDENTIAL CARE HOMES LLC 1342 SUMMERTIME TRAIL 1633 GLENCAIRN LANE , LEWISVILLE TX 75067 LEWISVILLE TX 75067 Phone (214) 222-2369 Fax (469) 385-8866 PHONE: FAX: TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RUSINDER BAINS License Eff Dt: 03/11/2020 License Exp Dt: 03/11/2023 Mgmt Co.:

County DENTON Reg Svcs: TEAM 7 Region 03 Facility Information: Facility ID: 110387 License No.: 307975 Owner Information HARVEST OF ROANOKE BRIGHT LIVING ROANOKE LLC 601 HOWE ROAD , ROANOKE TX 76262 Phone (682) 261-7464 Fax PHONE: FAX: TOTAL Lic Capacity: 138 PRIVATE Beds: 138 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CANDY SMITH License Eff Dt: 10/20/2020 License Exp Dt: 10/20/2023 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 105187 License No.: 149809 Owner Information REDBIRD MANOR OUTSTRETCHED ARMS 1906 W CHAPMAN DR 1906 W CHAPMAN DR , SANGER TX 76266 SANGER TX 76266 Phone (940) 458-0645 Fax (940) 458-3706 PHONE: (940) 458-0645 FAX: (940) 458-3706 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMANDA JARVIS License Eff Dt: 02/24/2020 License Exp Dt: 02/24/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 144 of 405 County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 106342 License No.: 147062 Owner Information THE HOME PLACE OUTSTRETCHED ARMS 2970 FM 455 WEST 1906 W CHAPMAN DR , SANGER TX 76266 SANGER TX 76266 Phone (940) 458-4402 Fax (940) 458-3708 PHONE: (940) 458-0645 FAX: (940) 458-3706 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KAYE MCGREGOR License Eff Dt: 04/14/2021 License Exp Dt: 04/14/2024 Mgmt Co.:

County DENTON Reg Svcs: TEAM 4 Region 03 Facility Information: Facility ID: 000873 License No.: 144528 Owner Information THE SANGER HOUSE CALEB MERCER 804 N 3RD ST 804 N 3RD ST , SANGER TX 76266 SANGER TX 76266 Phone (940) 458-4425 Fax (940) 458-4402 PHONE: (940) 458-4425 FAX: (940) 458-4402 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TANYA ADAMS License Eff Dt: 01/14/2020 License Exp Dt: 01/14/2023 Mgmt Co.:

County DENTON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 104333 License No.: 307697 Owner Information EAGLE RIDGE ALZHEIMER'S SPECIAL CARE CENTER SH1 VALLEY CREEK OPCO LLC 2505 BRINKER ROAD , SHADY SHORES TX 76208 Phone 940 3231710 Fax 940 3231712 PHONE: FAX: TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 50 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHANNON LEDEL BIGGS License Eff Dt: 11/22/2019 License Exp Dt: 11/22/2022 Mgmt Co.: JERRY ERWIN ASSOCIATES LLC

County DEWITT Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 104852 License No.: 149195 Owner Information ALZCARE OF DEWITT COUNTY ASSISTED LIVING ALZCARE DEWITT COUNTY LLC 131 INDUSTRIAL BLVD 131 INDUSTRIAL BLVD , CUERO TX 77954 CUERO TX 77954 Phone (361) 275-8448 Fax (361) 275-9150 PHONE: (361) 275-8448 FAX: (361) 275-9150 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DONNA HOWELL License Eff Dt: 09/22/2021 License Exp Dt: 09/22/2024 Mgmt Co.:

County DEWITT Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 104682 License No.: 148056 Owner Information ALZCARE OF DEWITT COUNTY MEMORY CARE ALZCARE DEWITT COUNTY LLC 131 INDUSTRIAL BLVD 131 INDUSTRIAL BLVD , CUERO TX 77954 CUERO TX 77954 Phone (361) 275-8448 Fax (361) 275-9150 PHONE: (361) 275-8448 FAX: (361) 275-9150 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DONNA HOWELL License Eff Dt: 04/29/2021 License Exp Dt: 04/29/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 145 of 405 County DONLEY Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 001006 License No.: 146016 Owner Information SUZIE D RHINEHART SUZIE D RHINEHART RHINEHART FAMILY ELDERCARE 216 EAST 4TH , CLARENDON TX 79226 Phone (806) 874-5000 Fax (806) 874-5010 PHONE: FAX: TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE C Administrator: SUZIE RHINEHART License Eff Dt: 01/29/2021 License Exp Dt: 01/29/2024 Mgmt Co.:

County EASTLAND Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 103376 License No.: 148229 Owner Information THE WOODLANDS WOODLANDS NURSING OPERATIONS LLC 125 INSPIRATION BLVD 306 W 7TH STSTE 430 , EASTLAND TX 76448 FORT WORTH TX 76102 Phone (254) 629-1001 Fax (254) 629-1025 PHONE: (817) 339-6177 FAX: (817) 339-6178 TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MONNA CARHILL License Eff Dt: 12/01/2020 License Exp Dt: 12/01/2022 Mgmt Co.: THCM, LLC

County ECTOR Reg Svcs: MIDLAND GERIATRIC Region 02 Facility Information: Facility ID: 000747 License No.: 145273 Owner Information BROOKDALE SHERWOOD EMERITUS CORPORATION 3939 E 52ND ST 6737 W. WASHINGTON STREET SUITE 2300 , ODESSA TX 79762 MILWAUKEE WI 53214 Phone (432) 362-5006 Fax (432) 366-6456 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 96 PRIVATE Beds: 96 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MYLEAH FREDERICK License Eff Dt: 07/31/2020 License Exp Dt: 07/31/2023 Mgmt Co.:

County ECTOR Reg Svcs: MIDLAND GERIATRIC Region 02 Facility Information: Facility ID: 105510 License No.: 146716 Owner Information ORCHARD PARK OF PERMIAN BASIN HEADLEE SENIOR CARE, LLC 8050 DR EMMET HEADLEE ST 1000 LEGION PLSTE 1600 , ODESSA TX 79765 ORLANDO FL 32801 Phone (432) 847-4700 Fax (432) 362-2525 PHONE: (407) 999-2400 FAX: (407) 999-7759 TOTAL Lic Capacity: 80 PRIVATE Beds: 80 Cert Alzh Capacity: 50 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMBER D ADCOCK License Eff Dt: 04/02/2021 License Exp Dt: 04/02/2024 Mgmt Co.: NORTHSTAR SENIOR LIVING, INC

County ECTOR Reg Svcs: MIDLAND GERIATRIC Region 02 Facility Information: Facility ID: 010227 License No.: 146714 Owner Information PARKS ASSISTED LIVING CENTER ER OPCO PARKS, LLC 111 PARKS VILLAGE DR 1 VILLAGE DRIVE STE. 400 , ODESSA TX 79765 ABILENE TX 79606-8231 Phone (432) 563-5707 Fax (432) 563-0430 PHONE: (615) 915-2932 FAX: (615) 915-2938 TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ELIZABETH K MCFALL License Eff Dt: 02/28/2021 License Exp Dt: 02/28/2024 Mgmt Co.: ER SENIOR MANAGEMENT LLC

Tuesday, September 28, 2021 Page 146 of 405 County ECTOR Reg Svcs: MIDLAND GERIATRIC Region 02 Facility Information: Facility ID: 105528 License No.: 148078 Owner Information THE COURTYARDS ASSISTED LIVING COMMUNITY PREVARIAN AL ODESSA OPERATIONS, LLC 201 PARKS VILLAGE DRIVE 8214 WESTCHESTER DRIVESUITE 600 , ODESSA TX 79765 DALLAS TX 75225 Phone (432) 339-1048 Fax (432) 339-1051 PHONE: (214) 736-7000 FAX: (214) 736-7020 TOTAL Lic Capacity: 90 PRIVATE Beds: 90 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ELIZABETH LAWSON License Eff Dt: 07/25/2021 License Exp Dt: 07/25/2024 Mgmt Co.: SLH ODESSA MANAGER LLC

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 104658 License No.: 147902 Owner Information ADAM MC CARE LLC ADAM MC CARE LLC 801 RUSTY BUCKET CT 801 RUSTY BUCKET CT , EL PASO TX 79932 EL PASO TX 79932 Phone (915) 877-2414 Fax (915) 877-2314 PHONE: (915) 877-2414 FAX: (915) 877-9610 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BERNARDO CISNEROS License Eff Dt: 05/22/2019 License Exp Dt: 08/31/2021 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 106138 License No.: 149036 Owner Information CASA DE BELLAMIE ASSISTED LIVING FACILITY CASA DE BELLAMIE LLC 7235 NORTH LOOP DRIVE 7235 NORTH LOOP DR , EL PASO TX 79915 EL PASO TX 79915 Phone (915) 775-1965 Fax (915) 772-7798 PHONE: (915) 775-1965 FAX: (915) 772-7798 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LILLIAN JACQUEZ License Eff Dt: 12/04/2019 License Exp Dt: 12/04/2021 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 106683 License No.: 150037 Owner Information CASA EVERAY CASA EVERAY 10557 JANWAY DR 10557 JANWAY DR , EL PASO TX 79925 EL PASO TX 79925 Phone (915) 588-1727 Fax (915) 594-4992 PHONE: (915) 588-1727 FAX: (915) 594-4992 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: EVELYN A SPENCER License Eff Dt: 07/09/2020 License Exp Dt: 07/09/2023 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 105105 License No.: 145091 Owner Information CASA EVERAY #3 CASA EVERAY #3 10548 JANWAY DR 10548 JANWAY DR , EL PASO TX 79925 EL PASO TX 79925 Phone (915) 588-1727 Fax (915) 594-4992 PHONE: (915) 588-1727 FAX: (915) 594-4992 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RAYMUNDO E SPENCER License Eff Dt: 07/27/2020 License Exp Dt: 07/27/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 147 of 405 County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 000936 License No.: 146838 Owner Information DREAM HAVEN INC DREAM HAVEN INC 1609 BESSEMER 1609 BESSEMER , EL PASO TX 79936 EL PASO TX 79936 Phone (915) 593-0431 Fax PHONE: (915) 593-0431 FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BEATRIZ CISNEROS License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2023 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 000778 License No.: 147254 Owner Information EDEN NORTH ASSISTED LIVING CENTER MODESTO A GOMEZ INC 8961 ANKERSON P.O. BOX 640916 , EL PASO TX 79904 EL PASO TEXAS 79904 Phone (915) 755-8543 Fax (915) 500-5345 PHONE: (915) 755-8543 FAX: (915) 755-7191 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARIA GUADALUPE ZARAGOZA License Eff Dt: 04/30/2021 License Exp Dt: 04/30/2024 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 103203 License No.: 149565 Owner Information GENESIS HOME CARE MARIA P AGUIRRE 3607 E YANDELL 3607 EAST YANDELL , EL PASO TX 79903 EL PASO TX 79903 Phone (915) 564-0604 Fax PHONE: (915) 355-1641 FAX: (915) 566-2282 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MAYRA HERNANDEZ License Eff Dt: 05/17/2020 License Exp Dt: 05/17/2023 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 106265 License No.: 307330 Owner Information GOOD LIFE SENIOR LIVING & MEMORY CARE WESTWOOD DRIVE ENTERPRISES, LLC 10400 RAILROAD DRIVE B 21211 FM 179 , EL PASO TX 79924 WOLFFORTH TX 79382 Phone (915) 309-5822 Fax PHONE: (806) 855-6464 FAX: (806) 855-4092 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SANDRA GARDEA License Eff Dt: 05/31/2019 License Exp Dt: 05/31/2021 Mgmt Co.: TASCOSA MANAGEMENT, LLC

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 106225 License No.: 143597 Owner Information GOOD LIFE SENIOR LIVING AND MEMORY CARE A WESTWOOD DRIVE ENTERPRISES, LLC 10400 RAILROAD DRIVE 21211 FM 179 , EL PASO TX 79924 WOLFFORTH TX 79382 Phone (915) 309-5822 Fax PHONE: (806) 855-6464 FAX: (806) 855-4092 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SANDRA GARDEA License Eff Dt: 09/30/2021 License Exp Dt: 09/30/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 148 of 405 County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 050642 License No.: 147619 Owner Information GOOD SAMARITAN SOCIETY WHITE ACRES THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 7304 GOOD SAMARITAN CT BLDG 300 7304 GOOD SAMARITAN CT , EL PASO TX 79912 EL PASO TEXAS 79912 Phone (915) 581-4683 Fax (915) 581-5198 PHONE: (605) 362-3100 FAX: (605) 362-3897 TOTAL Lic Capacity: 76 PRIVATE Beds: 76 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KENNY ALLEN License Eff Dt: 09/30/2021 License Exp Dt: 09/30/2024 Mgmt Co.: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 106359 License No.: 149599 Owner Information HOGAR ESPERANZA ROSA ARELLANO 6520 NAVAJO , EL PASO TX 79925 Phone (915) 703-8269 Fax (915) 258-1681 PHONE: FAX: TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ROSA A ARELLANO License Eff Dt: 08/16/2021 License Exp Dt: 08/16/2024 Mgmt Co.: NA

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 106897 License No.: 307463 Owner Information LA PAZ ASSISTED LIVING MARIA LOURDES HURD 10336 SUEWOOD CR. , EL PASO TX 79925 Phone (915) 449-4872 Fax PHONE: FAX: TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LOURDES A ELIAS License Eff Dt: 08/19/2019 License Exp Dt: 08/19/2021 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 106827 License No.: 147086 Owner Information LEGACY AT CIMARRON LAC TENANT LLC 6201 NORTHERN PASS DR 675 BERING DRSTE 550 , EL PASO TX 79911 HOUSTON TX 77057 Phone (915) 706-2320 Fax PHONE: (713) 425-5423 FAX: (713) 425-5402 TOTAL Lic Capacity: 110 PRIVATE Beds: 110 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JACOB BOGGS License Eff Dt: 04/26/2021 License Exp Dt: 04/26/2024 Mgmt Co.: LIFEWELL SENIOR LIVING

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 100200 License No.: 145710 Owner Information LOS ABUELOS ASSISTED LIVING WILLIAN J BURKETT AND ELIZABETH L BURKETT GP 8230 MT LATONA DR 8230 MOUNT LATONA DR., , EL PASO TX 79904 EL PASO TEXAS 79904 Phone (915) 755-1613 Fax (915) 751-8672 PHONE: (915) 755-1613 FAX: (915) 755-1613 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NANCY FLORES License Eff Dt: 10/13/2020 License Exp Dt: 10/13/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 149 of 405 County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 100810 License No.: 148621 Owner Information LOS ANOS DORADOS GLORIA ROMERO HEINRICHS 10417 PERSEPHONE DR 10417 PERSEPHONE DR , EL PASO TX 79924 EL PASO TX 79924 Phone (915) 821-4429 Fax (915) 249-6727 PHONE: (915) 329-5554 FAX: (915) 300-1619 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GLORIA R HEINRICHS License Eff Dt: 12/05/2019 License Exp Dt: 12/05/2021 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 010280 License No.: 146673 Owner Information LOVING AGE PABLO E BUSTAMANTE 2029 ANISE DR 2029 ANISE DR , EL PASO TX 79935 EL PASO TX 79935 Phone (915) 591-2017 Fax (915) 591-2017 PHONE: (915) 591-2017 FAX: (915) 996-9309 TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE C Administrator: PABLO E BUSTAMANTE License Eff Dt: 10/17/2020 License Exp Dt: 10/17/2023 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 101674 License No.: 145749 Owner Information LOVING CARE ASSISTED LIVING COMMUNITY, INC LOVING CARE ASSISTED LIVING COMMUNITY INC 180 C.R. CROOM RD 180 CR CROOM RD , EL PASO TX 79915 EL PASO TX 79915 Phone (915) 778-1112 Fax (915) 772-2291 PHONE: (915) 778-1112 FAX: (915) 772-2291 TOTAL Lic Capacity: 37 PRIVATE Beds: 37 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MONICA DOMINGUEZ License Eff Dt: 10/31/2020 License Exp Dt: 10/31/2023 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 101720 License No.: 150174 Owner Information M & L LOVING HANDS LILIA HERNANDEZ 7308 DESIERTO AZUL DR 7308 DESIERTO AZUL DR , EL PASO TX 79912 EL PASO TX 79912 Phone (915) 581-4285 Fax (915) 585-7672 PHONE: (915) 581-4285 FAX: (915) 585-7672 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LILIA HERNANDEZ License Eff Dt: 09/24/2020 License Exp Dt: 09/24/2023 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 050647 License No.: 145481 Owner Information MAILLAND FOSTER CARE MAILLAND HEALTH CARE SERVICES INC 10541 KINROSS 10541 KINROSS , EL PASO TX 79925 EL PASO TX 79925 Phone (915) 227-3410 Fax (915) 595-5905 PHONE: (915) 227-3410 FAX: 'NA' TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GERMAN C MAILLAND License Eff Dt: 09/22/2020 License Exp Dt: 09/22/2023 Mgmt Co.: MAILLAND HEALTH CARE SERVICES INC

Tuesday, September 28, 2021 Page 150 of 405 County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 001140 License No.: 146556 Owner Information MARIA C RUVALCABA MARIA C RUVALCABA 11217 QUINTANA DR 11217 QUINTANA DR , EL PASO TX 79936 EL PASO TX 79936 Phone (915) 592-2304 Fax 915 592 2304 PHONE: (915) 592-2304 FAX: TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE C Administrator: MARIA C RUVALCABA License Eff Dt: 02/19/2021 License Exp Dt: 02/19/2024 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 100891 License No.: 146826 Owner Information MCKINLEY HOUSE ARAMIS MITCH E AYALA 3600 MCKINLEY AVE 3045 FILLMORE AVE , EL PASO TX 79930 EL PASO TX 79930 Phone (915) 566-8841 Fax (915) 565-3755 PHONE: (915) 274-2021 FAX: (915) 565-3755 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ARAMIS (MITCH) E AYALA License Eff Dt: 05/21/2018 License Exp Dt: 05/21/2020 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 106227 License No.: 147797 Owner Information MENTIS NEURO HEALTH MENTIS NEURO EL PASO LLC 4360 DONIPHAN DR 1910 DEER MOUNTAIN , EL PASO TX 79922 SAN ANTONIO TX 78232 Phone (915) 351-4441 Fax (915) 351-3646 PHONE: (915) 351-4441 FAX: (915) 351-3646 TOTAL Lic Capacity: 24 PRIVATE Beds: 24 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOHNNY DENNIS License Eff Dt: 08/21/2021 License Exp Dt: 08/21/2024 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 100626 License No.: 143989 Owner Information NUNEZ FOSTER HOME ELSA ELENA NUNEZ 10763 LIMAS 10763 LIMAS , EL PASO TX 79935 EL PASO TX 79935 Phone (915) 594-9418 Fax PHONE: (915) 594-9418 FAX: TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE C Administrator: ELSA NUNEZ License Eff Dt: 06/29/2021 License Exp Dt: 06/29/2024 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 101738 License No.: 147113 Owner Information PINO REAL ADULT FOSTER HOME LUZ MARIA COUTTOLENC 6724 PINO REAL DR 6724 PINO REAL DR , EL PASO TX 79912 EL PASO TX 79912 Phone (915) 584-1247 Fax (915) 832-0083 PHONE: (915) 584-1247 FAX: (915) 832-0083 TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE C Administrator: LUZ MARIA COUTTOLENC License Eff Dt: 12/22/2020 License Exp Dt: 12/22/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 151 of 405 County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 001284 License No.: 147579 Owner Information RICCI'S FOSTER HOME MARTHA RICCI 6621 SOUTHWIND 6621 SOUTHWIND , EL PASO TX 79912 EL PASO TX 79912 Phone (915) 584-2048 Fax (915) 584-2048 PHONE: (915) 584-2273 FAX: (915) 584-2273 TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE C Administrator: MARTHA RICCI License Eff Dt: 05/24/2019 License Exp Dt: 05/24/2022 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 100351 License No.: 307637 Owner Information RODRIGUEZ ASSISTED LIVING RODRIGUEZ ASSISTED LIVING, LLC 10165 BERMUDA AVE , EL PASO TX 79925 Phone (915) 598-1727 Fax (915) 592-6707 PHONE: FAX: TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMIN MOYA License Eff Dt: 10/10/2019 License Exp Dt: 10/10/2022 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 106042 License No.: 150289 Owner Information ROSEDALE ADULT FOSTER HOME FRANCISCO NAVARRO 3111 EDGEROCK 3111 EDGEROCK , EL PASO TX 79935 EL PASO TX 79935 Phone (915) 633-6794 Fax (915) 591-1031 PHONE: (915) 633-6794 FAX: (915) 591-1031 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: FRANK NAVARRO License Eff Dt: 05/06/2018 License Exp Dt: 08/14/2021 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 030084 License No.: 150274 Owner Information ROYAL ESTATES OF EL PASO PAL SL EL PASO, LLC 435 S MESA HILLS DR 747 3RD AVESUITE 10C , EL PASO TX 79912 NEW YORK NY 10017 Phone (915) 260-6703 Fax (915) 833-3346 PHONE: (212) 850-2211 FAX: (212) 850-2214 TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: THOMAS DEAN License Eff Dt: 03/08/2020 License Exp Dt: 03/08/2022 Mgmt Co.: PALENTINE REAL ESTATE FUND II, LP

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 050473 License No.: 148847 Owner Information SCOTTSDALE PERSONAL CARE FACILITY YOLANDA RUIZ 3113 FORNEY LN 3108 GASTON DR , EL PASO TX 79935 EL PASO TX 79935 Phone (915) 260-8789 Fax (915) 260-8789 PHONE: (915) 309-6999 FAX: (915) 594-7230 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: YOLANDA RUIZ License Eff Dt: 12/21/2019 License Exp Dt: 12/21/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 152 of 405 County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 103784 License No.: 307789 Owner Information SERENITY HOUSE ASSISTED LIVING, INC SERENITY HOUSE ASSISTED LIVING, INC 4200 SKYLINE AVE 4200 SKYLINE AVE , EL PASO TX 79904 EL PASO TX 79904 Phone (915) 751-0300 Fax (915) 751-0315 PHONE: (915) 751-0300 FAX: (915) 751-0315 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STEPHANIE SCHULTE License Eff Dt: 04/01/2019 License Exp Dt: 04/01/2022 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 030193 License No.: 308319 Owner Information SIMPATICO CIELO VISTA ASSISTED LIVING AND MEMORY CARE SIMPATICO CIELO VISTA OPERATIONS LLC 7949 SUNMOUNT DR P.O. BOX 640726 , EL PASO TX 79925 EL PASO TEXAS 79904 Phone (915) 772-4036 Fax (915) 755-7191 PHONE: FAX: TOTAL Lic Capacity: 114 PRIVATE Beds: 114 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JAIME IBARRA License Eff Dt: 12/28/2020 License Exp Dt: 12/28/2023 Mgmt Co.: BAKA ENTERPRISES INC

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 000728 License No.: 308258 Owner Information SIMPATICO EAST ASSISTED LIVING AND MEMORY CARE SIMPATICO EAST OPERATIONS LLC 1991 SAUL KLEINFELD P.O. BOX 640726 , EL PASO TX 79936 EL PASO TEXAS 79904 Phone (915) 857-5487 Fax (915) 755-7191 PHONE: FAX: TOTAL Lic Capacity: 129 PRIVATE Beds: 129 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANITA LUNA License Eff Dt: 12/15/2020 License Exp Dt: 12/15/2023 Mgmt Co.: BAKA ENTERPRISES INC

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 000370 License No.: 148080 Owner Information THE BARTLETT REHABILITATION SKILLED CARE AND ASSISTED LIVING PENAN RETIREMENT CENTERS LP 221 BARTLETT DR 221 BARTLETT DR , EL PASO TX 79912 EL PASO TX 79912 Phone (915) 584-8438 Fax (915) 584-5115 PHONE: (915) 584-8438 FAX: (915) 584-5115 TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BEVERLY LUTICH License Eff Dt: 06/11/2021 License Exp Dt: 06/11/2024 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 104538 License No.: 147128 Owner Information THE ETERNAL YOUTH HOME BERNARDO M TERRES 2218 MERMAID DR 2218 MERMAID , EL PASO TX 79936 EL PASO TX 79936 Phone (915) 249-6079 Fax (915) 633-1994 PHONE: (915) 243-8188 FAX: (915) 633-1994 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BERNARDO M TERRES License Eff Dt: 05/13/2021 License Exp Dt: 05/13/2024 Mgmt Co.: BERNARDO M TERRES

Tuesday, September 28, 2021 Page 153 of 405 County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 106563 License No.: 146935 Owner Information THE ETERNAL YOUTH HOME #2 CECILIA JAUREGUI TERRES 11651 CLEAR LAKE 11651 CLEAR LAKE , EL PASO TX 79936 EL PASO TX 79936 Phone (915) 545-3780 Fax (915) 633-1994 PHONE: (915) 543-8188 FAX: (915) 633-1994 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: CECILIA JAUREGUI TERRES License Eff Dt: 04/12/2021 License Exp Dt: 04/12/2024 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 102864 License No.: 146973 Owner Information THE FOREST ASSISTED LIVING SANTIAGO VEGA 9355 NORTH LOOP 9355 NORTH LOOP , EL PASO TX 79907 EL PASO TX 79907 Phone (915) 329-1897 Fax (915) 271-9001 PHONE: (915) 329-1897 FAX: TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SANTIAGO VEGA License Eff Dt: 02/28/2019 License Exp Dt: 02/28/2022 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 001145 License No.: 148400 Owner Information UNZUETAS FOSTER HOME MARIA D UNZUETA 1809 PIEDRA ROJA 1809 PIEDRA ROJA , EL PASO TX 79936 EL PASO TX 79936 Phone (915) 855-1054 Fax PHONE: (915) 855-1054 FAX: TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE C Administrator: MARIA D UNZUETA LVN License Eff Dt: 09/27/2019 License Exp Dt: 09/27/2022 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 010276 License No.: 146967 Owner Information VEGA ADULT FOSTER HOME ANA L VEGA 10628 DRILLSTONE 10628 DRILLSTONE , EL PASO TX 79925 EL PASO TX 79925 Phone (915) 256-2087 Fax (915) 271-9001 PHONE: (915) 590-3762 FAX: (915) 591-1498 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ANA L VEGA License Eff Dt: 03/14/2019 License Exp Dt: 03/14/2022 Mgmt Co.:

County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 106887 License No.: 148583 Owner Information VIBRALIFE OF EL PASO SENIOR LIVING VIBRALIFE OF EL PASO, LLC 3421 JOE BATTLE BOULEVARD 4550 LENNA DRIVE SUITE 225 , EL PASO TX 79936 MECHANICSBURG PA Phone (915) 599-5500 Fax PHONE: (717) 591-5704 FAX: (908) 378-7924 TOTAL Lic Capacity: 32 PRIVATE Beds: 32 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIA DIAZ License Eff Dt: 12/11/2019 License Exp Dt: 12/11/2021 Mgmt Co.: HOLLINGER MANAGEMENT, LLC

Tuesday, September 28, 2021 Page 154 of 405 County EL PASO Reg Svcs: EL PASO GERIATRIC Region 02 Facility Information: Facility ID: 107243 License No.: 149975 Owner Information VILLAS DEL SOL ASSISTED LIVING LLC VILLAS DEL SOL ASSISTED LIVING LLC 520 EAST RD 520 EAST RD , EL PASO TX 79915 EL PASO TX 79915 Phone (915) 307-2011 Fax (915) 261-7585 PHONE: (915) 307-2011 FAX: (915) 261-7586 TOTAL Lic Capacity: 75 PRIVATE Beds: 75 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ELIZABETH BURKETT License Eff Dt: 07/09/2020 License Exp Dt: 07/09/2023 Mgmt Co.:

County ELLIS Reg Svcs: WACO Region 05 Facility Information: Facility ID: 000499 License No.: 148571 Owner Information BROOKDALE ENNIS BROOKDALE SENIOR LIVING COMMUNITIES, INC 2500 YORKSTOWN DR 6737 W WASHINGTON ST STE 2300 , ENNIS TX 75119 MILWAUKEE WI 53214 Phone (972) 875-6900 Fax (972) 875-6935 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMANDA GIBBONS License Eff Dt: 12/01/2019 License Exp Dt: 12/01/2021 Mgmt Co.:

County ELLIS Reg Svcs: WACO Region 05 Facility Information: Facility ID: 030312 License No.: 307619 Owner Information LAKEWOOD HOUSE ASSISTED LIVING, LLC LAKEWOOD HOUSE ASSISTED LIVING, LLC 824 CLEARWATER DR. P O BOX 1736 , MIDLOTHIAN TX 76065 MIDLOTHIAN TX 76065 Phone (972) 723-0597 Fax (972) 775-2474 PHONE: FAX: TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: YONAH KNUCKLES License Eff Dt: 05/20/2019 License Exp Dt: 05/20/2022 Mgmt Co.:

County ELLIS Reg Svcs: WACO Region 05 Facility Information: Facility ID: 110315 License No.: 307771 Owner Information LEGACY OAKS OF MIDLOTHIAN CSL MIDLOTHIAN 2017 LLC 610 S. 14TH STREET , MIDLOTHIAN TX 76065 Phone (469) 672-1900 Fax PHONE: FAX: TOTAL Lic Capacity: 91 PRIVATE Beds: 91 Cert Alzh Capacity: 23 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL EVANS License Eff Dt: 04/08/2020 License Exp Dt: 04/08/2023 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County ELLIS Reg Svcs: WACO Region 05 Facility Information: Facility ID: 106233 License No.: 148441 Owner Information MIDTOWNE ASSISTED LIVING MIDTOWN 2013 RE LLC 910 S 9TH ST 3801 HULEN STSTE 202 , MIDLOTHIAN TX 76065 FORT WORTH TX 76107 Phone (469) 672-1400 Fax (469) 672-1999 PHONE: (817) 386-8888 FAX: (817) 386-8324 TOTAL Lic Capacity: 94 PRIVATE Beds: 94 Cert Alzh Capacity: 18 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRISTOPHER BAKER License Eff Dt: 06/09/2019 License Exp Dt: 06/09/2021 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

Tuesday, September 28, 2021 Page 155 of 405 County ELLIS Reg Svcs: WACO Region 05 Facility Information: Facility ID: 107020 License No.: 149899 Owner Information TIMBER ROCK HOUSE PURPLE BANANA GROUP LLC 3021 TIMBER ROCK LN 3021 TIMBER ROCK LN , MIDLOTHIAN TX 76065 MIDLOTHIAN TX 76065 Phone (214) 701-6268 Fax (214) 291-3155 PHONE: (214) 701-6268 FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEBBIE A CORKIN License Eff Dt: 06/29/2020 License Exp Dt: 06/29/2023 Mgmt Co.:

County ELLIS Reg Svcs: WACO Region 05 Facility Information: Facility ID: 110371 License No.: 307934 Owner Information ARABELLA OF RED OAK CSL RED OAK 2018 LLC 200 WASHINGTON STREET , RED OAK TX 75154 Phone (972) 898-3629 Fax PHONE: FAX: TOTAL Lic Capacity: 129 PRIVATE Beds: 129 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOSHUA FOGG License Eff Dt: 08/10/2020 License Exp Dt: 08/10/2023 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County ELLIS Reg Svcs: WACO Region 05 Facility Information: Facility ID: 000902 License No.: 308279 Owner Information BROOKDALE WAXAHACHIE BKD STERLING HOUSE OF WAXAHACHIE, LLC 2250 BROWN STREET , WAXAHACHIE TX 75165 Phone (972) 937-2600 Fax (972) 938-1686 PHONE: FAX: TOTAL Lic Capacity: 96 PRIVATE Beds: 96 Cert Alzh Capacity: 96 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMIE O'DELL License Eff Dt: 01/01/2021 License Exp Dt: 01/01/2024 Mgmt Co.:

County ELLIS Reg Svcs: WACO Region 05 Facility Information: Facility ID: 103398 License No.: 308252 Owner Information BUFFALO CREEK ASSISTED LIVING AND MEMORY CARE COMMUNITY WELLTOWER TENANT GROUP LLC 1329 BROWN ST 4500 DORR STREET , WAXAHACHIE TX 75165 TOLEDO OHIO 43615 Phone 972 9375999 Fax (972) 937-9399 PHONE: FAX: TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMANDA BARRON License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.: CAPITAL SENIOR MANAGEMENT S INC

County ELLIS Reg Svcs: WACO Region 05 Facility Information: Facility ID: 107261 License No.: 307171 Owner Information DAYMARK LIVING DAYMARK OPERATIONS LLC 818 CANTRELL STREET , WAXAHACHIE TX 75165 TX Phone (972) 525-2727 Fax PHONE: FAX: TOTAL Lic Capacity: 202 PRIVATE Beds: 202 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MARK RICHARDS License Eff Dt: 02/14/2021 License Exp Dt: 02/14/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 156 of 405 County ELLIS Reg Svcs: WACO Region 05 Facility Information: Facility ID: 030078 License No.: 308192 Owner Information MORADA WAXAHACHIE HP WAXAHACHIE OPCO, LLC 401 SOLON ROAD , WAXAHACHIE TX 75165 Phone (972) 923-9911 Fax (972) 923-3289 PHONE: FAX: TOTAL Lic Capacity: 55 PRIVATE Beds: 55 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNIFER BOSARGE License Eff Dt: 02/01/2021 License Exp Dt: 02/01/2024 Mgmt Co.: MORADA SENIOR LIVING LLC

County ERATH Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 100699 License No.: 149137 Owner Information THREE OAKS ASSISTED LIVING KBN ENTERPRISES INC 118 E LIVE OAK 118 E LIVE OAK , DUBLIN TX 76446 DUBLIN TX 76446 Phone (254) 445-3820 Fax (254) 445-3960 PHONE: (254) 445-2517 FAX: (254) 445-4429 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JONNA ALVARADO License Eff Dt: 01/19/2020 License Exp Dt: 01/19/2023 Mgmt Co.:

County ERATH Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 030090 License No.: 147574 Owner Information GOOD TREE RETIREMENT CSL CE STEPHENVILLE LLC 2010 GOOD TREE STREET 14160 DALLAS PKWY STE 300 , STEPHENVILLE TX 76401 DALLAS TX 75254 Phone (254) 965-9897 Fax (888) 753-6262 PHONE: (972) 308-8366 FAX: (972) 387-8216 TOTAL Lic Capacity: 65 PRIVATE Beds: 65 Cert Alzh Capacity: 10 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MELINDA PEREZ PEREZ License Eff Dt: 03/30/2020 License Exp Dt: 03/30/2023 Mgmt Co.: CAPITAL SENIOR LIVING INC

County ERATH Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 050239 License No.: 146980 Owner Information OAKWOOD ASSISTED LIVING & MEMORY CARE WCOAKWOOD OPS LLC 2305 LINGLEVILLE RD 303 E WACKER DRIVE STE 2400 , STEPHENVILLE TX 76401-6012 CHICAGO IL 60601 Phone (254) 968-5229 Fax (254) 965-4164 PHONE: (312) 673-4333 FAX: (312) 673-4487 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KITHSIRI ATHULATHMUDALI License Eff Dt: 01/05/2021 License Exp Dt: 01/05/2024 Mgmt Co.: SLN MANAGER WEST, LLC

County FALLS Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 000858 License No.: 307962 Owner Information MARIA'S PLACE MARIA'S PLACE 402 LIVE OAK ST. , MARLIN TX 76661 Phone 254 339 4638 Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RUBY PHILLIPS License Eff Dt: 07/01/2019 License Exp Dt: 07/01/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 157 of 405 County FANNIN Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 000718 License No.: 146531 Owner Information HOFMANN MRAZ CARE HOME HOFMANN MRAZ CARE HOME 1405 N CEDAR ST 1405 N CEDAR ST , BONHAM TX 75418 BONHAM TX 75418 Phone (937) 361-9636 Fax (903) 583-5049 PHONE: (903) 583-8380 FAX: (903) 583-5049 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ANGELA OWENS License Eff Dt: 01/26/2021 License Exp Dt: 01/26/2024 Mgmt Co.:

County FANNIN Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 101547 License No.: 145432 Owner Information THE WOODMOORE ARMSTRONG, DRAUGHN & COOPER, LTD 1200 W RUSSELL AVE PO BOX 677 , BONHAM TX 75418 COMMERCE TEXAS 75428 Phone (903) 640-1200 Fax (903) 640-1202 PHONE: (903) 886-8050 FAX: (903) 886-8064 TOTAL Lic Capacity: 52 PRIVATE Beds: 52 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SANDY DOBBELS License Eff Dt: 07/30/2020 License Exp Dt: 07/30/2023 Mgmt Co.:

County FAYETTE Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 030411 License No.: 148656 Owner Information JEFFERSON PLACE ASSISTED LIVING JEFFERSON PLACE ASSISTED LIVING INC 911 S JEFFERSON 205 E AVE B , LA GRANGE TX 78945 SCHULENBURG TX 78956 Phone (979) 968-9161 Fax (979) 968-6962 PHONE: (979) 743-2502 FAX: (979) 743-2601 TOTAL Lic Capacity: 45 PRIVATE Beds: 45 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEBRA BOSQUE License Eff Dt: 10/11/2019 License Exp Dt: 10/11/2022 Mgmt Co.:

County FAYETTE Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 000944 License No.: 147812 Owner Information COLLEGE PLACE INC COLLEGE PLACE INC 210 COLLEGE ST 210 COLLEGE ST , SCHULENBURG TX 78956 SCHULENBURG TX 78956 Phone (979) 743-6180 Fax (979) 743-3161 PHONE: (979) 743-6180 FAX: (979) 743-3161 TOTAL Lic Capacity: 52 PRIVATE Beds: 52 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: NANCY BRENEK License Eff Dt: 06/09/2019 License Exp Dt: 06/09/2022 Mgmt Co.:

County FISHER Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 102269 License No.: 149460 Owner Information HERITAGE HOUSE ON THE BRAZOS FISHER COUNTY HEALTH CARE DEVELOPMENT CORPORATION 776 STATE HWY 70 N PO DRAWER F , ROTAN TX 79546 ROTAN TX 79546 Phone (325) 735-1501 Fax (325) 735-1502 PHONE: (325) 735-2256 FAX: (325) 735-3070 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HELEN REESE License Eff Dt: 06/02/2020 License Exp Dt: 06/02/2023 Mgmt Co.: FISHER COUNTY HOSPITAL DISTRICT

Tuesday, September 28, 2021 Page 158 of 405 County FLOYD Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 102572 License No.: 148844 Owner Information BEEHIVE HOMES AT SHEPHERD'S MEADOW NVJ OPERATIONS LLC 1230 S. RALLS HWY 8100 WYOMING BLVD. NESUITE M4-273 , FLOYDADA TX 79235 ALBUQUERQUE NM 87113 Phone (806) 983-8177 Fax PHONE: (505) 480-1445 FAX: (505) 821-1834 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KATHY SMITH License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2023 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 101400 License No.: 147871 Owner Information QUALITY PERSONAL CARE HOME INC QUALITY PERSONAL CARE HOMES, INC 703 EAST PALM PO BOX 21 , FRESNO TX 77545 MISSOUR CITY TX 77459 Phone (281) 431-8418 Fax (281) 208-1627 PHONE: (281) 431-8418 FAX: (281) 208-1627 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: YOUNG C AHAMBA License Eff Dt: 07/30/2019 License Exp Dt: 07/30/2022 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 107232 License No.: 307737 Owner Information LARRY'S LAKE HOUSE INC LARRY'S LAKE HOUSE, INC 28410 EVERGREEN COVE LANE 23210 CLARESSA CT , FULSHEAR TX 77441 KATY TX 77494 Phone (832) 437-1653 Fax (281) 783-2087 PHONE: (832) 437-9134 FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAVID A MONK License Eff Dt: 08/28/2020 License Exp Dt: 08/28/2023 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 106245 License No.: 149759 Owner Information OSA HERITAGE HOMES INC OSA HERITAGE HOMES, INC 4218 BRANNON BRANCH COURT 2419 FAIRBREEZE DREEZE DR , FULSHEAR TX 77441 KATY TX 77494 Phone (832) 392-1786 Fax (832) 437-7341 PHONE: (832) 392-1786 FAX: (832) 437-7341 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: OSAM OBANOR SR. License Eff Dt: 04/05/2020 License Exp Dt: 04/05/2022 Mgmt Co.: OSA HERITAGE HOMES, INC

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 105905 License No.: 144861 Owner Information DESTINED ASSISTED LIVING FACILITY DESTINED ASSISTED LIVING LLC 15418 BEECHNUT ST 15418 BEECHNUT ST , HOUSTON TX 77083 HOUSTON TX 77083 Phone (832) 243-4463 Fax (832) 243-4093 PHONE: FAX: TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ASHU OROCK License Eff Dt: 03/17/2020 License Exp Dt: 03/17/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 159 of 405 County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 103716 License No.: 147883 Owner Information FAITH PERSONAL HOME CARE #2 DEBO JOKODOLA 16251 BARBAROSSA DR 4003 LAKE BRAZOS LN , HOUSTON TX 77083 RICHMOND TX 77406 Phone (281) 762-3381 Fax (281) 750-0901 PHONE: (713) 299-4059 FAX: (281) 750-0901 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DEBO JOKODOLA License Eff Dt: 06/11/2019 License Exp Dt: 06/11/2022 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 106738 License No.: 148828 Owner Information GOD LOVE ASSISTED LIVING HOMES INC GOD LOVE ASSISTED LIVING HOMES, INC 9131 GIANNA CT. 618 COGGINS POINT WAY , HOUSTON TX 77083 SUGAR LAND TX 77479 Phone (832) 877-6946 Fax (281) 946-8374 PHONE: (713) 493-9500 FAX: (281) 946-8374 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOACHIM VU License Eff Dt: 11/29/2019 License Exp Dt: 11/29/2021 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 103478 License No.: 146144 Owner Information LIVING GRACE ASSISTED LIVING, INC LIVING GRACE ASSISTED LIVING, INC 14822 CHARLMONT DR 14822 CHARLMONT DR , HOUSTON TX 77083 HOUSTON TX 77083 Phone (281) 530-5795 Fax (866) 249-2956 PHONE: (281) 530-5795 FAX: TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: STEPHEN A SOWUNMI License Eff Dt: 11/05/2020 License Exp Dt: 11/05/2023 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 030257 License No.: 148915 Owner Information WILDWOOD TERRACE ASSISTED LIVING FACILITY STERLING MCDOUGLAS LLC 15318 WILDWOOD GLEN 15318 WILDWOOD GLEN , HOUSTON TX 77083 HOUSTON TX 77083 Phone (281) 498-6977 Fax (281) 498-6977 PHONE: (281) 498-6977 FAX: (281) 498-6977 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEANNA N PHAM License Eff Dt: 12/04/2019 License Exp Dt: 12/04/2021 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 105228 License No.: 146298 Owner Information AGAPE HERITAGE HOME INC AGAPE HERITAGE HOME 20334 MEMORIAL PASS DR 23330 ALLISTER CT , KATY TX 77450 KATY TX 77494 Phone (713) 562-5363 Fax (281) 762-7716 PHONE: (713) 562-5363 FAX: (281) 762-7716 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 12 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DENNIS K OSARUMWENSE License Eff Dt: 12/28/2020 License Exp Dt: 12/28/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 160 of 405 County FORT BEND Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 104190 License No.: 150018 Owner Information ALWAYS HOME AT SADDLEHORN TRAIL 2635 SADDLEHORN TRAIL LLC 2635 SADDLEHORN TRAIL 24624 ROESNER RD , KATY TX 77494 KATY TX 77494 Phone (281) 392-4212 Fax (832) 437-5892 PHONE: (832) 724-0528 FAX: (832) 847-5892 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAWN BOWEN License Eff Dt: 04/07/2020 License Exp Dt: 04/07/2023 Mgmt Co.: 2635 SADDLEHORN TRAIL LLC

County FORT BEND Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 104047 License No.: 148988 Owner Information ATRIA CINCO RANCH ARHC SOKTYTX01 TRS LLC 24001 CINCO VILLAGE CENTER BLVD 500 N HURSTBOURNE PKWYSTE 200 , KATY TX 77494 LOUISVILLE KY 40222 Phone (281) 395-9600 Fax (281) 395-0745 PHONE: (502) 357-9000 FAX: (502) 357-9441 TOTAL Lic Capacity: 78 PRIVATE Beds: 78 Cert Alzh Capacity: 39 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JO ANN J MATYASI License Eff Dt: 12/30/2019 License Exp Dt: 12/30/2021 Mgmt Co.: ATRIA MANAGEMENT COMPANY LLC

County FORT BEND Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 106235 License No.: 148110 Owner Information BETHEL PLACE AGAPE HERITAGE HOME 23330 ALLISTER COURT 23330 ALLISTER CT , KATY TX 77494 KATY TX 77494 Phone (713) 562-5363 Fax (281) 762-7716 PHONE: (713) 562-5363 FAX: (281) 762-7716 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 10 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DENNIS K OSARUMWENSE License Eff Dt: 09/01/2019 License Exp Dt: 09/01/2022 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 105906 License No.: 150055 Owner Information CARRIAGE INNKATY II CARDINAL BAY, INC 1400-B KATY FLEWELLEN ROAD 317 MARTINIQUE PASS , KATY TX 77494 LAKEWAY TX 78734 Phone (281) 392-2800 Fax (281) 392-2805 PHONE: (972) 377-3309 FAX: TOTAL Lic Capacity: 51 PRIVATE Beds: 51 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RANDY FLEENOR License Eff Dt: 05/26/2020 License Exp Dt: 05/26/2022 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

County FORT BEND Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 102652 License No.: 307355 Owner Information CINCO RANCH ALZHEIMER'S SPECIAL CARE CENTER SH1 CINCO RANCH LLC 3206 SOUTH FRY RD , KATY TX 77450 Phone (281) 588-3334 Fax PHONE: FAX: TOTAL Lic Capacity: 66 PRIVATE Beds: 66 Cert Alzh Capacity: 66 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LES STEVENS License Eff Dt: 03/13/2019 License Exp Dt: 03/13/2022 Mgmt Co.: JERRY ERWIN ASSOCIATES LLC

Tuesday, September 28, 2021 Page 161 of 405 County FORT BEND Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 100977 License No.: 145794 Owner Information COMFY HOME COMFY HOME INC 21819 HOLLOW FIELD LN 6607 HOLLOWAY SQUARE LANE , KATY TX 77450 RICHMOND TX 77407 Phone (281) 398-6207 Fax (281) 277-2676 PHONE: (281) 277-0675 FAX: (281) 277-2676 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LYDIA K KRAWTZOWA License Eff Dt: 08/29/2020 License Exp Dt: 08/29/2023 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 106601 License No.: 149739 Owner Information LARRY'S LAKE HOUSE INC LARRY'S LAKE HOUSE, INC 3418 COLORADO BEND DR. 23210 CLARESSA CT , KATY TX 77494 KATY TX 77494 Phone (832) 437-9134 Fax (281) 783-2087 PHONE: (832) 437-9134 FAX: TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARY C MONK License Eff Dt: 07/14/2020 License Exp Dt: 07/14/2023 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 107227 License No.: 307163 Owner Information OSA HERITAGE HOMES #2 OSA HERITAGE HOMES, INC 2306 LAWNFLOWER 2419 FAIRBREEZE DREEZE DR , KATY TX 77494 KATY TX 77494 Phone (832) 392-1786 Fax PHONE: (832) 392-1786 FAX: (832) 437-7341 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 9 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: OSAM OBANOR SR. License Eff Dt: 12/19/2020 License Exp Dt: 12/19/2023 Mgmt Co.: NA

County FORT BEND Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 105512 License No.: 147341 Owner Information SUNDANCE AT WOODCREEK RESERVE HUNTINGTON CREEK CAPITAL IV LLC 1820 WOOD CREEK BEND LN 1820 WOODCREEK BEND LN , KATY TX 77494 KATY TX 77494 Phone (281) 347-4450 Fax PHONE: (214) 364-5564 FAX: (903) 939-9937 TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 48 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LANCE REDMON License Eff Dt: 06/10/2019 License Exp Dt: 10/29/2021 Mgmt Co.: TWIN VILLAGE MANAGEMENT LLC

County FORT BEND Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 103706 License No.: 148381 Owner Information THE VILLA AT SAVORY SPRINGS LLC THE VILLA AT SAVORY SPRINGS LLC 26102 SAVORY SPRINGS LN 4755 AUTUMN ORCHARD LN , KATY TX 77494 KATY TX 77494 Phone (832) 437-0703 Fax (281) 347-2963 PHONE: (832) 437-0703 FAX: (281) 347-2963 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MELANIE G ILAGAN License Eff Dt: 09/23/2019 License Exp Dt: 09/23/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 162 of 405 County FORT BEND Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 102961 License No.: 147982 Owner Information THE VILLA AT WILLOW COLONY LLC THE VILLA AT WILLOW COLONY LLC 26110 WILLOW COLONY LN 4755 AUTUMN ORCHARD LN. , KATY TX 77494 KATY TX 77494 Phone (281) 395-8728 Fax (281) 395-6326 PHONE: (281) 395-0139 FAX: (281) 395-0773 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PAOLO G ILAGAN License Eff Dt: 10/09/2019 License Exp Dt: 10/09/2021 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 104384 License No.: 307418 Owner Information TUSCANY LIVING VILLA ANGEL'S HEART LLC 28019 NORFOLK TRAIL LANE , KATY TX 77494 Phone (832) 361-4064 Fax (281) 715-5891 PHONE: FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MELISSA RUTHERFORD License Eff Dt: 04/26/2019 License Exp Dt: 04/26/2022 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 105776 License No.: 307818 Owner Information WILLOW FORK ALZHEIMER'S SPECIAL CARE CENTER SH1 WESTHEIMER HOUSTON OPCO LLC 24024 WESTHEIMER PARKWAY , KATY TX 77494 Phone 713 4363941 Fax 713 4364159 PHONE: FAX: TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 50 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARY FRIAS License Eff Dt: 02/28/2020 License Exp Dt: 02/28/2023 Mgmt Co.: JERRY ERWIN ASSOCIATES LLC

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 101283 License No.: 144549 Owner Information ADA'S PERSONAL CARE HOME SANDRA D BUCHANAN 2015 EASTFIELD CIR 2015 EASTFIELD CIRCLE , MISSOURI CITY TX 77459 MISSOURI CITY TEXAS 77459 Phone (281) 438-1677 Fax (281) 438-5629 PHONE: (281) 438-1677 FAX: (281) 438-5629 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SANDRA D BUCHANAN License Eff Dt: 04/10/2020 License Exp Dt: 04/10/2023 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 101677 License No.: 149064 Owner Information BETHEL HOME CARE LEWIS CHARLES 7315 TOWERVIEW LN 7315 TOWERVIEW LN , MISSOURI CITY TX 77489 MISSOURI CITY TX 77489 Phone (281) 437-2956 Fax (281) 416-2190 PHONE: (281) 438-4364 FAX: (281) 416-2190 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LEWIS CHARLES License Eff Dt: 02/04/2020 License Exp Dt: 02/04/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 163 of 405 County FORT BEND Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 104123 License No.: 148679 Owner Information CIRCLES AT WRENWAY, LLC CIRCLES OF WRENWAY, LLC 1602 WRENWAY DR 1602 WRENWAY DR , MISSOURI CITY TX 77489 MISSOURI CITY TX 77489 Phone (281) 741-9945 Fax (281) 741-9945 PHONE: (281) 741-9945 FAX: (281) 741-9945 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SHELIA V STEWART License Eff Dt: 11/18/2021 License Exp Dt: 11/18/2024 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 106876 License No.: 149069 Owner Information COZY LIVING COMMUNITY COZY LIVING COMMUNITY 1405 ADAMS ST 6602 ROCKERGATE DRIVE , MISSOURI CITY TX 77489 MISSOURI CITY TEXAS 77489 Phone (281) 208-7185 Fax (346) 888-5050 PHONE: (713) 907-5613 FAX: (346) 888-5050 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: INCIA NICOLE STEWART License Eff Dt: 12/14/2019 License Exp Dt: 12/14/2022 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 107164 License No.: 307575 Owner Information FORCH PERSONAL CARE HOME FORCH SOLUTIONS LLC 1710 PATRICIA LANE 17310 UPPER RIDGE LANE , MISSOURI CITY TX 77489 HUMBLE TX 77346 Phone (713) 485-5034 Fax PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ANDREA N FORCH License Eff Dt: 11/26/2019 License Exp Dt: 11/26/2021 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 050655 License No.: 149796 Owner Information GEMS QUALITY CARE HOME GEMELINE M ATLAN 1407 RIVER ROCK DR 1502 AUTUMN DAWN CT , MISSOURI CITY TX 77489 MISSOURI CITY TX 77489 Phone (281) 437-1432 Fax PHONE: (281) 438-1206 FAX: (281) 438-1206 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: GEMELINE M ATLAN License Eff Dt: 06/30/2020 License Exp Dt: 06/30/2023 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 102033 License No.: 148163 Owner Information GOLDEN SPLENDOR PERSONAL CARE HOME GOLDEN SPLENDOR INC 8610 QUAIL VISTA DR 6602 ROCKERGATE , MISSOURI CITY TX 77489 MISSOURI CITY TX 77489 Phone (281) 835-0662 Fax (346) 888-5050 PHONE: (713) 907-5613 FAX: (346) 888-5050 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JOSEPHINE (JO) STEWART License Eff Dt: 09/14/2019 License Exp Dt: 09/14/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 164 of 405 County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 030391 License No.: 145268 Owner Information OPTIMUM PERSONAL CARE INC OPTIMUM PERSONAL CARE INC 2019 FM 1092 , MISSOURI CITY TX 77459 Phone (281) 208-2320 Fax (281) 208-3042 PHONE: FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BOBBY G ENGLISH JR. License Eff Dt: 08/31/2020 License Exp Dt: 08/31/2023 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 101213 License No.: 144062 Owner Information OPTIMUM PERSONAL CARE INC OPTIMUM PERSONAL CARE INC 2021-A FM 1092 (MURPHY RD) , MISSOURI CITY TX 77459 Phone (281) 403-0789 Fax (281) 208-3042 PHONE: FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BOBBY G ENGLISH JR. License Eff Dt: 07/30/2020 License Exp Dt: 07/30/2023 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 030390 License No.: 149139 Owner Information OPTIMUM PERSONAL CARE INC OPTIMUM PERSONAL CARE INC 2021 FM 1092 2021 FM 1092 , MISSOURI CITY TX 77459 MISSOURI CITY TX 77459 Phone (281) 208-2318 Fax (281) 208-3042 PHONE: (281) 565-4144 FAX: (281) 208-3042 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BOBBY G ENGLISH JR. License Eff Dt: 08/31/2017 License Exp Dt: 05/31/2021 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 101212 License No.: 146994 Owner Information OPTIMUM PERSONAL CARE INC OPTIMUM PERSONAL CARE INC 2021 B FM 1092 2021 FM 1092 , MISSOURI CITY TX 77459 MISSOURI CITY TX 77459 Phone (281) 403-0779 Fax (281) 208-3042 PHONE: (281) 565-4144 FAX: (281) 208-3042 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BOBBY G ENGLISH JR. License Eff Dt: 02/22/2020 License Exp Dt: 02/22/2023 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 103822 License No.: 148041 Owner Information QUALITY LIVING HILDA L EAGLETON 2029 FM 1092 RD 8202 CANDLEGREEN CT , MISSOURI CITY TX 77459 HOUSTON TX 77071 Phone (281) 499-7050 Fax (281) 499-7145 PHONE: (713) 771-8735 FAX: (281) 499-7145 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HILDA EAGLETON License Eff Dt: 08/19/2019 License Exp Dt: 08/19/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 165 of 405 County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 103821 License No.: 147901 Owner Information QUALITY LIVING FM 1092 ROHINOKICO CORPORATION 2029 FM 1092 RD P.O. BOX 710666 , MISSOURI CITY TX 77459 HOUSTON TX 77271 Phone 281 4997174 Fax 281 4997145 PHONE: (281) 499-7050 FAX: (281) 499-7145 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HILDA L EAGLETON License Eff Dt: 07/28/2021 License Exp Dt: 07/28/2024 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 100261 License No.: 146329 Owner Information QUALITY PERSONAL CARE HOMES INC QUALITY PERSONAL CARE HOMES INC 17015 ARTWOOD LN , MISSOURI CITY TX 77489 Phone (281) 437-1780 Fax (281) 208-1627 PHONE: FAX: TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BEATRICE AHAMBA License Eff Dt: 01/31/2021 License Exp Dt: 01/31/2024 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 000351 License No.: 145815 Owner Information QUALITY PERSONAL CARE HOMES, INC QUALITY PERSONAL CARE HOMES INC 543 DALEWOOD DR , MISSOURI CITY TX 77489 Phone (281) 438-9231 Fax (281) 208-1627 PHONE: FAX: TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BEATRICE AHAMBA License Eff Dt: 11/15/2020 License Exp Dt: 11/15/2023 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 102335 License No.: 146772 Owner Information SHEPHERD PERSONAL CARE HOME SHEPHERD PERSONAL CARE HOME, INC 2810 TROY DR 2810 TROY DR , MISSOURI CITY TX 77459 MISSOURI TX 77459 Phone (281) 437-2003 Fax (281) 437-2003 PHONE: (281) 772-6482 FAX: (281) 437-2003 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ELIZABETH A JOSEPH License Eff Dt: 01/28/2019 License Exp Dt: 01/28/2022 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 105034 License No.: 148151 Owner Information THE AVENUES OF FORT BEND ASSISTED LIVING AND MEMORY CARE CSL OCM 2016 LLC 3505 FM 1092 3973 W VICKERY BLVDSTE 101 , MISSOURI CITY TX 77459 FORT WORTH TX 76107 Phone (281) 261-1217 Fax (281) 261-1310 PHONE: (817) 386-8888 FAX: TOTAL Lic Capacity: 87 PRIVATE Beds: 87 Cert Alzh Capacity: 87 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JIM P VINCENT License Eff Dt: 06/30/2019 License Exp Dt: 06/30/2022 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

Tuesday, September 28, 2021 Page 166 of 405 County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 104587 License No.: 307636 Owner Information VILLA AT RIVERSTONE WR RIVERSTONE LLC 20313 S. UNIVERSITY BLVD. 106 CHESTNUT STR E , MISSOURI CITY TX 77459 STILLWATER MN 55082 Phone (281) 778-2881 Fax (281) 778-2888 PHONE: (281) 778-2881 FAX: TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 50 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MATTHEW WARREN License Eff Dt: 10/01/2019 License Exp Dt: 10/01/2022 Mgmt Co.: WR RIVERSTONE LLC

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 102832 License No.: 150281 Owner Information RELIABLE OAKS ASSISTED LIVING RELIABLE HEALTHCARE SERVICES INC 11750 PADON RD PO BOX 1289 , NEEDVILLE TX 77461 NEEDVILLE TX 77461 Phone (832) 282-7363 Fax (866) 306-3650 PHONE: (832) 282-7363 FAX: (866) 306-3650 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ELIZABETH WILLIAMS License Eff Dt: 09/19/2020 License Exp Dt: 09/19/2023 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 106501 License No.: 150302 Owner Information SUPREME MEMORY CARE SUPREME MEMORY CARE LLC 11750 PADON RD STE B 11750 PADON RDSTE B , NEEDVILLE TX 77461 NEEDVILLE TX 77461 Phone (832) 282-7363 Fax (866) 306-3650 PHONE: (832) 282-7383 FAX: (866) 306-3650 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ELIZABETH WILLIAMS License Eff Dt: 04/25/2020 License Exp Dt: 04/25/2023 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 103987 License No.: 149485 Owner Information AGAPE HERITAGE HOME AGAPE HERITAGE HOME 1911 GRAND WILLOW LANE 23330 ALLISTER CT , RICHMOND TX 77469 KATY TX 77494 Phone (713) 562-5363 Fax (281) 762-7716 PHONE: (713) 562-5363 FAX: (281) 762-7716 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DENNIS K OSARUMWENSE License Eff Dt: 10/21/2019 License Exp Dt: 10/21/2021 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 106184 License No.: 307254 Owner Information CLAYTON OAKS LIVING BRIDGEWOODCLAYTON OAKS TRS, LLC 21175 SOUTHWEST FRWY 6363 WOODWAY DRIVE, SUITE 870 , RICHMOND TX 77469 HOUSTON TX 77057 Phone (281) 341-6200 Fax (281) 341-6205 PHONE: FAX: TOTAL Lic Capacity: 108 PRIVATE Beds: 108 Cert Alzh Capacity: 34 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RAYMOND BAYLOR License Eff Dt: 08/04/2019 License Exp Dt: 08/04/2021 Mgmt Co.: INTEGRAL SENIOR LIVING MANAGEMENT, LLC

Tuesday, September 28, 2021 Page 167 of 405 County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 103111 License No.: 149610 Owner Information COMFY HOME INC COMFY HOME INC 7214 WOODED LAKE LANE 6607 HOLLOWAY SQUARE LANE , RICHMOND TX 77407 RICHMOND TX 77407 Phone (281) 238-8040 Fax (281) 277-2676 PHONE: (281) 277-0675 FAX: (281) 277-2676 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LYDIA K KRAWTZOWA License Eff Dt: 04/02/2020 License Exp Dt: 04/02/2023 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 106725 License No.: 148753 Owner Information DIVINE OAKS ASSISTED LIVING DIVINE OAKS ASSISTED LIVING LLC 20606 BANDROCK TERRACE 20606 BANDROCK TERRACE , RICHMOND TX 77407 RICHMOND TX 77407 Phone (832) 525-9857 Fax (281) 239-3455 PHONE: (832) 525-9857 FAX: (281) 239-3455 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAVID E MREMA License Eff Dt: 10/19/2019 License Exp Dt: 10/19/2022 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 106728 License No.: 146411 Owner Information FAITH ASSISTED LIVING HOMES FAITH HOME CARE AGENCY LLC 17019 MULBEN COURT 4003 LAKE BRAZOS LANE , RICHMOND TX 77407 RICHMOND TX 77406 Phone (281) 762-3381 Fax (281) 750-0901 PHONE: FAX: TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 15 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEBO O JOKODOLA License Eff Dt: 12/29/2020 License Exp Dt: 12/29/2023 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 102769 License No.: 149014 Owner Information FAITH PERSONAL HOME CARE DEBO JOKODOLA 3718 LAKE EDINBURG 4003 LAKE BRAZOS LN , RICHMOND TX 77406 RICHMOND TX 77406 Phone (281) 762-3381 Fax (281) 750-0901 PHONE: (713) 299-4059 FAX: (281) 750-0901 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DEBO JOKODOLA License Eff Dt: 12/14/2021 License Exp Dt: 12/14/2024 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 107319 License No.: 307177 Owner Information RESIDENCES AT RIVER PARK WEST AGAPE HERITAGE HOME 21806 OLEASTER SPRINGS LANE 23330 ALLISTER CT , RICHMOND TX 77469 KATY TX 77494 Phone (832) 704-3531 Fax (832) 407-7000 PHONE: (713) 562-5363 FAX: (281) 762-7716 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 11 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: OSARENNOMASE OSARUMWENSE License Eff Dt: 02/21/2021 License Exp Dt: 02/21/2024 Mgmt Co.: COVENANT GRACE HOSPICE, INC

Tuesday, September 28, 2021 Page 168 of 405 County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 106311 License No.: 149998 Owner Information ROSE HILL ASSISTED LIVING PGAL, INC 513 FM 359 RD 513 FM 359 , RICHMOND TX 77406 RICHMOND TX 77406 Phone (281) 232-3214 Fax (281) 277-4663 PHONE: (713) 927-7946 FAX: (281) 277-4663 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHEHNAZ KHANMOHAMED License Eff Dt: 04/01/2020 License Exp Dt: 04/01/2023 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 103236 License No.: 146089 Owner Information SUPREME PERSONAL CARE HOME SUPREME RESIDENTIAL HOME INC 7302 CHASE GROVE LANE 7302 CHASE GROVE LANE , RICHMOND TX 77469 RICHMOND TX 77407 Phone (281) 239-2404 Fax PHONE: (281) 650-0450 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LOLA ADEBO License Eff Dt: 12/23/2020 License Exp Dt: 12/23/2022 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 106971 License No.: 148898 Owner Information THE DELANEY AT PARKWAY LAKES BMSH I KATY TX LLC 21700 BELLAIRE BLVD 400 LOCUST STREET , RICHMOND TX 77407 DES MOINES IA 50309 Phone (832) 945-1800 Fax (832) 610-2191 PHONE: (515) 875-4500 FAX: (515) 875-4780 TOTAL Lic Capacity: 91 PRIVATE Beds: 91 Cert Alzh Capacity: 36 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANGELICA CRUZ-MONTES License Eff Dt: 12/15/2019 License Exp Dt: 12/15/2021 Mgmt Co.: NA

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 107150 License No.: 150042 Owner Information THE LEGACY AT LONG MEADOW LALMF TENANT LLC 10403 MASON ROAD 675 BERING DRIVESTE 550 , RICHMOND TX 77406 HOUSTON TX 77057 Phone (832) 412-3390 Fax PHONE: (713) 255-3501 FAX: (713) 425-5402 TOTAL Lic Capacity: 110 PRIVATE Beds: 110 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ERICA WILLIS License Eff Dt: 07/19/2020 License Exp Dt: 07/19/2023 Mgmt Co.: LIFEWELL SENIOR LIVING

County FORT BEND Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 110384 License No.: 307970 Owner Information VIVID LIFE RESIDENTIAL CARE VIVID LIFE RESIDENTIAL CARE 10302 W HIDDEN LAKE LANE 6725 S. FRY RD STE 700-304 , RICHMOND TX 77406 KATY TX 77494 Phone (713) 543-8774 Fax PHONE: (713) 543-8774 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JEANNE CANEDA License Eff Dt: 10/07/2020 License Exp Dt: 10/07/2023 Mgmt Co.: VIVID LIFE RESIDENTIAL CARE

Tuesday, September 28, 2021 Page 169 of 405 County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 000890 License No.: 150253 Owner Information CAMBRIDGE SQUARE ASSISTED LIVING ROSENBURG SENIOR LIVING, INC 2700 AVENUE N 2700 AVENUE N , ROSENBERG TX 77471 ROSENBURG TX 77471 Phone (281) 344-8444 Fax (281) 344-1050 PHONE: (281) 344-8444 FAX: TOTAL Lic Capacity: 44 PRIVATE Beds: 44 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BOBBIE DUSEK License Eff Dt: 09/01/2020 License Exp Dt: 09/01/2023 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 110337 License No.: 307834 Owner Information AGAPE ASSISTED LIVING, LLC AGAPE ASSISTED LIVING 5111 CASEY ROAD , ROSHARON TX 77583 Phone (281) 772-6482 Fax (281) 972-9718 PHONE: FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MOLLY PHILLIP License Eff Dt: 05/06/2020 License Exp Dt: 05/06/2023 Mgmt Co.: AGAPE ASSISTED LIVING,LLC

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 000474 License No.: 147868 Owner Information THE HAMPTON AT MEADOWS PLACE CHP MEADOWS PLACE TX TENANT CORP 11919 W AIRPORT BLVD 450 SOUTH ORANGE AVENUE , STAFFORD TX 77477 ORLANDO FL 32801 Phone (281) 240-1707 Fax (281) 240-0140 PHONE: (407) 650-1000 FAX: (407) 540-2576 TOTAL Lic Capacity: 246 PRIVATE Beds: 246 Cert Alzh Capacity: 90 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHANDRA DAVIS License Eff Dt: 07/30/2019 License Exp Dt: 07/30/2022 Mgmt Co.: SLH AUSTIN MANAGER LLC

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 010284 License No.: 147811 Owner Information ATRIA SUGAR LAND WG SUGAR LAND SH LLC 1401 SOLDIERS FIELD DR 300 EAST MARKET STSTE 100 ATTN: LEGAL DEPT. , SUGAR LAND TX 77479 LOUISVILLE KY 40202 Phone (281) 494-4200 Fax (281) 494-9631 PHONE: (502) 779-4700 FAX: (502) 779-4701 TOTAL Lic Capacity: 64 PRIVATE Beds: 64 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KAITLAN RUDOLPH License Eff Dt: 05/12/2019 License Exp Dt: 05/12/2022 Mgmt Co.: ATRIA MANAGEMENT COMPANY LLC

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 030334 License No.: 147679 Owner Information BARTON HOUSE COALITION FOR HOUSING OPPORTUNITIES INC 2229 WILLIAMS TRACE BLVD 9605 CLARKS CROSSING ROAD , SUGAR LAND TX 77478 VIENNA VA 22182 Phone (281) 313-2500 Fax (281) 313-2505 PHONE: (703) 938-6124 FAX: (703) 938-1059 TOTAL Lic Capacity: 20 PRIVATE Beds: 20 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KATY CLARK License Eff Dt: 07/22/2019 License Exp Dt: 07/22/2022 Mgmt Co.: TRILOGY SENIOR LIVING MANAGEMENT, LLC

Tuesday, September 28, 2021 Page 170 of 405 County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 000977 License No.: 145954 Owner Information BROOKDALE SUGAR LAND ESCNGH, LP 151 COMMERCE GREEN BLVD 111 WESTWOOD PL STE 400 , SUGAR LAND TX 77478 BRENTWOOD TN 37027 Phone (281) 491-6257 Fax (281) 242-1833 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 126 PRIVATE Beds: 126 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SUE PHILLIPS License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2023 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 030191 License No.: 146646 Owner Information COLONIAL OAKS AT FIRST COLONY COLONIAL OAKS SENIOR LIVING FIRST COLONY MANAGEMENT TX, LLC 13825 LEXINGTON BLVD 2100 THIRD AVE NORTH STE 600 , SUGAR LAND TX 77478 BIRMINGHAM AL 35203 Phone (281) 277-0900 Fax (281) 277-3674 PHONE: (205) 987-5500 FAX: (205) 327-6880 TOTAL Lic Capacity: 93 PRIVATE Beds: 93 Cert Alzh Capacity: 19 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CLARISSA WOODS License Eff Dt: 12/06/2020 License Exp Dt: 12/06/2023 Mgmt Co.: COLONIAL OAKS SENIOR LIVING, LLC

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 010400 License No.: 145434 Owner Information COMBINED GLORY ASSISTED LIVING FACILITY COMBINED GLORY INTERNATIONAL 13909 SKYVIEW DR , SUGAR LAND TX 77478 Phone (281) 491-0076 Fax (281) 491-1940 PHONE: FAX: TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANITA N BROUSSARD License Eff Dt: 08/15/2020 License Exp Dt: 08/15/2023 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 050602 License No.: 146423 Owner Information GREATWOOD RETIREMENT AND ASSISTED LIVING COMMUNITY LSREF GOLDEN OPS 26 TX LLC 7001 RIVERBROOK DR 3500 LENOX ROAD NE STE 510 , SUGAR LAND TX 77479 ATLANTA GA 30326 Phone (281) 343-8400 Fax (281) 343-8600 PHONE: (770) 754-9660 FAX: (770) 754-3085 TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: KIM PARNELL License Eff Dt: 01/15/2021 License Exp Dt: 01/15/2024 Mgmt Co.: SL GREATWOOD, LLC

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 107038 License No.: 149028 Owner Information INSPIRED LIVING AT MISSOURI CITY SENIOR CARE LIVING VI LLC 6400 OILFIELD ROAD 8380 BAY PINES BLVD 3RD FLOOOR , SUGAR LAND TX 77479 ST PETERSBURG FL 33709 Phone (832) 939-3964 Fax (832) 680-2613 PHONE: (727) 592-8889 FAX: (727) 592-8388 TOTAL Lic Capacity: 181 PRIVATE Beds: 181 Cert Alzh Capacity: 54 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARIO GUTIERREZ License Eff Dt: 02/14/2020 License Exp Dt: 02/14/2023 Mgmt Co.: VALIDUS SENIOR LIVING REIT INVESTMENT MANAGEMENT CO LLC

Tuesday, September 28, 2021 Page 171 of 405 County FORT BEND Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 106134 License No.: 307290 Owner Information LANDON RIDGE SUGAR LAND WELLTOWER TCG RIDEA TENANT, LLC 770 BROOKS ST. 4500 DORR STREET , SUGAR LAND TX 77478 TOLDEO OH 43615 Phone (832) 709-0614 Fax (281) 491-0449 PHONE: FAX: TOTAL Lic Capacity: 129 PRIVATE Beds: 129 Cert Alzh Capacity: 43 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BRIAN BYERS License Eff Dt: 04/01/2019 License Exp Dt: 04/01/2022 Mgmt Co.: SAGORA SENIOR LIVING, INC

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 105767 License No.: 149214 Owner Information MARITT SENIOR LIVING MARITT INC 13534 FERNHILL DR 3207 OAK PARK LANE , SUGAR LAND TX 77498 MISSOURI CITY TEXAS 77459 Phone (832) 886-4868 Fax (832) 886-4868 PHONE: (832) 886-4868 FAX: (832) 886-4868 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARY ADEGBITE License Eff Dt: 02/27/2020 License Exp Dt: 02/27/2023 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 105254 License No.: 146137 Owner Information MERCIFUL HANDS ASSISTED LIVING LLC MERCIFUL HANDS ASSISTED LIVING LLC 13711 SOUTHLINE RD 12302 ASHFORD PLACE DRIVE , SUGAR LAND TX 77498 SUGAR LAND TEXAS 77478 Phone (832) 428-4852 Fax (281) 494-3328 PHONE: (832) 428-4852 FAX: (281) 494-3328 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ATINUKE BAMIRO License Eff Dt: 12/05/2020 License Exp Dt: 12/05/2022 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 110407 License No.: 308006 Owner Information MERCIFUL HANDS ASSISTED LIVING OF ROSSTOWN MERCIFUL HANDS ASSISTED LIVING LLC 13203 ROSSTOWN DRIVE 12302 ASHFORD PLACE DRIVE , SUGAR LAND TX 77478-6180 SUGAR LAND TEXAS 77478 Phone (832) 655-1190 Fax (281) 494-3328 PHONE: (832) 428-4852 FAX: (281) 494-3328 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ADELEKE BAMIRO License Eff Dt: 09/23/2020 License Exp Dt: 09/23/2023 Mgmt Co.: MERCIFUL HANDS ASSISTED LIVING LLC

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 106280 License No.: 148458 Owner Information OPTIMUM PERSONAL CARE SUGAR LAND OPTIMUM PERSONAL CARE SUGAR LAND 1 LLC 1110 LAKEVIEW DR. - WING B 1110 LAKEVIEW DR , SUGAR LAND TX 77478 SUGAR LAND TX 77478 Phone (832) 939-8888 Fax (832) 939-8762 PHONE: (281) 565-4144 FAX: (281) 208-3042 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JULIA B GASSER License Eff Dt: 11/25/2019 License Exp Dt: 11/25/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 172 of 405 County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 110413 License No.: 308017 Owner Information OPTIMUM PERSONAL CARE SUGAR LAND 1 LLC OPTIMUM PERSONAL CARE SUGAR LAND 1 LLC 1112 LAKEVIEW DRIVE - WING C 1110 LAKEVIEW DR , SUGAR LAND TX 77478 SUGAR LAND TX 77478 Phone (832) 939-8888 Fax (832) 939-8762 PHONE: (281) 565-4144 FAX: (281) 208-3042 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JULIA B GASSER License Eff Dt: 12/01/2020 License Exp Dt: 12/01/2023 Mgmt Co.: OPTIMUM PERSONAL CARE SUGAR LAND 1 LLC

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 110392 License No.: 307986 Owner Information OPTIMUM PERSONAL CARE SUGAR LAND 1 LLC OPTIMUM PERSONAL CARE SUGAR LAND 1 LLC 1112 LAKEVIEW DR - WING D 1110 LAKEVIEW DR , SUGAR LAND TX 77478 SUGAR LAND TX 77478 Phone (832) 939-8888 Fax (832) 939-8762 PHONE: (281) 565-4144 FAX: (281) 208-3042 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JULIA B GASSER License Eff Dt: 10/28/2020 License Exp Dt: 10/28/2023 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 106279 License No.: 149032 Owner Information OPTIMUM PERSONAL CARESUGAR LAND OPTIMUM PERSONAL CARE SUGAR LAND 1 LLC 1110 LAKEVIEW DR. WING A 1110 LAKEVIEW DR , SUGAR LAND TX 77478 SUGAR LAND TX 77478 Phone (832) 939-8888 Fax (832) 939-8762 PHONE: (281) 565-4144 FAX: (281) 208-3042 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JULIA B GASSER License Eff Dt: 11/25/2019 License Exp Dt: 11/25/2021 Mgmt Co.:

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 000320 License No.: 307566 Owner Information THE AUBERGE AT SUGARLAND A MEMORY CARE COMMUNITY WELLTOWER TENANT GROUP LLC 1221 SEVENTH ST 4500 DORR STREET , SUGAR LAND TX 77478 TOLEDO OHIO 43615 Phone 281 2771221 Fax 281 2771020 PHONE: FAX: TOTAL Lic Capacity: 96 PRIVATE Beds: 96 Cert Alzh Capacity: 96 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JUSTIN ROTH License Eff Dt: 07/01/2019 License Exp Dt: 07/01/2022 Mgmt Co.: SUGARLAND MC CARE PROPERTIES, LLC

County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 110515 License No.: 308303 Owner Information THE VILLAGE AT SUGAR LAND ASSISTED LIVING & MEMORY CARE YEWTREE ASSISTED LIVING & MEMORY CARE 2100 VILLAGE LIVING COURT , SUGAR LAND TX 77479 Phone (281) 729-8800 Fax PHONE: FAX: TOTAL Lic Capacity: 107 PRIVATE Beds: 107 Cert Alzh Capacity: 36 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JINCY JACOB License Eff Dt: 06/29/2021 License Exp Dt: 06/29/2024 Mgmt Co.: LOREE TAMAYO CONSULTING INCORPORATED

Tuesday, September 28, 2021 Page 173 of 405 County FORT BEND Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 106718 License No.: 147598 Owner Information EDEN'S REFLECTION EDENS REFLECTION LLC 14719 ARMITAGE LANE 14719 ARMITAGE LN , SUGARLAND TX 77498 SUGARLAND TX 77498 Phone (713) 498-4974 Fax PHONE: (713) 498-4974 FAX: TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TASHNA MCKOY License Eff Dt: 06/27/2019 License Exp Dt: 06/27/2021 Mgmt Co.:

County FRANKLIN Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 000914 License No.: 307551 Owner Information MOUNT VERNON HOUSE JMD EXCELSIOR, LLC 502 MEADOW PARK , MOUNT VERNON TX 75457 Phone (903) 537-4857 Fax (903) 537-2833 PHONE: FAX: TOTAL Lic Capacity: 68 PRIVATE Beds: 68 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MARI COQ-LATORTUE License Eff Dt: 07/19/2019 License Exp Dt: 07/19/2022 Mgmt Co.:

County FRIO Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 000716 License No.: 148088 Owner Information COUNTRY VIEW CARE CENTER COUNTRY VIEW CARE CENTER 1060 NW FM 462 , MOORE TX 78057 Phone (830) 665-6068 Fax (830) 665-6068 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RHONDA KORCZYNSKI License Eff Dt: 06/11/2019 License Exp Dt: 06/11/2022 Mgmt Co.:

County GAINES Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 100794 License No.: 147916 Owner Information MEMORIAL PLACE SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS 300 NW 8TH ST 209 NW 8TH ST , SEMINOLE TX 79360 SEMINOLE TX 79360 Phone (432) 758-5802 Fax (432) 955-0568 PHONE: (432) 758-5811 FAX: (432) 758-4880 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CAPRI HILL License Eff Dt: 02/19/2019 License Exp Dt: 02/19/2022 Mgmt Co.:

County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 000842 License No.: 147727 Owner Information LA VITA BELLA LAMPSON ASSISTED LIVING INC 3527 OAK DR PO BOX 891168 , DICKINSON TX 77539 HOUSTON TX 77289 Phone (281) 534-9404 Fax (281) 678-8616 PHONE: (281) 488-7907 FAX: (281) 488-8508 TOTAL Lic Capacity: 32 PRIVATE Beds: 32 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TRUDY D LAMPSON License Eff Dt: 07/23/2021 License Exp Dt: 07/23/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 174 of 405 County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 105010 License No.: 148985 Owner Information SERENITY GARDENS SERENITY PCH LLC 1816 GILL RD PO BOX 1606 , DICKINSON TX 77539 DICKINSON TX 77539 Phone (832) 738-1576 Fax (832) 738-1061 PHONE: (832) 738-1576 FAX: (832) 738-1061 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MELIA BOONE License Eff Dt: 03/21/2020 License Exp Dt: 03/21/2023 Mgmt Co.:

County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 030422 License No.: 308211 Owner Information MORADA FRIENDSWOOD HP FRIENDSWOOD OPCO, LLC 1310 S FRIENDSWOOD DR. , FRIENDSWOOD TX 77546 Phone (281) 648-5454 Fax NA PHONE: FAX: TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 45 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANGELA ROUSSE License Eff Dt: 02/01/2021 License Exp Dt: 02/01/2024 Mgmt Co.: MORADA SENIOR LIVING LLC

County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 106575 License No.: 149626 Owner Information SERENITY GARDENS SERENITY ALF LLC 118 W WILLOWICK AVE PO BOX 1606 , FRIENDSWOOD TX 77546 DICKERSON TX 77539 Phone (832) 569-4517 Fax (832) 569-4616 PHONE: (832) 569-4517 FAX: (832) 569-4616 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MELIA BOONE License Eff Dt: 06/22/2020 License Exp Dt: 06/22/2022 Mgmt Co.:

County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 110255 License No.: 307600 Owner Information STERLING OAKS ASSISTED LIVING INC STERLING OAKS ASSISTED LIVING INC 505 NORTH CLEAR CREEK DRIVE , FRIENDSWOOD TX 77546 Phone (281) 380-3854 Fax PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KRISTINE BARTON License Eff Dt: 12/10/2019 License Exp Dt: 12/10/2022 Mgmt Co.:

County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 030105 License No.: 149526 Owner Information CONCORD ASSISTED LIVING LLC CONCORD ASSISTED LIVING LLC 1516 HARBORVIEW CIR P O BOX 3264 , GALVESTON TX 77550 GALVESTON TX 77552 Phone (409) 765-1353 Fax (409) 762-1010 PHONE: (409) 765-1353 FAX: (409) 765-5084 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JUDITH L JOHNSON License Eff Dt: 02/15/2020 License Exp Dt: 02/15/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 175 of 405 County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 030214 License No.: 148852 Owner Information CONCORD ON BROADWAY REEJUD ENTERPRISES INC 1601 BROADWAY POB 3264 , GALVESTON TX 77550 GALVESTON TEXAS 77552 Phone (409) 789-7611 Fax (409) 770-0512 PHONE: (409) 789-7611 FAX: TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JUDITH L JOHNSON License Eff Dt: 12/20/2019 License Exp Dt: 12/20/2022 Mgmt Co.:

County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 107196 License No.: 307082 Owner Information THE MERIDIAN RJ MERIDIAN CARE OF GALVESTON, LLC 2228 SEAVALL BOULEVARD 25009 OAKHURST DR , GALVESTON TX 77550 SPRING TX 77386 Phone (409) 763-6437 Fax PHONE: (281) 465-0636 FAX: (281) 465-0748 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ELMIRA GARNER License Eff Dt: 11/02/2020 License Exp Dt: 11/02/2023 Mgmt Co.: COVENANT GRACE HOSPICE, INC

County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 000551 License No.: 149997 Owner Information TRANSITIONAL LEARNING CENTER AT GALVESTON TRANSITIONAL LEARNING CENTER AT GALVESTON 1528 POSTOFFICE ST 1528 POST OFFICE ST , GALVESTON TX 77550 GALVESTON TX 77550 Phone (409) 762-6661 Fax (409) 762-9961 PHONE: (409) 762-6661 FAX: (409) 762-9961 TOTAL Lic Capacity: 24 PRIVATE Beds: 24 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROBERT PREHN JR. License Eff Dt: 08/31/2020 License Exp Dt: 08/31/2023 Mgmt Co.:

County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 101548 License No.: 150287 Owner Information TRANSITIONAL LEARNING CENTER AT GALVESTON TRANSITIONAL LEARNING CENTER AT GALVESTON 1527 MARKET ST 1528 POST OFFICE ST , GALVESTON TX 77550 GALVESTON TX 77550 Phone (409) 762-6661 Fax (409) 762-9961 PHONE: (409) 762-6661 FAX: (409) 762-9961 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROBERT PREHN JR. License Eff Dt: 10/06/2020 License Exp Dt: 10/06/2023 Mgmt Co.:

County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 102680 License No.: 148770 Owner Information TRANSITIONAL LEARNING CENTER AT GALVESTON TIDEWAY SOUTH TRANSITIONAL LEARNING CENTER AT GALVESTON 6444 CENTRAL CITY BLVD 1528 POST OFFICE ST , GALVESTON TX 77551 GALVESTON TX 77550 Phone (409) 741-3266 Fax (409) 741-1523 PHONE: (409) 762-6661 FAX: (409) 762-9961 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CINDY CYPERT License Eff Dt: 10/06/2019 License Exp Dt: 10/06/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 176 of 405 County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 101922 License No.: 150157 Owner Information TRANSITIONAL LEARNING CENTER AT GALVESTON TIDEWAY TRANSITIONAL LEARNING CENTER AT GALVESTON 6444 CENTRAL CITY BLVD 1528 POST OFFICE ST , GALVESTON TX 77551 GALVESTON TX 77550 Phone (409) 741-3266 Fax (409) 741-1523 PHONE: (409) 762-6661 FAX: (409) 762-9961 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROBERT PREHN JR. License Eff Dt: 09/10/2020 License Exp Dt: 09/10/2023 Mgmt Co.:

County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 104947 License No.: 308236 Owner Information SEASONS PERSONAL CARE HOME ABCARE COORDINATORS LLC 6714 DELANY ROAD 2925 GULF FREEWAY SOUTH ST B #277 , HITCHCOCK TX 77563 LEAGUE CITY TX 77573 Phone (409) 316-0130 Fax (409) 316-9376 PHONE: FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BONNIE BENKULA License Eff Dt: 03/09/2021 License Exp Dt: 03/09/2024 Mgmt Co.:

County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 030287 License No.: 148628 Owner Information DOLL HOUSE ENTERPRISE LLC DOLL HOUSE ENTERPRISE LLC 1031 LAUREL 1031 LAUREL STREET , LA MARQUE TX 77568 LAMARQUE TX 77568 Phone (409) 797-4176 Fax PHONE: (409) 797-4176 FAX: TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DOLL Z SHEPPARD License Eff Dt: 08/13/2019 License Exp Dt: 08/13/2022 Mgmt Co.: NA

County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 030166 License No.: 144640 Owner Information SUNNY & SAIMA ASSISTED LIVING HOMES TEXAS KAIXINGDA TECHNOLOGY DEVELOPMENT, LLC TKTD 1109 HOLLY ST. TKTD, LLC - 1002 GEMINI AVE, SUITE 210E , LA MARQUE TX 77568 HOUSTON TX 77058 Phone (409) 797-4292 Fax (866) 587-2032 PHONE: (713) 538-7836 FAX: (866) 587-2032 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SAIMA OKORIE License Eff Dt: 08/30/2020 License Exp Dt: 08/30/2022 Mgmt Co.: TEXAS KAIXINGDA TECHNOLOGY DEVELOPMENT, LLC TKTD

County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 030348 License No.: 146114 Owner Information THE MILDRED HOUSE INC VERSIE M BLACKMONOWNER 1515 4TH AVE 1515 4TH AVENUE , LA MARQUE TX 77568 LAMARQUE TX 77568 Phone (409) 933-1219 Fax (409) 933-1812 PHONE: (409) 933-1219 FAX: (409) 933-1812 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VERSIE M BLACKMON License Eff Dt: 01/02/2021 License Exp Dt: 01/02/2024 Mgmt Co.: NA

Tuesday, September 28, 2021 Page 177 of 405 County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 106658 License No.: 147249 Owner Information BRAWNER SUNSET HAVEN LLC BRAWNER SUNSET HAVEN LLC 2019 SUNSET COURT SOUTH 2019 SUNSET COURT SOUTH , LEAGUE CITY TX 77573 LEAGUE CITY TX 77573 Phone (832) 932-5020 Fax (832) 932-5020 PHONE: (832) 932-5020 FAX: (832) 932-5020 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RHONDA K BRAWNER License Eff Dt: 08/31/2019 License Exp Dt: 08/31/2022 Mgmt Co.:

County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 110300 License No.: 307729 Owner Information CNSMURICIA CNS HOUSTON, LLC 2515 MURICIA DRIVE 5215 ASHE RD , LEAGUE CITY TX 77573 BAKERSFIELD CA 93313 Phone (281) 725-6600 Fax (281) 769-1650 PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BRETTNEY STULTS License Eff Dt: 03/03/2020 License Exp Dt: 03/03/2023 Mgmt Co.:

County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 106261 License No.: 149290 Owner Information MRC THE CROSSINGS HAPPY HARBOR METHODIST HOME INC 255 N. EGRET BAY BLVD 1440 LAKE FRONT CIRCLESTE 110 , LEAGUE CITY TX 77573 THE WOODLANDS TX 77380 Phone (281) 724-2345 Fax (281) 664-3279 PHONE: (281) 363-2600 FAX: (281) 664-3279 TOTAL Lic Capacity: 68 PRIVATE Beds: 68 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ABRAHAM MATHEW License Eff Dt: 04/11/2020 License Exp Dt: 04/11/2023 Mgmt Co.: METHODIST RETIREMENT COMMUNITIES

County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 105782 License No.: 146779 Owner Information ORCHARD PARK AT VICTORY LAKES WALKER SENIOR CARE, LLC 2760 W. WALKER STREET 1000 LEGION PLSTE 1600 , LEAGUE CITY TX 77573 ORLANDO FL 32801 Phone (281) 369-4404 Fax (832) 769-3594 PHONE: (407) 999-2400 FAX: (407) 999-7775 TOTAL Lic Capacity: 136 PRIVATE Beds: 136 Cert Alzh Capacity: 75 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BETTY LAYMAN MARTIN License Eff Dt: 04/02/2021 License Exp Dt: 04/02/2024 Mgmt Co.: NORTHSTAR SENIOR LIVING, INC

County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 050601 License No.: 147203 Owner Information REGAL ESTATES ASSISTED LIVING COMMUNITY LSREF GOLDEN OPS 26 TX LLC 500 ENTERPRISE DR 3500 LENOX ROAD NE STE 510 , LEAGUE CITY TX 77573 ATLANTA GA 30326 Phone (281) 538-5993 Fax (281) 538-9664 PHONE: (770) 754-9660 FAX: (770) 754-3085 TOTAL Lic Capacity: 155 PRIVATE Beds: 155 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SHAWN LAHR License Eff Dt: 01/15/2021 License Exp Dt: 01/15/2024 Mgmt Co.: SL LEAGUE CITY LLC

Tuesday, September 28, 2021 Page 178 of 405 County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 106178 License No.: 307154 Owner Information SENIOR VILLAGE NEXESS CORPORATION 501 NEWPORT BLVD , LEAGUE CITY TX 77573 Phone (832) 632-2587 Fax (832) 632-1183 PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ESHEN AKHTER License Eff Dt: 09/30/2018 License Exp Dt: 09/30/2020 Mgmt Co.:

County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 105485 License No.: 146810 Owner Information THE COTTAGES AT CLEAR LAKE CLEAR LAKE COTTAGES LTD 400 LANDING BLVD. 25 HIGHLAND PARK VILLAGE, SUITE 100-779 , LEAGUE CITY TX 77573 DALLAS TEXAS 75205 Phone (281) 316-4281 Fax (281) 554-8607 PHONE: (214) 526-0021 FAX: (214) 526-7965 TOTAL Lic Capacity: 72 PRIVATE Beds: 72 Cert Alzh Capacity: 72 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SYLVIA GILL License Eff Dt: 05/01/2019 License Exp Dt: 05/01/2022 Mgmt Co.: THE COTTAGES SENIOR LIVING LLC

County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 010237 License No.: 148325 Owner Information THE COTTAGES AT CLEAR LAKE I CLEAR LAKE COTTAGES LTD 450 LANDING BLVD 25 HIGHLAND PARK VILLAGE, SUITE 100-779 , LEAGUE CITY TX 77573 DALLAS TEXAS 75205 Phone (281) 316-4281 Fax (281) 554-8607 PHONE: (214) 526-0021 FAX: (214) 526-7965 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LYNDA CANAS License Eff Dt: 10/08/2021 License Exp Dt: 10/08/2023 Mgmt Co.: THE COTTAGES SENIOR LIVING LLC

County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 010241 License No.: 148326 Owner Information THE COTTAGES AT CLEAR LAKE I I CLEAR LAKE COTTAGES LTD 450 LANDING BLVD 25 HIGHLAND PARK VILLAGE, SUITE 100-779 , LEAGUE CITY TX 77573 DALLAS TEXAS 75205 Phone (281) 316-4281 Fax (281) 554-8607 PHONE: (214) 526-0021 FAX: (214) 526-7965 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BARBARA BARRETT License Eff Dt: 10/08/2021 License Exp Dt: 10/08/2024 Mgmt Co.: THE COTTAGES SENIOR LIVING LLC

County GALVESTON Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 107116 License No.: 149977 Owner Information THE DELANEY AT SOUTH SHORE LCS LEAGUE CITY OPERATIONS LLC 2605 MARINA BAY DRIVE 400 LOCUST STREET , LEAGUE CITY TX 77573 DES MOINES IA 50309 Phone (281) 823-8129 Fax (281) 816-4710 PHONE: (515) 875-4500 FAX: (515) 875-4780 TOTAL Lic Capacity: 106 PRIVATE Beds: 106 Cert Alzh Capacity: 36 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LISA GILLES License Eff Dt: 06/21/2020 License Exp Dt: 06/21/2022 Mgmt Co.: NA

Tuesday, September 28, 2021 Page 179 of 405 County GALVESTON Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 000694 License No.: 149916 Owner Information ELMCROFT OF THE MAINLAND EC OPCO MAINLAND, LLC 1901 N. AMBURN ROAD 500 NORTH HURSTBOURNE PARKWAYSUITE 200 , TEXAS CITY TX 77591 LOUISVILLE KY 40222 Phone (409) 935-6620 Fax (409) 933-0658 PHONE: (502) 357-9000 FAX: (502) 357-9441 TOTAL Lic Capacity: 108 PRIVATE Beds: 108 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STEPHEN EVERETT License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2022 Mgmt Co.: ECLIPSE PROTFOLIO OPERATIONS, LLC

County GALVESTON Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 030097 License No.: 146516 Owner Information GAMBLES PERSONAL TOUCH CARE HOME GAMBLES PERSONAL TOUCH CARE HOME 501 N. AMBURN RD 504 N. AMBURN RD , TEXAS CITY TX 77591 TEXAS CITY TX 77591 Phone (409) 935-5655 Fax (409) 938-4349 PHONE: (409) 938-8278 FAX: (409) 938-4349 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARY J GAMBLE License Eff Dt: 11/02/2020 License Exp Dt: 11/02/2023 Mgmt Co.: NA

County GALVESTON Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 101040 License No.: 147730 Owner Information H R A VILLAGE INC HRA VILLAGE INCORPORATED 905 HWY 3 N 905 HWY 3 N , TEXAS CITY TX 77591 TEXAS CITY TX 77591 Phone (409) 935-4335 Fax (409) 935-4153 PHONE: 409 9354335 FAX: 409 9354153 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JUDY SLOCUMB MD License Eff Dt: 06/21/2021 License Exp Dt: 06/21/2024 Mgmt Co.:

County GALVESTON Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 000443 License No.: 145307 Owner Information THE INDEPENDENCE VILLAGE HRA VILLAGE INCORPORATED 905 HWY 3 N 905 HWY 3 N , TEXAS CITY TX 77591 TEXAS CITY TX 77591 Phone (409) 935-4335 Fax (409) 935-4153 PHONE: 409 9354335 FAX: 409 9354153 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JUDY SLOCUMB MD License Eff Dt: 04/05/2020 License Exp Dt: 04/05/2023 Mgmt Co.: HRA VILLAGE INCORPORATED

County GILLESPIE Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 106845 License No.: 148162 Owner Information CELESTECARE OF FREDERICKSBURG LLV1 LP 2230 N LLANO 18025 GLENVILLE COVE , FREDERICKSBURG TX 78624 AUSTIN TX 78738 Phone (830) 997-4613 Fax (830) 997-3592 PHONE: (512) 422-8787 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LYTANE BOLZLE License Eff Dt: 08/25/2019 License Exp Dt: 08/25/2022 Mgmt Co.: CELESTE CARE LLC

Tuesday, September 28, 2021 Page 180 of 405 County GILLESPIE Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 106964 License No.: 148685 Owner Information CELESTECARE OF FREDERICKSBURG MEMORY CARE LLV1 LP 2230 N LLANO 18025 GLENVILLE COVE , FREDERICKSBURG TX 78624 AUSTIN TX 78738 Phone (830) 997-4613 Fax (830) 997-3592 PHONE: (512) 422-8787 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TARA MILLER License Eff Dt: 11/03/2019 License Exp Dt: 11/03/2021 Mgmt Co.: CELESTE CARE LLC

County GILLESPIE Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 030089 License No.: 307610 Owner Information HERITAGE PLACE SNH LONGHORN TENANT LLC 96 EAST FREDERICK ROAD , FREDERICKSBURG TX 78624 Phone 830 9979406 Fax 830 9974374 PHONE: FAX: TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CONNIE ECKHARDT License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.: FVE MANAGERS, INC

County GILLESPIE Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 000530 License No.: 307410 Owner Information KNOPP ASSISTED LIVING CENTER INC KNOPP ASSISTED LIVING CENTER INC 202 BILLIE DR 1208 NORTH LLANO , FREDERICKSBURG TX 78624 FREDERICKSBURG TX 78624 Phone (830) 997-7924 Fax (830) 990-4731 PHONE: (830) 997-7924 FAX: (830) 990-4731 TOTAL Lic Capacity: 53 PRIVATE Beds: 53 Cert Alzh Capacity: 11 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JAMES E GAMEZ License Eff Dt: 06/01/2021 License Exp Dt: 06/01/2024 Mgmt Co.:

County GILLESPIE Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 000552 License No.: 147850 Owner Information KNOPP RETIREMENT CENTER, INC KNOPP RETIREMENT CENTER INC 103 E TRAILMOOR DR 103 E TRAILMOOR , FREDERICKSBURG TX 78624 FREDERICKSBURG TX 78624 Phone (830) 997-4426 Fax (830) 997-5245 PHONE: (830) 997-5349 FAX: (830) 990-4731 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LAUREN SOULES License Eff Dt: 06/01/2021 License Exp Dt: 06/01/2024 Mgmt Co.:

County GILLESPIE Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 104847 License No.: 148907 Owner Information MORNING STAR MEMORY CARE OF FREDERICKSBURG TEXAS LLC MORNING STAR MEMORY CARE OF FREDRICKSBURG TEXAS LLC 106 HERITAGE HILLS DR 106 HERITAGE HILLS DR , FREDERICKSBURG TX 78624 FREDRICKSBURG TX 78624 Phone (830) 990-9007 Fax (830) 990-8000 PHONE: (830) 900-9007 FAX: (830) 990-8000 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MICHAEL J STORK License Eff Dt: 04/01/2020 License Exp Dt: 04/01/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 181 of 405 County GILLESPIE Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 110142 License No.: 307312 Owner Information WINDCREST VILLAGE LLC, DBA THE VILLAGES OF WINDCREST ACRON WINDCREST VILLAGE, LLC 702 WEST WINDCREST STREET , FREDERICKSBURG TX 78624 Phone (830) 856-2450 Fax PHONE: FAX: TOTAL Lic Capacity: 86 PRIVATE Beds: 86 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VALOREE HAM-GOINES License Eff Dt: 05/09/2019 License Exp Dt: 05/09/2022 Mgmt Co.: WINDCREST VILLAGE SA OPCO, LLC

County GONZALES Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 000702 License No.: 146048 Owner Information THE BRAIN INJURY LIFECARE CENTER POST ACUTE MEDICAL OUTPATIENT CLINICS, LLC 239 PRIVATE ROAD 5091 1828 GOOD HOPE RD STE#102 , GONZALES TX 78629 ENOLA PA 17025 Phone (830) 672-6596 Fax (830) 672-7446 PHONE: (717) 731-9660 FAX: (717) 731-9665 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: EMILY CASTILLO License Eff Dt: 12/01/2020 License Exp Dt: 12/01/2023 Mgmt Co.: POST ACUTE MEDICAL, LLC

County GONZALES Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 030010 License No.: 147552 Owner Information THE ROMBERG HOUSE 210 QUALLS LLC 210 QUALLS ST 210 QUALLS , GONZALES TX 78629 GONZALES TX 78629 Phone (830) 672-8249 Fax (830) 672-2493 PHONE: (830) 672-8249 FAX: (210) 826-8548 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: STACY ZELLA License Eff Dt: 05/15/2021 License Exp Dt: 05/15/2024 Mgmt Co.:

County GRAY Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 000434 License No.: 148057 Owner Information MEREDITH PLACE MEREDITH AID OPCO LLC 812 W 25TH ST 330 N WABASHSTE 3700 , PAMPA TX 79065 CHICAGO IL 60611 Phone (806) 665-5668 Fax (806) 665-2599 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 43 PRIVATE Beds: 43 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MICHELLE GOODSON License Eff Dt: 07/11/2019 License Exp Dt: 07/11/2022 Mgmt Co.: ENLIVANT AID CMBS MGMT LLC

County GRAYSON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 110215 License No.: 307473 Owner Information CELEBRATION SENIOR LIVING OF DENISON RSL LIVING DENISON, LLC 5601 WOODLANDS TRAIL , DENISON TX 75020 Phone (903) 224-5441 Fax (281) 482-9705 PHONE: FAX: TOTAL Lic Capacity: 94 PRIVATE Beds: 94 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JASON DEETS License Eff Dt: 09/04/2019 License Exp Dt: 09/04/2022 Mgmt Co.: RESTORATION SENIOR LIVING, LLC

Tuesday, September 28, 2021 Page 182 of 405 County GRAYSON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 000999 License No.: 147856 Owner Information GRAYSON PLACE KATY AID OPCO LLC 3001 CRAWFORD ST 330 N WABASHSTE 3700 , DENISON TX 75020 CHICAGO IL 60611 Phone (903) 463-1323 Fax (903) 463-4780 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 36 PRIVATE Beds: 36 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CLETIS BROCK License Eff Dt: 07/11/2021 License Exp Dt: 07/11/2024 Mgmt Co.: ENLIVANT AID FNMAB MGMT LLC

County GRAYSON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 105115 License No.: 308328 Owner Information LAKE POINT DENISON LAKE POINT ASSISTED LIVING LLC 1100 REBA MCENTIRE LANE P.O. BOX 191088 , DENISON TX 75020 DALLAS TEXAS 75219 Phone 903 3371625 Fax (903) 465-4985 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL BLACKBURN License Eff Dt: 01/04/2021 License Exp Dt: 01/04/2024 Mgmt Co.:

County GRAYSON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 104136 License No.: 146204 Owner Information NANAWS PLACE DONNA HIGGINBOTHAM 1100 W MUNSON ST SAME , DENISON TX 75020 DENISON TEXAS 75020 Phone (903) 337-0006 Fax same PHONE: ( ) - 0 FAX: TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DONNA HIGGINBOTHAM License Eff Dt: 12/15/2020 License Exp Dt: 12/15/2023 Mgmt Co.: DONNA HIGGINBOTHAM

County GRAYSON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 100516 License No.: 308239 Owner Information SILVER LEAF ASSISTED LIVING, LLC SILVER LEAF ASSISTED LIVING LLC 4318 CRAWFORD STREET PO BOX 191088 , DENISON TX 75020 DALLAS TEXAS 75034 Phone (903) 463-0400 Fax (903) 463-0431 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DANIEL BLACKBURN License Eff Dt: 06/21/2021 License Exp Dt: 01/04/2024 Mgmt Co.: NA

County GRAYSON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 000463 License No.: 144149 Owner Information STONE BROOK ASSISTED LIVING AND MEMORY CARE STONE BROOK ASSISTED LIVING LLC 1616 LIFESEARCH WAY PO BOX 1190 , DENISON TX 75020 DENISON TX 75021 Phone (903) 465-5051 Fax (903) 465-4711 PHONE: (214) 306-7674 FAX: (866) 684-0884 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEBI DAVIDSON License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.: SRC RETIREMENT INC

Tuesday, September 28, 2021 Page 183 of 405 County GRAYSON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 000765 License No.: 144585 Owner Information WESLEY VILLAGE WESLEY VILLAGE RETIREMENT HOME INC 2800 LOY LAKE RD 2800 LOY LAKE RD , DENISON TX 75020 DENISON TX 75020 Phone (903) 465-6463 Fax (903) 465-6498 PHONE: (903) 465-6463 FAX: (903) 465-6498 TOTAL Lic Capacity: 72 PRIVATE Beds: 72 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: KATHY BUSBEY License Eff Dt: 02/23/2020 License Exp Dt: 02/23/2022 Mgmt Co.:

County GRAYSON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 107244 License No.: 307325 Owner Information NANAWS PLACE 2 DONNA HIGGINBOTHAM 106 HERBERTA SAME , POTTSBORO TX 75076 DENISON TEXAS 75020 Phone (903) 786-6234 Fax PHONE: ( ) - 0 FAX: TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DONNA HIGGINBOTHAM License Eff Dt: 04/15/2021 License Exp Dt: 04/15/2024 Mgmt Co.:

County GRAYSON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 030070 License No.: 145446 Owner Information BROOKDALE WILLOWS SHERMAN EMERITUS CORPORATION 3410 POST OAK CROSSING 6737 W. WASHINGTON STREET SUITE 2300 , SHERMAN TX 75092 MILWAUKEE WI 53214 Phone (903) 891-3737 Fax (903) 891-3770 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 75 PRIVATE Beds: 75 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CARI DEES License Eff Dt: 07/31/2020 License Exp Dt: 07/31/2023 Mgmt Co.:

County GRAYSON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 000795 License No.: 307808 Owner Information HOME TO YOU PINNACLE COMMUNITY LIVING 243 INDEPENDENCE SPRING DR , SHERMAN TX 75090 Phone (903) 893-7093 Fax (903) 893-7093 PHONE: FAX: TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DIANN ANDREWS License Eff Dt: 04/11/2020 License Exp Dt: 04/11/2023 Mgmt Co.:

County GRAYSON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 102688 License No.: 308176 Owner Information PECAN POINT ASSISTED LIVING AND MEMORY CARE COMMUNITY WELLTOWER TENANT GROUP LLC 1011 E. PECAN GROVE RD 4500 DORR STREET , SHERMAN TX 75090 TOLEDO OHIO 43615 Phone 903 8929100 Fax 903 8922200 PHONE: FAX: TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MICHELLE LEIGH License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.: PECAN POINT AL MC CARE PROPERTIES LLC

Tuesday, September 28, 2021 Page 184 of 405 County GRAYSON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 000972 License No.: 147319 Owner Information PRESTON PLACE PRESTON AID OPCO LLC 620 BLANTON DR 330 N WABASH AVESTE 3700 , SHERMAN TX 75092 CHICAGO IL 60611 Phone (903) 892-6937 Fax (903) 870-0279 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEVIN BLALOCK License Eff Dt: 07/11/2021 License Exp Dt: 07/11/2024 Mgmt Co.: ENLIVANT AID KB MGMT LLC

County GRAYSON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 000690 License No.: 144270 Owner Information RENAISSANCE SHERMAN HARVEST RENAISSANCE SHERMAN LLC 3701 LOY LAKE RD PO BOX 1700 , SHERMAN TX 75090 LAKE OSWEGO OR 97035 Phone (903) 868-2200 Fax (903) 868-1877 PHONE: (503) 586-7309 FAX: (503) 431-2320 TOTAL Lic Capacity: 40 PRIVATE Beds: 40 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ELIZABETH BLANTON License Eff Dt: 02/28/2020 License Exp Dt: 02/28/2023 Mgmt Co.: HOLIDAY AL MANAGEMENT SUB LLC

County GRAYSON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 104670 License No.: 148017 Owner Information TRADITIONS SENIOR LIVING AND MEMORY CARE SHERMAN SENIOR LIVING LLC 505 NORTH FM 1417 117 W MAIN ST , SHERMAN TX 75092 ALLEN TX 75013 Phone (903) 893-4282 Fax (903) 893-4262 PHONE: (817) 984-4404 FAX: (903) 215-8581 TOTAL Lic Capacity: 76 PRIVATE Beds: 76 Cert Alzh Capacity: 35 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VICKI SKIPWORTH License Eff Dt: 10/01/2019 License Exp Dt: 10/01/2021 Mgmt Co.: RSL HEALTHCARE MANAGEMENT LLC

County GRAYSON Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 101205 License No.: 307580 Owner Information JUST LIKE HOME REED FRANCIS COMPANY 6313 OLD SHERMAN RD 6313 OLD SHERMAN RD , WHITESBORO TX 76273 WHITESBORO TX 76273 Phone (903) 564-7466 Fax (903) 564-5405 PHONE: (903) 564-7466 FAX: (903) 564-5405 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHANE W BREM License Eff Dt: 02/09/2018 License Exp Dt: 02/09/2020 Mgmt Co.:

County GREGG Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 106456 License No.: 147702 Owner Information SENTINEL GARDENS ASSISTED LIVING CENTER SENTINEL GARDENS CORP INC 300 MONEY STREET P.O. BOX 480762 , GLADEWATER TX 75647 LOS ANGELES CA 90048 Phone (430) 702-4000 Fax (430) 702-4002 PHONE: (323) 304-0390 FAX: (323) 389-1799 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: TINA M GILLASPY License Eff Dt: 07/17/2019 License Exp Dt: 07/17/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 185 of 405 County GREGG Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 100561 License No.: 149198 Owner Information ARABELLA OF KILGORE KAL 2016 LLC 2103 CHANDLER ST 777 MAIN ST.STE 2300 , KILGORE TX 75662 FORT WORTH TX 76102 Phone (903) 984-8839 Fax (903) 988-2194 PHONE: (817) 386-8888 FAX: (817) 386-8324 TOTAL Lic Capacity: 67 PRIVATE Beds: 67 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JAY QUEBEDEAUX License Eff Dt: 04/01/2020 License Exp Dt: 04/01/2023 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County GREGG Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 000965 License No.: 149478 Owner Information ALPINE HOUSE VERITAS SENIOR LIVING LLC 2104 ALPINE RD 6858 SWINNEA RDBLDG 1A , LONGVIEW TX 75601 SOUTHAVEN MS 38671 Phone (903) 234-8600 Fax (903) 234-1149 PHONE: (662) 510-5544 FAX: (662) 510-5471 TOTAL Lic Capacity: 36 PRIVATE Beds: 36 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JACKIE MAYFIELD License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2022 Mgmt Co.:

County GREGG Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 106015 License No.: 307634 Owner Information ARABELLA OF LONGVIEW QUALITY SENIOR HOUSING FOUNDATION OF EAST TEXAS, INC 1155 E. HAWKINS PARKWAY , LONGVIEW TX 75605 Phone (903) 663-8886 Fax (903) 566-8506 PHONE: FAX: TOTAL Lic Capacity: 92 PRIVATE Beds: 92 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRISTOPHER C CAMPBELL License Eff Dt: 09/01/2019 License Exp Dt: 06/22/2021 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County GREGG Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 103314 License No.: 146149 Owner Information BOYDS HOME WILLIE E BOYD 315 E CLIFFWOOD 315 E CLIFFWOOD , LONGVIEW TX 75603 LONGVIEW TX 75603 Phone (903) 643-9990 Fax (903) 643-9990 PHONE: (903) 643-9990 FAX: (903) 643-9990 TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE C Administrator: WILLIE E BOYD License Eff Dt: 12/27/2020 License Exp Dt: 12/27/2022 Mgmt Co.:

County GREGG Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 000382 License No.: 145818 Owner Information BROOKDALE LONGVIEW ESC IV LP 2920 N EASTMAN RD 6737 W, WASHINGTON ST SUITE 2300 , LONGVIEW TX 75605 MILWAUKEE WI 53214 Phone (903) 757-6020 Fax (903) 757-2491 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 80 PRIVATE Beds: 80 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VINSON HENSON License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 186 of 405 County GREGG Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 100157 License No.: 148317 Owner Information BUCKNER WESTMINSTER PLACE BUCKNER RETIREMENT SERVICES INC 2201 HORSESHOE LN 700 N PEARL STREET, SUITE 1200 , LONGVIEW TX 75605 DALLAS TX 75201 Phone (903) 234-0000 Fax (903) 234-0909 PHONE: (214) 758-8031 FAX: (214) 758-8153 TOTAL Lic Capacity: 61 PRIVATE Beds: 61 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHARLOTTE D WISE License Eff Dt: 10/16/2019 License Exp Dt: 10/16/2021 Mgmt Co.:

County GREGG Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 104611 License No.: 148905 Owner Information EMMANUEL HOMES #3 LATONYA WILLIEPOLK 807 S MOBBERLY PO BOX 8664 , LONGVIEW TX 75602 LONGVIEW TEXAS 75602 Phone (903) 553-0143 Fax (903) 297-4999 PHONE: (903) 315-8302 FAX: (903) 234-8138 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: TONY POLK License Eff Dt: 07/08/2019 License Exp Dt: 07/08/2021 Mgmt Co.:

County GREGG Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 102944 License No.: 308184 Owner Information HAWKINS CREEK ASSISTED LIVING AND MEMORY CARE COMMUNITY WELLTOWER TENANT GROUP LLC 311 E HAWKINS PKWY 4500 DORR STREET , LONGVIEW TX 75605 TOLEDO OHIO 43615 Phone 903 6631079 Fax 903 6630529 PHONE: FAX: TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHERYL SIKES License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.: HAWKINS CREEK AL MC CARE PROPERTIES LLC

County GREGG Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 105642 License No.: 148655 Owner Information HEARTIS LONGVIEW HEARTIS FOUNTAINVIEW PARTNERS, LP 1408 LAGO TRL 5910 N CENTRAL EXPRESSWAYSUITE 200 , LONGVIEW TX 75604 DALLAS TX 75206 Phone (903) 291-0020 Fax (903) 758-7984 PHONE: (214) 916-5750 FAX: (469) 547-5422 TOTAL Lic Capacity: 164 PRIVATE Beds: 164 Cert Alzh Capacity: 22 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KARLA JACKSON License Eff Dt: 07/21/2021 License Exp Dt: 07/21/2024 Mgmt Co.: FRONTIER SENIOR LIVING LLC

County GREGG Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 030195 License No.: 148342 Owner Information NEW LIFE OUTREACH BOARDING HOME SHIRLEY M ANDERSON 2016 S HIGH ST PO BOX 12478 , LONGVIEW TX 75602 LONGVIEW TX 75607 Phone (903) 758-2866 Fax (903) 758-9153 PHONE: FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SHIRLEY M ANDERSON License Eff Dt: 11/20/2019 License Exp Dt: 11/20/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 187 of 405 County GREGG Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 050011 License No.: 148343 Owner Information NEW LIFE OUTREACH BOARDING HOME SHIRLEY M ANDERSON 1511 MOBBERLY AVE PO BOX 12478 , LONGVIEW TX 75602 LONGVIEW TX 75607 Phone (903) 758-2866 Fax (903) 758-9153 PHONE: FAX: TOTAL Lic Capacity: 29 PRIVATE Beds: 29 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SHIRLEY M ANDERSON License Eff Dt: 09/06/2019 License Exp Dt: 09/06/2021 Mgmt Co.:

County GREGG Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 106800 License No.: 307763 Owner Information PARKVIEW ON HOLLYBROOK HOLLYBROOK SENIOR LIVING, LLC 601 HOLLYBROOK DRIVE , LONGVIEW TX 75605 Phone (903) 758-8888 Fax (903) 758-8890 PHONE: FAX: TOTAL Lic Capacity: 88 PRIVATE Beds: 88 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMY PLILER License Eff Dt: 02/01/2020 License Exp Dt: 02/01/2023 Mgmt Co.: INTEGRAL SENIOR LIVING MANAGEMENT, LLC

County GREGG Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 100155 License No.: 149296 Owner Information TRINITY TIMBERS A CHG SENIOR LIVING OF LONGVIEW LLC 3102 A GILMER RD 2200 ROSS AVESTE 5400 , LONGVIEW TX 75604 DALLAS TX 75604 Phone (903) 295-1711 Fax (903) 297-0904 PHONE: (469) 621-6700 FAX: (469) 621-6672 TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LISA WALLACE License Eff Dt: 03/04/2020 License Exp Dt: 03/04/2022 Mgmt Co.: CHG SENIOR LIVING MANAGEMENT, LLC

County GREGG Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 100156 License No.: 150098 Owner Information TRINITY TIMBERS B CHG SENIOR LIVING OF LONGVIEW LLC 3102 B GILMER RD 2200 ROSS AVESTE 5400 , LONGVIEW TX 75604 DALLAS TX 75604 Phone (903) 295-1711 Fax (903) 297-0904 PHONE: (469) 621-6700 FAX: (469) 621-6672 TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: REGINA BRANTLEY License Eff Dt: 03/04/2020 License Exp Dt: 03/04/2022 Mgmt Co.: CHG SENIOR LIVING MANAGEMENT, LLC

County GRIMES Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 104330 License No.: 146856 Owner Information SEASONS ASSISTED LIVING NAVASOTA SEASONS ASSISTED LIVING, LLC 1103 WATER STREET 12542 SAVAGE CT , NAVASOTA TX 77868 MAGNOLIA TX 77354 Phone (936) 825-2237 Fax (936) 249-6486 PHONE: (832) 543-1354 FAX: TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARISA L MEDLIN License Eff Dt: 03/16/2021 License Exp Dt: 03/16/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 188 of 405 County GUADALUPE Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 105481 License No.: 147701 Owner Information NEW HAVEN ASSISTED LIVING OF SCHERTZ LLC NEW HAVEN ASSISTED LIVING OF SCHERTZ LLC 2332 FM 3009 PO BOX 1927 , CIBOLO TX 78108 KYLE TX 78640 Phone (210) 319-4965 Fax (210) 309-4947 PHONE: (210) 319-4965 FAX: (210) 309-4947 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MERCEDES L WEBB-LESHER License Eff Dt: 03/20/2019 License Exp Dt: 03/20/2022 Mgmt Co.: ENRICHED SENIOR LIVING LLC

County GUADALUPE Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 105480 License No.: 146763 Owner Information NEW HAVEN ASSISTED LIVING OF SCHERTZ LLC NEW HAVEN ASSISTED LIVING OF SCHERTZ LLC 2300 FM 3009 PO BOX 1927 , CIBOLO TX 78108 KYLE TX 78640 Phone (210) 319-4965 Fax (210) 309-4947 PHONE: (210) 319-4965 FAX: (210) 309-4947 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HALLIE GARZA License Eff Dt: 04/03/2019 License Exp Dt: 04/03/2022 Mgmt Co.: ENRICHED SENIOR LIVING LLC

County GUADALUPE Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 110495 License No.: 308182 Owner Information THE BROOKS OF CIBOLO CSL CIBOLO 2018, LLC 816 EVERYDAY WAY , CIBOLO TX 78108 Phone 210 4551200 Fax PHONE: FAX: TOTAL Lic Capacity: 126 PRIVATE Beds: 126 Cert Alzh Capacity: 28 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHAD HOFFMAN License Eff Dt: 04/26/2021 License Exp Dt: 04/26/2024 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County GUADALUPE Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 101807 License No.: 149795 Owner Information LIVEOAK LIVING COMMUNITY THERAPEUTIC COMMUNITIES LLC 7343 FM 621 P.O. BOX 705 , MARTINDALE TX 78655 SAN MARCOS TX 78667 Phone (512) 357-1510 Fax (512) 357-0264 PHONE: (512) 567-1704 FAX: (512) 357-4025 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LAURA LATHAM License Eff Dt: 06/30/2020 License Exp Dt: 06/30/2023 Mgmt Co.:

County GUADALUPE Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 104975 License No.: 149432 Owner Information FIRST STREET ASSISTED LIVING AND ADULT DAY CARE AMERICAN ASSISTED LIVING GROUP LP 312 1ST STREET PO BOX 518 , SCHERTZ TX 78154 SCHERTZ TX 78154 Phone (210) 566-6303 Fax (210) 566-4191 PHONE: (210) 566-6303 FAX: (210) 566-4191 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LINDA APPIH-SIRIBOE RN License Eff Dt: 03/15/2018 License Exp Dt: 03/15/2020 Mgmt Co.:

Tuesday, September 28, 2021 Page 189 of 405 County GUADALUPE Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 106371 License No.: 149886 Owner Information LEGACY AT FOREST RIDGE LAFR TENANT LLC 5001 SCHERTZ PARKWAY 675 BERING DRSUITE 550 , SCHERTZ TX 78154 HOUSTON TX 77057 Phone (210) 305-5713 Fax PHONE: (713) 425-5423 FAX: (713) 425-5402 TOTAL Lic Capacity: 108 PRIVATE Beds: 108 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARIO GARCIA License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.: LIFEWELL SENIOR LIVING LLC

County GUADALUPE Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 030122 License No.: 146112 Owner Information ARGENT COURT ARGENT SEGUIN OPERATIONS LLC 953 S HWY 123 BYPASS 8301 BROADWAY STE 319 , SEGUIN TX 78155 SAN ANTONIO TX 78209 Phone (830) 372-1177 Fax (830) 372-4477 PHONE: (210) 829-7121 FAX: TOTAL Lic Capacity: 56 PRIVATE Beds: 56 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BEA SISTOS LVN License Eff Dt: 01/01/2019 License Exp Dt: 08/31/2021 Mgmt Co.:

County GUADALUPE Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 000554 License No.: 146519 Owner Information HACIENDA ASSISTED LIVING CYPRESS HILL TANGRAM REHABILITATION NETWORK INC 3015 OLD LEHMANN RD 9901 LINN STATION RD , SEGUIN TX 78155 LOUISVILLE KY 40223 Phone (830) 372-2701 Fax (830) 303-3870 PHONE: (502) 394-2100 FAX: (502) 394-2285 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ALBERT GREEN License Eff Dt: 10/15/2020 License Exp Dt: 10/15/2022 Mgmt Co.:

County GUADALUPE Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 030104 License No.: 145780 Owner Information RESCARE PREMIER LOMA LINDA TANGRAM REHABILITATION NETWORK INC 301 TANGRAM RANCH RD 9901 LINN STATION RD , SEGUIN TX 78155 LOUISVILLE KY 40223 Phone (830) 372-4380 Fax (830) 372-1822 PHONE: (502) 394-2100 FAX: (502) 394-2285 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JOSEPH GAMMILL License Eff Dt: 10/15/2020 License Exp Dt: 10/15/2022 Mgmt Co.:

County GUADALUPE Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 000738 License No.: 147061 Owner Information RESCARE PREMIER TANGRAM BEHAVIORAL PROGRAM NORTH CAMPUS TANGRAM REHABILITATION NETWORK INC 500 TANGRAM RANCH RD 9901 LINN STATION RD , SEGUIN TX 78155 LOUISVILLE KY 40223 Phone (830) 372-4774 Fax (830) 372-0638 PHONE: (502) 394-2100 FAX: (502) 394-2285 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ALBERT GREEN License Eff Dt: 10/15/2020 License Exp Dt: 10/15/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 190 of 405 County GUADALUPE Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 050604 License No.: 147914 Owner Information SEGUIN ASSISTED LIVING SEGUIN ASSISTED LIVING LLC 226 PRESTON DR 226 PRESTON DR , SEGUIN TX 78155 SEGUIN TX 78155 Phone (830) 379-8882 Fax (830) 379-8998 PHONE: (830) 379-8882 FAX: (830) 379-8998 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: KAREN TAYLOR License Eff Dt: 08/01/2019 License Exp Dt: 08/01/2022 Mgmt Co.:

County HALE Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 106950 License No.: 148228 Owner Information BEEHIVE HOMES OF PLAINVIEW BHH OPERATIONS OF TEXAS 1 LLC 1435 LOMETA DRIVE 4811 HARDWARE DRIVE NESUITE D1 , PLAINVIEW TX 79072 ALBUQUERQUE NM 87109 Phone (505) 480-1445 Fax (505) 821-1834 PHONE: (505) 554-2702 FAX: (505) 821-1834 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ALFREDO RUVALCABA License Eff Dt: 10/10/2019 License Exp Dt: 10/10/2022 Mgmt Co.:

County HALE Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 000774 License No.: 148620 Owner Information SANTA FE PLACE SANTA FE AID OPCO LLC 3404 SW 5TH 330 N WABASHSTE 3700 , PLAINVIEW TX 79072 CHICAGO IL 60611 Phone (806) 291-0151 Fax (806) 293-1345 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 43 PRIVATE Beds: 43 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TOBI LOHN License Eff Dt: 07/11/2019 License Exp Dt: 07/11/2022 Mgmt Co.: ENLIVANT AID CMBS MGMT LLC

County HAMILTON Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 030210 License No.: 307060 Owner Information FOCUSED CARE AT HAMILTON FPACP HAMILTON LLC 1315 E STATE HWY 22 2501 PARKVIEW DR., SUITE 110 , HAMILTON TX 76531 FORT WORTH TX 76102 Phone (254) 386-3171 Fax (254) 386-8261 PHONE: (817) 632-1000 FAX: (817) 632-1001 TOTAL Lic Capacity: 26 PRIVATE Beds: 26 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CAROLLYN GARDNER License Eff Dt: 11/30/2020 License Exp Dt: 11/30/2023 Mgmt Co.: FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT II, LLC

County HAMILTON Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 000998 License No.: 145694 Owner Information HILL COUNTRY ESTATES OF HICO TICKNOR ENTERPRISES HICO ALF LLC 100 S WALNUT PO BOX 151105 , HICO TX 76457 ARLINGTON TX 76015 Phone (254) 796-2582 Fax (254) 796-2151 PHONE: (817) 269-3375 FAX: (817) 303-3356 TOTAL Lic Capacity: 32 PRIVATE Beds: 32 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JAYME SALTER License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2023 Mgmt Co.: SOUTHERN CROSS SENIOR CARE LLC

Tuesday, September 28, 2021 Page 191 of 405 County HARDEMAN Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 000556 License No.: 149261 Owner Information WOOD LIVING CENTER OF QUANAH WOOD CARE CENTERS INC 1001 LOUISE ST 3610 BARNETT RD , QUANAH TX 79252 WICHITA FALLS TX 76310 Phone (940) 663-6396 Fax (940) 663-5848 PHONE: (940) 767-0463 FAX: (940) 767-0466 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LUCILLE LINDSEY License Eff Dt: 03/02/2020 License Exp Dt: 03/02/2022 Mgmt Co.:

County HARDIN Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 105600 License No.: 150258 Owner Information SPANISH TRAIL ASSISTED LIVING OF SILSBEE SILSBEE I ENTERPRISES LLC 775 HWY 96 SOUTH SAME , SILSBEE TX 77656 FORT WORTH TX 76109 Phone (409) 373-6305 Fax (409) 373-6334 PHONE: (817) 348-8841 FAX: (817) 348-0466 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHANNON HALE License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2023 Mgmt Co.: CREATIVE SOLUTIONS IN HEALTHCARE, INC

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 110510 License No.: 308299 Owner Information FOUNTAINWOOD AT LAKE HOUSTON TM SENIOR LIVING, LLC 17990 W LAKE HOUSTON PARKWAY , ATASCOCITA TX 77346 Phone 281 6123585 Fax PHONE: FAX: TOTAL Lic Capacity: 118 PRIVATE Beds: 118 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 07/21/2021 License Exp Dt: 07/21/2024 Mgmt Co.: INTEGRAL SENIOR LIVING MANAGEMENT, LLC

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 106295 License No.: 148533 Owner Information ADL ASSISTED LIVING INC ADL ASSISTED LIVING INC 3604 AUTUMN LANE 14902 PINE POINT CT , BAYTOWN TX 77521 HOUSTON TX 77070 Phone (832) 926-7923 Fax (832) 926-7928 PHONE: FAX: TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VIRGINIA A CAMPBELL License Eff Dt: 09/01/2019 License Exp Dt: 09/01/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 107194 License No.: 150187 Owner Information ADL ASSITED LIVING INC #2 ADL ASSISTED LIVING INC #2JUANITA'S HOUSE 3903 CANTERBURY DRIVE 14902 PINE POINT CT , BAYTOWN TX 77521 HOUSTON TX 77070 Phone (713) 298-5098 Fax (281) 205-7727 PHONE: (713) 298-5098 FAX: (281) 205-7727 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VIRGINIA A CAMPBELL License Eff Dt: 07/31/2020 License Exp Dt: 07/31/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 192 of 405 County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 000528 License No.: 147185 Owner Information SWAN MANOR ALF SWAN MGT LLC 2508 WARD RD 2508 WARD RD , BAYTOWN TX 77520 BAYTOWN TX 77520 Phone (281) 422-9030 Fax (281) 420-0780 PHONE: (281) 422-9030 FAX: (281) 420-0780 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMA REMY License Eff Dt: 05/01/2021 License Exp Dt: 05/01/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 000828 License No.: 147068 Owner Information SWAN MANOR ALF SWAN MGT LLC 2508 WARD RD 2508 WARD RD , BAYTOWN TX 77520 BAYTOWN TX 77520 Phone (281) 422-9030 Fax (281) 420-0780 PHONE: (281) 422-9030 FAX: (281) 420-0780 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LINDA G HOWARD License Eff Dt: 05/01/2021 License Exp Dt: 05/01/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 105002 License No.: 145532 Owner Information SWAN MANOR ALF SWAN MGT LLC 2508 WARD RD 2508 WARD RD , BAYTOWN TX 77520 BAYTOWN TX 77520 Phone (281) 422-9030 Fax (281) 420-0780 PHONE: (281) 422-9030 FAX: (281) 420-0780 TOTAL Lic Capacity: 22 PRIVATE Beds: 22 Cert Alzh Capacity: 22 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LINDA G HOWARD License Eff Dt: 05/21/2020 License Exp Dt: 05/21/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 110517 License No.: 308306 Owner Information THE LODGE AT PINE CREEK ABBY BAYTOWN, LP 825 HUNT RD. , BAYTOWN TX 77521 Phone (346) 223-0479 Fax PHONE: FAX: TOTAL Lic Capacity: 108 PRIVATE Beds: 108 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BRITTANY LEE License Eff Dt: 07/07/2021 License Exp Dt: 07/07/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 030032 License No.: 146701 Owner Information THE WATERFORD AT BAYTOWN CSL BAYTOWN, LLC 901 W BAKER RD 14160 DALLAS PKWYSTE 300 , BAYTOWN TX 77521 DALLAS TX 75254 Phone (281) 427-4373 Fax (281) 420-9465 PHONE: (972) 770-5600 FAX: (972) 770-5666 TOTAL Lic Capacity: 95 PRIVATE Beds: 95 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ZACKERY FIELD License Eff Dt: 03/27/2021 License Exp Dt: 03/27/2024 Mgmt Co.: CSL BAYTOWN, LLC

Tuesday, September 28, 2021 Page 193 of 405 County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 030041 License No.: 146783 Owner Information THE WATERFORD AT BAYTOWN CSL BAYTOWN, LLC 901 W BAKER RD 14160 DALLAS PKWYSTE 300 , BAYTOWN TX 77521 DALLAS TX 75254 Phone (281) 427-4373 Fax (281) 420-9465 PHONE: (972) 770-5600 FAX: (972) 770-5666 TOTAL Lic Capacity: 42 PRIVATE Beds: 42 Cert Alzh Capacity: 42 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANELLE BRANDON License Eff Dt: 03/27/2019 License Exp Dt: 03/27/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 030042 License No.: 307310 Owner Information COM FOR CARE ASSISTED LIVING LLC COM FOR CARE ASSISTED LIVING LLC 5217 SPRUCE ST 9506 SUMMER RUN DR , BELLAIRE TX 77401 HOUSTON TX 77064 Phone (713) 661-7510 Fax (713) 534-1173 PHONE: FAX: TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANN GARCIA License Eff Dt: 09/01/2020 License Exp Dt: 09/01/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 100410 License No.: 307202 Owner Information COM FOR CARE INC BELLAIRE II COM FOR CARE ASSISTED LIVING LLC 5215 SPRUCE 9506 SUMMER RUN DR , BELLAIRE TX 77401 HOUSTON TX 77064 Phone (713) 592-6324 Fax (713) 534-1173 PHONE: FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANN GARCIA License Eff Dt: 09/01/2020 License Exp Dt: 09/01/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 000579 License No.: 146158 Owner Information THE GARDENS OF BELLAIRE SNH SE TENANT TRS INC 4620 BELLAIRE BLVD 400 CENTRE STREET ATTN: LICENSING , BELLAIRE TX 77401 NEWTON MA 2458 Phone (713) 665-3888 Fax (713) 666-0888 PHONE: (617) 796-8350 FAX: (617) 796-8349 TOTAL Lic Capacity: 115 PRIVATE Beds: 115 Cert Alzh Capacity: 18 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SONIA Y SPEARS License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2023 Mgmt Co.: FVE MANAGERS, INC

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 102005 License No.: 145756 Owner Information AVID CARE COTTAGES ACCESS HARMONY GROUP LLC 206 W. DALLAS 19127 TIMBER WAY DR , CONROE TX 77301 HUMBLE TX 77346 Phone (936) 441-9865 Fax (281) 812-3756 PHONE: (281) 692-0093 FAX: (281) 812-3756 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ADEL A GIVENS License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 194 of 405 County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 106336 License No.: 148722 Owner Information AVANTI SENIOR LIVING AT TOWNE LAKE IP AVANTI TOWNE LAKE OPCO LLC 17808 LAKECREST VIEW DRIVE 2219 SAWDUST ROADSUITE 1903 , CYPRESS TX 77433 THE WOODLANDS TX 77380 Phone (832) 653-4260 Fax PHONE: (281) 907-9553 FAX: (281) 306-2382 TOTAL Lic Capacity: 98 PRIVATE Beds: 98 Cert Alzh Capacity: 40 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JAN KISER License Eff Dt: 10/28/2019 License Exp Dt: 10/28/2022 Mgmt Co.: AVANTI SL MANAGEMENT LLC

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 106478 License No.: 150268 Owner Information BRISTOL PARK AT CYPRESS HEARTIS CYPRESS PARTNERS LP 17935 LONGENBAUGH RD 5910 N CENTRAL EXPWYSTE 200 , CYPRESS TX 77433 DALLAS TX 75206 Phone (281) 392-2200 Fax PHONE: (214) 916-5750 FAX: (469) 547-5422 TOTAL Lic Capacity: 101 PRIVATE Beds: 101 Cert Alzh Capacity: 35 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BONNIE BERKMAN License Eff Dt: 01/31/2021 License Exp Dt: 01/31/2024 Mgmt Co.: SAGORA SENIOR LIVING, INC

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 104443 License No.: 308087 Owner Information CYPRESS ASSISTED LIVING I AMANI VILLA SENIOR LIVING & MEMORY CARE LLC 12714 PARK FOREST DRIVE , CYPRESS TX 77429 Phone (281) 955-5557 Fax (281) 596-4482 PHONE: FAX: (281) 596-4482 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NELLY MWANIKI License Eff Dt: 12/19/2020 License Exp Dt: 12/19/2023 Mgmt Co.: NA

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 106087 License No.: 308055 Owner Information CYPRESS ASSISTED LIVING II AMANI VILLA SENIOR LIVING & MEMORY CARE LLC 12310 DRAKE PRAIRIE LN. , CYPRESS TX 77429 Phone (281) 894-9310 Fax (281) 596-4482 PHONE: FAX: (281) 596-4482 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NELLY MWANIKI License Eff Dt: 12/19/2020 License Exp Dt: 12/19/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 050696 License No.: 146542 Owner Information PARSONS HOUSE CYPRESS PARSONS HOUSE CYPRESS LLC 15055 N ELDRIDGE PKWY 1 N CALLIE CESAR CHAVEZSTE 200 , CYPRESS TX 77429 SANTA BARBARA CA 93103 Phone (281) 374-8002 Fax (281) 374-8004 PHONE: (805) 564-3341 FAX: (805) 966-2009 TOTAL Lic Capacity: 66 PRIVATE Beds: 66 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STEVEE STEELY License Eff Dt: 05/20/2019 License Exp Dt: 05/20/2022 Mgmt Co.: THE PARSONS GROUP TEXAS , INC

Tuesday, September 28, 2021 Page 195 of 405 County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 107161 License No.: 307063 Owner Information SPRING CYPRESS ASSISTED LIVING AND MEMORY CARE CMT CYPRESS AL, LLC 16306 SPRING CYPRESS ROAD 15120 NORTHWEST FWY, SUITE 190 , CYPRESS TX 77429 HOUSTON TX 77040 Phone (832) 684-9200 Fax PHONE: FAX: TOTAL Lic Capacity: 100 PRIVATE Beds: 100 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STEPHEN E MCANDREW License Eff Dt: 08/14/2020 License Exp Dt: 08/14/2023 Mgmt Co.: INTEGRAL SENIOR LIVING MANAGEMENT, LLC

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 106681 License No.: 146698 Owner Information SUNDANCE AT TOWNE LAKE HUNTINGTON CREEK CAPITAL VII LLC 9051 GREENHOUSE RD 5301 VILLAGE CREEK DRSTE A , CYPRESS TX 77433 PLANO TX 75093 Phone (469) 209-5134 Fax PHONE: (469) 309-5134 FAX: TOTAL Lic Capacity: 52 PRIVATE Beds: 52 Cert Alzh Capacity: 52 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JACOB MURRAY License Eff Dt: 03/31/2021 License Exp Dt: 03/31/2024 Mgmt Co.: TWIN VILLAGE MANAGEMENT LLC

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 107173 License No.: 308366 Owner Information VILLAGE GREEN ALZHEIMER'S CARE HOME LLC VILLAGE GREEN ALZHEIMER'S CARE HOME LLC 13058 GRANT ROAD 9111 KATY FREEWAY STE. 307 , CYPRESS TX 77429 HOUSTON TX 77024 Phone (281) 935-9115 Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NISHREEN POONAWALA License Eff Dt: 07/17/2021 License Exp Dt: 07/17/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 107047 License No.: 149035 Owner Information VILLAGE GREEN ALZHEIMER'S CARE HOME LLC VILLAGE GREEN ALZHEIMER'S CARE HOME LLC 14520 HUFFMEISTER ROAD 9111 KATY FREEWAY STE. 307 , CYPRESS TX 77429 HOUSTON TX 77024 Phone (832) 653-7181 Fax (832) 653-7182 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANNA LAMB License Eff Dt: 06/30/2020 License Exp Dt: 06/30/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 110520 License No.: 308321 Owner Information SODALIS OPERATIONS DEER PARK, LLC REAL ESTATE HOLDINGS DEER PARK, LLC 2000 EAST BOULEVARD , DEER PARK TX 77536 Phone Fax PHONE: FAX: TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 26 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 05/26/2021 License Exp Dt: 05/26/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 196 of 405 County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 030020 License No.: 146365 Owner Information PSALM 23 HOMECARE MARGARET CARRON 204 CONFEDERATE WAY 204 CONFEDERATE WAY , EL LAGO TX 77586 EL LAGO TX 77586 Phone (281) 326-9001 Fax (281) 326-6001 PHONE: (281) 326-9001 FAX: (281) 326-6001 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: STACIE R DANCY License Eff Dt: 12/27/2018 License Exp Dt: 09/30/2021 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 100789 License No.: 148936 Owner Information HOPE VILLAGE HOME #5 THE FOUNDATION FOR HOPE VILLAGE 15403 HOPE VILLAGE RD 15403 HOPE VILLAGE RD , FRIENDSWOOD TX 77546 FRIENDSWOOD TX 77546 Phone (281) 482-7926 Fax (281) 400-2012 PHONE: (281) 482-7926 FAX: (281) 400-2012 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHARON C PROULX License Eff Dt: 02/21/2020 License Exp Dt: 02/21/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 000346 License No.: 147266 Owner Information HOPE VILLAGE HOME 2 THE FOUNDATION FOR HOPE VILLAGE 15403 HOPE VILLAGE RD 15403 HOPE VILLAGE RD , FRIENDSWOOD TX 77546 FRIENDSWOOD TX 77546 Phone (281) 482-7926 Fax (281) 400-2012 PHONE: (281) 482-7926 FAX: (281) 400-2012 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHARON C PROULX License Eff Dt: 05/21/2019 License Exp Dt: 05/21/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 000348 License No.: 147339 Owner Information HOPE VILLAGE HOME 3 THE FOUNDATION FOR HOPE VILLAGE 15403 HOPE VILLAGE RD 15403 HOPE VILLAGE RD , FRIENDSWOOD TX 77546 FRIENDSWOOD TX 77546 Phone (281) 482-7926 Fax (281) 400-2012 PHONE: (281) 482-7926 FAX: (281) 400-2012 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SHARON C PROULX License Eff Dt: 04/14/2021 License Exp Dt: 04/14/2024 Mgmt Co.: THE FOUNDATION FOR HOPE VILLAGE

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 000347 License No.: 149453 Owner Information HOPE VILLAGE HOME 4 THE FOUNDATION FOR HOPE VILLAGE 15403 HOPE VILLAGE RD 15403 HOPE VILLAGE RD , FRIENDSWOOD TX 77546 FRIENDSWOOD TX 77546 Phone (281) 482-7926 Fax (281) 400-2012 PHONE: (281) 482-7926 FAX: (281) 400-2012 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SHARON C PROULX License Eff Dt: 04/14/2020 License Exp Dt: 04/14/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 197 of 405 County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 101209 License No.: 307581 Owner Information ADL ASSISTED LIVING INC ELENA ESTATES #2 ADL ASSISTED LIVING INC ELENA ESTATES 710 N MAIN ST 14902 PINE POINT CT , HIGHLANDS TX 77562 HOUSTON TX 77070 Phone (713) 298-5098 Fax (281) 843-3260 PHONE: FAX: TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VIRGINIA A CAMPBELL License Eff Dt: 11/11/2019 License Exp Dt: 11/11/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 030048 License No.: 307616 Owner Information ADL ASSISTED LIVING INC ELENA ESTATES 1 ADL ASSISTED LIVING INC ELENA ESTATES 710 N MAIN ST 14902 PINE POINT CT , HIGHLANDS TX 77562 HOUSTON TX 77070 Phone (713) 298-5098 Fax (281) 205-7727 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VIRGINIA A CAMPBELL License Eff Dt: 11/11/2019 License Exp Dt: 11/11/2022 Mgmt Co.: JAY & VMK CORP

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 030403 License No.: 148608 Owner Information MOUNTBATTEN HOUSE INC MOUNTBATTEN HOUSE INC 213 MAPLE ST 213 MAPLE ST , HIGHLANDS TX 77562 HIGHLANDS TX 77562 Phone (281) 843-2013 Fax (281) 843-2206 PHONE: (281) 843-2013 FAX: (281) 843-2206 TOTAL Lic Capacity: 24 PRIVATE Beds: 24 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DELANA S MATTHEWS License Eff Dt: 09/23/2021 License Exp Dt: 09/23/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 030247 License No.: 148609 Owner Information A AND S PERSONAL CARE HOME A & S COMMUNITY DEVELOPMENT CORPORATION 9710 GUEST ST 8211 DOCKAL RD , HOUSTON TX 77078 HOUSTON TX 77028 Phone (713) 635-9453 Fax (713) 635-1102 PHONE: (713) 254-6980 FAX: (713) 635-1575 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BOBBIE J SMITH License Eff Dt: 12/13/2019 License Exp Dt: 12/13/2021 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 105048 License No.: 307851 Owner Information ADDINGTON PLACE OF CLEAR LAKE ARHC ALCLKTX01 TRS, LLC 14225 CRESCENT LANDING , HOUSTON TX 77062 Phone (281) 938-2800 Fax (281) 938-2801 PHONE: FAX: TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 50 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MATTHEW WARREN License Eff Dt: 02/15/2020 License Exp Dt: 02/15/2023 Mgmt Co.: SLH CLEAR LAKE MANAGER, LLC

Tuesday, September 28, 2021 Page 198 of 405 County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 105214 License No.: 307858 Owner Information ADDINGTON PLACE OF CYFAIR ARHC ALCFBTX01 TRS, LLC 17801 WEST ROAD , HOUSTON TX 77095 Phone (281) 861-2590 Fax (281) 861-2591 PHONE: FAX: TOTAL Lic Capacity: 46 PRIVATE Beds: 46 Cert Alzh Capacity: 46 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARK JONES License Eff Dt: 02/15/2020 License Exp Dt: 02/15/2023 Mgmt Co.: SLH CYFAIR MANAGER, LLC

County HARRIS Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 105181 License No.: 307919 Owner Information ADDINGTON PLACE OF MEYERLAND ARHC ALMEYTX01 TRS, LLC 4710 BELLFORT STREET , HOUSTON TX 77035 Phone (713) 360-0000 Fax (713) 360-0001 PHONE: FAX: TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 50 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MATTHEW WARREN License Eff Dt: 02/15/2020 License Exp Dt: 02/15/2023 Mgmt Co.: SLH MEYERLAND MANAGER, LLC

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 102381 License No.: 147206 Owner Information ADVANCED PERSONAL CARE AT HAMLIN VALLEY ADVANCED PERSONAL CARE LLC 1507 HAMLIN VALLEY 6942 FM 1960 EAST #321 , HOUSTON TX 77090 HUMBLE TEXAS 77346 Phone (281) 919-1129 Fax PHONE: (832) 368-7165 FAX: (888) 238-8366 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CARMELO PIERI License Eff Dt: 12/20/2020 License Exp Dt: 12/20/2023 Mgmt Co.: ADVANCED PERSONAL CARE, LLC

County HARRIS Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 010309 License No.: 148831 Owner Information ALL GODS PEOPLE ASSISTED LIVING HOME C LOIS BRADLEY 3903 DARLINGHURST DR 3907 DARLINGHURST DR , HOUSTON TX 77045 HOUSTON TX 77045 Phone (713) 433-3088 Fax (713) 433-3088 PHONE: (713) 433-3088 FAX: (713) 433-3088 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: C. LOIS BRADLEY License Eff Dt: 01/20/2020 License Exp Dt: 01/20/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 103635 License No.: 149502 Owner Information ALL GODS PEOPLE ASSISTED LIVING HOME 2 C LOIS BRADLEY 3907 DARLINGHURST DR 3907 DARLINGHURST DR , HOUSTON TX 77045 HOUSTON TX 77045 Phone (713) 433-6700 Fax (713) 433-6700 PHONE: (713) 433-3088 FAX: (713) 433-3088 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: C. LOIS BRADLEY License Eff Dt: 05/07/2020 License Exp Dt: 05/07/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 199 of 405 County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 101082 License No.: 149077 Owner Information ANGEL OF LOVE ASSISTED LIVING KATHLEEN E MOSBY 7638 CABOT PO BOX 62262 , HOUSTON TX 77016 HOUSTON TEXAS Phone (713) 635-3700 Fax (832) 644-5398 PHONE: (713) 259-6470 FAX: (281) 781-7011 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: KATHLEEN E MOSBY License Eff Dt: 09/18/2019 License Exp Dt: 09/18/2021 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 100075 License No.: 144426 Owner Information ANGEL OF LOVE PERSONAL CARE HOME KATHLEEN E MOSBY 6021 BRETSHIRE PO BOX 62262 , HOUSTON TX 77016 HOUSTON TEXAS Phone (713) 631-4409 Fax (281) 781-7011 PHONE: (713) 259-6470 FAX: (281) 781-7011 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: KATHLEEN E MOSBY License Eff Dt: 02/06/2020 License Exp Dt: 02/06/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 106607 License No.: 145678 Owner Information APEX OAKS AT CYPRESS, LLC APEX OAKS AT CYPRESS 13702 WIMBLEDON OAKS DR 13702 WIMBLEDON OAKS DR , HOUSTON TX 77065 HOUSTON TX 77065 Phone (281) 469-8800 Fax (281) 469-8810 PHONE: (281) 469-8800 FAX: (281) 469-8810 TOTAL Lic Capacity: 41 PRIVATE Beds: 41 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KRISTEN KIM License Eff Dt: 09/02/2020 License Exp Dt: 09/02/2023 Mgmt Co.: APEX OAKS AT CYPRESS

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 105502 License No.: 149413 Owner Information ASSISTED LIVING CENTER OF BRAESWOOD LLC ASSISTED LIVING CENTER OF BRAESWOOD LLC 8119 BRAESWOOD BLVD 8119 S BRAESWOOD BLVD , HOUSTON TX 77071 HOUSTON TX 77071 Phone (713) 776-0800 Fax (832) 830-8870 PHONE: (713) 776-0800 FAX: (832) 830-8870 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 9 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOSHUA OLUSEGUN OYENIYI License Eff Dt: 03/30/2020 License Exp Dt: 03/30/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 050579 License No.: 147280 Owner Information ATRIA WESTCHASE WG WESTCHASE SH LLC 11424 RICHMOND AVE ATTN: LEGAL DEPT.300 EAST MARKET STREET STE. 100 , HOUSTON TX 77082 LOUISVILLE KY 40202 Phone (281) 759-7900 Fax (281) 759-5868 PHONE: (502) 779-4700 FAX: (502) 779-4701 TOTAL Lic Capacity: 110 PRIVATE Beds: 110 Cert Alzh Capacity: 21 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LAILANI ARGAO License Eff Dt: 05/12/2021 License Exp Dt: 05/12/2024 Mgmt Co.: ATRIA MANAGEMENT COMPANY LLC

Tuesday, September 28, 2021 Page 200 of 405 County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 102347 License No.: 148085 Owner Information AUTUMN GROVE COPPERFIELD GLEN HOPE HARBOR INC 8524 COPPERBROOK DR 317 MARTINIQUE PASS , HOUSTON TX 77095 LAKEWAY TX 78734 Phone (832) 593-0033 Fax (832) 593-0035 PHONE: (469) 371-0445 FAX: (512) 761-3548 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JULIE CLEMENTS License Eff Dt: 02/26/2019 License Exp Dt: 02/26/2021 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 105482 License No.: 147608 Owner Information AUTUMN LEAVES OF MEMORIAL CITY WEST HOUSTON MEMORY CARE LLC 1725 ELDRIDGE PARKWAY 1725 ELDRIDGE PKWY , HOUSTON TX 77077 HOUSTON TX 75062 Phone (832) 554-2800 Fax (832) 554-2795 PHONE: (214) 845-4500 FAX: (214) 845-4501 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 50 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROSE CREIGHTON License Eff Dt: 08/21/2019 License Exp Dt: 08/21/2021 Mgmt Co.: TLG FAMILY MANGEMENT, LLC

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 104984 License No.: 149205 Owner Information AUTUMN YEARS II AUTUMN YEARS LLC 10818 OVERBROOK LN 2111 WILLOW LAKE DRIVE , HOUSTON TX 77042 HOUSTON TEXAS 77077 Phone (713) 789-5704 Fax (281) 870-0757 PHONE: (281) 920-3611 FAX: (281) 870-0757 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MAY P COLE License Eff Dt: 04/17/2019 License Exp Dt: 04/17/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 102384 License No.: 149204 Owner Information AUTUMN YEARS LLC AUTUMN YEARS LLC 2111 WILLOWLAKE DR 2111 WILLOW LAKE DRIVE , HOUSTON TX 77077 HOUSTON TEXAS 77077 Phone (832) 455-4895 Fax (281) 870-0757 PHONE: (281) 920-3611 FAX: (281) 870-0757 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MAY P COLE License Eff Dt: 03/13/2019 License Exp Dt: 03/13/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 106668 License No.: 146480 Owner Information AVALON MEMORY CARE CYPRESS CREEK MCORP MEMORY CARE, LLC 9922 GRANT ROAD 1625 N STEMMONS FREEWAY , HOUSTON TX 77070 DALLAS TX 75207 Phone (281) 894-9299 Fax (281) 894-9327 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 25 PRIVATE Beds: 25 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JUSTIN MESZAROS License Eff Dt: 01/04/2019 License Exp Dt: 01/04/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 201 of 405 County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 106551 License No.: 146489 Owner Information AVALON MEMORY CARE TUCKERTON SEMILONE MANAGEMENT, LLC 15505 TUCKERTON ROAD 1625 N. STEMMONS FREEWAY , HOUSTON TX 77095 DALLAS TX 75207 Phone (281) 855-9936 Fax (281) 855-9951 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 25 PRIVATE Beds: 25 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TIM SEIB License Eff Dt: 12/06/2020 License Exp Dt: 12/06/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 030131 License No.: 146150 Owner Information AVID CARE COTTAGES ACCESS HARMONY GROUP LLC 3611 GLENPINE DR. 19127 TIMBER WAY DR , HOUSTON TX 77068 HUMBLE TX 77346 Phone (281) 866-8840 Fax (281) 812-3756 PHONE: (281) 692-0093 FAX: (281) 812-3756 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ADEL A GIVENS License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 000852 License No.: 145956 Owner Information AVID CARE COTTAGES ACCESS HARMONY GROUP LLC 5807 OLD LODGE 19127 TIMBER WAY DR , HOUSTON TX 77066 HUMBLE TX 77346 Phone (281) 866-8185 Fax (281) 812-3756 PHONE: (281) 692-0093 FAX: (281) 812-3756 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ADEL A GIVENS License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 105863 License No.: 146946 Owner Information AVISTA HOME AVISTA SENIOR CARE LLC 11703 ECHO SPRING LANE 11126 LARK BROOK LANE , HOUSTON TX 77065 HOUSTON TX 77065 Phone (281) 653-9694 Fax (281) 653-9695 PHONE: (832) 687-2758 FAX: (281) 653-9695 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HANNAH G HUYNH License Eff Dt: 03/04/2021 License Exp Dt: 03/04/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 104762 License No.: 148524 Owner Information AVISTA LIVING AVISTA HEALTH SOLUTIONS LLC 9014 S. FERNDALE PLACE DR 11126 LARK BROOK LANE , HOUSTON TX 77064 HOUSTON TEXAS 77065 Phone (281) 653-9001 Fax (281) 653-9695 PHONE: (281) 807-0824 FAX: (281) 807-0824 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HANNAH G HUYNH License Eff Dt: 08/31/2019 License Exp Dt: 08/31/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 202 of 405 County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 107015 License No.: 149561 Owner Information BAHIA PERSONAL CARE HOME BAHIA CARE HOMES LLC 10427 KIRKSHIRE DRIVE 13202 HAMPTON BAY DR , HOUSTON TX 77089 PEARLAND TX 77584 Phone (832) 328-8821 Fax PHONE: (786) 553-8720 FAX: TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANALISA GARCIA License Eff Dt: 05/16/2020 License Exp Dt: 05/16/2023 Mgmt Co.: COVENANT GRACE HOSPICE, INC

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 102199 License No.: 147386 Owner Information BED OF ROSES ASSISTED LIVING LLC BED OF ROSES ASSISTED LIVING LLC 5121 SHREVEPORT P.O.BOX 524101 , HOUSTON TX 77028 HOUSTON TX 77052 Phone (713) 635-1475 Fax (832) 831-6585 PHONE: (713) 635-1475 FAX: (832) 831-6585 TOTAL Lic Capacity: 29 PRIVATE Beds: 29 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ROBERTA L RAY License Eff Dt: 02/06/2021 License Exp Dt: 02/06/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 010301 License No.: 307179 Owner Information BEDFORD RESIDENCE ASSISTED LIVING DIVINE LIGHT II LLC 11718 BEDFORD ST 10 GOLDWOOD PLACE , HOUSTON TX 77031 SPRING TX 77382 Phone (281) 498-3301 Fax (281) 575-7874 PHONE: (936) 777-5967 FAX: (281) 354-5673 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEVANGI A BRAHMBHATT License Eff Dt: 11/30/2020 License Exp Dt: 11/30/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 105963 License No.: 307306 Owner Information BEDFORD RESIDENCE ASSISTED LIVING II DIVINE LIGHT II LLC 11718 BEDFORD STREET A 10 GOLDWOOD PLACE , HOUSTON TX 77031 SPRING TX 77382 Phone 281 4983301 Fax 281 5757874 PHONE: (936) 777-5967 FAX: (281) 354-5673 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEVANGI A BRAHMBHATT License Eff Dt: 11/02/2020 License Exp Dt: 11/02/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 110502 License No.: 308261 Owner Information BEEHIVE HOMES OF CYPRESS TEXAS, LLC BEEHIVE HOMES OF CYPRESS TEXAS, LLC 16220 WEST ROAD 18922 MISTY LANE , HOUSTON TX 77095 TOMBALL TEXAS 77377 Phone (832) 906-6460 Fax (866) 861-9123 PHONE: (832) 906-6460 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RANDY PARAMORE License Eff Dt: 05/26/2021 License Exp Dt: 05/26/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 203 of 405 County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 000494 License No.: 147482 Owner Information BELLAIRE LODGE ONE PERSONAL HEALTH CARE INC 9015 ROOS PO BOX 420189 , HOUSTON TX 77036 HOUSTON TX 77242 Phone (713) 272-7677 Fax PHONE: (832) 880-4809 FAX: TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DANIEL ARIOGA License Eff Dt: 05/30/2019 License Exp Dt: 05/30/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 106016 License No.: 146282 Owner Information BELMONT VILLAGE HUNTERS CREEK TRS, LLC BELMONT VILLAGE HUNTERS CREEK TRS, LLC 7667 WOODWAY DR 71 S WACKER DR STE 3575 , HOUSTON TX 77057 CHICAGO IL 60606 Phone (713) 781-1505 Fax (713) 781-1510 PHONE: (312) 920-0500 FAX: (312) 920-1855 TOTAL Lic Capacity: 191 PRIVATE Beds: 191 Cert Alzh Capacity: 75 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ASHLEY MARCELLUS License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.: BELMONT VILLAGE LP

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 030197 License No.: 149328 Owner Information BELMONT VILLAGE WEST UNIVERSITY TENANT LLC BELMONT VILLAGE WEST UNIVERSITY TENANT LLC 2929 W HOLCOMBE BLVD 7660 WOODWAY DR., SUITE 400 , HOUSTON TX 77025 HOUSTON TX 77063 Phone (713) 592-9200 Fax (713) 592-0274 PHONE: (419) 247-2800 FAX: (419) 247-2826 TOTAL Lic Capacity: 174 PRIVATE Beds: 174 Cert Alzh Capacity: 43 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: OLIVIA HALL License Eff Dt: 02/01/2020 License Exp Dt: 02/01/2023 Mgmt Co.: BELMONT VILLAGE LP

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 030371 License No.: 308172 Owner Information BEST PERSONAL CARE FACILITY OCEAN 4 LLC 7741 THANGLEWILDE , HOUSTON TX 77036 Phone (713) 774-2080 Fax (713) 485-6797 PHONE: FAX: TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: WONEDWOSSEN GOSHU License Eff Dt: 05/20/2020 License Exp Dt: 05/20/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 100220 License No.: 147623 Owner Information BRIGHT STAR HEALTH NETWORK MANAGEMENT SERVICES INC BRIGHT STAR HEALTH NETWORK MANAGEMENT SERVICES INC 6711 WINDING TRACE 6711 WINDING TRACE , HOUSTON TX 77086 HOUSTON TX 77086 Phone (281) 445-9153 Fax (281) 397-7994 PHONE: (281) 847-4241 FAX: (281) 397-7994 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: NDUBISI T UGBALA License Eff Dt: 02/27/2017 License Exp Dt: 02/27/2019 Mgmt Co.:

Tuesday, September 28, 2021 Page 204 of 405 County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 000824 License No.: 148116 Owner Information BRIGHTWAY PERSONAL CARE JIDECO SERVICES INC 6730 WINDING TRACE 14315 TORREY FOREST DR , HOUSTON TX 77086 HOUSTON TX 77014 Phone (281) 405-0117 Fax (281) 397-7994 PHONE: (281) 216-4073 FAX: (281) 397-7994 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: NDUBISI T UGBALA License Eff Dt: 07/16/2017 License Exp Dt: 12/17/2019 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 030036 License No.: 149573 Owner Information BRIGHTWAY PERSONAL CARE I I JIDECO SERVICES INC 6519 VICKIE SPRINGS LN 14315 TORREY FOREST DR , HOUSTON TX 77086 HOUSTON TX 77014 Phone (281) 260-9053 Fax (281) 397-7994 PHONE: (281) 216-4073 FAX: (281) 397-7994 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: NDUBISI T UGBALA License Eff Dt: 10/25/2018 License Exp Dt: 01/29/2021 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 000678 License No.: 146155 Owner Information BROOKDALE CHAMPION OAKS ESCNGH, LP 17705 RED OAK DR 111 WESTWOOD PL STE 400 , HOUSTON TX 77090 BRENTWOOD TN 37027 Phone (281) 440-0966 Fax (281) 440-3636 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 90 PRIVATE Beds: 90 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNIFER MAINS License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 050729 License No.: 149888 Owner Information BROOKDALE CHAMPIONS HBP LEASECO LLC 14050 CUTTEN RD 6737 W WASHINGTON STSTE 2300 , HOUSTON TX 77069 MILWAUKEE WI 53214 Phone (281) 638-5499 Fax (281) 866-9938 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 103 PRIVATE Beds: 103 Cert Alzh Capacity: 33 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BECKY GRANTHAM License Eff Dt: 09/01/2021 License Exp Dt: 09/01/2024 Mgmt Co.: HORIZON BAY MANAGEMENT LLC

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 030280 License No.: 147553 Owner Information BROOKDALE CYPRESS STATION BROOKDALE CYPRESS STATION LLC 303 LANTERN BEND DR 6737 W WASHINGTON STSTE 3200 , HOUSTON TX 77090 MILWAUKEE WI 53214 Phone (281) 880-7702 Fax (281) 880-7699 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 109 PRIVATE Beds: 109 Cert Alzh Capacity: 19 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHERITA BOSTIC License Eff Dt: 07/29/2021 License Exp Dt: 07/29/2024 Mgmt Co.: ARC MANAGEMENT LLC

Tuesday, September 28, 2021 Page 205 of 405 County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 000797 License No.: 146504 Owner Information BROOKDALE GALLERIA SH OPCO GALLERIA, LLC 2929 POST OAK BLVD C/O HCP, INC; ATTN: DIR. LEASE ADMINISTRATION; 1920 MAIN STREET, SUITE , HOUSTON TX 77056 IRVINE CA 92614 Phone (713) 993-9999 Fax (713) 993-0169 PHONE: (949) 407-0700 FAX: (949) 407-8000 TOTAL Lic Capacity: 46 PRIVATE Beds: 46 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNIFER ORMENO License Eff Dt: 12/01/2020 License Exp Dt: 12/01/2023 Mgmt Co.: BKD TWENTYONE MANAGEMENT COMPANY, INC

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 000794 License No.: 146224 Owner Information BROOKDALE MEMORIAL OAKS ESCNGH, LP 1414 SANDY SPRINGS RD 111 WESTWOOD PL STE 400 , HOUSTON TX 77042 BRENTWOOD TN 37027 Phone (713) 782-3355 Fax (713) 782-3398 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 21 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STERLANN BROWN License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 010267 License No.: 149736 Owner Information BROOKDALE SHADOWLAKE ARC SHADOWLAKE LP 2835 SHADOWBRIAR 6737 W WASHINGTONSTE 2300 , HOUSTON TX 77077 MILWAUKEE WI 53214 Phone (281) 759-6700 Fax (281) 759-6999 PHONE: (414) 918-5441 FAX: (414) 918-5054 TOTAL Lic Capacity: 195 PRIVATE Beds: 195 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ASHLEY ARRINGTON License Eff Dt: 07/25/2020 License Exp Dt: 07/25/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 030372 License No.: 148136 Owner Information BROOKDALE SHADOWLAKE ARC SHADOWLAKE LP 2835 SHADOWBRIAR 6737 W WASHINGTONSTE 2300 , HOUSTON TX 77077 MILWAUKEE WI 53214 Phone (281) 759-6700 Fax (281) 759-6999 PHONE: (414) 918-5441 FAX: (414) 918-5054 TOTAL Lic Capacity: 20 PRIVATE Beds: 20 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ASHLEY ARRINGTON License Eff Dt: 07/25/2021 License Exp Dt: 07/25/2024 Mgmt Co.: AMERICAN RETIREMENT CORPORATION

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 030388 License No.: 148944 Owner Information BROOKDALE SPRING SHADOWS ARC SPRING SHADOW LP 9889 KEMPWOOD DR 6737 W WASHINGTON STSTE 2300 , HOUSTON TX 77080 MILWAUKEE WI 53214 Phone (713) 934-8844 Fax (713) 934-7444 PHONE: (414) 918-5000 FAX: TOTAL Lic Capacity: 104 PRIVATE Beds: 104 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: NINA N MICHELL License Eff Dt: 07/25/2021 License Exp Dt: 07/25/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 206 of 405 County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 030389 License No.: 149987 Owner Information BROOKDALE SPRING SHADOWS ARC SPRING SHADOW LP 9889 KEMPWOOD DR 6737 W WASHINGTON STSTE 2300 , HOUSTON TX 77080 MILWAUKEE WI 53214 Phone (713) 934-8844 Fax (713) 934-7444 PHONE: (414) 918-5000 FAX: TOTAL Lic Capacity: 25 PRIVATE Beds: 25 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NINA N MICHELL License Eff Dt: 07/25/2020 License Exp Dt: 07/25/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 030169 License No.: 145239 Owner Information BROOKDALE THE HEIGHTS ARC PINEGATE L P 2121 PINEGATE DR 6737 W WASHINGTON STREET STE 2300 , HOUSTON TX 77008 MILWAUKEE WI 53214 Phone (713) 861-9952 Fax (713) 861-9963 PHONE: (414) 918-5000 FAX: TOTAL Lic Capacity: 20 PRIVATE Beds: 20 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STEFFANY GERMAN License Eff Dt: 07/25/2020 License Exp Dt: 07/25/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 030162 License No.: 148062 Owner Information BROOKDALE THE HEIGHTS ARC PINEGATE L P 2121 PINEGATE DR 6737 W WASHINGTON STREET STE 2300 , HOUSTON TX 77008 MILWAUKEE WI 53214 Phone (713) 861-9952 Fax (713) 861-9963 PHONE: (414) 918-5000 FAX: TOTAL Lic Capacity: 188 PRIVATE Beds: 188 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: STEFFANY GERMAN License Eff Dt: 07/25/2019 License Exp Dt: 07/25/2021 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 030376 License No.: 147604 Owner Information BROOKDALE WILLOWBROOK PLACE ARC WILLOWBROOK LLC 7450 WILLOWCHASE BLVD 111 WESTWOOD PLACESTE 400 , HOUSTON TX 77070 BRENTWOOD TN 37027 Phone (281) 807-4744 Fax (281) 807-6626 PHONE: (615) 221-2250 FAX: (615) 221-5284 TOTAL Lic Capacity: 104 PRIVATE Beds: 104 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SUZANNE M KELLEY License Eff Dt: 06/11/2019 License Exp Dt: 06/11/2022 Mgmt Co.: ARC MANAGEMENT LLC

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 100460 License No.: 147590 Owner Information BROOKDALE WILLOWBROOK PLACE ARC WILLOWBROOK LLC 7450 WILLOWCHASE BLVD , HOUSTON TX 77070 Phone (281) 807-4744 Fax (281) 807-6626 PHONE: FAX: TOTAL Lic Capacity: 40 PRIVATE Beds: 40 Cert Alzh Capacity: 40 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANGELA M MCARTHUR License Eff Dt: 06/11/2021 License Exp Dt: 06/11/2024 Mgmt Co.: ARC MANAGEMENT LLC

Tuesday, September 28, 2021 Page 207 of 405 County HARRIS Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 000613 License No.: 149007 Owner Information BROWNING ONE PERSONAL CARE FACILITY INC BROWNING ONE PERSONAL CARE FACILITY INC 13438 TOWNWOOD DR 13438 TOWNWOOD DR , HOUSTON TX 77045 HOUSTON TX 77045 Phone (832) 834-3347 Fax (979) 387-3164 PHONE: (832) 794-0495 FAX: TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: STANLEY MATHEWS License Eff Dt: 01/20/2020 License Exp Dt: 01/20/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 106103 License No.: 145343 Owner Information CANYON RIDGE PERSONAL CARE HOME LLC CANYON RIDGE PERSONAL CARE HOME LLC 6603 CANYON WAY DR. 6603 CANYON WAY DR , HOUSTON TX 77068 HOUSTON TX 77086 Phone (281) 448-8993 Fax (281) 661-8186 PHONE: (281) 448-8893 FAX: (281) 661-8186 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: UDOKA C UGBALA License Eff Dt: 07/18/2018 License Exp Dt: 07/18/2020 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 000386 License No.: 307829 Owner Information CAREWOOD HOME CAREWOOD HOME LLC 15526 EMPANADA DRIVE , HOUSTON TX 77083 Phone (281) 568-7927 Fax (281) 568-7927 PHONE: FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MERCY LAWSON License Eff Dt: 04/01/2020 License Exp Dt: 04/01/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 101534 License No.: 308034 Owner Information CAREWOOD HOME LAS BRISAS CAREWOOD HOME LLC 7214 LAS BRISAS DRIVE , HOUSTON TX 77083 Phone (281) 879-7551 Fax (281) 232-6790 PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SAMSON O LAWSON License Eff Dt: 01/01/2021 License Exp Dt: 01/01/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 000761 License No.: 149654 Owner Information CARING ANGELS ASSISTED LIVING FACILITY EVANGELA WILLIAMS 8627 VALLEY WEST CT 8627 VALLEY WEST CT , HOUSTON TX 77078 HOUSTON TX 77078 Phone (281) 536-1274 Fax (281) 459-1274 PHONE: (281) 536-1274 FAX: (832) 484-1738 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: EVANGELA WILLIAMS License Eff Dt: 07/20/2020 License Exp Dt: 07/20/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 208 of 405 County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 001051 License No.: 149867 Owner Information CHAVEZ HOME MARTHA CHAVEZ 5208 BOICEWOOD 5208 BOICEWOOD , HOUSTON TX 77016 HOUSTON TX 77016 Phone (713) 631-9519 Fax (713) 633-5181 PHONE: (713) 631-9519 FAX: (713) 633-5181 TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE C Administrator: MARTHA CHAVEZ License Eff Dt: 07/10/2020 License Exp Dt: 07/10/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 000773 License No.: 149240 Owner Information CLAREWOOD HOUSE INC CLAREWOOD HOUSE, INC 7400 CLAREWOOD DR 7400 CLAREWOOD DR , HOUSTON TX 77036 HOUSTON TX 77036 Phone (713) 774-5821 Fax (713) 778-8503 PHONE: (713) 774-5821 FAX: (713) 778-8503 TOTAL Lic Capacity: 90 PRIVATE Beds: 90 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MARTHA F ROBINS-WEBB License Eff Dt: 04/20/2020 License Exp Dt: 04/20/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 030311 License No.: 146760 Owner Information COLONIAL OAKS AT BRAESWOOD COLONIAL OAKS SENIOR LIVING BRAESWOOD MANAGEMENT TX, LLC 7800 N STADIUM DR 2100 THIRD AVENUE STE 600 , HOUSTON TX 77030 BIRMINGHAM AL 35203 Phone (713) 799-8200 Fax (713) 799-2343 PHONE: (205) 987-5500 FAX: (205) 327-6880 TOTAL Lic Capacity: 64 PRIVATE Beds: 64 Cert Alzh Capacity: 64 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DARREN KLOESEL License Eff Dt: 11/30/2018 License Exp Dt: 02/26/2021 Mgmt Co.: COLONIAL OAKS SENIOR LIVING, LLC

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 010308 License No.: 147242 Owner Information COLONIAL OAKS AT WESTCHASE COLONIAL OAKS SENIOR LIVING WESTCHASE MANAGEMENT TX LLC 11395 RICHMOND AVE 2100 THIRD AVE NORTH STE 600 , HOUSTON TX 77082 BIRMINGHAM AL 35203 Phone (281) 759-2900 Fax (281) 759-2999 PHONE: (205) 987-5500 FAX: (205) 327-6880 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 60 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STEPHANIE JONES License Eff Dt: 11/30/2020 License Exp Dt: 11/30/2023 Mgmt Co.: COLONIAL OAKS SENIOR LIVING, LLC

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 030134 License No.: 307068 Owner Information COM FOR CARE ASSISTED LIVING LLC COM FOR CARE ASSISTED LIVING LLC 7103 LEADER ST 9506 SUMMER RUN DR , HOUSTON TX 77074 HOUSTON TX 77064 Phone (713) 592-6359 Fax (713) 534-1173 PHONE: FAX: TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANN GARCIA License Eff Dt: 09/01/2020 License Exp Dt: 09/01/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 209 of 405 County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 000940 License No.: 307211 Owner Information COM FOR CARE ASSISTED LIVING LLC COM FOR CARE ASSISTED LIVING LLC 7106 LEADER ST 9506 SUMMER RUN DR , HOUSTON TX 77074 HOUSTON TX 77064 Phone (713) 592-6359 Fax (713) 534-1173 PHONE: FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANN GARCIA License Eff Dt: 09/01/2020 License Exp Dt: 09/01/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 105438 License No.: 147864 Owner Information COMFORT CARE ASSISTED LIVING LLC COMFORT CARE ASSISTED LIVING LLC 13106 BEXHILL DRIVE 13442 DURBRIDGE TRAIL DRIVE , HOUSTON TX 77065 HOUSTON TX 77065 Phone (281) 732-6625 Fax (281) 955-7404 PHONE: (281) 732-6625 FAX: (281) 995-7404 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PATRICE M SIMMONS License Eff Dt: 06/27/2021 License Exp Dt: 06/27/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 105451 License No.: 147373 Owner Information CONTINUING CARE AT EAGLE'S TRACE EAGLE'S TRACE, INC 14703 EAGLE VISTA DR BLDG 601 14703 EAGLE VISTA DRIVE , HOUSTON TX 77077 HOUSTON TX 77077 Phone (281) 249-7189 Fax (281) 249-7358 PHONE: (281) 249-7189 FAX: (281) 249-7191 TOTAL Lic Capacity: 88 PRIVATE Beds: 88 Cert Alzh Capacity: 36 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LATASHA M JONES License Eff Dt: 06/04/2021 License Exp Dt: 06/04/2024 Mgmt Co.: ERICKSON LIVING MANAGEMENT LLC

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 103394 License No.: 147349 Owner Information CULLEN RESIDENCE HALL THE CENTER FOR PURSUIT 810 MARSTON DR 3550 WEST DALLAS , HOUSTON TX 77019 HOUSTON TX 77019 Phone (713) 525-8400 Fax (713) 525-8363 PHONE: (713) 525-8400 FAX: (713) 525-8334 TOTAL Lic Capacity: 34 PRIVATE Beds: 34 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KEVIN KERN License Eff Dt: 05/04/2019 License Exp Dt: 05/04/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 103801 License No.: 148705 Owner Information D DES IDEAL HOME CARE SERVICES DAPHNE B LOCKE 6703 ESCONDIDO DR 6703 ESCONDIDO DR. , HOUSTON TX 77083 HOUSTON TX 77083 Phone (281) 568-5275 Fax PHONE: (281) 568-5275 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DAPHNE B LOCKE License Eff Dt: 10/08/2021 License Exp Dt: 10/08/2024 Mgmt Co.: NA

Tuesday, September 28, 2021 Page 210 of 405 County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 105985 License No.: 147540 Owner Information DIVINE PURPOSE CARE HOME LLC DIVINE PURPOSE CARE HOME LLC 5742 SCHEVERS 5823 SCHEVERS ST , HOUSTON TX 77033 HOUSTON TX 77033 Phone (713) 505-1627 Fax PHONE: (832) 620-0780 FAX: (713) 505-1627 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANDREA N WALKER License Eff Dt: 03/05/2019 License Exp Dt: 03/05/2022 Mgmt Co.: DIVINE PURPOSE CARE HOME LLC

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 106918 License No.: 150134 Owner Information DIVINE PURPOSE CARE HOME LLC #2 DIVINE PURPOSE CARE HOME LLC 5823 SCHEVERS STREET 5823 SCHEVERS ST , HOUSTON TX 77033 HOUSTON TX 77033 Phone (832) 834-4967 Fax PHONE: (832) 620-0780 FAX: (713) 505-1627 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: CORNELL COMBS License Eff Dt: 07/07/2020 License Exp Dt: 07/07/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 103252 License No.: 146347 Owner Information DIVINEHERITAGE ASSISTED LIVING DIVINE HERITAGE ASSISTED LIVING 12055 LONGBROOK DR 11502 HORNBROOK DR , HOUSTON TX 77099 HOUSTON TX 77099 Phone (832) 785-0362 Fax (281) 561-8669 PHONE: (281) 988-8648 FAX: (281) 530-3590 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JUSTINA O UZOWULU License Eff Dt: 10/23/2020 License Exp Dt: 10/23/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 000912 License No.: 146362 Owner Information DOCKAL ROAD PERSONAL CARE HOME A & S COMMUNITY DEVELOPMENT CORPORATION 8211 DOCKAL RD 8211 DOCKAL RD , HOUSTON TX 77028 HOUSTON TX 77028 Phone (713) 635-4068 Fax (713) 635-1575 PHONE: (713) 254-6980 FAX: (713) 635-1575 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BOBBIE J SMITH License Eff Dt: 01/01/2021 License Exp Dt: 01/01/2024 Mgmt Co.: A & S COMMUNITY DEVELOPMENT CORPORATION

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 105038 License No.: 146170 Owner Information DOVE COMMUNITY ENER ARBED INC 10640 OAK BROOK DR , HOUSTON TX 77013 Phone 281 974 2181 Fax (713) 936-3708 PHONE: FAX: TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DEBRA A ALSTON License Eff Dt: 11/19/2019 License Exp Dt: 11/19/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 211 of 405 County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 103862 License No.: 149659 Owner Information EFE ASSISTED LIVING CENTER INC EFE ASSISTED LIVING CENTER INC, 10411 SAGEWICK DR 10411 SAGEWICK DRIVE , HOUSTON TX 77089 HOUSTON TEXAS 77089 Phone (281) 922-1690 Fax (281) 993-8183 PHONE: (281) 922-1690 FAX: (281) 993-8183 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: GODFREY IGBINOVIA License Eff Dt: 01/06/2020 License Exp Dt: 01/06/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 102622 License No.: 147838 Owner Information EFE ASSISTED LIVING CENTER INC EFE ASSISTED LIVING CENTER INC, 5922 KENILWOOD DR 10411 SAGEWICK DRIVE , HOUSTON TX 77033 HOUSTON TEXAS 77089 Phone (832) 202-4100 Fax (281) 993-8183 PHONE: (281) 922-1690 FAX: (281) 993-8183 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: GODFREY IGBINOVIA License Eff Dt: 02/08/2021 License Exp Dt: 02/08/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 030414 License No.: 307071 Owner Information ELMCROFT OF BRAESWOOD EC OPCO BRAESWOOD, LLC 2555 S BRAESWOOD , HOUSTON TX 77025 Phone (713) 839-8265 Fax (713) 664-9495 PHONE: FAX: TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BRETT BARKER License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2022 Mgmt Co.: ECLIPSE PROTFOLIO OPERATIONS, LLC

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 030099 License No.: 307118 Owner Information ELMCROFT OF CYFAIR EC OPCO CYFAIR, LLC 11246 FALLBROOK , HOUSTON TX 77065 Phone (281) 890-3174 Fax (281) 890-8973 PHONE: FAX: TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KELLY DAWN CASTELLAW-ALLEN License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2023 Mgmt Co.: ECLIPSE PROTFOLIO OPERATIONS, LLC

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 000667 License No.: 307182 Owner Information EVERLASTING LIVING, LLC EVERLASTING LIVING, LLC 6106 GRANDVALE 10427 ALTONBURY LANE , HOUSTON TX 77072 HOUSTON TX 77031 Phone (281) 568-3239 Fax (713) 272-8168 PHONE: (832) 816-5626 FAX: (281) 318-1770 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MANTENON PHAN License Eff Dt: 03/22/2020 License Exp Dt: 03/22/2023 Mgmt Co.: EVERLASTING LIVING, LLC

Tuesday, September 28, 2021 Page 212 of 405 County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 106525 License No.: 149281 Owner Information FAIRBANKS COURT ASSISTED LIVING FAIRBANKS COURT LLC 7810 TRENTWAY STREET 3402 GARDEN CREST LANE , HOUSTON TX 77040 HOUSTON TX 77018 Phone (713) 690-1344 Fax (832) 962-4132 PHONE: (713) 690-1344 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LINDA ROSE License Eff Dt: 05/04/2020 License Exp Dt: 05/04/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 107112 License No.: 150033 Owner Information FAITH ASSISTED LIVING HOMES FAITH HOME CARE AGENCY LLC 7055 ADDICKS CLODINE RD. 4003 LAKE BRAZOS LANE , HOUSTON TX 77083 RICHMOND TX 77406 Phone (281) 762-3381 Fax (281) 750-0901 PHONE: FAX: TOTAL Lic Capacity: 35 PRIVATE Beds: 35 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DEBO JOKODOLA License Eff Dt: 07/18/2020 License Exp Dt: 07/18/2023 Mgmt Co.: COVENANT GRACE HOSPICE, INC

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 105155 License No.: 147492 Owner Information FAITH PERSONAL HOME CARE LLC FAITH PERSONAL HOME CARE LLC 6302 VISTA CAMINO DR 3718 LAKE EDINBURG LN , HOUSTON TX 77083 RICHMOND TX 77406 Phone (281) 762-3381 Fax (281) 750-0901 PHONE: (281) 762-3381 FAX: (281) 750-0901 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEBO JOKODOLA License Eff Dt: 06/04/2019 License Exp Dt: 06/04/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 105900 License No.: 144927 Owner Information FIRST CLASS HOME SERVICES INC FIRST CLASS HOME CARE SERVICES INC 10810 BRAES FOREST DR 10810 BRAES FOREST DR , HOUSTON TX 77071 HOUSTON TX 77071 Phone (713) 432-1877 Fax (713) 779-4282 PHONE: (713) 432-1877 FAX: (713) 432-1877 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARGARET G DYER License Eff Dt: 06/26/2020 License Exp Dt: 06/26/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 105450 License No.: 149705 Owner Information FREEMANS ASSISTED LIVING FREEMANS ASSISTED LIVING LLC 2711 MCDANIEL PO BOX 1574 , HOUSTON TX 77093 MANSFIELD TX 76063 Phone (972) 310-8741 Fax (888) 817-8064 PHONE: (972) 310-8741 FAX: (888) 817-8064 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: NOLAN FREEMAN License Eff Dt: 12/13/2019 License Exp Dt: 12/13/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 213 of 405 County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 030218 License No.: 145846 Owner Information G WILLS ROOMING FACILITY GENE I WILLIAMS 8113 WAY ST 8423 BIGWOOD , HOUSTON TX 77028 HOUSTON TX 77078 Phone (713) 635-8881 Fax (713) 635-8881 PHONE: (713) 631-1142 FAX: TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BRENDA WILLIAMS License Eff Dt: 11/04/2020 License Exp Dt: 11/04/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 104488 License No.: 307766 Owner Information GALWAY MEADOWS CARE HOME PARKIN RESOURCES LLC 3607 GALWAY LANE. , HOUSTON TX 77080 Phone (713) 934-3834 Fax PHONE: FAX: TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JASMIN PARKIN License Eff Dt: 12/09/2019 License Exp Dt: 12/09/2022 Mgmt Co.: PARKIN RESOURCES LLC

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 110264 License No.: 307618 Owner Information GENOA ASSISTED LIVING GENOA SENIOR INC 12809 ALMEDA GENOA 12809 ALMEDA GENOA RD , HOUSTON TX 77034 HOUSTON TEXAS 77034 Phone 346 204 5137 Fax 346 571 1129 PHONE: FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NAUMAN A SHAH License Eff Dt: 12/18/2019 License Exp Dt: 12/18/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 030293 License No.: 149936 Owner Information GLORIOUS DAYS PERSONAL CARE HOME GLORIOUS DAYS PERSONAL CARE HOME INC 1706 GELLHORN 1706 GELLHORN , HOUSTON TX 77029 HOUSTON TX 77029 Phone (713) 674-1168 Fax (866) 527-5340 PHONE: (713) 674-1168 FAX: (713) 674-1168 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MARILYN G JONES License Eff Dt: 07/16/2020 License Exp Dt: 07/16/2023 Mgmt Co.: NA

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 106737 License No.: 148625 Owner Information GOD LOVE ASSISTED LIVING HOMES INC GOD LOVE ASSISTED LIVING HOMES, INC 5623 W HARROW DR. 618 COGGINS POINT WAY , HOUSTON TX 77084 SUGAR LAND TX 77479 Phone (832) 877-6946 Fax (832) 379-8400 PHONE: (713) 493-9500 FAX: (281) 946-8374 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOACHIM VU License Eff Dt: 11/28/2019 License Exp Dt: 11/28/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 214 of 405 County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 100115 License No.: 149939 Owner Information GOOD LIVING COMMUNITY CARE INC #4 GOOD LIVING COMMUNITY CARE, INC 5719 DOLORES ST PO BOX 272327 , HOUSTON TX 77057 HOUSTON TX 77277 Phone (713) 953-0848 Fax (713) 953-0652 PHONE: (713) 953-0848 FAX: (713) 953-0652 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TEKLE TESFAYE License Eff Dt: 10/03/2019 License Exp Dt: 10/03/2021 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 000983 License No.: 149731 Owner Information GOOD LIVING COMMUNITY CARE INC III GOOD LIVING COMMUNITY CARE, INC 5715 DOLORES ST PO BOX 272327 , HOUSTON TX 77057 HOUSTON TX 77277 Phone (713) 953-0848 Fax (713) 953-0652 PHONE: (713) 953-0848 FAX: (713) 953-0652 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TEKLE TESFAYE License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 030179 License No.: 150220 Owner Information GRACE EXTENDED RESIDENTIAL ASSISTED LIVING GRACE EXTENDED RESIDENTIAL ASSISTED LIVING LLC 9018 COVENT GARDEN P O BOX 158 , HOUSTON TX 77031 STAFFORD TX 77477 Phone (713) 988-2029 Fax (713) 988-2029 PHONE: (713) 988-2029 FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CEDRIC G WHITE License Eff Dt: 07/01/2020 License Exp Dt: 07/01/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 010305 License No.: 148683 Owner Information HALLS PERSONAL CARE BARBARA HALL 12402 RENWICK 12402 RENWICK , HOUSTON TX 77035 HOUSTON TX 77035 Phone (713) 283-8799 Fax (713) 726-8901 PHONE: (713) 283-8799 FAX: (713) 726-8901 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BARBARA HALL License Eff Dt: 04/25/2020 License Exp Dt: 04/25/2023 Mgmt Co.: NA

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 105536 License No.: 148588 Owner Information HANDS TO LEND ASSISTED LIVING LLC HANDS TO LEND ASSISTED LIVING LLC 17346 CHESTNUT BLUFF DR 17346 CHESTNUT BLUFF DR , HOUSTON TX 77095 HOUSTON TX 77095 Phone (281) 855-0558 Fax (281) 345-8127 PHONE: (281) 855-0558 FAX: (281) 345-8127 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TRICIA MCKINNEY License Eff Dt: 08/29/2019 License Exp Dt: 08/29/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 215 of 405 County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 106924 License No.: 150227 Owner Information HEAVENLY MANOR ASSISTED LIVING HEAVENLY MANOR ASSISTED LIVING LLC 12802 LEITRIM WAY 12802 LETRIM WAY , HOUSTON TX 77047 HOUSTON TX 77047 Phone (281) 846-6622 Fax (713) 264-0802 PHONE: (713) 359-8273 FAX: (713) 264-0802 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MIA S SINGLETON License Eff Dt: 07/26/2020 License Exp Dt: 07/26/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 030124 License No.: 147237 Owner Information HOLLY HALL HOLLY HALL 2000 HOLLY HALL ST 2000 HOLLY HALL ST , HOUSTON TX 77054 HOUSTON TX 77054-3906 Phone (713) 799-9031 Fax (713) 799-2702 PHONE: (713) 799-9031 FAX: (713) 799-2702 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TOMEKA THOMAS License Eff Dt: 06/17/2019 License Exp Dt: 06/17/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 106126 License No.: 146429 Owner Information HOME SWEET HOME HOME SWEET HOME RESIDENTIAL CARE FACILITY FOR THE ELDERLY INC 12142 7TH STREET BLDG BLDG A P.O. BOX 983 , HOUSTON TX 77072 FULSHEAR TEXAS 77441 Phone (281) 701-1164 Fax (281) 346-1163 PHONE: (281) 704-1164 FAX: (281) 561-9400 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROLANDO S VELASQUEZ License Eff Dt: 02/25/2019 License Exp Dt: 02/25/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 000741 License No.: 148529 Owner Information HOME SWEET HOME R C F E HOME SWEET HOME RESIDENTIAL CARE FACILITY FOR THE ELDERLY INC 12142 7TH ST P.O. BOX 983 , HOUSTON TX 77072 FULSHEAR TEXAS 77441 Phone (281) 704-1164 Fax (281) 561-9400 PHONE: (281) 704-1164 FAX: (281) 561-9400 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 12 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROLANDO S VELASQUEZ License Eff Dt: 09/01/2019 License Exp Dt: 09/01/2021 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 110466 License No.: 308110 Owner Information HOUSE OF HEARTS ASSISTED LIVING, LLC HOUSE OF HEARTS ASSISTED LIVING, LLC 6411 GUADALUPE STREET , HOUSTON TX 77016 Phone (281) 416-4453 Fax PHONE: FAX: TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: VONKEITH SPENCER License Eff Dt: 03/09/2021 License Exp Dt: 03/09/2024 Mgmt Co.: HOUSE OF HEARTS ASSISTED LIVING, LLC

Tuesday, September 28, 2021 Page 216 of 405 County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 030184 License No.: 146962 Owner Information ISLA CARROLL TURNER HEALTH CARE BRAZOS PRESBYTERIAN HOMES INC 4141 S BRAESWOOD BLVD 4141 S BRAESWOOD BLVD , HOUSTON TX 77025 HOUSTON TX 77025 Phone (713) 666-2651 Fax (713) 660-5044 PHONE: (713) 666-2651 FAX: (713) 660-5048 TOTAL Lic Capacity: 33 PRIVATE Beds: 33 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SCOTT PERLMAN License Eff Dt: 09/30/2020 License Exp Dt: 08/09/2023 Mgmt Co.: NA

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 101772 License No.: 146076 Owner Information J & P HOME CARE ASSISTED LIVING RAYMOND LEWIS 6431 GAMMAGE 6431 GAMMAGE , HOUSTON TX 77087 HOUSTON TX 77087 Phone (713) 644-7391 Fax (713) 649-1325 PHONE: (713) 644-7391 FAX: (713) 644-7391 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RAYMOND W LEWIS License Eff Dt: 12/29/2016 License Exp Dt: 12/29/2018 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 100290 License No.: 150237 Owner Information JOLIVETTES CARE CENTER MATILDA S JOLIVETTE 6627 CALHOUN 6627 CALHOUN RD , HOUSTON TX 77021 HOUSTON TX 77021 Phone (713) 842-2899 Fax (713) 842-2896 PHONE: (713) 459-5840 FAX: (713) 842-2896 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MATILDA S JOLIVETTE License Eff Dt: 09/05/2020 License Exp Dt: 09/05/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 103844 License No.: 149663 Owner Information JONES HOUSE OF PEACE SABRINA L FREISON EDITH HARGROVE 6639 CRESTMONT ST 6639 CRESMONT ST , HOUSTON TX 77033 HOUSTON TX 77033 Phone 7136493007 or 7134470 Fax (281) 245-3221 PHONE: (713) 649-3007 FAX: (713) 447-0082 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SABRINA L FREISON License Eff Dt: 06/01/2020 License Exp Dt: 06/01/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 102048 License No.: 147423 Owner Information JOYFUL HOMES III JOYFUL HOMES III 9427 VICKIJOHN DR 9427 VICKIJOHN DR , HOUSTON TX 77031 HOUSTON TX 77031 Phone (713) 776-1137 Fax (281) 302-5272 PHONE: (832) 368-7194 FAX: (713) 771-1095 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: EDITH N UGWU License Eff Dt: 06/15/2021 License Exp Dt: 06/15/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 217 of 405 County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 107298 License No.: 307204 Owner Information JOYFUL HOMES IV JOYFUL HOMES IV 9239 MCAFEE DRIVE 9239 MCAFEE DR , HOUSTON TX 77031 HOUSTON TX 77031 Phone (713) 541-0503 Fax PHONE: (832) 868-5670 FAX: TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: CHICHI E UGWU License Eff Dt: 03/18/2021 License Exp Dt: 03/18/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 106874 License No.: 148102 Owner Information KINGFISHER SENIOR LIVING LLC KINGFISHER SENIOR LIVING LLC 16700 ELLA BLVD. 16700 ELLA BLVD , HOUSTON TX 77090 HOUSTON TX 77090 Phone (281) 560-4311 Fax PHONE: (503) 222-6868 FAX: (503) 224-0679 TOTAL Lic Capacity: 102 PRIVATE Beds: 102 Cert Alzh Capacity: 28 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARIANN WISE License Eff Dt: 08/17/2019 License Exp Dt: 08/17/2021 Mgmt Co.: 12 OAKS MANAGEMENT SERVICES, INC

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 107106 License No.: 150279 Owner Information LAKESHORE PERSONAL CARE HOMES LLC LAKESHORE PERSONAL CARE HOMES LLC 13622 STERN CREEK LANE 13622 STERN CREEK LANE , HOUSTON TX 77044 HOUSTON TX 77044 Phone (281) 638-4363 Fax (281) 741-2711 PHONE: (281) 638-4363 FAX: (281) 741-2711 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LAURA D NIKOLETSEAS License Eff Dt: 08/23/2018 License Exp Dt: 08/31/2021 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 050507 License No.: 149606 Owner Information LAKEWOOD 24 HOUR PC 2 MUHAMMAD AJMAL 8833 OAK KNOLL LN 8416 MESA DR , HOUSTON TX 77078 HOUSTON TX 77028 Phone (713) 633-3609 Fax (713) 631-8476 PHONE: FAX: TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MUHAMMAD AJMAL License Eff Dt: 07/01/2019 License Exp Dt: 07/01/2021 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 000884 License No.: 148780 Owner Information LAKEWOOD 24 HR PERSONAL CARE MUHAMMAD AJMAL 8416 MESA DR 8416 MESA DR , HOUSTON TX 77028 HOUSTON TX 77028 Phone (713) 633-3609 Fax (713) 631-8476 PHONE: FAX: TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MUHAMMAD AJMAL License Eff Dt: 07/01/2019 License Exp Dt: 07/01/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 218 of 405 County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 103340 License No.: 149135 Owner Information LIGHT HEART MEMORY CARE HOLLYDALE PAT L MACK 15015 HOLLYDALE DR. 1615 BOWLINE RD. , HOUSTON TX 77062 HOUSTON TX 77062 Phone (281) 282-0770 Fax (281) 280-8048 PHONE: (281) 282-0770 FAX: (281) 280-8048 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PAT L MACK License Eff Dt: 10/08/2019 License Exp Dt: 10/08/2021 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 101164 License No.: 147002 Owner Information LIGHT HEART MEMORY CARE WEBSTER PAT L MACK 910 KINGSGATE LN 1615 BOWLINE RD. , HOUSTON TX 77058 HOUSTON TX 77062 Phone (281) 282-0770 Fax (281) 280-8048 PHONE: (281) 282-0770 FAX: (281) 280-8048 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PAT L MACK License Eff Dt: 05/07/2019 License Exp Dt: 05/07/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 000332 License No.: 147641 Owner Information LIMBE HOUSE LIMBE HOUSE INC 12115 CORONA LN PO BOX 773033 , HOUSTON TX 77072 HOUSTON TX 77215 Phone (281) 983-0045 Fax (832) 617-7991 PHONE: (281) 983-0045 FAX: (832) 617-7991 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: NGUNDJO C OGUNSON License Eff Dt: 04/01/2021 License Exp Dt: 04/01/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 030046 License No.: 147099 Owner Information LOVETT PLACE TOTAL HEALTH SERVICES LIMITED LIABILITY COMPANY 808 LOVETT BLVD PO BOX 66153 , HOUSTON TX 77006 HOUSTON TX 77266 Phone (713) 526-2233 Fax (713) 942-7831 PHONE: (713) 526-2233 FAX: (713) 942-7831 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: OLIVE A MCPHERSON-BARTON License Eff Dt: 05/09/2019 License Exp Dt: 05/09/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 102737 License No.: 146817 Owner Information LOVING CARE ASSISTED LIVING HOME JOHNNETTA NICHOLS 8209 N. MAIN 8209 N MAIN , HOUSTON TX 77022 HOUSTON TX 77022 Phone (713) 692-1414 Fax PHONE: (713) 692-1414 FAX: (281) 409-4862 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JOHNNETTA NICHOLS License Eff Dt: 07/30/2021 License Exp Dt: 07/30/2024 Mgmt Co.: NA

Tuesday, September 28, 2021 Page 219 of 405 County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 106595 License No.: 146246 Owner Information LOVING CARE COTTAGES TWO CORPORATION LOVING CARE COTTAGES TWO CORPORATION 14977 TERRACE OAKS DR 14977 TERRACE OAKS DR , HOUSTON TX 77068 HOUSTON TN 77068 Phone (281) 910-4497 Fax PHONE: (281) 910-4497 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CORNELIUS TANASE License Eff Dt: 12/20/2020 License Exp Dt: 12/20/2023 Mgmt Co.: NA

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 030080 License No.: 148560 Owner Information LOVING CARE PERSONAL CARE HOME LOVING CARE PERSONAL CARE HOME 2119 ISABELLA 3910 N FWYSTE L , HOUSTON TX 77004 HOUSTON TX 77022 Phone (713) 521-1082 Fax (713) 699-1572 PHONE: (713) 691-7437 FAX: (713) 699-1572 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DOROTHY J MINGO License Eff Dt: 04/28/2021 License Exp Dt: 04/28/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 030029 License No.: 149537 Owner Information LOVING IN CARING ARMS ELERIA BARBER 4542 HOLLYBROOK LN 4542 HOLLYBROOK LN , HOUSTON TX 77039 HOUSTON TX 77039 Phone (281) 449-1353 Fax (281) 442-0123 PHONE: (281) 449-1353 FAX: (281) 442-0123 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ELERIA BARBER License Eff Dt: 03/31/2020 License Exp Dt: 03/31/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 100066 License No.: 147659 Owner Information MALLOW PLACE LOVE & JOY PERSONAL CARE HOME 4305 MALLOW P.O. BOX 330344 , HOUSTON TX 77033 HOUSTON TX 77051 Phone (713) 733-6900 Fax (713) 733-3695 PHONE: (713) 733-6900 FAX: (713) 733-3695 TOTAL Lic Capacity: 26 PRIVATE Beds: 26 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: YVONNE JACOBS License Eff Dt: 06/25/2019 License Exp Dt: 06/25/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 030185 License No.: 147532 Owner Information MARIGOLD COTTAGE PCH@ WALLER LLC MARIGOLD COTTAGE PCH @ WALLER LLC 1802 MALLARD 10222 SHADOW WOOD DR , HOUSTON TX 77043 HOUSTON TX 77043 Phone (713) 721-0226 Fax (713) 721-0226 PHONE: FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANNIE HIVALE License Eff Dt: 07/28/2019 License Exp Dt: 07/28/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 220 of 405 County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 101892 License No.: 148138 Owner Information MARLENA'S HOUSE MARLENA'S HOUSE 418 FELLOWS RD 2222 S FOUNTAIN VALLEY DRIVE , HOUSTON TX 77047 MISSOURI CITY TX 77459 Phone (713) 433-8819 Fax (713) 433-8819 PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MARLENE HARROW License Eff Dt: 05/30/2021 License Exp Dt: 05/30/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 104921 License No.: 145939 Owner Information MARSH PERSONAL CARE HOME LAKEWOOD VAL VERDES CARE CENTER INC 7223 LAKEWOOD DR 10142 VALLEY BREEZE , HOUSTON TX 77016 HOUSTON TX 77078 Phone (713) 631-3100 Fax (713) 635-6600 PHONE: (281) 458-9321 FAX: (281) 458-1860 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 9 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GWENDOLYN A JAMES License Eff Dt: 10/11/2020 License Exp Dt: 10/11/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 030335 License No.: 150071 Owner Information MARTIN PRIVATE CARE DORIS MARTIN 9315 BERINGWOOD 9315 BERINGWOOD , HOUSTON TX 77083 HOUSTON TX 77083 Phone (281) 561-7924 Fax (281) 561-5002 PHONE: (281) 561-7924 FAX: (281) 561-5002 TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOSIE WILLIAMS License Eff Dt: 06/25/2020 License Exp Dt: 06/25/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 103275 License No.: 146778 Owner Information MENTIS NEURO HEALTH MENTIS NEURO HOUSTON LLC 9551 FANNIN ST 9551 FANNIN STREET , HOUSTON TX 77045 HOUSTON TX 77045 Phone (713) 331-0259 Fax (713) 331-0257 PHONE: (713) 331-0259 FAX: (713) 331-0257 TOTAL Lic Capacity: 24 PRIVATE Beds: 24 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JOHN WOOD License Eff Dt: 01/15/2019 License Exp Dt: 01/15/2022 Mgmt Co.: MENTIS NEURO REHABILITATION LLC

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 103505 License No.: 146159 Owner Information MINGO'S PERSONAL CARE HOME INC MINGO'S PERSONAL CARE HOME INC 10538 BAINBRIDGE , HOUSTON TX 77016 Phone (713) 631-4049 Fax (713) 631-2906 PHONE: FAX: TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: TORRON MINGO License Eff Dt: 12/18/2020 License Exp Dt: 12/18/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 221 of 405 County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 030275 License No.: 308075 Owner Information MORADA CYFAIR HP HOUSTON OPCO, LLC 11500 FALLBROOK DR. , HOUSTON TX 77065 Phone (281) 970-6688 Fax NA PHONE: FAX: TOTAL Lic Capacity: 135 PRIVATE Beds: 135 Cert Alzh Capacity: 60 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TERRI KUBESKIE License Eff Dt: 02/01/2021 License Exp Dt: 02/01/2024 Mgmt Co.: MORADA SENIOR LIVING LLC

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 000419 License No.: 149702 Owner Information NISSI HOME OF TEXAS TEXMAX COVENANT BUSINESS INC 11107 STROUD DR. 7503 BARBERTON DRIVE , HOUSTON TX 77072 HOUSTON TX 77036 Phone (281) 776-9413 Fax (281) 561-9341 PHONE: (832) 661-8306 FAX: (281) 561-9341 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL ARIOGA License Eff Dt: 04/26/2020 License Exp Dt: 04/26/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 102852 License No.: 146179 Owner Information NIXON ASSISTED LIVING "TOO" DAN GROUP, LLC 10222 ALLWOOD ST 6800 BLEKER ST , HOUSTON TX 77016 HOUSTON TX 77016 Phone (713) 491-8589 Fax (713) 893-6959 PHONE: (713) 633-4700 FAX: (713) 633-6964 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DEBRA NIXON License Eff Dt: 02/15/2020 License Exp Dt: 02/15/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 101896 License No.: 146080 Owner Information NIXON ASSISTED LIVING OF HOUSTON DAN GROUP, LLC 6800 BLEKER STREET 6800 BLEKER ST , HOUSTON TX 77016 HOUSTON TX 77016 Phone (713) 633-4700 Fax (713) 633-6964 PHONE: (713) 633-4700 FAX: (713) 633-6964 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEBORA A NIXON License Eff Dt: 01/01/2019 License Exp Dt: 01/01/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 106936 License No.: 148511 Owner Information NORTH HOUSTON TRANSITIONAL CARE WEBSTERIDENCE OPCO LLC 9814 GRANT ROAD 9814 GRANT RD , HOUSTON TX 77070 HOUSTON TX 77070 Phone (281) 547-0123 Fax (281) 547-0117 PHONE: (281) 970-9755 FAX: (866) 611-0515 TOTAL Lic Capacity: 34 PRIVATE Beds: 34 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TREVOR CARDON License Eff Dt: 01/05/2021 License Exp Dt: 10/20/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 222 of 405 County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 107061 License No.: 149645 Owner Information NORTHGATE ASSISTED LIVING DANIELA G ROTARU 14902 WELCOME LANE 14902 WELCOME LANE , HOUSTON TX 77014 HOUSTON TX 77014 Phone (281) 631-9609 Fax (281) 444-1311 PHONE: (832) 853-7178 FAX: (281) 444-1211 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIELA G ROTARU License Eff Dt: 05/24/2020 License Exp Dt: 05/23/2023 Mgmt Co.: DANIELA G ROTARU

County HARRIS Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 104966 License No.: 149710 Owner Information OUR FATHER'S HOUSE FERGUSON BUSINESS ASSOCIATES 3214 KNOTTY OAKS P.O. BOX 450068 , HOUSTON TX 77045 HOUSTON TX 77245 Phone (832) 380-4423 Fax (713) 429-5078 PHONE: (832) 380-4423 FAX: (713) 429-5078 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: VERONICA F SEIVWRIGHT License Eff Dt: 03/22/2020 License Exp Dt: 03/22/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 000941 License No.: 147440 Owner Information PARADISE LTC LIVING I SINOAMERICAN INVESTMENT & DEVELOPMENT HOLDINGS INC 8223 BELLAIRE PO BOX 770818 , HOUSTON TX 77036 HOUSTON TN 77215-0818 Phone (713) 981-1527 Fax (713) 271-6689 PHONE: (713) 272-6688 FAX: (713) 271-6689 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SUSAN S ZHAO License Eff Dt: 04/16/2021 License Exp Dt: 04/16/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 000483 License No.: 146188 Owner Information PARADISE LTC LIVING II SINOAMERICAN INVESTMENT & DEVELOPMENT HOLDINGS INC 11403 HIGH STAR PO BOX 770818 , HOUSTON TX 77072 HOUSTON TN 77215-0818 Phone (281) 879-0614 Fax (713) 271-6689 PHONE: (713) 272-6688 FAX: (713) 271-6689 TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ZHUO DAO ZHAO License Eff Dt: 12/31/2020 License Exp Dt: 12/31/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 000407 License No.: 149591 Owner Information PARKWAY PLACE BUCKNER RETIREMENT SERVICES INC 1321 PARK BAYOU DR 700 N PEARL STREET, SUITE 1200 , HOUSTON TX 77077 DALLAS TX 75201 Phone (281) 677-5904 Fax (281) 556-9275 PHONE: (214) 758-8031 FAX: (214) 758-8153 TOTAL Lic Capacity: 92 PRIVATE Beds: 92 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SARAH STOMA LVN License Eff Dt: 03/20/2020 License Exp Dt: 03/20/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 223 of 405 County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 101881 License No.: 149989 Owner Information PINNACLE LIVING CENTER INC PINNACLE LIVING CENTER INC 3127 COLLINGSWORTH 3127 COLLINGSWORTH , HOUSTON TX 77026 HOUSTON TX 77026 Phone (281) 788-6954 Fax (713) 222-7953 PHONE: (281) 788-6954 FAX: (713) 222-7953 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SHERMAN RIDEAUX SR. License Eff Dt: 07/29/2020 License Exp Dt: 07/29/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 050711 License No.: 146215 Owner Information PREMIER ASSISTED LIVING HOMES SAMUEL ONWUHARONYE 10607 RAYDELL DR P O BOX 721051 , HOUSTON TX 77031 HOUSTON TEXAS 77272 Phone (713) 484-5244 Fax (281) 530-6266 PHONE: (281) 827-1477 FAX: (281) 630-6266 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SAMUEL ONWUHARONYE License Eff Dt: 12/23/2020 License Exp Dt: 12/23/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 102617 License No.: 147416 Owner Information PREMIER ASSISTED LIVING HOMES #3 SAMUEL ONWUHARONYE 9135 RENTUR DR P O BOX 721051 , HOUSTON TX 77031 HOUSTON TEXAS 77272 Phone (713) 271-1196 Fax (713) 988-1660 PHONE: (281) 827-1477 FAX: (281) 630-6266 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SAMUEL ONWUHARONYE License Eff Dt: 03/26/2021 License Exp Dt: 03/26/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 100738 License No.: 146274 Owner Information QUALITY LIVING HILDA L EAGLETON 8302 BEECHNUT 8202 CANDLEGREEN CT , HOUSTON TX 77036 HOUSTON TX 77071 Phone (713) 271-0973 Fax (281) 499-7145 PHONE: (713) 771-8735 FAX: (281) 499-7145 TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HILDA EAGLETON License Eff Dt: 12/18/2020 License Exp Dt: 12/18/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 000832 License No.: 147773 Owner Information QUALITY LIVING PERSONAL CARE HILDA L EAGLETON DO NOT USE DUPLICATE ACCT 8304 BEECHNUT ST P.O. BOX 710666 , HOUSTON TX 77036 HOUSTON TEXAS 77271 Phone (713) 995-4743 Fax (281) 499-7145 PHONE: (713) 763-1231 FAX: (713) 771-6289 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: HILDA EAGLETON License Eff Dt: 03/29/2019 License Exp Dt: 03/29/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 224 of 405 County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 105059 License No.: 147581 Owner Information RACHEL HOUSE MINISTRY LIMBE HOUSE INC 12119 CORONA LN PO BOX 773033 , HOUSTON TX 77072 HOUSTON TX 77215 Phone (832) 617-7990 Fax (832) 617-7991 PHONE: (281) 983-0045 FAX: (832) 617-7991 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: NGUNDJO C OGUNSON License Eff Dt: 12/19/2020 License Exp Dt: 12/19/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 000968 License No.: 145316 Owner Information RAINBOW GARDENS CARE HOME JESSIE H LEWIS 3110 LEBADIE 3110 LEBADIE , HOUSTON TX 77026 HOUSTON TX 77026 Phone (713) 678-8016 Fax (713) 678-7138 PHONE: (713) 678-8016 FAX: (713) 678-7138 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JESSIE H LEWIS License Eff Dt: 09/05/2018 License Exp Dt: 02/26/2021 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 000535 License No.: 149558 Owner Information ROSEMONT PERSONAL CARE HOME INC ROSEMONT PERSONAL CARE HOME INC 10927 MAYFIELD RD 10931 MAYFIELD RD , HOUSTON TX 77043 HOUSTON TX 77043 Phone (713) 468-3225 Fax (713) 468-3201 PHONE: (713) 468-3225 FAX: (713) 468-3201 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MERLITA A VELASQUEZ License Eff Dt: 07/01/2020 License Exp Dt: 07/01/2023 Mgmt Co.: ROSEMONT PERSONAL CARE HOME INC

County HARRIS Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 110336 License No.: 307833 Owner Information ROSEMONT PERSONAL CARE HOMES, INC II ROSEMONT PERSONAL CARE HOME INC 10931 MAYFIELD RD 10931 MAYFIELD RD , HOUSTON TX 77043 HOUSTON TX 77043 Phone Fax (713) 468-3201 PHONE: (713) 468-3225 FAX: (713) 468-3201 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 02/27/2020 License Exp Dt: 02/27/2023 Mgmt Co.: ROSEMONT PERSONAL CARE HOME INC

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 030402 License No.: 146261 Owner Information ROSES GUARDIAN ADULT CARE HOME ROSES HEALTHCARE HOME INC 7216 PARKER RD 7225 PARKER RD , HOUSTON TX 77016 HOUSTON TX 77016 Phone (713) 491-2357 Fax (713) 491-3860 PHONE: (713) 491-2357 FAX: (713) 491-3860 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ROSE M BOOKER License Eff Dt: 01/02/2019 License Exp Dt: 07/30/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 225 of 405 County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 100314 License No.: 147627 Owner Information ROYAL PERSONAL CARE IFEOMA F DIKE 12922 BECKLIN LN PO BOX 14286 , HOUSTON TX 77099 HOUSTON TX 77221 Phone (281) 564-3059 Fax (713) 778-1792 PHONE: (713) 907-5717 FAX: (713) 778-1792 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: IFEOMA F DIKE License Eff Dt: 07/04/2019 License Exp Dt: 07/04/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 101945 License No.: 148873 Owner Information SAINT FRANCIS HEALTH CARE SERVICES DAVID O OPARA 12127 HUNTINGTON PARK DR 6330 DAWNRIDGE DR , HOUSTON TX 77099 HOUSTON TX 77035 Phone (713) 729-3970 Fax (832) 351-2929 PHONE: (713) 240-3945 FAX: (281) 983-9262 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DAVID O OPARA License Eff Dt: 01/11/2020 License Exp Dt: 01/11/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 100969 License No.: 145830 Owner Information SAINT FRANCIS HEALTH CARE SERVICES DAVID O OPARA 6330 DAWNRIDGE DR 6330 DAWNRIDGE DR , HOUSTON TX 77035 HOUSTON TX 77035 Phone (713) 729-3970 Fax (281) 983-9262 PHONE: (713) 240-3945 FAX: (281) 983-9262 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DAVID O OPARA License Eff Dt: 07/30/2020 License Exp Dt: 07/30/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 102491 License No.: 144603 Owner Information SEVEN ACRES JEWISH SENIOR CARE SERVICES, INC SEVEN ACRES JEWISH SENIOR CARE SERVICES, INC 6262 NORTH BRAESWOOD BLVD. 6200 N BRAESWOOD , HOUSTON TX 77074 HOUSTON TX 77074 Phone (713) 778-5790 Fax (713) 778-0823 PHONE: (713) 778-5700 FAX: (713) 778-0823 TOTAL Lic Capacity: 90 PRIVATE Beds: 90 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANNETTE BETZ License Eff Dt: 03/28/2020 License Exp Dt: 03/28/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 110193 License No.: 307421 Owner Information SILVERADO HERMANN PARK SILVERADO HERMANN PARK, LLC 5600 CHENEVERT STREET 6400 OAK CANYON #200 , HOUSTON TX 77004 IRVINE CA 92618 Phone (713) 574-5088 Fax (713) 521-0165 PHONE: (949) 240-7200 FAX: (949) 240-7270 TOTAL Lic Capacity: 80 PRIVATE Beds: 80 Cert Alzh Capacity: 80 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TERRI E ANDERSON License Eff Dt: 04/15/2020 License Exp Dt: 07/23/2022 Mgmt Co.: SILVERADO SENIOR LIVING MANAGEMENT, INC

Tuesday, September 28, 2021 Page 226 of 405 County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 000823 License No.: 150028 Owner Information SPARROW ASSISTED LIVING SPARROW ADULT LIVING INC 7414 JENSEN DR 7414 JENSEN DRIVE , HOUSTON TX 77093 HOUSTON TEXAS 77093 Phone (713) 697-4600 Fax (713) 697-0030 PHONE: FAX: TOTAL Lic Capacity: 65 PRIVATE Beds: 65 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DAWN C TAYLOR License Eff Dt: 05/25/2020 License Exp Dt: 05/25/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 000766 License No.: 307739 Owner Information SPARROW ASSISTED LIVING II INC SPARROW ASSISTED LIVING II, INC 10142 VALLEY BREEZE P O BOX 21129 , HOUSTON TX 77078 HOUSTON TEXAS 77226 Phone (832) 755-6527 Fax (713) 697-0030 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DAWN C TAYLOR License Eff Dt: 12/11/2019 License Exp Dt: 12/11/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 000425 License No.: 144610 Owner Information SPILLER PERSONAL CARE HOME SPILLER PERSONAL CARE HOME 10323 MAYBERRY ST 10323 MAYBERRY ST , HOUSTON TX 77078 HOUSTON TX 77078 Phone (713) 635-1231 Fax (713) 635-1231 PHONE: (713) 635-1231 FAX: TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: NAOMI SPILLER License Eff Dt: 12/01/2019 License Exp Dt: 12/01/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 030294 License No.: 148804 Owner Information SPRING BRANCH CARE HOME SPRING BRANCH CARE HOMES INC 9619 TRUSCON 4630 HUDSON RD , HOUSTON TX 77080 SANTA FE TX 77517 Phone (713) 467-4444 Fax (409) 938-7154 PHONE: (713) 467-4444 FAX: (409) 995-0799 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: VICKI L HOWARD License Eff Dt: 05/01/2019 License Exp Dt: 05/01/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 102527 License No.: 143963 Owner Information SUBJECTIVE HOME CARE SUBJECTIVE HOME CARE 6626 DEPRIEST ST PO BOX 91169 , HOUSTON TX 77091 HOUSTON TX 77091 Phone (713) 742-9688 Fax (713) 742-8719 PHONE: (713) 742-9688 FAX: (713) 742-8719 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: HENRY LEWIS JR. License Eff Dt: 12/20/2019 License Exp Dt: 12/20/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 227 of 405 County HARRIS Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 101946 License No.: 146117 Owner Information SUN ROSE ADULT HOME ELIZABETH PICKNEY 10908 WILLOWISP 7111 SHERMANRIDGE LN , HOUSTON TX 77035 HOUSTON TX 77083 Phone (713) 729-6617 Fax PHONE: (281) 620-8721 FAX: (713) 729-6617 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ELIZABETH M PICKNEY License Eff Dt: 12/06/2020 License Exp Dt: 12/06/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 103856 License No.: 148755 Owner Information SWEET HOME RKM SOLID KIMISTRY INC 13820 EAGLE PASS ST 9119 HWY 6 STE 259 , HOUSTON TX 77015 MISSOURI CITY TX 77459 Phone (713) 450-3222 Fax (713) 450-3376 PHONE: (832) 489-4552 FAX: (281) 778-7701 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KIMBERLY SILLS License Eff Dt: 11/17/2019 License Exp Dt: 11/17/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 100607 License No.: 149582 Owner Information TENDER CARE ASSISTED LIVING TEXMAX COVENANT BUSINESS INC 7503 BARBERTON DR 7503 BARBERTON DRIVE , HOUSTON TX 77036 HOUSTON TX 77036 Phone (832) 742-5287 Fax (832) 742-5287 PHONE: (832) 661-8306 FAX: (281) 561-9341 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 10 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL ARIOGA License Eff Dt: 07/01/2020 License Exp Dt: 07/01/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 107324 License No.: 307400 Owner Information TENDER CARE ASSISTED LIVING B TEXMAX COVENANT BUSINESS INC 7714 BARBERTON DR 7503 BARBERTON DRIVE , HOUSTON TX 77036 HOUSTON TX 77036 Phone (832) 940-1061 Fax (281) 561-9341 PHONE: (832) 661-8306 FAX: (281) 561-9341 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 7 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL ARIOGA License Eff Dt: 06/04/2019 License Exp Dt: 06/04/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 102046 License No.: 146537 Owner Information TEXAS COMMUNITY CARE CENTER TEXAS COMMUNITY CARE INC 10719 HILLCROFT 7025 SOUTH GESSNER , HOUSTON TX 77096 HOUSTON TEXAS 77036 Phone (713) 885-0781 Fax PHONE: (713) 541-0996 FAX: (713) 779-5589 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: GODWIN ANEKWE License Eff Dt: 12/21/2020 License Exp Dt: 12/21/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 228 of 405 County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 104616 License No.: 148414 Owner Information TEXAS COMMUNITY CARE COMPARTMENTS # 1 TEXAS COMMUNITY CARE INC 7103 S GESSNER 7025 SOUTH GESSNER , HOUSTON TX 77036 HOUSTON TEXAS 77036 Phone (713) 771-7235 Fax (713) 779-5589 PHONE: (713) 541-0996 FAX: (713) 779-5589 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: GODWIN ANEKWE License Eff Dt: 07/14/2019 License Exp Dt: 07/14/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 106006 License No.: 146536 Owner Information TEXAS COMMUNITY CARE COMPARTMENTS #3 TEXAS COMMUNITY CARE INC 7241 S. GESSNER RD. 7025 SOUTH GESSNER , HOUSTON TX 77036 HOUSTON TEXAS 77036 Phone (713) 541-0996 Fax (713) 779-5589 PHONE: (713) 541-0996 FAX: (713) 779-5589 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: GODWIN ANEKWE License Eff Dt: 04/30/2021 License Exp Dt: 04/30/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 100984 License No.: 147176 Owner Information TEXAS COMMUNITY CARE LIVING CENTRE TEXAS COMMUNITY CARE INC 7314 BRENDAM LN 7025 SOUTH GESSNER , HOUSTON TX 77072 HOUSTON TEXAS 77036 Phone (281) 568-5331 Fax (713) 779-5589 PHONE: (713) 541-0996 FAX: (713) 779-5589 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: GODWIN ANEKWE License Eff Dt: 05/21/2019 License Exp Dt: 05/21/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 030283 License No.: 149763 Owner Information TEXAS COMMUNITY CARE PERSONAL CARE HOME TEXAS COMMUNITY CARE INC 12119 FAIRMEADOW DR 7025 SOUTH GESSNER , HOUSTON TX 77071 HOUSTON TEXAS 77036 Phone (713) 729-4257 Fax (713) 729-6630 PHONE: (713) 541-0996 FAX: (713) 779-5589 TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: GODWIN ANEKWE License Eff Dt: 03/30/2020 License Exp Dt: 03/30/2023 Mgmt Co.: TEXAS COMMUNITY CARE, INC

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 105189 License No.: 146508 Owner Information TEXAS COMMUNITY COMPARTMENTS #2 TEXAS COMMUNITY CARE INC 7025 S GESSNER DR 7025 SOUTH GESSNER , HOUSTON TX 77036 HOUSTON TEXAS 77036 Phone (713) 271-0872 Fax (713) 779-5589 PHONE: (713) 541-0996 FAX: (713) 779-5589 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: GODWIN ANEKWE License Eff Dt: 09/06/2020 License Exp Dt: 09/06/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 229 of 405 County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 100256 License No.: 146720 Owner Information THE ABBEY AT WESTMINSTER PLAZA FOUNDER'S COMMERCIAL LTD 2865 WESTMINSTER PLAZA DR PO BOX 6776 , HOUSTON TX 77082 TYLER TX 75711 Phone (281) 556-6020 Fax (281) 556-0136 PHONE: (903) 534-1242 FAX: (903) 534-0047 TOTAL Lic Capacity: 100 PRIVATE Beds: 100 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENIFER KNIGHT License Eff Dt: 10/01/2021 License Exp Dt: 02/20/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 100669 License No.: 148836 Owner Information THE ASSISTED LIVING AT ST DOMINIC VILLAGE ST DOMINIC VILLAGE 2401 A HOLCOMBE BLVD 2401 E HOLCOMBE BLVD , HOUSTON TX 77021 HOUSTON TX 77021 Phone (713) 741-8700 Fax (713) 748-8305 PHONE: (713) 741-8700 FAX: (713) 741-9811 TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LYNN GILLESPIE License Eff Dt: 01/08/2020 License Exp Dt: 01/08/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 000989 License No.: 307607 Owner Information THE AUBERGE AT CYPRESSWOOD A MEMORY CARE COMMUNITY WELLTOWER TENANT GROUP LLC 10225 CYPRESSWOOD DR 4500 DORR STREET , HOUSTON TX 77070 TOLEDO OHIO 43615 Phone 281 9550880 Fax 281 9551270 PHONE: FAX: TOTAL Lic Capacity: 96 PRIVATE Beds: 96 Cert Alzh Capacity: 96 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GEORGINA MCCORKLE License Eff Dt: 07/01/2019 License Exp Dt: 07/01/2022 Mgmt Co.: CYPRESSWOOD MC CARE PROPERTIES, LLC

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 105872 License No.: 307670 Owner Information THE AUBERGE AT VINTAGE LAKE A MEMORY CARE COMMUNITY WELLTOWER TENANT GROUP LLC 10120 LOUETTA ROAD 4500 DORR STREET , HOUSTON TX 77070 TOLEDO OHIO 43615 Phone 832 7617632 Fax 832 6984760 PHONE: FAX: TOTAL Lic Capacity: 90 PRIVATE Beds: 90 Cert Alzh Capacity: 90 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRIS HOLLAND License Eff Dt: 07/01/2019 License Exp Dt: 07/01/2022 Mgmt Co.: HOUSTON MC CARE PROPERTIES, LLC

County HARRIS Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 030206 License No.: 145675 Owner Information THE BRINKLEY HOUSE ROSE PHILLIPS 4604 BRINKLEY 3623 FLORINDA , HOUSTON TX 77051 HOUSTON TX 77021 Phone (713) 734-6507 Fax (713) 734-6507 PHONE: (713) 747-2136 FAX: (713) 747-8627 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ROSE PHILLIPS License Eff Dt: 10/25/2020 License Exp Dt: 10/25/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 230 of 405 County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 102410 License No.: 148854 Owner Information THE BUCKINGHAM BUCKINGHAM SENIOR LIVING COMMUNITY INC 8580 WOODWAY 15601 DALLAS PKWYSUITE 200 , HOUSTON TX 77063 ADDISON TX 75001 Phone (713) 979-3100 Fax (713) 979-3099 PHONE: (713) 979-3100 FAX: (719) 979-3099 TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 34 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ELISE GREEN License Eff Dt: 06/20/2019 License Exp Dt: 09/30/2021 Mgmt Co.: GREYSTONE MANAGEMENT SERVICES COMPANY LLC

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 101324 License No.: 149406 Owner Information THE COTTAGE HEALTH CARE SERVICES PARADISE LIVING INC, 7639 BEECHNUT STREET PO BOX 711046 , HOUSTON TX 77074 HOUSTON TX 77271 Phone (713) 773-1297 Fax (713) 773-1739 PHONE: (713) 777-0767 FAX: (713) 777-0863 TOTAL Lic Capacity: 45 PRIVATE Beds: 45 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MARY A ARTHUR License Eff Dt: 02/27/2020 License Exp Dt: 02/27/2022 Mgmt Co.: PARADISE LIVING, INC DOING BUSINESS AS THE COTTAGE HEALTH CAR

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 102872 License No.: 307057 Owner Information THE COTTAGE OF SPRING BRANCH GOLDEN CARE COTTAGE GROUP, LLC 1842 HOLLISTER RD , HOUSTON TX 77080 Phone (713) 461-1500 Fax (713) 461-1501 PHONE: FAX: TOTAL Lic Capacity: 32 PRIVATE Beds: 32 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ZAHRA NIZAMI License Eff Dt: 06/22/2020 License Exp Dt: 06/22/2023 Mgmt Co.: HARMONY HEALTHCARE MANAGEMENT, LLC

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 030396 License No.: 307215 Owner Information THE FARRINGTON AT TANGLEWOOD WELLTOWER PEGASUS TENANT, LLC 505 BERING DRIVE , HOUSTON TX 77057 Phone (713) 532-1718 Fax (719) 532-6118 PHONE: FAX: TOTAL Lic Capacity: 140 PRIVATE Beds: 140 Cert Alzh Capacity: 44 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RHONDA LEAKS License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2022 Mgmt Co.: PSL ASSOCIATES, LLC

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 000757 License No.: 308150 Owner Information THE FORUM AT MEMORIAL WOODS SNH LONGHORN TENANT LLC 801 N POST OAK RD , HOUSTON TX 77024 Phone (713) 956-0870 Fax (713) 956-0732 PHONE: FAX: TOTAL Lic Capacity: 148 PRIVATE Beds: 148 Cert Alzh Capacity: 28 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARY WARNER License Eff Dt: 11/30/2020 License Exp Dt: 11/30/2023 Mgmt Co.: FVE MANAGERS, INC

Tuesday, September 28, 2021 Page 231 of 405 County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 000677 License No.: 148877 Owner Information THE HALLMARK ASSISTED LIVING ALZHEIMER'S CENTER BRAZOS PRESBYTERIAN HOMES INC 4718 HALLMARK DR 4141 S BRAESWOOD BLVD , HOUSTON TX 77056 HOUSTON TX 77025 Phone (713) 622-6633 Fax (713) 599-1324 PHONE: (713) 666-2651 FAX: (713) 660-5048 TOTAL Lic Capacity: 22 PRIVATE Beds: 22 Cert Alzh Capacity: 10 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SONYA HOLMES License Eff Dt: 01/17/2020 License Exp Dt: 01/17/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 000780 License No.: 146499 Owner Information THE HUMMINGBIRD CARE CENTER THE HUMMINGBIRD CENTER INC 8014 BEECHNUT ST P O BOX 36174 , HOUSTON TX 77036 HOUSTON TX 77236 Phone (713) 988-1357 Fax (713) 771-8832 PHONE: (713) 988-1357 FAX: TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: FLORENCE M UMACHI License Eff Dt: 01/28/2021 License Exp Dt: 01/28/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 030187 License No.: 149199 Owner Information THE LIGHTHOUSE OF HOUSTON GROUP HOME I LIGHTHOUSE FOR THE BLIND OF HOUSTON 820 A MARSTON STREET 3602 W. DALLAS ST. , HOUSTON TX 77019 HOUSTON TEXAS 77019 Phone (713) 284-8494 Fax (713) 284-8451 PHONE: (713) 284-8490 FAX: (713) 284-8451 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: CHELEAN ZANDER License Eff Dt: 11/10/2019 License Exp Dt: 11/10/2021 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 030188 License No.: 147179 Owner Information THE LIGHTHOUSE OF HOUSTON GROUP HOME I I LIGHTHOUSE FOR THE BLIND OF HOUSTON 820 MARSTON ST - B 3602 W. DALLAS ST. , HOUSTON TX 77019 HOUSTON TEXAS 77019 Phone (713) 284-8494 Fax (713) 284-8451 PHONE: (713) 284-8490 FAX: (713) 284-8451 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHELEAN ZANDER License Eff Dt: 11/10/2020 License Exp Dt: 11/10/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 110355 License No.: 307901 Owner Information THE PINES AT BELLAIRE TARANTINO SENIOR LIVING COMMUNITIES, LLC 12420 BELLAIRE 7887 SAN FELIPESUITE 237 , HOUSTON TX 77072 HOUSTON TX 77063 Phone (281) 848-7490 Fax (281) 848-7489 PHONE: (713) 974-4292 FAX: TOTAL Lic Capacity: 143 PRIVATE Beds: 143 Cert Alzh Capacity: 48 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JESSICA DEL AGUILA License Eff Dt: 06/18/2020 License Exp Dt: 06/18/2023 Mgmt Co.: TARANTINO PROPERTIES, INC

Tuesday, September 28, 2021 Page 232 of 405 County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 107256 License No.: 308330 Owner Information THE SHORES AT CLEAR LAKE SENIOR LIVING CPF LIVING COMMUNITIES II THE SHORES, LLC 19400 SPACE CENTER BLVD , HOUSTON TX 77058 Phone (281) 823-8080 Fax PHONE: FAX: TOTAL Lic Capacity: 125 PRIVATE Beds: 125 Cert Alzh Capacity: 50 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HEATHER ANDERSON License Eff Dt: 05/17/2021 License Exp Dt: 05/17/2024 Mgmt Co.: CPF GRACE MANAGEMENT, LLC

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 105383 License No.: 147270 Owner Information THE SOLANA VINTAGE PARK SH OPCO VINTAGE PARK AL, LLC 19929 CHASEWOOD PARK DRIVE 5737 W. WASHINGTON STREET, STE 2300 , HOUSTON TX 77070 MILWAUKEE WI 53214 Phone (281) 320-9000 Fax (281) 320-9100 PHONE: (949) 407-0700 FAX: (949) 407-0800 TOTAL Lic Capacity: 101 PRIVATE Beds: 101 Cert Alzh Capacity: 35 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DENISE HOFFMAN License Eff Dt: 03/19/2021 License Exp Dt: 03/19/2024 Mgmt Co.: BKD TWENTYONE MANAGEMENT COMPANY, INC

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 110272 License No.: 307641 Owner Information THE TRADITION BUFFALO SPEEDWAY BUFFALO TRADITION, LP 9339 BUFFALO SPEEDWAY , HOUSTON TX 77025 Phone (713) 715-1905 Fax PHONE: FAX: TOTAL Lic Capacity: 108 PRIVATE Beds: 108 Cert Alzh Capacity: 35 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HOLT PERLMAN License Eff Dt: 01/09/2020 License Exp Dt: 01/09/2023 Mgmt Co.: TRADITION MANAGEMENT, LLC

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 110393 License No.: 307988 Owner Information THE TRADITION WOODWAY WOODWAY TRADITION, LP 6336 WOODWAY DR. , HOUSTON TX 77057 Phone (713) 352-3764 Fax PHONE: FAX: TOTAL Lic Capacity: 121 PRIVATE Beds: 121 Cert Alzh Capacity: 40 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HOLT PERLMAN License Eff Dt: 08/28/2020 License Exp Dt: 08/28/2023 Mgmt Co.: TRADITION MANAGEMENT, LLC

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 106919 License No.: 148171 Owner Information THE VILLAGE OF RIVER OAKS VILLAGE ON SHEPHERD AT RIVER OAKS TRS LLC 1015 S. SHEPHERD DR. 1015 S SHEPHERD DRIVE , HOUSTON TX 77019 HOUSTON TX 77019 Phone (713) 952-7600 Fax (346) 352-3944 PHONE: (713) 952-7600 FAX: (346) 352-3944 TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 33 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JULIE FENSKE License Eff Dt: 09/14/2021 License Exp Dt: 09/14/2024 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

Tuesday, September 28, 2021 Page 233 of 405 County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 106191 License No.: 307224 Owner Information THE VILLAGE OF THE HEIGHTS SHP V HEIGHTS LLC 1407 STUDEWOOD STREET , HOUSTON TX 77008 Phone (281) 996-0101 Fax (281) 996-1141 PHONE: FAX: TOTAL Lic Capacity: 136 PRIVATE Beds: 136 Cert Alzh Capacity: 21 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SUNNY R CHATAGNIER License Eff Dt: 12/12/2020 License Exp Dt: 12/12/2023 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 000444 License No.: 148315 Owner Information TRANQUILITY PERSONAL CARE HOME INC TRANQUILITY PERSONAL CARE HOME INC 9006 POCO 12520 A1 WESTHEIMER 265 , HOUSTON TX 77080 HOUSTON TEXAS 77077 Phone (713) 783-2404 Fax (713) 467-0143 PHONE: (713) 783-2404 FAX: (713) 467-0143 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: COLLISTO CHERRY License Eff Dt: 07/30/2019 License Exp Dt: 07/30/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 030153 License No.: 145949 Owner Information TRANQUILITY PERSONAL CARE HOME INC TRANQUILITY PERSONAL CARE HOME INC 9006 POCOA 12520 A1 WESTHEIMER 265 , HOUSTON TX 77080 HOUSTON TEXAS 77077 Phone (713) 783-2404 Fax (713) 467-0143 PHONE: (713) 783-2404 FAX: (713) 467-0143 TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: COLLISTO CHERRY License Eff Dt: 10/31/2020 License Exp Dt: 10/31/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 106600 License No.: 146532 Owner Information TREASURE TOWER ASSISTED LIVING RENGE ENTERPRISES, INC 4346 ALVIN ST 14430 JUNCTION PLACE DR , HOUSTON TX 77051 HOUSTON TX 77045 Phone (832) 606-5524 Fax (346) 571-3964 PHONE: (832) 606-5524 FAX: (346) 471-3984 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: CHELSEA M EDWARDS License Eff Dt: 02/26/2021 License Exp Dt: 02/26/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 000409 License No.: 150236 Owner Information TREEMONT HEALTH CARE CENTER P C UNIT QUILTED CAREHOUSTON LLC 2501 WESTERLAND DR 5353 WYOMING BLVDNE , HOUSTON TX 77063 ALBUQUERQUE NM 87109 Phone (713) 783-4100 Fax (713) 783-0634 PHONE: (505) 797-8735 FAX: (505) 828-2111 TOTAL Lic Capacity: 54 PRIVATE Beds: 54 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANTOINETTE WIGGINS License Eff Dt: 08/29/2020 License Exp Dt: 08/29/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 234 of 405 County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 105447 License No.: 148548 Owner Information UNIVERSAL ASSISTED LIVING HOMES BONIFACE O OJIAKU 15722 AMAPOLA DRIVE 6511 MARISOL DR , HOUSTON TX 77083 HOUSTON TX 77083 Phone (281) 498-6670 Fax (281) 561-7592 PHONE: (713) 291-1011 FAX: (281) 561-7592 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BONIFACE O OJIAKU License Eff Dt: 01/31/2020 License Exp Dt: 01/31/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 101894 License No.: 145935 Owner Information UNIVERSAL ASSISTED LIVING HOMES BONIFACE O OJIAKU 6511 MARISOL DR 6511 MARISOL DR , HOUSTON TX 77083 HOUSTON TX 77083 Phone (281) 933-7804 Fax (281) 561-7592 PHONE: (713) 291-1011 FAX: (281) 561-7592 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BONIFACE O OJIAKU License Eff Dt: 11/24/2020 License Exp Dt: 11/24/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 105335 License No.: 307396 Owner Information VILLAGE OF MEYERLAND SHP V MEYERLAND LLC 4141 N BRAESWOOD BLVD , HOUSTON TX 77025 Phone 713 6654141 Fax PHONE: FAX: TOTAL Lic Capacity: 188 PRIVATE Beds: 188 Cert Alzh Capacity: 34 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHERITA BOSTIC License Eff Dt: 12/21/2018 License Exp Dt: 12/21/2021 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 110378 License No.: 307960 Owner Information VILLAGE OF SOUTHAMPTON BRIDGEWOODSOUTHAMPTON TRS, LLC 5020 KELVIN DRIVE , HOUSTON TX 77005 Phone Fax PHONE: FAX: TOTAL Lic Capacity: 75 PRIVATE Beds: 75 Cert Alzh Capacity: 27 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 09/14/2020 License Exp Dt: 09/14/2023 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 105886 License No.: 149980 Owner Information VILLAGE ON THE PARKSTEEPLECHASE CARDINAL BAY, INC 12102 STEEPLE WAY 317 MARTINIQUE PASS , HOUSTON TX 77065 LAKEWAY TX 78734 Phone (281) 970-7979 Fax (281) 970-0323 PHONE: (972) 377-3309 FAX: TOTAL Lic Capacity: 52 PRIVATE Beds: 52 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KENDRA D SMITH License Eff Dt: 05/26/2020 License Exp Dt: 05/26/2022 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

Tuesday, September 28, 2021 Page 235 of 405 County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 104449 License No.: 147146 Owner Information AUTUMN GROVE HEIGHTS GLEN HOPE HARBOR INC 1405 WEST 24TH STREET 317 MARTINIQUE PASS , HOUSTON HEIGHTS TX 77008 LAKEWAY TX 78734 Phone (713) 861-5757 Fax (713) 861-5760 PHONE: (469) 371-0445 FAX: (512) 761-3548 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LEE HOWELL License Eff Dt: 02/26/2021 License Exp Dt: 02/26/2024 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 100057 License No.: 149533 Owner Information ATASCOCITA SENIORS CARE HOME INC ATASCOCITA SENIORS CARE HOME INC 18007 LANDING BROOK DR 18007 LANDING BROOK DR , HUMBLE TX 77346 HUMBLE TX 77346 Phone (281) 812-4891 Fax (281) 825-3450 PHONE: 281 812 4891 281 853 53 FAX: 281 825 3450 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: REMEDIOS M ABAD SR. License Eff Dt: 06/18/2020 License Exp Dt: 06/18/2023 Mgmt Co.: ATASCOCITA SENIORS CARE HOME INC

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 104020 License No.: 147770 Owner Information AUTUMN GROVE HUMBLE GLEN HOPE HARBOR INC 5500 ATASCOCITA RD 317 MARTINIQUE PASS , HUMBLE TX 77346 LAKEWAY TX 78734 Phone (281) 446-3421 Fax (281) 812-9395 PHONE: (469) 371-0445 FAX: (512) 761-3548 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JULIE CLEMENTS License Eff Dt: 02/26/2021 License Exp Dt: 02/26/2024 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 106747 License No.: 149318 Owner Information AVALON MEMORY CARE ATASCOSITA MCORP MEMORY CARE, LLC 18111 TIMBER FOREST DRIVE 1625 N STEMMONS FREEWAY , HUMBLE TX 77346 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 25 PRIVATE Beds: 25 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JUSTIN MESZAROS License Eff Dt: 01/18/2020 License Exp Dt: 01/18/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 110123 License No.: 307266 Owner Information CRIMSON HEIGHTS HEALTH & WELLNESS MCKAY HEALTH CARE LLC 19279 MCKAY DR. , HUMBLE TX 77338 Phone (940) 337-6231 Fax PHONE: FAX: TOTAL Lic Capacity: 54 PRIVATE Beds: 54 Cert Alzh Capacity: 54 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CAMERON J STILES License Eff Dt: 04/17/2021 License Exp Dt: 04/17/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 236 of 405 County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 105300 License No.: 149894 Owner Information ESTIA CARE LLC ESTIA CARE LLC 18111 STONE ANGEL 18111 STONE ANGEL DR , HUMBLE TX 77346 HUMBLE TX 77346 Phone (281) 638-4363 Fax (832) 644-1255 PHONE: (281) 638-4363 FAX: (832) 644-1255 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LAURA D NIKOLETSEAS License Eff Dt: 11/30/2020 License Exp Dt: 11/30/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 030393 License No.: 146657 Owner Information FOREST COVE ASSISTED LIVING, INC FOREST COVE ASSISTED LIVING, INC 8426 OPALWOOD LN 8426 OPALWOOD LANE , HUMBLE TX 77338 HUMBLE TX 77338 Phone (281) 935-9005 Fax (281) 540-2279 PHONE: (281) 935-9005 FAX: (281) 540-2279 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 10 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: FELICIA MARTIN License Eff Dt: 01/03/2021 License Exp Dt: 01/03/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 106019 License No.: 149972 Owner Information HERITAGE RETREAT ATASCA WOODS HERITAGE RETREAT MANAGEMENT GROUP INC 7105 HOT CREEK TRACE 4321 KINGWOOD DRIVE , HUMBLE TX 77346 KINGWOOD TX 77339 Phone (832) 445-2470 Fax (281) 354-1237 PHONE: (281) 369-4724 FAX: (281) 254-1237 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 10 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DONNA O'CONNOR License Eff Dt: 10/31/2020 License Exp Dt: 10/31/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 110187 License No.: 307409 Owner Information LILAC ASSISTED LIVING LILAC ASSISTED LIVING 12419 N CAPROCK WAY 12419, N CAPROCK WAY , HUMBLE TX 77346 HUMBLE TX 77346 Phone (832) 445-1522 Fax (832) 436-1678 PHONE: (832) 445-1522 FAX: (832) 436-1678 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DHARMISHA ANUP License Eff Dt: 07/16/2019 License Exp Dt: 07/16/2022 Mgmt Co.: LILAC ASSISTED LIVING

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 102090 License No.: 148192 Owner Information LOVING CARE PERSONAL CARE HOME LOVING CARE PERSONAL CARE HOME 20011 FOXWOOD FOREST BLVD 3910 N FWYSTE L , HUMBLE TX 77338 HOUSTON TX 77022 Phone (281) 446-6683 Fax (713) 699-1572 PHONE: (713) 691-7437 FAX: (713) 699-1572 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DOROTHY J MINGO License Eff Dt: 07/08/2019 License Exp Dt: 07/08/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 237 of 405 County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 110522 License No.: 308340 Owner Information THE BRADFORD MEMORY CARE, LLC THE BRADFORD MEMORY CARE, LLC 19414 ATASCA OAKS DR. 5313 BISSONNET ST. , HUMBLE TX 77346 BELLAIRE TEXAS 77401 Phone 713 5698972 Fax PHONE: FAX: TOTAL Lic Capacity: 76 PRIVATE Beds: 76 Cert Alzh Capacity: 76 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MERRIDINE MAO License Eff Dt: 07/27/2021 License Exp Dt: 07/27/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 107269 License No.: 307357 Owner Information AMBASSADORS ASSISTED LIVING AMBASSADORS ASSISTED LIVING, LLC 7910 ARGENTINA ST , JERSEY VILLAGE TX 77040 Phone (832) 850-7984 Fax (832) 827-3134 PHONE: FAX: TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 7 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VICTORIA BRYANT License Eff Dt: 04/09/2019 License Exp Dt: 04/09/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 102463 License No.: 147841 Owner Information AUTUMN GROVE KATY GLEN HOPE HARBOR INC 21803 OAK PARK TRAILS DR 317 MARTINIQUE PASS , KATY TX 77450 LAKEWAY TX 78734 Phone (281) 398-6662 Fax (281) 398-4550 PHONE: (469) 371-0445 FAX: (512) 761-3548 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JULIE CLEMENTS License Eff Dt: 02/26/2019 License Exp Dt: 02/26/2021 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 106066 License No.: 147688 Owner Information CAYDANCE ASSISTED LIVING TCG KATY AL, LLC 24802 KINGSLAND BLVD. 801 CHERRY STSTE 2400 UNIT 31 , KATY TX 77494 FORT WORTH TX 76102 Phone (281) 371-3000 Fax PHONE: (817) 446-4792 FAX: (817) 446-0923 TOTAL Lic Capacity: 135 PRIVATE Beds: 135 Cert Alzh Capacity: 40 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ERICA WILLIS License Eff Dt: 05/01/2019 License Exp Dt: 05/01/2022 Mgmt Co.: SAGORA SENIOR LIVING, INC

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 103010 License No.: 146804 Owner Information COLONIAL OAKS AT KATY COLONIAL OAKS SENIOR LIVING KATY MANAGEMENT TX, LLC 21601 PROVINCIAL BLVD 2100 THIRD AVENUE NORTH SUITE 600 , KATY TX 77450 BIRMINGHAM AL 35203 Phone (281) 578-2222 Fax (281) 578-2420 PHONE: (205) 987-5500 FAX: (205) 327-6880 TOTAL Lic Capacity: 106 PRIVATE Beds: 106 Cert Alzh Capacity: 19 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STACEY LAKE License Eff Dt: 12/06/2020 License Exp Dt: 12/06/2023 Mgmt Co.: COLONIAL OAKS SENIOR LIVING, LLC

Tuesday, September 28, 2021 Page 238 of 405 County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 105445 License No.: 147551 Owner Information EVERGREEN COTTAGES EVERGREEN COTTAGES LP 21715 BRIDGEWATER VILLAGE DR 1022 WIRT RD.SUITE 302 , KATY TX 77449 HOUSTON TX 77055 Phone (832) 321-5957 Fax (832) 321-3099 PHONE: (713) 688-2123 FAX: (713) 688-6806 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VANESSA L TRAUTWEIN RN License Eff Dt: 05/14/2019 License Exp Dt: 05/14/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 110110 License No.: 307230 Owner Information EVERGREEN COTTAGES PROVINCIAL JASMINE COTTAGE EVERGREEN COTTAGES PROVINCIAL, LP 21609 PROVINCIAL BLVD 1022 WIRT RDSTE 302 , KATY TX 77450 HOUSTON TX 77055 Phone (832) 321-5787 Fax (932) 321-5074 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NINA N MICHELL License Eff Dt: 01/09/2019 License Exp Dt: 01/09/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 106826 License No.: 147147 Owner Information EVERGREEN COTTAGES PROVINCIAL MAGNOLIA COTTAGE EVERGREEN COTTAGES PROVINCIAL, LP 21605 PROVINCIAL BLVD 1022 WIRT RDSTE 302 , KATY TX 77450 HOUSTON TX 77055 Phone (281) 206-7571 Fax (281) 717-8617 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KAYLA NOVAL License Eff Dt: 12/30/2020 License Exp Dt: 12/30/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 106644 License No.: 146941 Owner Information GARDENS AT ROSE'S RETREAT ASSISTED LIVING GARDENS AT ROSE'S RETREAT ASSISTED LIVING LLC 25120 LAKE VIEW ROAD 25120 LAKE VIEW ROAD , KATY TX 77494 KATY TX 77494 Phone 281 574 5055 Fax 713 583 1287 PHONE: (832) 875-4453 FAX: (281) 646-8415 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CLAUDIA SUMMERS License Eff Dt: 03/16/2019 License Exp Dt: 03/16/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 106069 License No.: 149104 Owner Information LEGACY AT FALCON POINT LAFP TENANT LLC 1520 KATY GAP ROAD 675 BERING DR , KATY TX 77494 HOUSTON TX 77057 Phone (281) 394-0628 Fax (281) 769-1164 PHONE: (713) 425-5423 FAX: (713) 425-5402 TOTAL Lic Capacity: 75 PRIVATE Beds: 75 Cert Alzh Capacity: 22 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JO ANN J MATYASI License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.: LIFEWELL SENIOR LIVING

Tuesday, September 28, 2021 Page 239 of 405 County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 102834 License No.: 149984 Owner Information SUNRISE OF CINCO RANCH MS CINCO RANCH SH LLC 21939 CINCO RANCH BLVD 500 NORTH HURSTBOURNE PARKWAYSTE 200 , KATY TX 77450 LOUISVILLE KS 40222 Phone (281) 240-0500 Fax (281) 240-0551 PHONE: (502) 357-9000 FAX: (502) 357-9441 TOTAL Lic Capacity: 105 PRIVATE Beds: 105 Cert Alzh Capacity: 38 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HOLLY L VOGLER License Eff Dt: 12/30/2019 License Exp Dt: 12/30/2022 Mgmt Co.: SUNRISE SENIOR LIVING MANAGEMENT, INC

County HARRIS Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 105724 License No.: 145455 Owner Information VERANDA HOUSE ASSISTED LIVING KATY LIVING CENTERS INC 5129 E FIFTH ST PO BOX 1105 , KATY TX 77493 KATY TX 77492 Phone (281) 391-1900 Fax (281) 392-6659 PHONE: (281) 391-1900 FAX: (281) 391-6659 TOTAL Lic Capacity: 106 PRIVATE Beds: 106 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRISTINA J OLDAG License Eff Dt: 05/07/2020 License Exp Dt: 05/07/2022 Mgmt Co.: VH COMMUNITIES LLC VERANDA HOUSE KATY

County HARRIS Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 107203 License No.: 307131 Owner Information VIBRALIFE OF KATY SENIOR LIVING VIBRALIFE OF KATY LLC 1222 PARK WEST GREEN DRIVE 211 E. 7TH ST. STE 620 , KATY TX 77493 AUSTIN TX 78701 Phone (346) 762-6300 Fax (346) 762-6301 PHONE: FAX: TOTAL Lic Capacity: 34 PRIVATE Beds: 34 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STEPHEN M GRAY License Eff Dt: 11/13/2020 License Exp Dt: 11/13/2023 Mgmt Co.: HOLLINGER MANAGEMENT, LLC

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 030329 License No.: 147144 Owner Information ATRIA KINGWOOD WG KINGWOOD SH LLC 2401 GREEN OAK DR 10350 ORMSBY PARK PLACESUITE 300 , KINGWOOD TX 77339 LOUISVILLE KY 40202 Phone (281) 359-8959 Fax (281) 359-1237 PHONE: (502) 779-4700 FAX: (502) 357-9441 TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KAITLAN RUDOLPH License Eff Dt: 05/12/2021 License Exp Dt: 05/12/2024 Mgmt Co.: ATRIA MANAGEMENT COMPANY LLC

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 104945 License No.: 148832 Owner Information HOUSTON EXTENDED CARE LLC DANIELA VANCIA 1210 MASTERS WAY 16476 STONECREST DR , KINGWOOD TX 77339 CONROE TX 77302 Phone (281) 713-8786 Fax (281) 713-2251 PHONE: (832) 244-0685 FAX: (281) 713-2251 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIELA VANCIA License Eff Dt: 11/16/2019 License Exp Dt: 11/16/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 240 of 405 County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 100186 License No.: 307318 Owner Information KINGWOOD MEMORY & ASSISTED LIVING DSL INTERESTS LP 911 SOUTHERN HILLS RD 911 SOUTHERN HILLS ROAD , KINGWOOD TX 77339 KINGWOOD TEXAS 77339 Phone (281) 312-4208 Fax (281) 359-0918 PHONE: (281) 892-1400 FAX: (281) 892-1400 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PAT STEIGLER-CARTRIGHT License Eff Dt: 01/24/2021 License Exp Dt: 01/24/2024 Mgmt Co.: DSL INTERESTS LP

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 030268 License No.: 146020 Owner Information ROSEMONT ASSISTED LIVING AND MEMORY CARE CSL KINGWOOD, LLC 6450 KINGS PKWY 14160 DALLAS PKWY SUITE 300 , KINGWOOD TX 77346 DALLAS TX 75254 Phone (281) 812-4099 Fax (281) 821-4097 PHONE: (972) 770-5600 FAX: (972) 770-5666 TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 35 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GLEN BRADFORD License Eff Dt: 09/27/2020 License Exp Dt: 09/27/2023 Mgmt Co.: NA

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 101470 License No.: 146700 Owner Information THE VILLAGE LEARNING CENTER INC; DBA VILLAGE AT STONEY GLEN; DBA THE VILLAGE CENTERS THE VILLAGE LEARNING CENTER INC 2225 STONEY GLEN DR 3819 PLUM VALLEY DR , KINGWOOD TX 77339 KINGWOOD TX 77339 Phone (281) 358-4589 Fax (281) 358-0845 PHONE: (281) 358-6172 FAX: (281) 358-0845 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VINCE COMEAUX License Eff Dt: 05/31/2021 License Exp Dt: 05/31/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 110206 License No.: 307453 Owner Information VILLAGE GREEN ALZHEIMER'S CARE HOME LLC VILLAGE GREEN ALZHEIMER'S CARE HOME LLC 2050 WEST LAKE HOUSTON PARKWAY 9111 KATY FREEWAY STE. 307 , KINGWOOD TX 77339 HOUSTON TX 77024 Phone Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 08/08/2019 License Exp Dt: 08/08/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 100097 License No.: 148306 Owner Information PARSONS HOUSE LA PORTE LP PARSONS HOUSE LA PORTE LP 8727 FAIRMONT PARKWAY 1 NORTH CALLE CESAR CHAVEZSTE 200 , LA PORTE TX 77571 SANTA BARBARA CA 93103 Phone (281) 478-0000 Fax (281) 478-6548 PHONE: (805) 564-3341 FAX: TOTAL Lic Capacity: 65 PRIVATE Beds: 65 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: COLLEEN M MOODY License Eff Dt: 08/31/2021 License Exp Dt: 08/31/2024 Mgmt Co.: THE PARSONS GROUP TEXAS , INC

Tuesday, September 28, 2021 Page 241 of 405 County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 110483 License No.: 308145 Owner Information SERENITY GARDENS SERENITY DEER PARK ALF, LLC 4324 EAST BLVD. PO BOX 1606 , LA PORTE TX 77571 DICKINSON TX 77539 Phone Fax (281) 476-9313 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 04/01/2021 License Exp Dt: 04/01/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 000951 License No.: 146726 Owner Information COLONIAL OAKS AT VISTA COLONIAL OAKS SENIOR LIVING VISTA MANAGEMENT TX, LLC 4004 VISTA RD 2100 THIRD AVENEU NORTH SUITE 600 , PASADENA TX 77504 BIRMINGHAM AL 35203 Phone (713) 941-4663 Fax (713) 941-4664 PHONE: (205) 987-5500 FAX: (205) 327-6880 TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 26 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CYNTHIA GARZA License Eff Dt: 11/30/2020 License Exp Dt: 11/30/2023 Mgmt Co.: COLONIAL OAKS SENIOR LIVING, LLC

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 110488 License No.: 308165 Owner Information GRACEFULLY FOUND CARE HOME HOPE WORLDWIDE IMPACT 4106 ALECIA DRIVE 10031 PARK MEADOW DR. , PASADENA TX 77503 HOUSTON TX 77089 Phone Fax PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 04/14/2021 License Exp Dt: 04/14/2023 Mgmt Co.: NA

County HARRIS Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 106240 License No.: 148137 Owner Information LAFFERTY ROAD ASSISTED LIVING HERITAGE HOUSE ASSISTED LIVING LLC 3123 LAFFERTY ROAD 4808 FAIRMONT PKWY # 207 , PASADENA TX 77504 PASADENA TX 77505 Phone (713) 944-0704 Fax (713) 944-0711 PHONE: (832) 455-1615 FAX: (713) 944-0711 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHARON LA REAU License Eff Dt: 09/17/2019 License Exp Dt: 09/17/2021 Mgmt Co.: HERITAGE HOUSE ASSISTED LIVING LLC

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 110343 License No.: 307855 Owner Information THE PARK AT BAY AREA THE PARK AT BAY AREA LIMITED LIABILITY COMPANY 5000 SPACE CENTER BLVD. , PASADENA TX 77505 Phone (281) 339-7340 Fax (281) 339-7299 PHONE: FAX: TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LINDA CHRISTOPHER License Eff Dt: 05/27/2020 License Exp Dt: 05/27/2023 Mgmt Co.: PILLAR STONE HEALTHCARE COMPANY LLC

Tuesday, September 28, 2021 Page 242 of 405 County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 000563 License No.: 307326 Owner Information THE PINE TREE OF PASADENA LLC THE PINE TREE OF PASADENA LLC 5128 PINE AVE , PASADENA TX 77503 Phone (281) 487-3113 Fax (832) 230-8711 PHONE: FAX: TOTAL Lic Capacity: 146 PRIVATE Beds: 146 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: STACY LIMAS License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2023 Mgmt Co.: NA

County HARRIS Reg Svcs: UNIT 13 Region 06 Facility Information: Facility ID: 030094 License No.: 307158 Owner Information THE PINE TREE OF PASADENA LLC THE PINE TREE OF PASADENA LLC 2514 PANSY , PASADENA TX 77503 Phone (281) 487-3113 Fax (832) 230-8711 PHONE: FAX: TOTAL Lic Capacity: 32 PRIVATE Beds: 32 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHAIM KAPLOWITZ License Eff Dt: 10/01/2018 License Exp Dt: 10/01/2020 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 110121 License No.: 307264 Owner Information ACORN MANOR ASSISTED LIVING PRIYANKA JOHRI 25807 BUDDE RD , SPRING TX 77380 Phone (832) 955-9655 Fax ( ) 7-7380 PHONE: FAX: TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KEVIN HICKMAN License Eff Dt: 04/18/2019 License Exp Dt: 04/18/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 000487 License No.: 143080 Owner Information ATRIA CYPRESSWOOD WG CYPRESSWOOD SH LLC 6611 CYPRESSWOOD DR ATTN: LEGAL DEPT. 401 S. FOURTH ST STE 1900 , SPRING TX 77379 LOUISVILLE KY 40202 Phone (281) 370-5444 Fax (281) 370-6956 PHONE: (502) 779-4700 FAX: (502) 779-4701 TOTAL Lic Capacity: 78 PRIVATE Beds: 78 Cert Alzh Capacity: 15 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARNAY WARREN License Eff Dt: 05/12/2021 License Exp Dt: 05/12/2024 Mgmt Co.: ATRIA MANAGEMENT COMPANY LLC

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 103059 License No.: 147160 Owner Information AUTUMN GROVE CHAMPIONS GLEN HOPE HARBOR INC 8733 EASTLOCH DR 317 MARTINIQUE PASS , SPRING TX 77379 LAKEWAY TX 78734 Phone (281) 370-2555 Fax (281) 370-0210 PHONE: (469) 371-0445 FAX: (512) 761-3548 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JULIE CLEMENTS License Eff Dt: 02/26/2019 License Exp Dt: 02/26/2021 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

Tuesday, September 28, 2021 Page 243 of 405 County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 104657 License No.: 308341 Owner Information AUTUMN LEAVES OF CYPRESSWOOD CYPRESSWOOD SPRING MEMORY CARE, LLC 6327 CYPRESSWOOD DR , SPRING TX 77379 Phone (281) 374-1750 Fax (281) 374-1751 PHONE: (281) 374-1750 FAX: TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 50 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DELENA M CLARK License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.: TLG FAMILY MANGEMENT, LLC

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 107083 License No.: 149320 Owner Information AVANTI SENIOR LIVING AT AUGUSTA PINES IP AVANTI AUGUSTA PINES OPCO LLC 24520 COMMUNITY CENTER DRIVE 2219 SAWDUST RDSTE 1903 , SPRING TX 77389 THE WOODLANDS TX 77380 Phone (281) 907-9553 Fax PHONE: (281) 907-9553 FAX: TOTAL Lic Capacity: 98 PRIVATE Beds: 98 Cert Alzh Capacity: 40 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BECKY GUENTHER License Eff Dt: 04/12/2020 License Exp Dt: 04/12/2023 Mgmt Co.: AVANTI SL MANAGEMENT LLC

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 105499 License No.: 146132 Owner Information HOMEBRIDGE CARE JODACA HOMEBRIDGE CARE LLC 1324 LEMM #2 ROAD 21324 PROVINCIAL BLVD , SPRING TX 77373 KATY TX 77450 Phone (713) 785-5501 Fax (832) 448-9328 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DONNA L MILLER License Eff Dt: 05/15/2020 License Exp Dt: 05/15/2023 Mgmt Co.: STRATEGIC LITIGATION MANAGEMENT, LLC

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 050403 License No.: 144056 Owner Information JUST DIVINE HANDS LLC JUST DIVINE HANDS LLC 510 ENCHANTED HOLLOW DR 510 ENCHANTED HOLLOW DR , SPRING TX 77388 SPRING TX 77388 Phone (281) 528-9508 Fax PHONE: (281) 528-9508 FAX: (281) 350-1863 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROSENTHELLIA H CARROLL License Eff Dt: 01/14/2020 License Exp Dt: 01/14/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 102089 License No.: 149892 Owner Information LOVING CARE PERSONAL CARE HOME LOVING CARE PERSONAL CARE HOME 23027 BERRY PINES BLVD 3910 N FWYSTE L , SPRING TX 77373 HOUSTON TX 77022 Phone (281) 355-0789 Fax (713) 699-1572 PHONE: (713) 691-7437 FAX: (713) 699-1572 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DOROTHY J MINGO License Eff Dt: 07/08/2018 License Exp Dt: 12/30/2020 Mgmt Co.:

Tuesday, September 28, 2021 Page 244 of 405 County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 110299 License No.: 307725 Owner Information MERCY ELDERLY ASSISTED LIVING INC MERCY ELDERLY ASSISTED LIVING INC 19003 MIRROR LAKE DRIVE 19002 MIRROR LAKE DR , SPRING TX 77388 SPRING TX 77388 Phone (832) 364-2273 Fax (281) 919-1706 PHONE: (832) 364-2273 FAX: (281) 919-1706 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: FOLASADE M AKINFEMIWA License Eff Dt: 02/19/2020 License Exp Dt: 02/19/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 107139 License No.: 150118 Owner Information MOSSY OAKS RETREAT ASSISTED LIVING INC MOSSY OAKS RETREAT ASSISTED LIVING INC 23003 FRITZ LANE 23003 FRITZ LN , SPRING TX 77389 SPRING TX 77389 Phone (281) 882-3112 Fax (346) 351-1321 PHONE: (281) 882-3112 FAX: (281) 771-5064 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CRISTIAN STRIBLEA License Eff Dt: 07/05/2020 License Exp Dt: 07/05/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 107001 License No.: 149150 Owner Information NEW HAVEN ASSISTED LIVING OF SPRING NH ASSISTED LIVING OF SPRING LLC 21331 FAIVEL ROAD PO BOX 1927 , SPRING TX 77388 KYLE TX 78640 Phone (832) 850-5317 Fax PHONE: (208) 867-8682 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RAE BREWER LVN License Eff Dt: 06/30/2020 License Exp Dt: 06/30/2023 Mgmt Co.: ENRICHED SENIOR LIVING LLC

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 107002 License No.: 149085 Owner Information NEW HAVEN ASSISTED LIVING OF SPRING NH ASSISTED LIVING OF SPRING LLC 21327 FALVEL ROAD PO BOX 1927 , SPRING TX 77388 KYLE TX 78640 Phone (832) 850-5317 Fax (832) 999-4610 PHONE: (208) 867-8682 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RAE BREWER LVN License Eff Dt: 03/15/2020 License Exp Dt: 03/15/2023 Mgmt Co.: ENRICHED SENIOR LIVING LLC

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 102984 License No.: 307437 Owner Information RAFIKIHOMES UCGP LLC RAFIKIHOMES UCGP LLC 21050 NORMANDY FOREST DR 2759 MT PLEASANT ST , SPRING TX 77389 BURLINGTON IA 52601 Phone (281) 924-7173 Fax (844) 201-0621 PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHYROSE RAHEMTULLA License Eff Dt: 04/30/2019 License Exp Dt: 04/30/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 245 of 405 County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 100748 License No.: 308048 Owner Information RAFIKIHOMES UCGS LLC RAFIKIHOMES UCGS LLC 231 RIDGEWOOD DR 2759 MT PLEASANT ST , SPRING TX 77386 BURLINGTON IA 52601 Phone 281 9247173 Fax (844) 201-0621 PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 6 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHYROSE RAHEMTULLA License Eff Dt: 04/11/2019 License Exp Dt: 04/11/2022 Mgmt Co.: RAFIKIHOMES UCGS LLC

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 105559 License No.: 147849 Owner Information SPRING CREEK VILLAGE ASSISTED LIVING AND MEMORY CARE BRIDGEWOOD VILLAGE ON SC TRS LLC 20305 HOLZWARTH ROAD 6363 WOODWAY, SUITE 300 , SPRING TX 77388 HOUSTON TX 77057 Phone (281) 996-0101 Fax (281) 996-1141 PHONE: (281) 996-0101 FAX: (281) 996-1141 TOTAL Lic Capacity: 128 PRIVATE Beds: 128 Cert Alzh Capacity: 48 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TAB WERNER License Eff Dt: 09/09/2021 License Exp Dt: 09/09/2024 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 106819 License No.: 147083 Owner Information SYCAMORE CREEK RANCH AT CYPRESSWOOD SCR MEMORY CARE, LLC 6510 CYPRESSWOOD DR. 12107 HOLDERRIETH RD , SPRING TX 77379 TOMBALL TX 77375 Phone (832) 791-1577 Fax (832) 442-5415 PHONE: (281) 516-9440 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JON FLETCHER License Eff Dt: 04/18/2021 License Exp Dt: 04/18/2024 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 000925 License No.: 148610 Owner Information TENDER LIVING CARE TENDER LIVING CARE S, INC 23922 LENZE RD , SPRING TX 77389 Phone (281) 370-3720 Fax (281) 370-3720 PHONE: FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: PETRUTA REVUTCHI SR License Eff Dt: 12/16/2019 License Exp Dt: 12/16/2022 Mgmt Co.: TENDER LIVING CARE

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 103737 License No.: 148733 Owner Information THE VILLAGE AT GLEANNLOCH FARMS CCRC OPCO GLEANNLOCH FARMS LLC 9505 NORTHPOINT BLVD 1920 MAIN STREET , SPRING TX 77379 IRVINE CA 92614 Phone (281) 430-4900 Fax (281) 430-4907 PHONE: (414) 918-5332 FAX: (414) 208-2118 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TAB WERNER License Eff Dt: 11/17/2019 License Exp Dt: 11/17/2021 Mgmt Co.: NA

Tuesday, September 28, 2021 Page 246 of 405 County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 103794 License No.: 149540 Owner Information UNLIMITED CARE ASSISTED LIVING COTTAGES GEL PARTNERSHIP,INC 515 ENCHANTED RIVER DR 13865, LONGWOOD DRIVE , SPRING TX 77388 WILLIS TX 77318 Phone (713) 858-6821 Fax (281) 466-4693 PHONE: (713) 858-6821 FAX: (281) 466-4693 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROBERT A BUCKHOLTZ License Eff Dt: 08/11/2019 License Exp Dt: 08/11/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 107052 License No.: 307128 Owner Information VILLAGE CARE HOMESSILVER LEAF VILLAGE CARE HOMES LLC 1923 SILVER LEAF DRIVE 1010 S MAGNOLIA BLVDSTE L , SPRING TX 77388 MAGNOLIA TX 77355 Phone (281) 719-5535 Fax (936) 776-4702 PHONE: (832) 674-0100 FAX: (936) 776-4702 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 7 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNA OLSON License Eff Dt: 11/16/2020 License Exp Dt: 11/16/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 110352 License No.: 307896 Owner Information VILLAGE GREEN ALZHEIMER'S CARE HOME, LLC VILLAGE GREEN ALZHEIMER'S CARE HOME LLC 7910 WEST RAYFORD ROAD 9111 KATY FREEWAY STE. 307 , SPRING TX 77389 HOUSTON TX 77024 Phone Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 04/13/2020 License Exp Dt: 04/13/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 106002 License No.: 150167 Owner Information WOOD GLEN COURT ASSISTED LIVING BRIDGEWOODWOOD GLEN TRS LLC 5000 CYPRESSWOOD DR 6363 WOODWAY DRIVESTE 870 , SPRING TX 77379 HOUSTON TX 77057 Phone (281) 573-0370 Fax (832) 693-8556 PHONE: (281) 341-6205 FAX: TOTAL Lic Capacity: 92 PRIVATE Beds: 92 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROSE GUNNER License Eff Dt: 10/31/2019 License Exp Dt: 10/31/2021 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 030231 License No.: 149993 Owner Information DOWN HOME BLESSED CARE DOWN HOME BLESSED CARE CORPORATION 27521 CALVERT RD 27521 CALVERT RD , TOMBALL TX 77377 TOMBALL TX 77377 Phone (281) 351-0124 Fax (281) 351-2326 PHONE: (281) 351-0124 FAX: (281) 351-2326 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PRISCILLA K GIESE License Eff Dt: 08/31/2020 License Exp Dt: 10/09/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 247 of 405 County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 000392 License No.: 147272 Owner Information HARVEST HOME BAKER SENIOR CARE LLC 520 BAKER DR 1000 LEGION PLACESTE. 1600 , TOMBALL TX 77375 ORLANDO FL 32801 Phone (281) 357-5775 Fax (281) 351-4923 PHONE: (407) 999-2400 FAX: (407) 999-7759 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BELINDA ALLCHIN License Eff Dt: 04/21/2021 License Exp Dt: 04/21/2024 Mgmt Co.: NORTHSTAR SENIOR LIVING, INC

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 102096 License No.: 146976 Owner Information INWOOD CROSSING INWOOD SENIOR CARE, LLC 808 INWOOD 1000 LEGION PLACESTE 1600 , TOMBALL TX 77375 ORLANDO FL 32801 Phone (281) 475-0161 Fax (281) 516-9210 PHONE: (407) 999-2400 FAX: (407) 999-7759 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 60 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BECKY GUENTHER License Eff Dt: 04/21/2019 License Exp Dt: 04/21/2022 Mgmt Co.: MERIDIAN SENIOR LIVING LLC

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 110288 License No.: 307686 Owner Information NEW HAVEN ASSISTED LIVING OF TOMBALL LLC NEW HAVEN ASSISTED LIVING OF TOMBALL LLC 709 S. PINE ST. PO BOX 1927 , TOMBALL TX 77375 KYLE TX 78640 Phone Fax pending PHONE: (415) 895-2967 FAX: (801) 606-2793 TOTAL Lic Capacity: 32 PRIVATE Beds: 32 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 02/11/2020 License Exp Dt: 02/11/2023 Mgmt Co.: ENRICHED SENIOR LIVING LLC

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 104711 License No.: 146239 Owner Information NEW HAVEN MEMORY CARE OF TOMBALL LLC NEW HAVEN ASSISTED LIVING OF TOMBALL LLC 609 SOUTH PINE ST PO BOX 1927 , TOMBALL TX 77375 KYLE TX 78640 Phone (832) 559-8356 Fax (832) 559-8358 PHONE: (415) 895-2967 FAX: (801) 606-2793 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KIMBERLY RICHARDSON License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.: ENRICHED SENIOR LIVING LLC

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 106864 License No.: 308007 Owner Information NORTHGATE 2 ASSISTED LIVING DANIELA G ROTARU 11206 WIND PINE LANE 14902 WELCOME LANE , TOMBALL TX 77375 HOUSTON TX 77014 Phone (832) 853-7178 Fax (281) 205-7270 PHONE: (832) 853-7178 FAX: (281) 444-1211 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIELA G ROTARU License Eff Dt: 02/01/2020 License Exp Dt: 02/01/2023 Mgmt Co.: NA

Tuesday, September 28, 2021 Page 248 of 405 County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 103130 License No.: 146142 Owner Information SERENITY'S HAVEN ASSISTED LIVING INC SERENITY'S HAVEN ASSISTED LIVING INC 8727 SEBER LN 91 BIG WOODS RD , TOMBALL TX 77375 NEW WAVERLY TEXAS 77358 Phone (281) 732-6937 Fax (281) 357-0827 PHONE: (281) 732-6937 FAX: (281) 357-0827 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CANDACE BRIGANCE License Eff Dt: 11/12/2020 License Exp Dt: 11/12/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 107026 License No.: 307797 Owner Information SOUTHERN KNIGHTS MEMORY CARE SOUTHERN KNIGHTS OPERATING COMPANY LLC 27923 JOHNSON ROAD , TOMBALL TX 77375 Phone (281) 351-8575 Fax (281) 351-1129 PHONE: FAX: TOTAL Lic Capacity: 24 PRIVATE Beds: 24 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANGEL OWENS License Eff Dt: 08/02/2019 License Exp Dt: 08/02/2022 Mgmt Co.: TIPEL SENIOR MANAGEMENT COMPANY LLC

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 010328 License No.: 307625 Owner Information SOUTHERN KNIGHTS SENIOR LIVING COMMUNITY SOUTHERN KNIGHTS OPERATING COMPANY LLC 27919 JOHNSON ROAD , TOMBALL TX 77375 Phone (281) 351-8575 Fax (281) 351-1129 PHONE: FAX: TOTAL Lic Capacity: 40 PRIVATE Beds: 40 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANGEL OWENS License Eff Dt: 08/02/2019 License Exp Dt: 08/02/2022 Mgmt Co.: TIPEL SENIOR MANAGEMENT COMPANY LLC

County HARRIS Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 100721 License No.: 150015 Owner Information THE HERITAGE TOMBALL S TCG TOMBALL CAMPUS, LLC 1221 GRAHAM DR. 801 CHERRY STSUITE 2400 UNIT 31 , TOMBALL TX 77375 FORT WORTH TX 76102 Phone (281) 401-5400 Fax (281) 401-5493 PHONE: (817) 446-4792 FAX: (817) 446-0923 TOTAL Lic Capacity: 147 PRIVATE Beds: 147 Cert Alzh Capacity: 22 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BRETT BARKER License Eff Dt: 09/15/2019 License Exp Dt: 09/15/2021 Mgmt Co.: SAGORA SENIOR LIVING, INC

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 000638 License No.: 146068 Owner Information TOMBALL RETIREMENT CENTER HSMTXSTALLONESTOMBALL LLC 13415 MEDICAL COMPLEX DR 13415 MEDICAL COMPLEX DR , TOMBALL TX 77375 TOMBALL TX 77375 Phone (281) 357-4843 Fax (281) 357-5808 PHONE: (615) 896-1191 FAX: (615) 890-7978 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JIM P VINCENT License Eff Dt: 12/01/2020 License Exp Dt: 12/01/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 249 of 405 County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 107077 License No.: 150100 Owner Information VILLAGE CARE HOMESELDRIDGE VILLAGE CARE HOMES LLC 16217 N ELDRIDGE PKWY 1010 S MAGNOLIA BLVDSTE L , TOMBALL TX 77377 MAGNOLIA TX 77355 Phone (832) 761-7876 Fax (936) 776-4702 PHONE: (832) 674-0100 FAX: (936) 776-4702 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNA OLSON License Eff Dt: 07/05/2020 License Exp Dt: 07/05/2023 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 110204 License No.: 307449 Owner Information VILLAGE GREEN ALZHEIMER'S CARE HOME, LLC VILLAGE GREEN ALZHEIMER'S CARE HOME LLC 13233 MEDICAL COMPLEX DRIVE 9111 KATY FREEWAY STE. 307 , TOMBALL TX 77375 HOUSTON TX 77024 Phone Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 08/20/2019 License Exp Dt: 08/20/2022 Mgmt Co.:

County HARRIS Reg Svcs: UNIT 14 Region 06 Facility Information: Facility ID: 106735 License No.: 307144 Owner Information HEARTIS CLEAR LAKE HEARTIS CLEAR LAKE PARTNERS LP 14520 OLD GALVESTON ROAD 5910 N CENTRAL EXPRESSWAY SUITE 200 , WEBSTER TX 77598 DALLAS TX 75206 Phone (281) 488-0762 Fax PHONE: (214) 916-5750 FAX: (469) 547-5422 TOTAL Lic Capacity: 148 PRIVATE Beds: 148 Cert Alzh Capacity: 40 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BENJAMIN TRAGETHON License Eff Dt: 07/21/2019 License Exp Dt: 07/21/2022 Mgmt Co.: FRONTIER SENIOR LIVING LLC

County HARRISON Reg Svcs: TYLER NE TEAM Region 04 Facility Information: Facility ID: 102204 License No.: 148440 Owner Information CASCE HOUSE KINDHEARTED GP LLC 2500 KARNACK HWY GENESIS BUILDING, 13 GENESIS CLOSE , MARSHALL TX 75672 GEORGE TOWN GRAND CAYMAN 67206 Phone (903) 927-1191 Fax PHONE: FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JANICE HAYNES License Eff Dt: 08/18/2019 License Exp Dt: 08/18/2022 Mgmt Co.:

County HARRISON Reg Svcs: TYLER NE TEAM Region 04 Facility Information: Facility ID: 030355 License No.: 148670 Owner Information MSHC REUNION INN ASSISTED LIVING LLC MSHC REUNION INN OF MARSHALL LLC 2801 E TRAVIS ST 4939 ELIZABETH , MARSHALL TX 75670 TEXARKANA TX 75503 Phone (903) 927-2242 Fax (903) 927-1499 PHONE: (903) 832-0429 FAX: (903) 255-0385 TOTAL Lic Capacity: 51 PRIVATE Beds: 51 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JACQUE WISE-GRIFFITH License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 250 of 405 County HARRISON Reg Svcs: TYLER NE TEAM Region 04 Facility Information: Facility ID: 000956 License No.: 149576 Owner Information OAKWOOD HOUSE VERITAS SENIOR LIVING LLC 2907 VICTORY DR 6858 SWINNEA RDBLDG 1A , MARSHALL TX 75670 SOUTHAVEN MS 38671 Phone (903) 935-6263 Fax (903) 935-6288 PHONE: (662) 510-5544 FAX: (662) 510-5471 TOTAL Lic Capacity: 51 PRIVATE Beds: 51 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BROOKE COLLIER License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2022 Mgmt Co.:

County HARTLEY Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 102470 License No.: 146503 Owner Information LEGACY ASSISTED LIVING COMMUNITY DALLAMHARTLEY COUNTIES HOSPITAL DISTRICT 301 TEXAS BLVD PO BOX 2014 , DALHART TX 79022 DALHART TX 79022 Phone (806) 244-1450 Fax (806) 244-1665 PHONE: (806) 244-8555 FAX: (806) 244-1665 TOTAL Lic Capacity: 40 PRIVATE Beds: 40 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HEATHER SCHRIBER License Eff Dt: 02/07/2021 License Exp Dt: 02/07/2024 Mgmt Co.:

County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 106896 License No.: 148362 Owner Information LAUREL'S HOUSE LAVENDER SPRINGS LLC 13701 TRAUTWEIN ROAD PO BOX 1614 , AUSTIN TX 78737 DRIPPING SPRINGS TX 78620 Phone (512) 858-0211 Fax (866) 731-7135 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KATIE HAMILTON License Eff Dt: 11/01/2019 License Exp Dt: 11/01/2022 Mgmt Co.:

County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 106696 License No.: 150216 Owner Information LEDGESTONE SENIOR LIVING CSL LEDGESTONE SUBTENANT LLC 13150 FOUR STAR BLVD 777 MAIN STREETSUITE 2300 , AUSTIN TX 78737 FORT WORTH TX 76102 Phone (512) 767-1800 Fax PHONE: (817) 386-8888 FAX: TOTAL Lic Capacity: 92 PRIVATE Beds: 92 Cert Alzh Capacity: 19 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRYSTAL GABLE License Eff Dt: 02/21/2020 License Exp Dt: 02/21/2022 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 110310 License No.: 307754 Owner Information BUDA OAKS ASSISTED LIVING AND MEMORY CARE BUDA HOUSE ASSISTED LIVING LLC 1250 CABELAS DRIVE , BUDA TX 78610 Phone (512) 906-2225 Fax PHONE: FAX: TOTAL Lic Capacity: 132 PRIVATE Beds: 132 Cert Alzh Capacity: 34 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CERIANNE JOHNSON License Eff Dt: 03/13/2020 License Exp Dt: 03/13/2023 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

Tuesday, September 28, 2021 Page 251 of 405 County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 107193 License No.: 307110 Owner Information SODALIS BUDA ASSISTED LIVING, LLC SODALIS BUDA ASSISTED LIVING, LLC 645 FM 967, STE 300 , BUDA TX 78610 Phone (512) 637-5400 Fax (512) 637-5404 PHONE: FAX: TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CARL SMITH License Eff Dt: 10/11/2020 License Exp Dt: 10/11/2023 Mgmt Co.: TRILOGY SENIOR LIVING, LLC

County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 103686 License No.: 149074 Owner Information SODALIS BUDA LLC SODALIS BUDA LLC 645 FM 967 244 FM 306 SUITE 120 #612 , BUDA TX 78610 NEW BRAUNFELS TX 78130 Phone (512) 295-5600 Fax (512) 296-5633 PHONE: (830) 624-1044 FAX: (830) 629-4884 TOTAL Lic Capacity: 22 PRIVATE Beds: 22 Cert Alzh Capacity: 22 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LEEANDRA BENNETT License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2023 Mgmt Co.: TRILOGY SENIOR LIVING, LLC

County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 000573 License No.: 149056 Owner Information MENTIS NEURO HEALTH E & J HEALTH CARE LLC 3035 HWY 290 W 400 HWY 290BLDG B 205 , DRIPPING SPRINGS TX 78620 DRIPPING SPRINGS TX 78620 Phone (512) 894-0701 Fax (512) 858-5104 PHONE: (512) 894-0801 FAX: (512) 858-4627 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BRANDY FORTNER License Eff Dt: 02/01/2020 License Exp Dt: 02/01/2023 Mgmt Co.:

County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 000575 License No.: 149777 Owner Information MENTIS NEURO HEALTH E & J HEALTH CARE LLC 3035 HWY 290 W 400 HWY 290BLDG B 205 , DRIPPING SPRINGS TX 78620 DRIPPING SPRINGS TX 78620 Phone (512) 894-0701 Fax (512) 858-5104 PHONE: (512) 894-0801 FAX: (512) 858-4627 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SARAH OLFERS License Eff Dt: 02/01/2020 License Exp Dt: 02/01/2022 Mgmt Co.:

County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 105976 License No.: 145229 Owner Information NEW HAVEN ASSISTED LIVING AND MEMORY CARE OF KYLE, LLC NEW HAVEN ASSISTED LIVING OF KYLE, LLC 107 CREEKSIDE TRAIL - BUILDING A PO BOX 1927 , KYLE TX 78640 KYLE TX 78640 Phone (888) 774-2836 Fax PHONE: (847) 976-1609 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARI FULLER License Eff Dt: 09/25/2020 License Exp Dt: 09/25/2022 Mgmt Co.: ENRICHED SENIOR LIVING LLC

Tuesday, September 28, 2021 Page 252 of 405 County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 105977 License No.: 145920 Owner Information NEW HAVEN ASSISTED LIVING AND MEMORY CARE OF KYLE, LLC NEW HAVEN ASSISTED LIVING OF KYLE, LLC 107 CREEKSIDE TRAIL - BUILDING B PO BOX 1927 , KYLE TX 78640 KYLE TX 78640 Phone (888) 774-2836 Fax PHONE: (847) 976-1609 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TAWANA BRAY License Eff Dt: 09/25/2020 License Exp Dt: 09/25/2023 Mgmt Co.: ENRICHED SENIOR LIVING LLC

County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 105695 License No.: 146948 Owner Information ORCHARD PARK OF KYLE RATCLIFF SENIOR CARE, LLC 4701 RATCLIFFE DRIVE 1000 LEGION PLACESTE 1600 , KYLE TX 78640 ORLANDO FL 32801 Phone (512) 920-6400 Fax (512) 268-5304 PHONE: (407) 999-2400 FAX: (407) 999-7759 TOTAL Lic Capacity: 141 PRIVATE Beds: 141 Cert Alzh Capacity: 80 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNY E HAYES License Eff Dt: 04/02/2019 License Exp Dt: 04/02/2022 Mgmt Co.: NORTHSTAR SENIOR LIVING, INC

County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 110250 License No.: 307587 Owner Information THE PHILOMENA ASSISTED LIVING AND MEMORY CARE PHILOMENA ASSISTED LIVING LLC 350 PHILOMENA DRIVE , KYLE TX 78640 Phone (512) 382-0996 Fax PHONE: FAX: TOTAL Lic Capacity: 132 PRIVATE Beds: 132 Cert Alzh Capacity: 34 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MELISSA VILLARREAL License Eff Dt: 12/02/2019 License Exp Dt: 12/02/2022 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 050255 License No.: 149833 Owner Information BROOKDALE SAN MARCOS NORTH SH THIRTYFIVE OPCO SAN MARCOS, LLC 1720 OLD RANCH RD 12 1920 MAIN STREETSUITE 1200 , SAN MARCOS TX 78666 IRVINE CA 92614 Phone (512) 392-7200 Fax (512) 396-3652 PHONE: (949) 407-0700 FAX: (949) 407-0800 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 12 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JIMMY C KING License Eff Dt: 04/30/2020 License Exp Dt: 04/30/2022 Mgmt Co.: BKD TWENTYONE MANAGEMENT COMPANY, INC

County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 050254 License No.: 147420 Owner Information BROOKDALE SAN MARCOS NORTH SH THIRTYFIVE OPCO SAN MARCOS, LLC 1720 OLD RANCH RD 12 1920 MAIN STREETSUITE 1200 , SAN MARCOS TX 78666 IRVINE CA 92614 Phone (512) 392-7200 Fax (512) 396-3652 PHONE: (949) 407-0700 FAX: (949) 407-0800 TOTAL Lic Capacity: 65 PRIVATE Beds: 65 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JIMMY C KING License Eff Dt: 04/30/2019 License Exp Dt: 04/30/2022 Mgmt Co.: BKD TWENTYONE MANAGEMENT COMPANY, INC

Tuesday, September 28, 2021 Page 253 of 405 County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 000743 License No.: 149341 Owner Information BROOKDALE SAN MARCOS SOUTH ESC III LP 1401 WONDER WORLD DR 6737 W WASHINGTON STREETSUITE 2300 , SAN MARCOS TX 78666 MILWAUKEE WI 53214 Phone (512) 396-8271 Fax (512) 396-8273 PHONE: (615) 221-2250 FAX: (615) 221-2280 TOTAL Lic Capacity: 90 PRIVATE Beds: 90 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: KATHY PALMER License Eff Dt: 05/01/2020 License Exp Dt: 05/01/2023 Mgmt Co.:

County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 000924 License No.: 146677 Owner Information BROOKDALE SAN MARCOS SOUTH ESC III LP 1401 WONDER WORLD DR 6737 W WASHINGTON STREETSUITE 2300 , SAN MARCOS TX 78666 MILWAUKEE WI 53214 Phone (512) 396-8271 Fax (512) 396-8273 PHONE: (615) 221-2250 FAX: (615) 221-2280 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SAMUEL T RICHARDSON License Eff Dt: 04/01/2019 License Exp Dt: 04/01/2022 Mgmt Co.:

County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 000635 License No.: 149025 Owner Information RESCARE PREMIER TOWN TANGRAM REHABILITATION NETWORK INC 618 W HUTCHISON 9901 LINN STATION RD , SAN MARCOS TX 78666 LOUISVILLE KY 40223 Phone (512) 396-1305 Fax (512) 396-1707 PHONE: (502) 394-2100 FAX: (502) 394-2285 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: CHARLES JAMES License Eff Dt: 10/15/2019 License Exp Dt: 10/15/2022 Mgmt Co.:

County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 110422 License No.: 308031 Owner Information SAGE SPRING SENIOR LIVING SAN MARCOS SENIOR LIVING, LLC 802 LEAH AVENUE , SAN MARCOS TX 78666 Phone Fax PHONE: FAX: TOTAL Lic Capacity: 106 PRIVATE Beds: 106 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 11/13/2020 License Exp Dt: 11/13/2023 Mgmt Co.: INTEGRAL SENIOR LIVING MANAGEMENT, LLC

County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 104086 License No.: 149275 Owner Information SMITH HOUSE SAN MARCOS COMMUNITY LIVING PROGRAM THERAPEUTIC COMMUNITIES LLC 119 SMITH LN P.O. BOX 705 , SAN MARCOS TX 78666 SAN MARCOS TX 78667 Phone (512) 878-8755 Fax (512) 878-0391 PHONE: (512) 567-1704 FAX: (512) 357-4025 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BONNIE SANDERS License Eff Dt: 05/04/2020 License Exp Dt: 05/04/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 254 of 405 County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 103585 License No.: 147613 Owner Information SODALIS ELDER LIVING SAN MARCOS I ALZCARE SAN MARCOS LLC 1001 CREPE MYRTLE DR 195 S ACADEMY , SAN MARCOS TX 78666 NEW BRAUNFELS TX 78130 Phone (830) 624-1044 Fax (830) 629-4884 PHONE: (830) 624-1044 FAX: (830) 629-4884 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TRACI TAYLOR License Eff Dt: 08/31/2021 License Exp Dt: 08/31/2024 Mgmt Co.: TRILOGY SENIOR LIVING, LLC

County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 110314 License No.: 307874 Owner Information ALEXIS POINTE CSL WIMBERELY 2018, LLC 14390 RANCH ROAD 12 , WIMBERLEY TX 78676 Phone (512) 847-2250 Fax PHONE: FAX: TOTAL Lic Capacity: 96 PRIVATE Beds: 96 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNI KNUTSON License Eff Dt: 03/13/2020 License Exp Dt: 03/13/2023 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 110423 License No.: 308032 Owner Information SYMPHONY OF WIMBERLEY ASSISTED LIVING SYMPHONY OF WIMBERLEY, LLC 501 FM 3237 , WIMBERLEY TX 78676 Phone (512) 243-5852 Fax (512) 261-3893 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KELLEY GEIGER License Eff Dt: 12/29/2020 License Exp Dt: 12/29/2023 Mgmt Co.:

County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 110460 License No.: 308099 Owner Information SYMPHONY OF WIMBERLEY LLC SYMPHONY OF WIMBERLEY, LLC 501 FM 3237 , WIMBERLEY TX 78676 Phone (512) 243-5852 Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KELLEY GEIGER License Eff Dt: 03/08/2021 License Exp Dt: 03/08/2024 Mgmt Co.:

County HAYS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 000974 License No.: 145720 Owner Information WIMBERLEY LIFE CARE WIMBERLEY LIFE CARE 845 E SUMMIT DR P.O. 307 , WIMBERLEY TX 78676 WIMBERLEY TX 78676 Phone (512) 847-5676 Fax (512) 847-6577 PHONE: FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JANICE M BREEZE License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.: NA

Tuesday, September 28, 2021 Page 255 of 405 County HEMPHILL Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 105612 License No.: 148557 Owner Information MESA VIEW ASSISTED LIVING HEMPHILL COUNTY HOSPITAL DISTRICT 1 TEAS CIRCLE 1020 S 4TH ST. , CANADIAN TX 79014 CANADIAN TX 79014 Phone (806) 323-6422 Fax (806) 323-8109 PHONE: (806) 323-6422 FAX: (806) 323-8109 TOTAL Lic Capacity: 40 PRIVATE Beds: 40 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SONDRA HILL License Eff Dt: 10/18/2019 License Exp Dt: 10/18/2021 Mgmt Co.:

County HENDERSON Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 105777 License No.: 307815 Owner Information ARABELLA OF ATHENS QUALITY SENIOR HOUSING FOUNDATION OF EAST TEXAS, INC 413 GIBSON RD , ATHENS TX 75751 Phone (903) 675-1995 Fax (903) 904-5090 PHONE: FAX: TOTAL Lic Capacity: 132 PRIVATE Beds: 132 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PAMELA D HOLCOMB License Eff Dt: 09/01/2019 License Exp Dt: 09/01/2022 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County HENDERSON Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 106524 License No.: 146256 Owner Information CP 02 TX LLC CP 2 TX LLC 209 WOOD STREET 3131 MCKINNEY AVE STE 475 , ATHENS TX 75751 DALLAS TX 75204 Phone (903) 675-6500 Fax (903) 675-4400 PHONE: (214) 347-7140 FAX: (214) 347-7142 TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JAMIE FIZER License Eff Dt: 12/14/2020 License Exp Dt: 12/14/2022 Mgmt Co.: CP ASSISTED LIVING MANAGEMENT LLC

County HENDERSON Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 000984 License No.: 149498 Owner Information LAKELAND HOUSE VERITAS SENIOR LIVING LLC 213 CAYUGA DR 6858 SWINNEA RDBLDG 1A , ATHENS TX 75751 SOUTHAVEN MS 38671 Phone (903) 677-1272 Fax (903) 677-4824 PHONE: (662) 510-5544 FAX: (662) 510-5471 TOTAL Lic Capacity: 52 PRIVATE Beds: 52 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HEATHER BENNETT License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2022 Mgmt Co.:

County HENDERSON Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 100049 License No.: 148296 Owner Information OAK WOOD PLACE M H P PARTNERSHIP LTD 603 WOOD ST 607 E TYLERSTE 113 , ATHENS TX 75751 ATHENS TX 75751 Phone (903) 675-2002 Fax (903) 675-5223 PHONE: (903) 677-2043 FAX: (903) 677-2933 TOTAL Lic Capacity: 100 PRIVATE Beds: 100 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ALICIA MCLAUGHLIN License Eff Dt: 10/01/2021 License Exp Dt: 10/01/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 256 of 405 County HENDERSON Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 105253 License No.: 147832 Owner Information OAK WOOD PLACE B OWP B LP 603 WOOD STREET 607 E. TYLER STREETSUITE 113 , ATHENS TX 75751 ATHENS TX 75751 Phone (903) 675-2002 Fax (903) 677-2933 PHONE: (903) 677-2043 FAX: (903) 677-2933 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BLAKE J DANIELS License Eff Dt: 07/29/2021 License Exp Dt: 07/29/2024 Mgmt Co.: DG & ASSOCIATES, INC

County HIDALGO Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 106093 License No.: 147996 Owner Information DONNA ASSISTED LIVING INC DONNA ASSISTED LIVING INC 522 N. MAIN STREET 808 CHRYSOLITE DR , DONNA TX 78537 WESLACO TX 78596 Phone (956) 461-2240 Fax (956) 948-9323 PHONE: (956) 472-5420 FAX: (956) 948-9323 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEBORAH MOTURI RN License Eff Dt: 08/26/2021 License Exp Dt: 08/26/2024 Mgmt Co.:

County HIDALGO Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 110375 License No.: 307948 Owner Information NEW LIFE ASSISTED LIVING ELUGO, LLC 1901 NEW LIFE DRIVE 2115 LOTT ROAD , DONNA TX 78537 DONNA TX 78537 Phone (956) 377-5916 Fax (956) 377-5895 PHONE: (956) 464-7741 FAX: (956) 464-0007 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARISOL HERNANDEZ License Eff Dt: 08/27/2020 License Exp Dt: 08/27/2023 Mgmt Co.:

County HIDALGO Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 106165 License No.: 148091 Owner Information NEW LIFE ASSISTED LIVING ELUGO, LLC 2002 NEW LIFE DRIVE 2115 LOTT ROAD , DONNA TX 78537 DONNA TX 78537 Phone 956 3775465 Fax 956 3775673 PHONE: (956) 464-7741 FAX: (956) 464-0007 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KATHLEEN ALVARADO License Eff Dt: 09/01/2019 License Exp Dt: 09/01/2022 Mgmt Co.:

County HIDALGO Reg Svcs: UNASSIGNED Region 07 Facility Information: Facility ID: 110249 License No.: 307585 Owner Information AVALON MEMORY CARE EDINBURG PROVIDENCE RESIDENTIAL & MEMORY CARE HOMES LLC 2825 W. CANTON RD , EDINBURG TX 78539 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: FAX: TOTAL Lic Capacity: 25 PRIVATE Beds: 25 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TIM SEIB License Eff Dt: 11/25/2019 License Exp Dt: 11/25/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 257 of 405 County HIDALGO Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 030074 License No.: 308287 Owner Information THE BRIDGES AT EDINBURG ASSISTED LIVING PARTNERSHIP I LTD 5208 S SUGAR RD 5208 S SUGAR RD , EDINBURG TX 78539 EDINBURG TX 78539 Phone (956) 782-9906 Fax (956) 782-2070 PHONE: (956) 782-9882 FAX: (956) 782-2070 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ALEJANDRA VILA License Eff Dt: 04/06/2019 License Exp Dt: 04/06/2022 Mgmt Co.: CONTINUING CARE LLC

County HIDALGO Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 010225 License No.: 149152 Owner Information THE BRIDGES AT EDINBURGH BLDG B ASSISTED LIVING PARTNERSHIP I LTD 5208 S SUGAR RD 5208 S SUGAR RD , EDINBURG TX 78539 EDINBURG TX 78539 Phone (956) 782-9882 Fax (956) 782-2070 PHONE: (956) 782-9882 FAX: (956) 782-2070 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ALEJANDRA VILA License Eff Dt: 11/10/2019 License Exp Dt: 11/10/2022 Mgmt Co.: CONTINUING CARE LLC

County HIDALGO Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 104700 License No.: 147477 Owner Information THE GOOD LIFE ASSISTED LIVING GABRIELA AGUILLON 521 S 12TH AVE. 422 E SAMANO , EDINBURG TX 78539 EDINBURG TX 78539 Phone (956) 380-0461 Fax (956) 287-4744 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GABRIELA AGUILLON License Eff Dt: 06/14/2019 License Exp Dt: 06/14/2021 Mgmt Co.:

County HIDALGO Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 105027 License No.: 148790 Owner Information BARCELONA ASSISTED LIVING MARIO SAN ROMAN 712 E JACKSON AVENUE 700 E. JACKSON AVENUE , MCALLEN TX 78501 MCALLEN TEXAS 78501 Phone (956) 682-8886 Fax (956) 682-8886 PHONE: (956) 571-7465 FAX: (956) 682-8886 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARIO SAN ROMAN License Eff Dt: 01/05/2020 License Exp Dt: 01/05/2023 Mgmt Co.:

County HIDALGO Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 030409 License No.: 148796 Owner Information BILTMORE ASSISTED LIVING MARIO SAN ROMAN 700 E JACKSON AVE 700 E. JACKSON AVENUE , MCALLEN TX 78501 MCALLEN TEXAS 78501 Phone (956) 682-5659 Fax (956) 682-3985 PHONE: (956) 682-3985 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JEANETTE L SAN ROMAN License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 258 of 405 County HIDALGO Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 102866 License No.: 147355 Owner Information CROSSROADS ASSISTED LIVING RGV ELDER HEALTH SYSTEMS INC 9500 HWY 107 P. O. BOX 1136 , MISSION TX 78574 MISSION TEXAS 78573 Phone (956) 583-8013 Fax (956) 583-5120 PHONE: (956) 583-8013 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BENJAMIN MADRIGALES License Eff Dt: 05/01/2019 License Exp Dt: 05/01/2022 Mgmt Co.:

County HIDALGO Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 100787 License No.: 149206 Owner Information THE BRIDGES AT MISSION ASSISTED LIVING PARTNERSHIP II LTD 1201 ST CLAIRE BLVD 1201 ST CLAIRE BLVD , MISSION TX 78572 MISSION TX 78572 Phone (956) 519-9800 Fax (956) 519-7766 PHONE: (956) 519-9800 FAX: (956) 519-7766 TOTAL Lic Capacity: 61 PRIVATE Beds: 61 Cert Alzh Capacity: 61 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ELIZABETH PADILLA License Eff Dt: 12/20/2019 License Exp Dt: 12/20/2021 Mgmt Co.: CONTINUING CARE LLC

County HIDALGO Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 104822 License No.: 148624 Owner Information THE BUNGALOWS AT WATERFORD GARDENS LLC THE BUNGALOWS AT WATERFORD GARDENS LLC 1522 E GRIFFIN PARKWAY 1522 E GRIFFIN PARKWAY , MISSION TX 78572 MISSION TX 78572 Phone (956) 584-5565 Fax (956) 585-7314 PHONE: (956) 584-5565 FAX: (956) 585-7314 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LUCILLE G CAVAZOS License Eff Dt: 07/28/2021 License Exp Dt: 07/28/2024 Mgmt Co.:

County HIDALGO Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 101938 License No.: 146864 Owner Information WATERFORD GARDENS GUEST HOUSE MISSION GUEST HOUSE LLC 1522 E GRIFFIN PKWY 1522 E GRIFFIN PKWY , MISSION TX 78572 MISSION TX 78572 Phone (956) 519-9064 Fax PHONE: (956) 519-9064 FAX: (956) 583-7314 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LUCILLE G CAVAZOS License Eff Dt: 09/28/2021 License Exp Dt: 09/28/2024 Mgmt Co.:

County HIDALGO Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 100526 License No.: 146870 Owner Information WATERFORD GARDENS ON GRIFFIN PARKWAY SENIOR GARDENS LLC 1522 E GRIFFIN PKWY 1522 E GRIFFIN PKWY , MISSION TX 78572 MISSION TX 78572 Phone (956) 584-1984 Fax (956) 585-7314 PHONE: (956) 584-1964 FAX: (956) 585-7314 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LUCILLE G CAVAZOS License Eff Dt: 03/24/2019 License Exp Dt: 03/24/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 259 of 405 County HIDALGO Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 105962 License No.: 147110 Owner Information THE GARDENS AT BROOK RIDGE BROOK RIDGE GARDENS LP 1201 W RIDGE RD 1080 SW MOUNT BACHELOR DR SUITE 200 , PHARR TX 78577 BEND OR 97702 Phone (956) 685-1520 Fax (956) 961-4620 PHONE: FAX: TOTAL Lic Capacity: 65 PRIVATE Beds: 65 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARK PEPER License Eff Dt: 02/26/2021 License Exp Dt: 02/26/2024 Mgmt Co.: SUNSHINE RETIREMENT LIVING LLC

County HIDALGO Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 000703 License No.: 149072 Owner Information JOHN KNOX VILLAGE PERSONAL CARE JOHN KNOX VILLAGES OF THE LOWER RIO GRANDE VALLEY INC 1300 S BORDER 1300 S BORDER , WESLACO TX 78596 WESLACO TX 78596 Phone (956) 968-4575 Fax (956) 968-4570 PHONE: (956) 968-4575 FAX: (956) 968-4570 TOTAL Lic Capacity: 32 PRIVATE Beds: 32 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANDREA TREVINO License Eff Dt: 01/04/2020 License Exp Dt: 01/04/2023 Mgmt Co.:

County HILL Reg Svcs: WACO Region 05 Facility Information: Facility ID: 010269 License No.: 146270 Owner Information WESLEY HOUSE WESLEY HOUSE LINDALE LLC 110 OUTLET DR 110 DALLAS ST , HILLSBORO TX 76645 MT. VERNON TX 75457 Phone (254) 582-0030 Fax (254) 580-1608 PHONE: (903) 537-4116 FAX: (903) 270-6227 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MONICA MORALES License Eff Dt: 02/02/2021 License Exp Dt: 02/02/2024 Mgmt Co.: NA

County HILL Reg Svcs: WACO Region 05 Facility Information: Facility ID: 103976 License No.: 307080 Owner Information COUNTRY CLUB RETIREMENT COMMUNITY ROBERT W LEISKE LEGACY CENTERS INC 4773 FM 933 N , WHITNEY TX 76692 Phone (254) 694-2272 Fax (214) 328-3042 PHONE: FAX: TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BARBARA ECORD License Eff Dt: 08/15/2018 License Exp Dt: 10/29/2021 Mgmt Co.:

County HOCKLEY Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 102916 License No.: 149740 Owner Information BEEHIVE HOMES OF LEVELLAND LEVELLAND HIVE LLC 140 COUNTY ROAD 8100 WYOMING BLVD NESUITE M4-273 , LEVELLAND TX 79336 ALBUQUERQUE NM 79336 Phone (806) 543-9852 Fax (806) 894-3987 PHONE: (806) 543-9852 FAX: (806) 894-3987 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 14 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VICKI RAYMOND License Eff Dt: 07/22/2020 License Exp Dt: 07/22/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 260 of 405 County HOCKLEY Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 000511 License No.: 148051 Owner Information HICKORY PLACE HICKORY AID OPCO LLC 717 SOUTH ALAMO RD 330 N WABASH AVESTE 3700 , LEVELLAND TX 79336 CHICAGO IL 60611 Phone (806) 894-1722 Fax (806) 894-3330 PHONE: (312) 725-7050 FAX: (312) 332-5902 TOTAL Lic Capacity: 36 PRIVATE Beds: 36 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PAUL GONZALES License Eff Dt: 07/11/2021 License Exp Dt: 07/11/2024 Mgmt Co.: ENLIVANT AID CMBS MGMT LLC

County HOOD Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 102889 License No.: 307440 Owner Information AUTUMN RIDGE SENIOR LIVING, INC DB BRIDGEWATER MEMORY CARE AUTUMN RIDGE SENIOR LIVING, INC 900 AUTUMN RIDGE DRIVE , GRANBURY TX 76048 Phone (817) 573-7720 Fax (817) 573-7029 PHONE: FAX: TOTAL Lic Capacity: 52 PRIVATE Beds: 52 Cert Alzh Capacity: 52 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JACALYN HOPPER License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.:

County HOOD Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 102291 License No.: 149148 Owner Information COURTYARDS AT LAKE GRANBURY CSL GRANBURY LLC 801 CALINCO DR 14160 DALLAS PKWYSTE 300 , GRANBURY TX 76048 DALLAS TX 75254 Phone (817) 736-4300 Fax (817) 736-4299 PHONE: (972) 308-8366 FAX: (972) 387-8216 TOTAL Lic Capacity: 107 PRIVATE Beds: 107 Cert Alzh Capacity: 14 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOANNE GOODMAN License Eff Dt: 02/21/2020 License Exp Dt: 02/21/2023 Mgmt Co.: CAPITAL SENIOR LIVING INC

County HOOD Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 101783 License No.: 307214 Owner Information QUAIL PARK ASSISTED LIVING LIVING CARE GRANBURY LP 2310 PALUXY HWY 146 N CANAL ST STE 220 , GRANBURY TX 76048 SEATTLE WA 98103 Phone (817) 579-7073 Fax (817) 579-7073 PHONE: (206) 441-1770 FAX: (206) 441-1977 TOTAL Lic Capacity: 20 PRIVATE Beds: 20 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ERICKA CARRERAS License Eff Dt: 04/03/2021 License Exp Dt: 04/03/2024 Mgmt Co.: MILLENNIUM ADVISORS INC DBA LIVING CARE LIFESTYLES

County HOOD Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 106013 License No.: 145469 Owner Information QUAIL PARK RETIREMENT VILLAGE OF GRANBURY LIVING CARE GRANBURY LP 2300 PALUXY HWY 146 N CANAL ST STE 220 , GRANBURY TX 76048 SEATTLE WA 98103 Phone (817) 279-9259 Fax (817) 579-7073 PHONE: (206) 441-1770 FAX: (206) 441-1977 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHERI ROSE License Eff Dt: 09/19/2020 License Exp Dt: 09/19/2023 Mgmt Co.: MILLENNIUM ADVISORS INC DBA LIVING CARE LIFESTYLES

Tuesday, September 28, 2021 Page 261 of 405 County HOOD Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 000569 License No.: 147944 Owner Information THE OAKS OF GRANBURY GRANBURY II ENTERPRISES LLC 1017 LIPAN HWY SAME , GRANBURY TX 76048 FORT WORTH TX 76109 Phone (817) 279-8885 Fax (817) 579-1908 PHONE: (817) 348-8841 FAX: (817) 348-0466 TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMANDA HAZARD License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2023 Mgmt Co.: CREATIVE SOLUTIONS IN HEALTHCARE, INC

County HOOD Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 104023 License No.: 307450 Owner Information WATERVIEW ASSISTED LIVING WELLTOWER TCG RIDEA TENANT, LLC 101 WATERMARK BLVD. 4500 DORR STREET , GRANBURY TX 76048 TOLDEO OH 43615 Phone (817) 573-3434 Fax (817) 573-3430 PHONE: FAX: TOTAL Lic Capacity: 44 PRIVATE Beds: 44 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: CHRISTINA KINNISON License Eff Dt: 04/01/2019 License Exp Dt: 04/01/2022 Mgmt Co.: SAGORA SENIOR LIVING, INC

County HOOD Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 104024 License No.: 307448 Owner Information WATERVIEW ASSISTED LIVING WELLTOWER TCG RIDEA TENANT, LLC 101 WATERMARK BLVD. 4500 DORR STREET , GRANBURY TX 76048 TOLDEO OH 43615 Phone (817) 573-3434 Fax (817) 579-6147 PHONE: FAX: TOTAL Lic Capacity: 51 PRIVATE Beds: 51 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRISTINA KINNISON License Eff Dt: 04/01/2019 License Exp Dt: 04/01/2022 Mgmt Co.: SAGORA SENIOR LIVING, INC

County HOPKINS Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 000996 License No.: 148287 Owner Information HOPKINS PLACE HOPKINS AID OPCO LLC 890 CAMP ST 301 COMMERCE STSTE 3300 , SULPHUR SPRINGS TX 75482 FORT WORTH TX 76102 Phone (903) 439-1202 Fax (903) 885-6697 PHONE: (817) 871-4000 FAX: (817) 871-4001 TOTAL Lic Capacity: 63 PRIVATE Beds: 63 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RACHEL GILBERT License Eff Dt: 07/11/2019 License Exp Dt: 07/11/2022 Mgmt Co.: ENLIVANT AID KB MGMT LLC

County HOPKINS Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 105208 License No.: 145057 Owner Information WESLEY HOUSE WESLEY PARTNERS, LTD 1044 CHURCH STREET P O BOX 612 , SULPHUR SPRINGS TX 75482 MT VERNON TX 75457 Phone (903) 439-0529 Fax (903) 439-0549 PHONE: (903) 537-4116 FAX: (903) 270-6227 TOTAL Lic Capacity: 28 PRIVATE Beds: 28 Cert Alzh Capacity: 28 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KYRA MANNING License Eff Dt: 06/12/2020 License Exp Dt: 06/12/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 262 of 405 County HOPKINS Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 000950 License No.: 146014 Owner Information WESLEY HOUSE WESLEY HOUSE ATLANTA LLC 1044 CHURCH ST , SULPHUR SPRINGS TX 75482 Phone (903) 439-0529 Fax (903) 439-0549 PHONE: FAX: TOTAL Lic Capacity: 42 PRIVATE Beds: 42 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SHANNA SMITH License Eff Dt: 12/01/2020 License Exp Dt: 12/01/2023 Mgmt Co.: WESLEY PARTNERS II, LLC

County HOUSTON Reg Svcs: NACOGDOCHES GERIATRIC Region 04 Facility Information: Facility ID: 000617 License No.: 149185 Owner Information ENCHANTED PINES ENCHANTED PINES INC 1154 E LOOP 304 1154 E LOOP 304 , CROCKETT TX 75835 CROCKETT TX 75835 Phone (936) 544-5065 Fax (936) 546-2694 PHONE: (936) 544-5065 FAX: (936) 546-5674 TOTAL Lic Capacity: 36 PRIVATE Beds: 36 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: CATHERINE J CHUBB License Eff Dt: 03/04/2020 License Exp Dt: 03/04/2023 Mgmt Co.:

County HOWARD Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 000490 License No.: 148219 Owner Information MARCY PLACE MARCY AID OPCO LLC 2301 WASSON 330 N WABASHSTE 3700 , BIG SPRING TX 79720 CHICAGO IL 60611 Phone (432) 268-9041 Fax (432) 268-9092 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 44 PRIVATE Beds: 44 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TRYSTAN HICKMAN License Eff Dt: 07/11/2021 License Exp Dt: 07/11/2024 Mgmt Co.: ENLIVANT AID NONCMBS MGMT LLC

County HUNT Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 000952 License No.: 147363 Owner Information COUNTRY HOME ESTATES DRAUGHN & SONS LC 2927 MONROE PO BOX 130 , COMMERCE TX 75428 COMMERCE TX 75428 Phone (903) 886-7754 Fax (903) 886-8395 PHONE: (903) 886-7754 FAX: (903) 886-8395 TOTAL Lic Capacity: 55 PRIVATE Beds: 55 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SHELIA CAMPSO License Eff Dt: 07/24/2021 License Exp Dt: 07/24/2024 Mgmt Co.:

County HUNT Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 000826 License No.: 145685 Owner Information COLONIAL LODGE SHAMOR INC 3600 STANFORD ST 3600 STANFORD ST , GREENVILLE TX 75401 GREENVILLE TX 75401 Phone (903) 454-6636 Fax (903) 454-8182 PHONE: (903) 454-6636 FAX: (903) 454-8182 TOTAL Lic Capacity: 55 PRIVATE Beds: 55 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MALYNDA POARCH License Eff Dt: 10/17/2020 License Exp Dt: 10/17/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 263 of 405 County HUNT Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 110512 License No.: 308300 Owner Information GRACIOUS COMMUNITY HOMES INC GRACIOUS COMMUNITY HOMES INC 3900 JOE RAMSEY BLVD E , GREENVILLE TX 75401 Phone (972) 951-1933 Fax PHONE: FAX: TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ROY KOSHY License Eff Dt: 06/17/2021 License Exp Dt: 06/17/2024 Mgmt Co.:

County HUNT Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 000986 License No.: 149539 Owner Information HARRISON HOUSE VERITAS SENIOR LIVING LLC 6400 JACK FINNEY BLVD 6858 SWINNEA RDBLDG 1A , GREENVILLE TX 75401 SOUTHAVEN MS 38671 Phone (903) 455-0440 Fax (903) 455-4090 PHONE: (662) 510-5544 FAX: (662) 510-5471 TOTAL Lic Capacity: 51 PRIVATE Beds: 51 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: COURTNEY SANTILLANN License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2022 Mgmt Co.:

County HUNT Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 101527 License No.: 145216 Owner Information THE LODGE OF COLONIAL SHAMOR INC 3590 STANFORD ST 3600 STANFORD ST , GREENVILLE TX 75401 GREENVILLE TX 75401 Phone (903) 454-6636 Fax (903) 454-8182 PHONE: (903) 454-6636 FAX: (903) 454-8182 TOTAL Lic Capacity: 59 PRIVATE Beds: 59 Cert Alzh Capacity: 59 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHANE KUBACAK License Eff Dt: 08/13/2020 License Exp Dt: 08/13/2023 Mgmt Co.:

County HUNT Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 000650 License No.: 146195 Owner Information INDIVIDUAL CARE OF TEXAS INC INDIVIDUAL CARE OF TEXAS INC 1655 PRIVATE RD 2530 PO BOX 1810 , QUINLAN TX 75474 QUINLAN TX 75474-1810 Phone (903) 356-4526 Fax (903) 356-4544 PHONE: (903) 356-4526 FAX: (972) 771-4860 TOTAL Lic Capacity: 100 PRIVATE Beds: 100 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JUDY GALLUPS License Eff Dt: 12/30/2020 License Exp Dt: 12/30/2023 Mgmt Co.:

County HUTCHINSON Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 000957 License No.: 148383 Owner Information GOLDEN YEARS ASSISTED LIVING CENTER INC GOLDEN YEARS ASSISTED LIVING CENTER INC 100 N BRYAN ST 100 N BRYAN ST , BORGER TX 79007 BORGER TX 79007 Phone (806) 274-5994 Fax (806) 274-5992 PHONE: (806) 274-5994 FAX: (806) 274-5992 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DONNA L HAYES License Eff Dt: 09/22/2019 License Exp Dt: 09/22/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 264 of 405 County JACK Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 000811 License No.: 148682 Owner Information GREYSTONE PARK RETIREMENT & ASSISTED LIVING JACKSBORO ASSISTED LIVING INC 1116 STATE HWY 148 1116 STATE HWY 148 , JACKSBORO TX 76458 JACKSBORO TX 76458 Phone (940) 567-3057 Fax (940) 567-5782 PHONE: (940) 567-3057 FAX: (940) 567-5782 TOTAL Lic Capacity: 45 PRIVATE Beds: 45 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JIM E JEWELL License Eff Dt: 11/16/2019 License Exp Dt: 11/16/2021 Mgmt Co.:

County JACKSON Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 030178 License No.: 308187 Owner Information GROW IN GRACE OF EDNA GROW IN GRACE SENIOR LIVING LLC 309 S. PUMPHREY 2608 COUNTY ROAD 240 , EDNA TX 77957 GANADO TEXAS 77962 Phone (361) 782-3540 Fax (361) 782-0882 PHONE: FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: KIMBERLIE HICKS License Eff Dt: 12/11/2020 License Exp Dt: 12/11/2023 Mgmt Co.:

County JACKSON Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 000764 License No.: 308186 Owner Information GROW IN GRACE SENIOR LIVING LLC GROW IN GRACE SENIOR LIVING LLC 105 S. 6TH STREET 2608 COUNTY ROAD 240 , GANADO TX 77962 GANADO TEXAS 77962 Phone (361) 771-2228 Fax (361) 782-0882 PHONE: FAX: TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KIMBERLIE HICKS License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.:

County JASPER Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 100966 License No.: 147157 Owner Information ROSEWOOD ASSISTED LIVING CENTER II ROSEWOOD ASSISTEDLIVING CENTER INC 8670 US HIGHWAY 96 SOUTH 1010 HWY 87 S , JASPER TX 75951 NEWTON TX 75966 Phone (409) 489-1402 Fax (409) 383-0584 PHONE: (409) 379-2047 FAX: (409) 379-2048 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOYCE FINNEL License Eff Dt: 05/08/2019 License Exp Dt: 05/08/2022 Mgmt Co.:

County JASPER Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 030235 License No.: 148811 Owner Information ROSEWOOD ASSISTED LIVING CENTER INC ROSEWOOD ASSISTEDLIVING CENTER INC 41 CHESTNUT CIR 1010 HWY 87 S , JASPER TX 75951 NEWTON TX 75966 Phone (409) 384-4533 Fax (409) 381-8862 PHONE: (409) 379-2047 FAX: (409) 379-2048 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARY WAGNER License Eff Dt: 01/20/2020 License Exp Dt: 01/20/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 265 of 405 County JEFFERSON Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 000325 License No.: 308235 Owner Information BROOKDALE DOWLEN OAKS EMERITOL DOWLEN OAKS, LLC 2250 N DOWLEN ROAD , BEAUMONT TX 77706 Phone (409) 866-8090 Fax (409) 866-2929 PHONE: FAX: TOTAL Lic Capacity: 99 PRIVATE Beds: 99 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RACHEL BITTLE License Eff Dt: 01/01/2021 License Exp Dt: 01/01/2024 Mgmt Co.:

County JEFFERSON Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 100189 License No.: 148866 Owner Information CALDER WOODS BUCKNER RETIREMENT SERVICES INC 7080 CALDER AVE. 700 N PEARL STREET, SUITE 1200 , BEAUMONT TX 77706 DALLAS TX 75201 Phone (409) 861-1123 Fax (409) 861-1002 PHONE: (214) 758-8031 FAX: (214) 758-8153 TOTAL Lic Capacity: 62 PRIVATE Beds: 62 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: COREY GADDIS RN License Eff Dt: 02/27/2020 License Exp Dt: 02/27/2023 Mgmt Co.:

County JEFFERSON Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 000636 License No.: 149426 Owner Information COLLIER PARK CPF SENIOR LIVINGCOLLIER PARK LLC 4650 COLLIER ST 980 NORTH MICHIGAN AVE , BEAUMONT TX 77706 CHICAGO IL 60611 Phone (409) 899-4800 Fax (409) 899-3030 PHONE: (312) 273-4768 FAX: (312) 444-0887 TOTAL Lic Capacity: 71 PRIVATE Beds: 71 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JAMES FARREN License Eff Dt: 04/04/2020 License Exp Dt: 04/04/2022 Mgmt Co.: CPF GRACE MANAGEMENT, LLC

County JEFFERSON Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 107294 License No.: 307188 Owner Information GILBERT'S ASSISTED LIVING, INC GILBERT'S ASSISTED LIVING INC 5110 ELK RUN CIRCLE UNKNOWN , BEAUMONT TX 77707 UNKNOWN TX Phone (409) 840-9485 Fax PHONE: FAX: TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VIRGINIA MORROW License Eff Dt: 03/04/2021 License Exp Dt: 03/04/2024 Mgmt Co.: NA

County JEFFERSON Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 100980 License No.: 146290 Owner Information LENROSE PLACE REYNALDO C MEDINA 5395 ROSE LN 6209 SHERIDAN OAKS DRIVE , BEAUMONT TX 77708 BEAUMONT TX 77706 Phone (409) 363-4171 Fax (409) 225-5408 PHONE: ( ) - 0 FAX: ( ) - 0 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: REYNALDO C MEDINA License Eff Dt: 01/09/2021 License Exp Dt: 01/09/2024 Mgmt Co.: REYNALDO C MEDINA

Tuesday, September 28, 2021 Page 266 of 405 County JEFFERSON Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 000477 License No.: 147880 Owner Information LUCAS PLACE LUCAS AID OPCO LLC 2910 TOCCOA RD 330 N. WABASHSUITE 3700 , BEAUMONT TX 77703 CHICAGO IL 60611 Phone (409) 896-2332 Fax (409) 896-2539 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 58 PRIVATE Beds: 58 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARIA FOSTER License Eff Dt: 07/11/2021 License Exp Dt: 07/11/2024 Mgmt Co.: ENLIVANT AID KB MGMT LLC

County JEFFERSON Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 106780 License No.: 146785 Owner Information OAKRIDGE ASSISTED LIVING HOME OAKRIDGE ASSISTED LIVING HOME INC 2990 S. MAJOR DR. 2990 S MAJOR DR , BEAUMONT TX 77707 BEAUMONT TX 77707 Phone (409) 861-4103 Fax (409) 861-4103 PHONE: (409) 861-4103 FAX: (409) 861-4103 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VERA L BAGNERIS License Eff Dt: 03/15/2021 License Exp Dt: 03/15/2024 Mgmt Co.:

County JEFFERSON Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 105185 License No.: 307117 Owner Information PELICAN BAY GAHC4 TX TRS SUB, LLC 2501 S MAJOR DR , BEAUMONT TX 77707 Phone (409) 962-4450 Fax (409) 962-9253 PHONE: FAX: TOTAL Lic Capacity: 107 PRIVATE Beds: 107 Cert Alzh Capacity: 28 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARIA HANCOCK License Eff Dt: 07/01/2018 License Exp Dt: 07/01/2020 Mgmt Co.: THE WESTWIND CORPORATION DBA CENTEX MANAGEMENT COMPANY

County JEFFERSON Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 000418 License No.: 145516 Owner Information SERENITY ASSISTED CARE LIVING SERENITY ASSISTED CARE LIVING LLC 1945 PENNSYLVANIA AVE 3449 PLATL AVE P , BEAUMONT TX 77701 PORT ARTHUR TX 77640 Phone (409) 833-1989 Fax (409) 833-8502 PHONE: (409) 833-1989 FAX: (409) 833-8502 TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROSELYNE VERTIL License Eff Dt: 07/01/2020 License Exp Dt: 07/01/2023 Mgmt Co.: SERENITY ASSISTED CARE LIVING LLC

County JEFFERSON Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 107168 License No.: 150036 Owner Information FOREVER YOUNG HOME LLC FOREVER YOUNG HOME LLC 2631 ROSE AVENUE 2510 FRIAR TUCK LN , GROVES TX 77619 GROVES TX 77619 Phone (409) 433-5084 Fax (409) 433-5084 PHONE: (409) 728-4008 FAX: (409) 433-5084 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PENELOPE M LEE License Eff Dt: 07/12/2020 License Exp Dt: 07/12/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 267 of 405 County JEFFERSON Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 110196 License No.: 307423 Owner Information FOREVER YOUNG HOME LLC FOREVER YOUNG HOME LLC 2630 ROSE AVE 2510 FRIAR TUCK LN , GROVES TX 77619 GROVES TX 77619 Phone (409) 433-5471 Fax PHONE: (409) 728-4008 FAX: (409) 433-5084 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BROOKE OCHOA License Eff Dt: 07/29/2019 License Exp Dt: 07/29/2022 Mgmt Co.:

County JEFFERSON Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 105237 License No.: 145414 Owner Information HOLLAND PLACE SENIOR LIVING LLC HOLLAND PLACE SENIOR LIVING LLC 109 7TH AVENUE , NEDERLAND TX 77627 Phone (409) 724-1930 Fax (409) 344-4564 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CYNTHIA W MITCHELL License Eff Dt: 08/28/2021 License Exp Dt: 08/28/2024 Mgmt Co.:

County JEFFERSON Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 000480 License No.: 148430 Owner Information ROSE PLACE ROSE AID OPCO LLC 8214 ANCHOR DR 330 N WABASHSTE 3700 , PORT ARTHUR TX 77642 CHICAGO IL 60611 Phone (409) 722-3423 Fax (409) 722-4796 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 58 PRIVATE Beds: 58 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHERI CHESSER License Eff Dt: 07/11/2021 License Exp Dt: 07/11/2024 Mgmt Co.: ENLIVANT AID FNMAB MGMT LLC

County JIM WELLS Reg Svcs: CORPUS CHRISTI 11 Region 07 Facility Information: Facility ID: 107302 License No.: 308355 Owner Information THE PREMIER ASSISTED LIVING OF ALICE ALICE III ENTERPRISES, LLC 800-C COYOTE TRAIL SAME , ALICE TX 78332 Phone (361) 666-3802 Fax (361) 666-3882 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANA JIMENEZ License Eff Dt: 03/01/2021 License Exp Dt: 03/01/2024 Mgmt Co.: CREATIVE SOLUTIONS IN HEALTHCARE, INC

County JIM WELLS Reg Svcs: CORPUS CHRISTI 11 Region 07 Facility Information: Facility ID: 110236 License No.: 308358 Owner Information THE PREMIER MEMORY CARE OF ALICE ALICE II ENTERPRISES, LLC 800-B COYOTE TRAIL SAME , ALICE TX 78332 Phone (361) 666-3801 Fax (361) 666-3881 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANA JIMENEZ License Eff Dt: 03/01/2021 License Exp Dt: 03/01/2024 Mgmt Co.: CREATIVE SOLUTIONS IN HEALTHCARE, INC

Tuesday, September 28, 2021 Page 268 of 405 County JOHNSON Reg Svcs: WACO Region 05 Facility Information: Facility ID: 106481 License No.: 144826 Owner Information ELK CREEK SENIOR LIVING COMMUNITY SFL ELK CREEK BURLESON LP 301 ELK DRIVE 777 MAIN STREET - STE 2300 , BURLESON TX 76028 FORT WORTH TX 76102 Phone (817) 295-6555 Fax PHONE: (817) 386-8888 FAX: (817) 386-8324 TOTAL Lic Capacity: 90 PRIVATE Beds: 90 Cert Alzh Capacity: 21 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BRANDI WILKINS License Eff Dt: 04/28/2020 License Exp Dt: 04/28/2023 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County JOHNSON Reg Svcs: WACO Region 05 Facility Information: Facility ID: 106615 License No.: 146758 Owner Information MUSTANG CREEK ESTATES BURLESON HOUSE A MCE III OP CO, LLC 1155 NW JOHN JONES DRIVE 2701 DALLAS PARKWAYSUITE 175 , BURLESON TX 76028 PLANO TX 75093 Phone (817) 733-8300 Fax (888) 950-8448 PHONE: (214) 396-5828 FAX: (972) 502-9985 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RENEE D RAMSEY License Eff Dt: 02/17/2019 License Exp Dt: 02/17/2022 Mgmt Co.: CLERMONT MANAGEMENT LLC

County JOHNSON Reg Svcs: WACO Region 05 Facility Information: Facility ID: 106883 License No.: 149289 Owner Information MUSTANG CREEK ESTATES BURLESON HOUSE B MCE III OP CO, LLC 1155 NW JOHN JONES DRIVE 2701 DALLAS PARKWAYSUITE 175 , BURLESON TX 76028 PLANO TX 75093 Phone (817) 733-8300 Fax (972) 502-9985 PHONE: (214) 396-5828 FAX: (972) 502-9985 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RENEE D RAMSEY License Eff Dt: 03/02/2020 License Exp Dt: 03/02/2023 Mgmt Co.: CLERMONT MANAGEMENT LLC

County JOHNSON Reg Svcs: WACO Region 05 Facility Information: Facility ID: 106776 License No.: 148848 Owner Information MUSTANG CREEK ESTATES BURLESON HOUSE C&D MCE III OP CO, LLC 1155 NW JOHN JONES DRIVE 2701 DALLAS PARKWAYSUITE 175 , BURLESON TX 76028 PLANO TX 75093 Phone (817) 733-8300 Fax (972) 502-9985 PHONE: (214) 396-5828 FAX: (972) 502-9985 TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RENEE D RAMSEY License Eff Dt: 02/01/2020 License Exp Dt: 02/01/2022 Mgmt Co.: CLERMONT MANAGEMENT LLC

County JOHNSON Reg Svcs: WACO Region 05 Facility Information: Facility ID: 106882 License No.: 148840 Owner Information MUSTANG CREEK ESTATES BURLESON HOUSE E MCE III OP CO, LLC 1155 NW JOHN JONES DRIVE 2701 DALLAS PARKWAYSUITE 175 , BURLESON TX 76028 PLANO TX 75093 Phone (817) 733-8300 Fax (972) 502-9985 PHONE: (214) 396-5828 FAX: (972) 502-9985 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RENEE D RAMSEY License Eff Dt: 01/17/2020 License Exp Dt: 01/17/2023 Mgmt Co.: CLERMONT MANAGEMENT LLC

Tuesday, September 28, 2021 Page 269 of 405 County JOHNSON Reg Svcs: WACO Region 05 Facility Information: Facility ID: 106774 License No.: 146893 Owner Information MUSTANG CREEK ESTATES BURLESON HOUSE F MUSTANG CREEK ESTATES BURLESON HOUSE F 1155 JOHN JONES DRIVE , BURLESON TX 76028 Phone (817) 733-8300 Fax (972) 502-9985 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RENEE D RAMSEY License Eff Dt: 03/02/2019 License Exp Dt: 03/02/2022 Mgmt Co.: CLERMONT MANAGEMENT LLC

County JOHNSON Reg Svcs: WACO Region 05 Facility Information: Facility ID: 106182 License No.: 147244 Owner Information BRISTOL PARK AT CLEBURNE CLEBURNE AL PARTNERS LP 902 WALTER HOLIDAY DRIVE 5910 N CENTRAL EXPRESSWAY SUITE 200 , CLEBURNE TX 76033 DALLAS TX 75206 Phone (817) 645-8000 Fax PHONE: (214) 916-5750 FAX: (469) 547-5422 TOTAL Lic Capacity: 94 PRIVATE Beds: 94 Cert Alzh Capacity: 35 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TINA CRAIG License Eff Dt: 01/13/2021 License Exp Dt: 01/13/2024 Mgmt Co.: SAGORA SENIOR LIVING, INC

County JOHNSON Reg Svcs: WACO Region 05 Facility Information: Facility ID: 102894 License No.: 308272 Owner Information SANTA FE TRAILS ASSISTED LIVING AND MEMORY CARE COMMUNITY WELLTOWER TENANT GROUP LLC 402 COLONIAL DR 4500 DORR STREET , CLEBURNE TX 76033 TOLEDO OHIO 43615 Phone 817 6450785 Fax 817 6453237 PHONE: FAX: TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CINDI ABBOTT License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.: SANTA FE AL MC CARE PROPERTIES LLC

County JOHNSON Reg Svcs: WACO Region 05 Facility Information: Facility ID: 000664 License No.: 148131 Owner Information WREN HOUSE WREN AID OPCO LLC 814 WOODARD AVE 330 N WABASHSTE 3700 , CLEBURNE TX 76031 CHICAGO IL 60611 Phone (817) 517-6170 Fax (817) 645-0290 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 53 PRIVATE Beds: 53 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAWN TAYLOR License Eff Dt: 07/11/2019 License Exp Dt: 07/11/2022 Mgmt Co.: ENLIVANT AID FNMAB MGMT LLC

County JOHNSON Reg Svcs: WACO Region 05 Facility Information: Facility ID: 101822 License No.: 149933 Owner Information THE GARDENS AT CHISHOLM TRAIL CHG SENIOR LIVING OF KEENE LLC 513 OLD BETSY RD. 2200 ROSS AVE , KEENE TX 76059 DALLA TX 75201 Phone (817) 556-9100 Fax (817) 579-1908 PHONE: (469) 621-6708 FAX: (281) 482-9705 TOTAL Lic Capacity: 36 PRIVATE Beds: 36 Cert Alzh Capacity: 36 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STEVEN E VOGEL License Eff Dt: 07/01/2020 License Exp Dt: 07/01/2023 Mgmt Co.: CHG SENIOR LIVING MANAGEMENT, LLC

Tuesday, September 28, 2021 Page 270 of 405 County JONES Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 107274 License No.: 307174 Owner Information ANSON SENIOR LIVING LLC ANSON SENIOR LIVING LLC 125 AVENUE J , ANSON TX 79501 Phone (325) 338-5537 Fax PHONE: FAX: TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SABRINA PIPPIN License Eff Dt: 01/15/2019 License Exp Dt: 01/15/2022 Mgmt Co.:

County JONES Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 103374 License No.: 307761 Owner Information COUNTRY ELEGANCE STAMFORD HOSPITAL DISTRICT 1700 COLUMBIA PO BOX 911 , STAMFORD TX 79553 STAMFORD TX 79553 Phone (325) 773-5511 Fax (325) 773-5522 PHONE: (325) 773-2725 FAX: (325) 773-3781 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PATSY RICHARDS License Eff Dt: 08/01/2020 License Exp Dt: 08/01/2022 Mgmt Co.: STAMFORD HOSPITAL DISTRICT

County KAUFMAN Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 105514 License No.: 149095 Owner Information THREE FORKS SENIOR LIVING OF FORNEY CHG SENIOR LIVING OF FORNEY LLC 335 FM 548 2200 ROSS AVESTE 5400 , FORNEY TX 75126 DALLAS TX 75201 Phone (972) 552-3426 Fax PHONE: (489) 621-6768 FAX: (459) 621-6678 TOTAL Lic Capacity: 92 PRIVATE Beds: 92 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: EMILY K WHITSON License Eff Dt: 11/15/2019 License Exp Dt: 03/17/2022 Mgmt Co.: CHG SENIOR LIVING MANAGEMENT, LLC

County KAUFMAN Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 103527 License No.: 148160 Owner Information HICKORY SQUARE RETIREMENT CENTER ROSEHAVEN RETIREMENT RESIDENCES, INC 108 W HICKORY 102 E. 9TH STREET , KAUFMAN TX 75142 KAUFMAN TX 75142 Phone (972) 962-3359 Fax (972) 486-4880 PHONE: (214) 288-5887 FAX: (972) 486-4880 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: WENDY G MANNING License Eff Dt: 08/29/2019 License Exp Dt: 08/29/2021 Mgmt Co.:

County KAUFMAN Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 010341 License No.: 144480 Owner Information ROSEHAVEN RETIREMENT INN ROSEHAVEN RETIREMENT RESIDENCES, INC 102 E 9TH ST 102 E. 9TH STREET , KAUFMAN TX 75142 KAUFMAN TX 75142 Phone (972) 932-5882 Fax (972) 486-4880 PHONE: (214) 288-5887 FAX: (972) 486-4880 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: WENDY G MANNING License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 271 of 405 County KAUFMAN Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 100136 License No.: 150009 Owner Information LIFE OPEN HEART OPEN HOME INC LIFE OPEN HEART OPEN HOME INC 9422 E US HWY 80 9422 E US HWY 80 , TERRELL TX 75161 TERRELL TX 75161 Phone (972) 551-3155 Fax (972) 551-3155 PHONE: (972) 551-3155 FAX: (972) 551-3155 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JUDY P GREER License Eff Dt: 11/30/2020 License Exp Dt: 11/30/2023 Mgmt Co.:

County KAUFMAN Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 101009 License No.: 149797 Owner Information MORNING DOVE INC DBA COLONIAL LODGE MORNING DOVE INC 202 W BRITISH FLYING SCHOOL BLVD PO BOX 4 , TERRELL TX 75160 PARIS TX 75461 Phone (972) 563-1043 Fax (972) 563-9036 PHONE: (903) 785-4152 FAX: TOTAL Lic Capacity: 80 PRIVATE Beds: 80 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KIMBERLY A DOYAL License Eff Dt: 07/03/2018 License Exp Dt: 10/27/2021 Mgmt Co.:

County KAUFMAN Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 030406 License No.: 146301 Owner Information ROSEHAVEN RETIREMENT INN ROSEHAVEN RETIREMENT RESIDENCES, INC 1010 ROSEHILL RD 102 E. 9TH STREET , TERRELL TX 75160 KAUFMAN TX 75142 Phone (972) 563-2399 Fax (972) 486-4880 PHONE: (214) 288-5887 FAX: (972) 486-4880 TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: WENDY G MANNING License Eff Dt: 10/06/2020 License Exp Dt: 10/06/2023 Mgmt Co.:

County KAUFMAN Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 106844 License No.: 148245 Owner Information LAKEWOOD ASSISTED LIVING LAKEWOOD ASSISTED LIVING LLC 6424 FM 2965 RD 6424 FM 2965 RD , WILLS POINT TX 75169 WILLS POINT TX 75169 Phone (972) 569-2563 Fax (972) 414-3226 PHONE: (972) 569-2563 FAX: (972) 414-3226 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: KONETTE HORTON License Eff Dt: 09/30/2019 License Exp Dt: 09/30/2022 Mgmt Co.:

County KAUFMAN Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 100719 License No.: 144939 Owner Information PREMIER COUNTRY HAVEN ASSISTED LIVING, INC PREMIER COUNTRY HAVEN ASSISTED LIVING, INC 13812 HIRAM RD 13812 HIRAM RD , WILLS POINT TX 75169 WILLS POINTS TX 75169 Phone (972) 524-9884 Fax (972) 563-9887 PHONE: (972) 524-9884 FAX: TOTAL Lic Capacity: 40 PRIVATE Beds: 40 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: FRANKLIN R HUNTER License Eff Dt: 04/08/2018 License Exp Dt: 04/08/2020 Mgmt Co.:

Tuesday, September 28, 2021 Page 272 of 405 County KENDALL Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 110535 License No.: 308377 Owner Information ANTON ASSISTED LIVING HOME LLC ANTON ASSISTED LIVING HOME LLC 1033 E BLANCO RD , BOERNE TX 78006 Phone (210) 778-6078 Fax PHONE: FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MICHELLE ANTON License Eff Dt: 09/15/2021 License Exp Dt: 09/15/2024 Mgmt Co.:

County KENDALL Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 106798 License No.: 147707 Owner Information FRANKLIN PARK BOERNE ASSISTED LIVING FAM BOERNE SENIORS LTD 18 OLD SAN ANTONIO ROAD 21260 GATHERING OAKSTE 101 , BOERNE TX 78006 SAN ANTONIO TX 78260 Phone (830) 816-5150 Fax PHONE: (210) 483-2413 FAX: (210) 694-2225 TOTAL Lic Capacity: 88 PRIVATE Beds: 88 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GWEN L HOFFMAN License Eff Dt: 07/17/2021 License Exp Dt: 07/17/2024 Mgmt Co.: FRANKLIN APARTMENT MANAGEMENT LTD

County KENDALL Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 010340 License No.: 307790 Owner Information HERITAGE PLACE SNH LONGHORN TENANT LLC 120 CROSSPOINT DRIVE , BOERNE TX 78006 Phone 830 2499817 Fax 830 2490576 PHONE: FAX: TOTAL Lic Capacity: 56 PRIVATE Beds: 56 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SARA WELCH License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.: FVE MANAGERS, INC

County KENDALL Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 101799 License No.: 149611 Owner Information MORNINGSIDE MINISTRIES AT MENGER SPRINGSTHE CIBOLO HOUSE MORNINGSIDE MINISTRIES 1000 GRAND BLVD 700 BABCOCK RD , BOERNE TX 78006 SAN ANTONIO TX 78201-2600 Phone (830) 816-4900 Fax (830) 816-4901 PHONE: (210) 734-1000 FAX: (210) 734-1111 TOTAL Lic Capacity: 112 PRIVATE Beds: 112 Cert Alzh Capacity: 52 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JACK BILLINGS License Eff Dt: 06/15/2020 License Exp Dt: 06/15/2023 Mgmt Co.:

County KENDALL Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 103401 License No.: 149778 Owner Information NEW HOPE ASSISTED LIVING ELENA DORCA AND MIHAELA DORCA GENERAL PARTNERSHIP 112 BUCKSKIN DRIVE 112 BUCKSKIN DR , BOERNE TX 78006 BOERNE TX 78006 Phone (830) 755-4673 Fax (830) 755-8069 PHONE: (830) 755-4673 FAX: (830) 755-8069 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MIHAELA DORCA License Eff Dt: 05/09/2018 License Exp Dt: 05/09/2020 Mgmt Co.:

Tuesday, September 28, 2021 Page 273 of 405 County KERR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 030017 License No.: 148463 Owner Information 220 HARPER L L C 220 HARPER LLC 220 HARPER RD 220 HARPER RD , KERRVILLE TX 78028 KERRVILLE TX 78028 Phone (830) 895-4600 Fax (830) 895-4601 PHONE: (830) 895-4600 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BRENDA WHITTAKER License Eff Dt: 11/18/2019 License Exp Dt: 11/18/2021 Mgmt Co.:

County KERR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 000411 License No.: 146930 Owner Information ALPINE TERRACE RETIREMENT & CONVALESCENT CENTER PC UNIT UVALDE COUNTY HOSPITAL AUTHORITY 746 ALPINE DR 1025 GARNER FIELD RD , KERRVILLE TX 78028 UVALDE TX 78801 Phone (830) 896-2323 Fax (830) 896-2331 PHONE: (830) 278-6251 FAX: (830) 278-8529 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NAOMI L STEWART License Eff Dt: 02/28/2021 License Exp Dt: 02/28/2024 Mgmt Co.: SSC KERRVILLE ALPINE TERRACE OPERATING COMPANY LLC

County KERR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 000306 License No.: 146470 Owner Information BROOKDALE KERRVILLE BROOKDALE SENIOR LIVING COMMUNITIES, INC 725 LESLIE DR 6737 W WASHINGTON ST STE 2300 , KERRVILLE TX 78028 MILWAUKEE WI 53214 Phone (830) 257-6769 Fax (830) 257-6761 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SERGIO MARQUEZ License Eff Dt: 12/01/2020 License Exp Dt: 12/01/2022 Mgmt Co.:

County KERR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 000590 License No.: 146271 Owner Information HILL COUNTRY OUTREACH INC HILL COUNTRY OUTREACH INC 600 LESLIE DR 600 LESLIE DRIVE , KERRVILLE TX 78028 KERRVILLE TX 78028 Phone (830) 792-6964 Fax (830) 792-6965 PHONE: (830) 792-6886 FAX: (830) 792-6965 TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STARLA HUNT License Eff Dt: 01/01/2021 License Exp Dt: 01/01/2024 Mgmt Co.:

County KERR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 000769 License No.: 149817 Owner Information JUNIPER VILLAGE AT GUADALUPE RIVERFRONT SH OPCO PLAZA ON THE RIVER LLC 135 PLAZA DR 6737 W WASHINGTON STSTE 2300 , KERRVILLE TX 78028 MILWAUKEE WI 92614 Phone (830) 895-2626 Fax (830) 895-3927 PHONE: (414) 918-5200 FAX: (414) 918-6076 TOTAL Lic Capacity: 45 PRIVATE Beds: 45 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: COLBY JOHLE License Eff Dt: 01/18/2021 License Exp Dt: 01/18/2024 Mgmt Co.: BKD TWENTYONE MANAGEMENT COMPANY, INC

Tuesday, September 28, 2021 Page 274 of 405 County KERR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 102640 License No.: 148009 Owner Information MOUNTAIN VILLA AT KERRVILLE MAHARLIKA RESOURCES INC 2201 JUNCTION HWY 11913 PASEO DORADO CIR , KERRVILLE TX 78028 EL PASO TX 79936 Phone (830) 792-4001 Fax (830) 792-4999 PHONE: (915) 329-1039 FAX: (915) 562-6611 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DARYL TORRICO License Eff Dt: 07/11/2019 License Exp Dt: 11/09/2021 Mgmt Co.: VALENS TRUE NORTH LLC

County KERR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 100504 License No.: 308343 Owner Information NEW HAVEN OF KERRVILLE OPCO KERRVILLE CRESCENT LLC 747 ALPINE DR , KERRVILLE TX 78028 Phone 830 8966555 Fax 830 8965717 PHONE: FAX: TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 48 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANDREA HONEYCUTT License Eff Dt: 12/29/2020 License Exp Dt: 12/29/2023 Mgmt Co.: ENRICHED SENIOR LIVING LLC

County KERR Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 105114 License No.: 146085 Owner Information RIVER POINT OF KERRVILLE BANDERA SENIOR CARE, LLC 1441 BANDERA HWY 1000 LEGIONPLACE SUITE 1600 , KERRVILLE TX 78028 ORLANDO FL 32801 Phone (830) 258-4150 Fax (830) 792-6348 PHONE: (407) 999-2400 FAX: (407) 999-7759 TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BRANDY RENEE FRYE PUCKETT License Eff Dt: 11/17/2020 License Exp Dt: 11/17/2023 Mgmt Co.: NORTHSTAR SENIOR LIVING, INC

County LAMAR Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 104876 License No.: 146363 Owner Information LOVE HOUSE OF PARIS WILLIEJOYCE LOVE 1555 NE 17ST 5020 SUNSET VIEW , PARIS TX 75460 PARIS TX 75462 Phone (903) 739-9845 Fax (903) 737-8652 PHONE: (903) 739-9845 FAX: (903) 737-8652 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: PAMELA LOVE License Eff Dt: 01/15/2019 License Exp Dt: 01/15/2022 Mgmt Co.:

County LAMAR Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 000593 License No.: 147909 Owner Information PARIS CHALET SENIOR LIVING 2410 STILLHOUSE SENIOR LIVING INC 2410 STILLHOUSE ROAD 2410 STILLHOUSE ROAD , PARIS TX 75462 PARIS TX 75462 Phone (903) 204-4182 Fax (903) 737-1964 PHONE: (903) 204-4182 FAX: (903) 737-2964 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JONATHAN ROAN License Eff Dt: 06/16/2021 License Exp Dt: 06/16/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 275 of 405 County LAMAR Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 102034 License No.: 147786 Owner Information PINE TREE RANCH REEDER PARKER CROCKETT ASSET HOLDINGS LLC 2990 PINE MILL RD 4301 LAKE HILL DR , PARIS TX 75460 ROWLETT TX 75089 Phone (903) 783-0652 Fax (903) 783-0643 PHONE: (972) 475-3932 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOHN REEDER License Eff Dt: 06/01/2019 License Exp Dt: 06/01/2022 Mgmt Co.: REEDER PARKER CROCKETT ASSET MANAGEMENT LLC

County LAMAR Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 102683 License No.: 308190 Owner Information SPRING LAKE ASSISTED LIVING AND MEMORY CARE COMMUNITY WELLTOWER TENANT GROUP LLC 750 N COLLEGIATE DRIVE 4500 DORR STREET , PARIS TX 75460 TOLEDO OHIO 43615 Phone 903 7851110 Fax 903 7851112 PHONE: FAX: TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GINA NANCE License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.: SPRING LAKE AL MC CARE PROPERTIES LLC

County LAMAR Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 103873 License No.: 307907 Owner Information THE HOME PLACE AUDREY & GATZ NOTTINGHAM LLC 115 NE 27TH ST , PARIS TX 75460 Phone (903) 739-9450 Fax (903) 783-9294 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AUDREY NOTTINGHAM License Eff Dt: 06/01/2020 License Exp Dt: 06/01/2023 Mgmt Co.:

County LAMB Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 100381 License No.: 146923 Owner Information LIBRARY OF LEGACIES LITTLEFIELD LLC LIBRARY OF LEGACIES LITTLEFIELD LLC 1303 MARSHALL HOWARD BLVD 1420 WOODROW RD , LITTLEFIELD TX 79339 SLATON TX 79364 Phone (806) 385-0364 Fax (806) 385-0365 PHONE: (806) 828-4200 FAX: (806) 828-6641 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARCIA TROCHE License Eff Dt: 04/15/2021 License Exp Dt: 04/15/2024 Mgmt Co.:

County LAMB Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 030256 License No.: 146731 Owner Information SANDHILLS VILLAGE RUNNINGWATER DRAW CARE CENTER INC 1200 AVE I PO BOX 409 , OLTON TX 79064 OLTON TX 79064 Phone (806) 285-3356 Fax (806) 285-2506 PHONE: (806) 285-2677 FAX: (806) 285-2506 TOTAL Lic Capacity: 20 PRIVATE Beds: 20 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARTHA MEDINA License Eff Dt: 03/09/2019 License Exp Dt: 03/09/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 276 of 405 County LAMPASAS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 110486 License No.: 308160 Owner Information LAMPASAS ASSISTED LIVING LAMPASAS 2 INVESTMENT LLC 2032 HWY 281 SOUTH , LAMPASAS TX 76550 Phone (866) 304-6801 Fax (972) 300-3640 PHONE: FAX: TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JAMI O'HAIR SANCHEZ License Eff Dt: 03/29/2021 License Exp Dt: 03/29/2024 Mgmt Co.: SILVERCARE MANAGEMENT, LLC

County LAMPASAS Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 102468 License No.: 147851 Owner Information SILVER CREEK ASSISTED LIVING LAMPASAS SCAL LAMPASAS, LLC 1802 HWY 281 S 2501 E HEBRON PKWYSTE 100C , LAMPASAS TX 76550 CARROLLTON TX 75010 Phone (512) 556-8990 Fax (512) 556-8994 PHONE: (832) 385-2295 FAX: (855) 557-2835 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JAMI O'HAIR SANCHEZ License Eff Dt: 07/31/2021 License Exp Dt: 07/31/2024 Mgmt Co.: SILVERCARE MANAGEMENT, LLC

County LAVACA Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 100437 License No.: 149503 Owner Information THE WILLIAMSBURG HOUSE INC THE WILLIAMSBURG HOUSE INC 4656 US HWY 77 S P.O. BOX F , HALLETTSVILLE TX 77964 HALLETTSVILLE TEXAS 77964 Phone (361) 798-2345 Fax (361) 798-5367 PHONE: (361) 798-2345 FAX: (361) 798-5994 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: CAROL B ALLEN License Eff Dt: 07/20/2020 License Exp Dt: 07/20/2023 Mgmt Co.:

County LAVACA Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 030325 License No.: 149704 Owner Information PERSONALIZED CARE INC PERSONALIZED CARE INC 122 AVENUE E P.O. BOX 241 , SHINER TX 77984 SHINER TX 77984 Phone (361) 594-2728 Fax (361) 594-2273 PHONE: (361) 594-2728 FAX: (361) 594-2273 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DENISE N HENKE License Eff Dt: 05/01/2020 License Exp Dt: 05/01/2023 Mgmt Co.:

County LAVACA Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 101780 License No.: 147646 Owner Information TODAYS ASSISTED LIVING TODAYS SENIOR CONCEPTS, INC 210 HUBBARD ST SAME , YOAKUM TX 77995 YOAKUM TX 77995 Phone (361) 293-2526 Fax PHONE: (361) 293-2526 FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JOSEPHINE OROSCO License Eff Dt: 04/30/2020 License Exp Dt: 04/30/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 277 of 405 County LEE Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 110107 License No.: 307218 Owner Information BECS BLESSING, LLC BEC'S BLESSING, LLC 325 CACTUS STREET , GIDDINGS TX 78942 Phone (979) 540-6894 Fax (979) 212-0472 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: REBECCA HOOKS License Eff Dt: 04/09/2021 License Exp Dt: 04/09/2024 Mgmt Co.:

County LIBERTY Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 105734 License No.: 148470 Owner Information BRIGHTER DAYS ASSISTED LIVING LLC BRIGHTER DAYS ASSISTED LIVING LLC 406 E. CLAYTON 406 E CLAYTON , DAYTON TX 77535 DAYTON TX 77535 Phone (936) 257-5023 Fax (936) 257-5028 PHONE: (936) 257-5023 FAX: (936) 257-5028 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DAYNA TINDLE License Eff Dt: 12/17/2019 License Exp Dt: 12/17/2022 Mgmt Co.: BRIGHTER DAYS ASSISTED LIVING LLC

County LIBERTY Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 101423 License No.: 145893 Owner Information FAIRYS LANDING RESIDENTIAL PERSONAL CARE CENTER JAMES M ANDERSON 4837 FM 770 N P.O. BOX G , HULL TX 77564 HULL TX 77564 Phone (936) 536-1651 Fax (936) 536-1792 PHONE: (936) 536-1651 FAX: (936) 536-1792 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HOLLY HART License Eff Dt: 10/15/2020 License Exp Dt: 10/15/2023 Mgmt Co.: JAMES M ANDERSON

County LIMESTONE Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 000403 License No.: 148702 Owner Information CONNIES ASSISTED LIVING HOME OF BEN HUR CONNIE L HAMPTON 980 FM 339 S 980 FM 339 S , GROESBECK TX 76642 GROESBECK TX 76642 Phone (254) 789-2296 Fax (254) 789-2001 PHONE: (254) 789-2296 FAX: (254) 789-2276 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: CONNIE L HAMPTON License Eff Dt: 12/21/2019 License Exp Dt: 12/21/2022 Mgmt Co.:

County LIMESTONE Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 000550 License No.: 146028 Owner Information VINCENT PERSONAL CARE HOME JOHN A VINCENT 458 LCR 635 458 LCR 635 , GROESBECK TX 76642 GROESBECK TX 76642 Phone (254) 729-3157 Fax PHONE: (254) 729-3157 FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DEBBY VINCENT License Eff Dt: 11/18/2020 License Exp Dt: 11/18/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 278 of 405 County LIMESTONE Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 000422 License No.: 146119 Owner Information HOLLISTERS ASSISTED LIVING HOME VIVIAN ELAINE HOLLISTER 1579 LCR 310 , MART TX 76664 Phone (254) 344-2217 Fax (254) 344-2217 PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: VIVIAN E HOLLISTER License Eff Dt: 12/21/2020 License Exp Dt: 12/21/2023 Mgmt Co.: VIVIAN ELAINE HOLLISTER

County LLANO Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 104874 License No.: 149873 Owner Information CELESTECARE OF HORSESHOE BAY LLV1 LP 26409 TX HWY 71 18025 GLENVILLE COVE , HORSESHOE BAY TX 78657 AUSTIN TX 78738 Phone (830) 596-1710 Fax (830) 596-1713 PHONE: (512) 422-8787 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TERRY STEWART License Eff Dt: 08/10/2020 License Exp Dt: 08/10/2022 Mgmt Co.: CELESTE CARE LLC

County LLANO Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 106255 License No.: 150156 Owner Information CELESTECARE OF HORSESHOE BAY MEMORY CARE LLV1 LP 26409 TX HWY 71 BLDG B 18025 GLENVILLE COVE , HORSESHOE BAY TX 78657 AUSTIN TX 78738 Phone (512) 422-8787 Fax PHONE: (512) 422-8787 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANDREA N BARNES License Eff Dt: 09/01/2020 License Exp Dt: 09/01/2023 Mgmt Co.: CELESTE CARE LLC

County LLANO Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 000359 License No.: 148543 Owner Information WINDCHIME AT THE VILLAGE SCAL KINGSLAND LLC 216 COVENANT LN 2501 E HEBRON PKWYSTE 100C , KINGSLAND TX 78639 CARROLLTON TX 75010 Phone (325) 388-3502 Fax (325) 388-0742 PHONE: (832) 385-2295 FAX: (855) 557-2835 TOTAL Lic Capacity: 72 PRIVATE Beds: 72 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: REBECCA O'HAIR License Eff Dt: 12/30/2019 License Exp Dt: 12/30/2021 Mgmt Co.: SILVERCARE MANAGEMENT, LLC

County LLANO Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 103674 License No.: 149938 Owner Information CELESTECARE OF LLANO LLV1 LP 701 E YOUNG 18025 GLENVILLE COVE , LLANO TX 78643 AUSTIN TX 78738 Phone (512) 422-8787 Fax (325) 247-5470 PHONE: (512) 422-8787 FAX: TOTAL Lic Capacity: 36 PRIVATE Beds: 36 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHIRLEY ROBINSON License Eff Dt: 08/23/2020 License Exp Dt: 08/23/2022 Mgmt Co.: CELESTE CARE LLC

Tuesday, September 28, 2021 Page 279 of 405 County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 030068 License No.: 146914 Owner Information LIBRARY OF LEGACIES IDALOU LLC LIBRARY OF LEGACIES IDALOU LLC 910 FRONTAGE RD 910 FRONTAGE ROAD , IDALOU TX 79329 IDALOU TX 79329 Phone (806) 892-2011 Fax (806) 892-2001 PHONE: (806) 828-4200 FAX: (806) 828-6641 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DALIA MENDOZA License Eff Dt: 04/15/2021 License Exp Dt: 04/15/2024 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 001250 License No.: 147652 Owner Information ABIDING CARE ABRAM RODRIGUEZ INC 5720 79TH ST 5720 79TH ST , LUBBOCK TX 79424 LUBBOCK TX 79424 Phone (806) 698-9105 Fax (806) 698-9105 PHONE: (806) 698-9105 FAX: (806) 698-9105 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ABRAM P RODRIGUEZ License Eff Dt: 08/01/2019 License Exp Dt: 08/01/2022 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 102208 License No.: 147775 Owner Information ANGEL'S ARMS ASSISTED LIVING PROMISELAND ASSISTED LIVING V LLC 3305 38TH STREET 3305 38TH ST , LUBBOCK TX 79413 LUBBOCK TX 79413 Phone (806) 785-0021 Fax (806) 445-0049 PHONE: (806) 787-9459 FAX: (806) 445-0049 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LATHAN SCOGGINS License Eff Dt: 03/02/2021 License Exp Dt: 03/02/2024 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 101630 License No.: 148060 Owner Information ASHTON OF SOUTHHAVEN INC SOUTHHAVEN INC 4611 66TH 4613 66TH , LUBBOCK TX 79414 LUBBOCK TX 79414 Phone (806) 799-6363 Fax (806) 281-9969 PHONE: (806) 799-6363 FAX: (806) 281-9969 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ELIZABETH CLAUNCH License Eff Dt: 07/31/2021 License Exp Dt: 07/31/2024 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 102482 License No.: 147586 Owner Information BEEHIVE HOMES PP ENTERPRISES LLC 2105 W LOOP 289 12316 N FM 179 , LUBBOCK TX 79407 SHALLOWATER TX 79363 Phone (806) 793-4483 Fax (806) 793-4482 PHONE: (806) 746-6733 FAX: TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMANDA K POTTER License Eff Dt: 04/13/2021 License Exp Dt: 04/13/2024 Mgmt Co.: PP ENTERPRISES LLC

Tuesday, September 28, 2021 Page 280 of 405 County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 106684 License No.: 150154 Owner Information BEEHIVE HOMES II PP ENTERPRISES LLC 2109 WEST LOOP 289 12316 N FM 179 , LUBBOCK TX 79407 SHALLOWATER TX 79363 Phone (806) 788-1497 Fax (806) 788-1498 PHONE: (806) 746-6733 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMANDA K POTTER License Eff Dt: 08/19/2020 License Exp Dt: 08/19/2023 Mgmt Co.: PP ENTERPRISES LLC

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 100762 License No.: 146447 Owner Information BELLECOURT SOUTH CARILLON INC 1717 NORFOLK AVE 1717 NORFOLK AVE , LUBBOCK TX 79416 LUBBOCK TX 79416 Phone (806) 281-6000 Fax (806) 281-6043 PHONE: (806) 281-6000 FAX: (806) 281-6041 TOTAL Lic Capacity: 37 PRIVATE Beds: 37 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: WILLIAM S WEST License Eff Dt: 01/16/2021 License Exp Dt: 01/16/2024 Mgmt Co.: NA

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 030161 License No.: 149433 Owner Information BROOKDALE MONTEREY ESC IV LP 5204 ELGIN AVE 6737 W, WASHINGTON ST SUITE 2300 , LUBBOCK TX 79413 MILWAUKEE WI 53214 Phone (806) 788-1919 Fax (806) 785-7088 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 56 PRIVATE Beds: 56 Cert Alzh Capacity: 56 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PRISCILLA L MARTINEZ License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2023 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 000311 License No.: 148536 Owner Information BROOKDALE REMINGTON PARK TEXAS ESC LUBBOCK LP 5301 66TH ST 6737 W. WASHINGTON STREETSTE 2300 , LUBBOCK TX 79424 MILWAUKEE WI 53214 Phone (806) 798-9871 Fax (806) 798-1120 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 117 PRIVATE Beds: 117 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CAITLIN ELIZABETH ARTHUR License Eff Dt: 09/30/2021 License Exp Dt: 09/30/2024 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 000471 License No.: 147351 Owner Information BROOKDALE SHADOW HILLS SH OPCO COTTAGE VILLAGE, LLC 110 FRANKFORD AVE 6737 W. WASHINGTON STREET , LUBBOCK TX 79416 MILWAUKEE WI 53214 Phone (806) 799-4225 Fax (806) 799-4597 PHONE: (949) 918-5441 FAX: (414) 918-6076 TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GARY HOLM License Eff Dt: 01/18/2021 License Exp Dt: 01/18/2024 Mgmt Co.: BKD TWENTYONE MANAGEMENT COMPANY, INC

Tuesday, September 28, 2021 Page 281 of 405 County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 000376 License No.: 308132 Owner Information CALLANDER HOUSE PHOENIX CALLANDER HOUSE LLC 3319 35TH STREET 2314 58TH , LUBBOCK TX 79413 LUBBOCK TX 79412 Phone (806) 789-4615 Fax (806) 784-0603 PHONE: (806) 789-4615 FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEBBIE CALLANDER License Eff Dt: 05/20/2019 License Exp Dt: 05/20/2022 Mgmt Co.: CALLANDER HOUSE LLC

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 030382 License No.: 148539 Owner Information CARILLON ASSISTED LIVING CARILLON INC 1717 NORFOLK AVE 1717 NORFOLK AVE , LUBBOCK TX 79416 LUBBOCK TX 79416 Phone (806) 281-6253 Fax (806) 281-6043 PHONE: (806) 281-6000 FAX: (806) 281-6041 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: WILLIAM S WEST License Eff Dt: 08/26/2019 License Exp Dt: 08/26/2021 Mgmt Co.: NA

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 106838 License No.: 147216 Owner Information FOUNTAIN HILLS ASSISTED LIVING & MEMORY CARE CTM ASSISTED LIVING LP 6317 112TH ST. 5211 70TH ST. , LUBBOCK TX 79424 LUBBOCK TX 79424 Phone (806) 794-1600 Fax (806) 783-0090 PHONE: (806) 928-5428 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NATHAN SMITH License Eff Dt: 05/02/2021 License Exp Dt: 05/02/2024 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 000801 License No.: 149471 Owner Information HEARTLAND HOUSE INC HEARTLAND HOUSE INC 2605 N COUNTY RD 1700 2605 N COUNTY RD 1700 , LUBBOCK TX 79416 LUBBOCK TX 79416 Phone (806) 765-6480 Fax (806) 771-3603 PHONE: (806) 765-6480 FAX: (806) 771-3603 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: KRISTI A TOWNSEN License Eff Dt: 02/02/2020 License Exp Dt: 02/02/2023 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 100571 License No.: 149347 Owner Information IVY HOUSE SENIOR SOLACE LLC 1701 30TH ST PO BOX 98471 , LUBBOCK TX 79411 LUBBOCK TEXAS 79499 Phone (806) 368-7438 Fax (806) 368-8512 PHONE: (806) 781-3268 FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JESSICA M BOWLEY License Eff Dt: 05/16/2020 License Exp Dt: 05/16/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 282 of 405 County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 106862 License No.: 147739 Owner Information LEGACY AT SOUTH PLAINS LASP TENANT LLC 10711 INDIANA AVENUE 675 BERING DRSTE 550 , LUBBOCK TX 79423 HOUSTON TX 77057 Phone (806) 686-4786 Fax PHONE: (713) 425-5423 FAX: (713) 425-5402 TOTAL Lic Capacity: 110 PRIVATE Beds: 110 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KIMBERLY K CURLEE License Eff Dt: 07/13/2021 License Exp Dt: 07/13/2024 Mgmt Co.: LIFEWELL SENIOR LIVING

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 000820 License No.: 148215 Owner Information MACKENZIE PLACE MACKENZIE AID OPCO LLC 8609 BOSTON AVE 330 N. WABASH AVE.STE. 3700 , LUBBOCK TX 79423 CHICAGO IL 60611 Phone (806) 745-7770 Fax (806) 745-8117 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 58 PRIVATE Beds: 58 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RICHARD P HERREN License Eff Dt: 07/11/2021 License Exp Dt: 07/11/2024 Mgmt Co.: ENLIVANT AID CMBS MGMT LLC

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 000655 License No.: 149297 Owner Information MANNA ACRES SENIOR SOLACE LLC 2510 SLIDE RD PO BOX 98471 , LUBBOCK TX 79407 LUBBOCK TEXAS 79499 Phone (806) 799-7911 Fax (806) 368-3175 PHONE: (806) 781-3268 FAX: TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JESSICA M BOWLEY License Eff Dt: 06/01/2020 License Exp Dt: 06/01/2023 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 101518 License No.: 146161 Owner Information PROMISELAND ASSISTED LIVING PROMISELAND ASSISTED LIVING, LP 3314 40TH ST , LUBBOCK TX 79413 Phone (806) 687-5118 Fax (806) 445-0049 PHONE: FAX: TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TERESA SCOGGINS License Eff Dt: 01/08/2021 License Exp Dt: 01/08/2024 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 105603 License No.: 148145 Owner Information PROMISELAND ASSISTED LIVING KINGSGATE PROMISELAND ASSISTED LIVINGKINGSGATE LLC 4003 - 87TH STREET 4003-87TH STREET , LUBBOCK TX 79423 LUBBOCK TX 79423 Phone (806) 698-0064 Fax (806) 445-0049 PHONE: (806) 698-0064 FAX: (806) 771-1844 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TERESA SCOGGINS License Eff Dt: 08/20/2021 License Exp Dt: 08/20/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 283 of 405 County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 104026 License No.: 148100 Owner Information PROMISELAND ASSISTED LIVING II LLC PROMISELAND ASSISTED LIVING II LLC 3416 43RD STREET 3416 43 RD STREET , LUBBOCK TX 79413 LUBBOCK TX 79413 Phone (806) 368-0830 Fax (806) 445-0049 PHONE: (806) 368-0830 FAX: (806) 368-0830 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GARY SCOGGINS License Eff Dt: 09/24/2019 License Exp Dt: 09/24/2022 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 104941 License No.: 148597 Owner Information PROMISELAND ASSISTED LIVING III LLC PROMISELAND ASSISTED LIVING III LLC 3012 81ST ST 3012 81ST ST , LUBBOCK TX 79423 LUBBOCK TX 79423 Phone (806) 445-0039 Fax (806) 445-0049 PHONE: (806) 445-0039 FAX: (806) 445-0049 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TERESA SCOGGINS License Eff Dt: 09/07/2021 License Exp Dt: 09/07/2024 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 103688 License No.: 146616 Owner Information SERENDIPITY SUITES SENIOR SOLACE LLC 5321 19TH STREET PO BOX 98471 , LUBBOCK TX 79407 LUBBOCK TEXAS 79499 Phone (806) 781-3268 Fax (806) 368-6202 PHONE: (806) 781-3268 FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JESSICA M BOWLEY License Eff Dt: 03/06/2021 License Exp Dt: 03/06/2024 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 110237 License No.: 307543 Owner Information SILVERTOP ASSISTED LIVING MOUNTAINTOP BUSINESS ENTERPRISES, LLC 3711 69 TH STREET , LUBBOCK TX 79413 Phone (806) 777-7675 Fax PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROSELINE LAMAR License Eff Dt: 10/15/2019 License Exp Dt: 10/15/2022 Mgmt Co.: MOUNTAINTOP BUSINESS ENTERPRISES, LLC

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 000844 License No.: 146035 Owner Information SISTERS LOVING ARMS SENIOR SOLACE LLC 4713 22ND ST PO BOX 98471 , LUBBOCK TX 79407 LUBBOCK TEXAS 79499 Phone (806) 799-7944 Fax (806) 799-5173 PHONE: (806) 781-3268 FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JESSICA M BOWLEY License Eff Dt: 12/14/2020 License Exp Dt: 12/14/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 284 of 405 County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 102566 License No.: 146991 Owner Information TANGLEWOOD ESTATE TANGLEWOOD VILLAGE 4505 20TH ST 15219 JOLIET AVE , LUBBOCK TX 79407 LUBBOCK TX 79423 Phone (806) 239-3800 Fax (806) 687-3069 PHONE: (806) 687-3069 FAX: (806) 791-5851 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TRACY W CLECKLER License Eff Dt: 02/28/2019 License Exp Dt: 02/28/2022 Mgmt Co.: TANGLEWOOD VILLAGE

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 000816 License No.: 145888 Owner Information TANGLEWOOD VILLAGE TANGLEWOOD VILLAGE 5501 34TH 15219 JOLIET AVE , LUBBOCK TX 79407 LUBBOCK TX 79423 Phone (806) 791-5851 Fax (806) 791-5851 PHONE: (806) 687-3069 FAX: (806) 791-5851 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TRACY W CLECKLER License Eff Dt: 09/15/2020 License Exp Dt: 09/15/2023 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 104551 License No.: 147696 Owner Information THE CALLANDER HOUSE LLC CALLANDER HOUSE LLC 4524 77TH ST 2314 58TH , LUBBOCK TX 79424 LUBBOCK TEXAS 79412 Phone (806) 771-1777 Fax PHONE: (806) 789-4615 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEBBIE CALLANDER License Eff Dt: 07/09/2019 License Exp Dt: 07/09/2021 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 000595 License No.: 149398 Owner Information THE CALLANDER HOUSESOUTH CALLANDER HOUSE LLC 11902 FRANKFORD AVENUE 2314 58TH , LUBBOCK TX 79424 LUBBOCK TX 79412 Phone (806) 794-7603 Fax (806) 794-7603 PHONE: (806) 789-4615 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEBBIE CALLANDER License Eff Dt: 04/01/2020 License Exp Dt: 04/01/2022 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 103812 License No.: 148323 Owner Information THE ISLE AT RAIDER RANCH CHP RAIDER RANCH TX TENANT CORP 6806 43RD ST 251 WATERMERE DR , LUBBOCK TX 79407 SOUTHLAKE TX 76092 Phone (806) 368-6565 Fax (806) 797-0200 PHONE: (407) 540-7500 FAX: (407) 540-2544 TOTAL Lic Capacity: 160 PRIVATE Beds: 160 Cert Alzh Capacity: 47 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BRANDON ARNETT License Eff Dt: 08/29/2021 License Exp Dt: 08/29/2024 Mgmt Co.: INTEGRATED SENIOR LIVING LLC

Tuesday, September 28, 2021 Page 285 of 405 County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 103705 License No.: 149608 Owner Information THE PORCH SWING HERRON ENTERPRISES INC 3315 55TH ST PO BOX 1228 , LUBBOCK TX 79413 WOLFFORTH TX 79382 Phone (806) 797-7672 Fax (806) 797-7610 PHONE: (806) 797-7672 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KERRY S HERRON License Eff Dt: 12/31/2020 License Exp Dt: 12/31/2023 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 110174 License No.: 307377 Owner Information TRANSITIONAL LEARNING CENTER AT LUBBOCK TRANSITIONAL LEARNING CENTER AT GALVESTON 1808 N. QUAKER 1528 POST OFFICE ST , LUBBOCK TX 79415 GALVESTON TX 77550 Phone (806) 281-5400 Fax (806) 281-5436 PHONE: (409) 762-6661 FAX: (409) 762-9961 TOTAL Lic Capacity: 24 PRIVATE Beds: 24 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CINDY CYPERT License Eff Dt: 07/12/2019 License Exp Dt: 07/12/2022 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 100083 License No.: 148528 Owner Information WEDGEWOOD SOUTH LUBBOCK PRIME LIFE LLC 9812 VINTON AVE 6410 ERSKINE , LUBBOCK TX 79424 LUBBOCK TX 79416 Phone (806) 798-1011 Fax (806) 794-0234 PHONE: (806) 790-1008 FAX: (806) 589-4986 TOTAL Lic Capacity: 26 PRIVATE Beds: 26 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JILL J NORRIS License Eff Dt: 08/31/2019 License Exp Dt: 08/31/2022 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 030082 License No.: 148538 Owner Information WEDGEWOOD SOUTH LUBBOCK PRIME LIFE LLC 9812 VINTON AVE 6410 ERSKINE , LUBBOCK TX 79424 LUBBOCK TX 79416 Phone (806) 798-1011 Fax (806) 794-0234 PHONE: (806) 790-1008 FAX: (806) 589-4986 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JILL J NORRIS License Eff Dt: 08/31/2019 License Exp Dt: 08/31/2022 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 030086 License No.: 148273 Owner Information WEDGEWOOD SOUTH LUBBOCK PRIME LIFE LLC 9812 VINTON AVE 6410 ERSKINE , LUBBOCK TX 79424 LUBBOCK TX 79416 Phone (806) 798-1011 Fax (806) 794-0234 PHONE: (806) 790-1008 FAX: (806) 589-4986 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JILL J NORRIS License Eff Dt: 08/31/2019 License Exp Dt: 08/31/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 286 of 405 County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 030081 License No.: 148030 Owner Information WEDGEWOOD SOUTH LUBBOCK PRIME LIFE LLC 9812 VINTON AVE 6410 ERSKINE , LUBBOCK TX 79424 LUBBOCK TX 79416 Phone (806) 798-1011 Fax (806) 794-0234 PHONE: (806) 790-1008 FAX: (806) 589-4986 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JILL J NORRIS License Eff Dt: 08/31/2021 License Exp Dt: 08/31/2024 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 106640 License No.: 149996 Owner Information WESTWAY TRANSITIONAL LEARNING CENTER AT GALVESTON 4416 10TH STREET 1528 POST OFFICE ST , LUBBOCK TX 79416 GALVESTON TX 77550 Phone (409) 797-1456 Fax (409) 762-9961 PHONE: (409) 762-6661 FAX: (409) 762-9961 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROBERT PREHN JR. License Eff Dt: 08/19/2020 License Exp Dt: 08/19/2023 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 050716 License No.: 145764 Owner Information WILSHIRE ON 4TH WILSHIRE ON 4TH LLC 6514 4TH ST 6410 ERSKINE , LUBBOCK TX 79416 LUBBOCK TX 79416 Phone (806) 791-0002 Fax (806) 791-3627 PHONE: (806) 793-1616 FAX: (806) 589-4986 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JILL J NORRIS License Eff Dt: 12/31/2020 License Exp Dt: 12/31/2023 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 000930 License No.: 145289 Owner Information WILSHIRE ON 4TH LLC WILSHIRE ON 4TH LLC 6502 4TH ST 6410 ERSKINE , LUBBOCK TX 79416 LUBBOCK TX 79416 Phone (806) 791-0002 Fax (806) 791-3627 PHONE: (806) 793-1616 FAX: (806) 589-4986 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JILL J NORRIS License Eff Dt: 08/31/2020 License Exp Dt: 08/31/2023 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 030040 License No.: 150184 Owner Information WILSHIRE ON 4TH LLC WILSHIRE ON 4TH LLC 6508 4TH ST 6410 ERSKINE , LUBBOCK TX 79416 LUBBOCK TX 79416 Phone (806) 791-0002 Fax (806) 791-3627 PHONE: (806) 793-1616 FAX: (806) 589-4986 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JILL J NORRIS License Eff Dt: 08/30/2020 License Exp Dt: 08/30/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 287 of 405 County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 103433 License No.: 149828 Owner Information WILSHIRE PLACE SENIOR LIVING WILSHIRE PLACE LLC 6410 ERSKINE 6410 ERSKINE , LUBBOCK TX 79416 LUBBOCK TX 79416 Phone (806) 793-1616 Fax (806) 589-4986 PHONE: (806) 793-1616 FAX: (806) 589-4986 TOTAL Lic Capacity: 66 PRIVATE Beds: 66 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JILL J NORRIS License Eff Dt: 05/20/2020 License Exp Dt: 05/20/2023 Mgmt Co.: FRONTIER SENIOR LIVING LLC

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 104342 License No.: 149767 Owner Information WILSHIRE PLACE SENIOR LIVING WILSHIRE PLACE LLC 6410 ERSKINE 6410 ERSKINE , LUBBOCK TX 79416 LUBBOCK TX 79416 Phone (806) 793-1616 Fax (806) 589-4986 PHONE: (806) 793-1616 FAX: (806) 589-4986 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JILL J NORRIS License Eff Dt: 05/20/2020 License Exp Dt: 05/20/2023 Mgmt Co.: FRONTIER SENIOR LIVING LLC

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 104807 License No.: 148292 Owner Information LIBRARY OF LEGACIES II LIBRARY OF LEGACIES LLC 1420 WOODROW RD 1420 WOODROW RD , SLATON TX 79364 SLATON TX 79364 Phone (806) 828-4200 Fax (806) 828-6641 PHONE: (806) 828-4200 FAX: (806) 828-6641 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARGARET MIRELES License Eff Dt: 09/07/2021 License Exp Dt: 09/07/2024 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 103867 License No.: 147451 Owner Information LIBRARY OF LEGACIES LLC LIBRARY OF LEGACIES LLC 1420 WOODROW RD 1420 WOODROW RD , SLATON TX 79364 SLATON TX 79364 Phone (806) 828-4200 Fax (806) 828-6641 PHONE: (806) 828-4200 FAX: (806) 828-6641 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MICHELLE L CRAIG License Eff Dt: 08/10/2021 License Exp Dt: 08/10/2024 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 000568 License No.: 144599 Owner Information ADAMS ASSISTED LIVING COMMUNITY 3TA LTD 8824 FM 1585 , WOLFFORTH TX 79382 Phone (806) 863-3663 Fax (806) 863-3951 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TRESSA K ADAMS License Eff Dt: 11/30/2020 License Exp Dt: 11/30/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 288 of 405 County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 106044 License No.: 148752 Owner Information THE CALLANDER HOUSE LLC CALLANDER HOUSE LLC 808 MAIN ST. 2314 58TH , WOLFFORTH TX 79382 LUBBOCK TEXAS 79412 Phone (806) 855-4699 Fax (806) 855-4622 PHONE: (806) 789-4615 FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEBBIE CALLANDER License Eff Dt: 08/01/2019 License Exp Dt: 08/01/2021 Mgmt Co.:

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 000784 License No.: 145606 Owner Information VILLA RESIDENTIAL CARE OF WOLFFORTH I WOLFFORTH I ENTERPRISES, LLC 301 E 5TH ST SAME , WOLFFORTH TX 79382 FT WORTH TX 76109 Phone (806) 866-4666 Fax (806) 866-4111 PHONE: (817) 348-8959 FAX: (817) 348-0466 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DONNA WALKER License Eff Dt: 09/01/2020 License Exp Dt: 09/01/2022 Mgmt Co.: CREATIVE SOLUTIONS IN HEALTHCARE, INC

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 000625 License No.: 145605 Owner Information VILLA RESIDENTIAL CARE OF WOLFFORTH II WOLFFORTH I ENTERPRISES, LLC 301 E 5TH ST SAME , WOLFFORTH TX 79382 FT WORTH TX 76109 Phone (806) 866-4666 Fax (806) 866-4111 PHONE: (817) 348-8959 FAX: (817) 348-0466 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DONNA WALKER License Eff Dt: 09/01/2020 License Exp Dt: 09/01/2022 Mgmt Co.: CREATIVE SOLUTIONS IN HEALTHCARE, INC

County LUBBOCK Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 000628 License No.: 150238 Owner Information VILLA RESIDENTIAL CARE OF WOLFFORTH III WOLFFORTH I ENTERPRISES, LLC 301 E 5TH ST SAME , WOLFFORTH TX 79382 FT WORTH TX 76109 Phone (806) 866-4666 Fax (806) 866-4111 PHONE: (817) 348-8959 FAX: (817) 348-0466 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DONNA WALKER License Eff Dt: 09/01/2020 License Exp Dt: 09/01/2023 Mgmt Co.: CREATIVE SOLUTIONS IN HEALTHCARE, INC

County LYNN Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 100713 License No.: 148956 Owner Information LYNNWOOD LYNN COUNTY HOSPITAL DISTRICT 1801 COUNTRY CLUB ROAD 2600 LOCKWOOD , TAHOKA TX 79373 TAHOKA TX 79373 Phone (806) 998-1226 Fax (806) 561-4049 PHONE: (806) 998-4533 FAX: (806) 561-4049 TOTAL Lic Capacity: 40 PRIVATE Beds: 40 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNY GARRETT License Eff Dt: 01/22/2020 License Exp Dt: 01/22/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 289 of 405 County MADISON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 101027 License No.: 150270 Owner Information MADISONVILLE ASSISTED LIVING MADISONVILLE III ENTERPRISES LLC 410 E COLLARD ST SAME , MADISONVILLE TX 77864 FORT WORTH TX 76109 Phone (936) 348-3985 Fax (936) 348-3501 PHONE: (817) 348-8959 FAX: (817) 348-0466 TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: HILARY MUNOZ License Eff Dt: 09/01/2020 License Exp Dt: 09/01/2023 Mgmt Co.: CREATIVE SOLUTIONS IN HEALTHCARE, INC

County MADISON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 106651 License No.: 150090 Owner Information TEXAS LOVING CARE SENIOR LIVING LLC TEXAS LOVING CARE SENIOR LIVING LLC 200 N TAMMYE LANE 200 N TAMMYE LN , MADISONVILLE TX 77864 MADISONVILLE TX 77864 Phone (936) 662-4010 Fax PHONE: (936) 662-4010 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LEIGHANN MCWHORTER License Eff Dt: 02/24/2021 License Exp Dt: 02/24/2024 Mgmt Co.:

County MARION Reg Svcs: TYLER NE TEAM Region 04 Facility Information: Facility ID: 030353 License No.: 308327 Owner Information CYPRESS PLACE CAPSTONECYPRESS OPCO LLC 100 W. DOUGLAS ST. , JEFFERSON TX 75657 Phone (903) 665-9855 Fax (903) 665-6809 PHONE: FAX: TOTAL Lic Capacity: 42 PRIVATE Beds: 42 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KATISHA BULLARD License Eff Dt: 01/01/2021 License Exp Dt: 01/01/2024 Mgmt Co.: CAPSTONE HC MANAGEMENT LLC

County MATAGORDA Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 100120 License No.: 146686 Owner Information LEGACY ASSISTED LIVING PINNACLE HEALTH FACILITIES OF TEXAS XII LP 720 12TH ST SAME AS ABOBE , BAY CITY TX 77414 PLANO TX 75093 Phone (979) 245-7891 Fax (979) 245-1245 PHONE: (972) 931-3800 FAX: (972) 931-3801 TOTAL Lic Capacity: 44 PRIVATE Beds: 44 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: THERESA LIBBY License Eff Dt: 04/01/2021 License Exp Dt: 04/01/2024 Mgmt Co.: PCPMG OF TEXAS, LLC

County MCCULLOCH Reg Svcs: SAN ANGELO GERIATRIC Region 02 Facility Information: Facility ID: 101609 License No.: 148659 Owner Information TEXAS JUBILEE HOUSE OF BRADY TEXAS JUBILEE HOUSE LLC 104 E 5TH 104 E 5TH ST , BRADY TX 76825 BRADY TX 76825 Phone (325) 597-2662 Fax (325) 597-2664 PHONE: (325) 597-2662 FAX: (325) 597-2664 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ALICE L LAND License Eff Dt: 10/30/2019 License Exp Dt: 10/30/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 290 of 405 County MCLENNAN Reg Svcs: WACO Region 05 Facility Information: Facility ID: 104809 License No.: 147732 Owner Information HEWITT AL LLC STONEY BROOK OF HEWITT 4K HOUSING INC 151 ROYAL LANE 317 MARTINIQUE PASS , HEWITT TX 76643 LAKEWAY TX 78734 Phone (254) 420-1400 Fax (254) 420-1401 PHONE: (469) 371-0445 FAX: (512) 761-3458 TOTAL Lic Capacity: 46 PRIVATE Beds: 46 Cert Alzh Capacity: 28 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MELANIE CRAIN License Eff Dt: 08/24/2019 License Exp Dt: 08/24/2022 Mgmt Co.: WIND RIVER MANAGEMENT CORPORATION

County MCLENNAN Reg Svcs: WACO Region 05 Facility Information: Facility ID: 104810 License No.: 147799 Owner Information HEWITT AL LLC STONEY BROOK OF HEWITT 4K HOUSING INC 151 ROYAL LANE 317 MARTINIQUE PASS , HEWITT TX 76643 LAKEWAY TX 78734 Phone (254) 420-1400 Fax (254) 933-2550 PHONE: (469) 371-0445 FAX: (512) 761-3458 TOTAL Lic Capacity: 56 PRIVATE Beds: 56 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MELANIE CRAIN License Eff Dt: 04/27/2021 License Exp Dt: 04/27/2024 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

County MCLENNAN Reg Svcs: WACO Region 05 Facility Information: Facility ID: 106574 License No.: 150222 Owner Information ARBOR HOUSE OF WACO WACO TX ARBOR HOUSE LP 2418 MARKETPLACE DR. 2401 TEE CIRCLE, STE 103 , WACO TX 76711 NORMAN OK 73069 Phone (254) 662-9990 Fax PHONE: (405) 801-2879 FAX: (405) 360-3301 TOTAL Lic Capacity: 75 PRIVATE Beds: 75 Cert Alzh Capacity: 29 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CARRIE PULLIN License Eff Dt: 08/30/2020 License Exp Dt: 08/30/2023 Mgmt Co.:

County MCLENNAN Reg Svcs: WACO Region 05 Facility Information: Facility ID: 000379 License No.: 148513 Owner Information BROOKDALE LAKE BRAZOS ESC IV LP 3801 MARTIN LUTHER KING JR BLVD 6737 W, WASHINGTON ST SUITE 2300 , WACO TX 76708 MILWAUKEE WI 53214 Phone (254) 714-2222 Fax (254) 752-7952 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 101 PRIVATE Beds: 101 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMBER D ADCOCK License Eff Dt: 10/01/2021 License Exp Dt: 10/01/2024 Mgmt Co.:

County MCLENNAN Reg Svcs: WACO Region 05 Facility Information: Facility ID: 000349 License No.: 149791 Owner Information BROOKDALE LAKESHORE BROOKDALE SENIOR LIVING COMMUNITIES, INC 1700 LAKESHORE DRIVE 6737 W WASHINGTON ST STE 2300 , WACO TX 76708 MILWAUKEE WI 53214 Phone (254) 754-7900 Fax (254) 754-1047 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BETTY J SHARP License Eff Dt: 12/01/2019 License Exp Dt: 12/01/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 291 of 405 County MCLENNAN Reg Svcs: WACO Region 05 Facility Information: Facility ID: 000689 License No.: 148357 Owner Information DONNA BERRY COMMUNITY HOME LADONNA BERRY 514 CONCORN WAY 514 CONCORN WAY , WACO TX 76705 WACO TX 76705 Phone (254) 799-1849 Fax PHONE: (254) 799-1849 FAX: (254) 752-0300 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LADONNA BERRY LVN License Eff Dt: 11/17/2019 License Exp Dt: 11/17/2021 Mgmt Co.:

County MCLENNAN Reg Svcs: WACO Region 05 Facility Information: Facility ID: 106458 License No.: 149668 Owner Information HEARTIS WACO HEARTIS CLEAR LAKE PARTNERS LP 5317 SPEEGLEVILLE RD 5910 N CENTRAL EXPRESSWAY SUITE 200 , WACO TX 76712 DALLAS TX 75206 Phone (254) 848-9090 Fax PHONE: (214) 916-5750 FAX: (469) 547-5422 TOTAL Lic Capacity: 156 PRIVATE Beds: 156 Cert Alzh Capacity: 34 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BENJAMIN TRAGETHON License Eff Dt: 07/21/2019 License Exp Dt: 07/21/2021 Mgmt Co.: FRONTIER SENIOR LIVING LLC

County MCLENNAN Reg Svcs: WACO Region 05 Facility Information: Facility ID: 030137 License No.: 145279 Owner Information MABELLS PLACE MABELLS PLACE 1115 N 12TH ST PO BOX 3525 , WACO TX 76707 WACO TX 76707 Phone (254) 752-5434 Fax (254) 752-4478 PHONE: (254) 742-5434 FAX: (254) 752-4478 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ALICE HICKMAN License Eff Dt: 08/26/2020 License Exp Dt: 08/26/2023 Mgmt Co.:

County MCLENNAN Reg Svcs: WACO Region 05 Facility Information: Facility ID: 000640 License No.: 147678 Owner Information RIDGECREST RETIREMENT AND HEALTHCARE COMMUNITY DHC OPCO WACO, LLC 1900 HWY 6 W 210 MAGNATE DR., STE 100 , WACO TX 76712 LAFAYETTE LA 70508 Phone (254) 776-9681 Fax (254) 776-7960 PHONE: (337) 456-8502 FAX: (337) 237-0359 TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JAMES J BOSWELL License Eff Dt: 06/01/2019 License Exp Dt: 12/30/2021 Mgmt Co.: DYNASTY HEALTHCARE MANAGEMENT

County MCLENNAN Reg Svcs: WACO Region 05 Facility Information: Facility ID: 103795 License No.: 147253 Owner Information SODALIS ELDER LIVING WACO I ALZCARE WACO LLC 4308 N 19TH ST 195 S ACADEMY , WACO TX 76708 NEW BRAUNFELS TX 78130 Phone (830) 624-1044 Fax (830) 629-4884 PHONE: (830) 624-1044 FAX: (830) 629-4884 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARGARET GARCIA License Eff Dt: 04/28/2019 License Exp Dt: 04/28/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 292 of 405 County MCLENNAN Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 000639 License No.: 147311 Owner Information ST ELIZABETH PLACE PROVIDENCE PARK INC 300 W HWY 6 300 WEST HWY 6 , WACO TX 76712 WACO TX 76712 Phone (254) 761-8500 Fax (254) 761-8050 PHONE: (254) 761-8500 FAX: (254) 761-8050 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMANDA L SONNIER License Eff Dt: 07/01/2021 License Exp Dt: 07/01/2024 Mgmt Co.:

County MCLENNAN Reg Svcs: WACO Region 05 Facility Information: Facility ID: 106928 License No.: 148231 Owner Information THE DELANEY AT LAKE WACO LCS WACO OPERATIONS LLC 2121 W. HIGHWAY 6 400 LOCUST STREET , WACO TX 76710 DES MOINES IA 50309 Phone (254) 651-1010 Fax (254) 870-9819 PHONE: (515) 875-4500 FAX: (515) 875-4780 TOTAL Lic Capacity: 106 PRIVATE Beds: 106 Cert Alzh Capacity: 36 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KEN G WAHNSCHAFFFE License Eff Dt: 10/09/2019 License Exp Dt: 10/09/2021 Mgmt Co.: NA

County MCLENNAN Reg Svcs: WACO Region 05 Facility Information: Facility ID: 000907 License No.: 148638 Owner Information THOMPSON HOME EDWARD C THOMPSON 484 MANCHACA PL 484 MANCHACA PL , WACO TX 76705 WACO TX 76705 Phone (254) 875-2531 Fax (254) 875-2413 PHONE: (254) 875-2531 FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: EDWARD C THOMPSON License Eff Dt: 11/18/2019 License Exp Dt: 11/18/2021 Mgmt Co.:

County MCLENNAN Reg Svcs: WACO Region 05 Facility Information: Facility ID: 000436 License No.: 147554 Owner Information TIMMY MOORE PERSONAL CARE HOME TIMMY MOORE'S PERSONAL CARE HOME 1112 ROSE ST 1112 ROSE ST , WACO TX 76704 WACO TX 76704 Phone (254) 752-9115 Fax (254) 755-6917 PHONE: (254) 752-9115 FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: PHYLLIS D BRADY License Eff Dt: 04/22/2019 License Exp Dt: 04/22/2022 Mgmt Co.:

County MCLENNAN Reg Svcs: WACO Region 05 Facility Information: Facility ID: 106334 License No.: 148839 Owner Information LIVING SPRINGS VILLAGE LIVING SPRINGS ALZHEIMER'S VILLAGE INC 8601 OLD MCGREGOR ROAD 815 LAKE AIR , WOODWAY TX 76712 WACO TX 76710 Phone (254) 374-0015 Fax (888) 726-4686 PHONE: (254) 374-0015 FAX: (888) 726-4686 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL OWEN WIBLE License Eff Dt: 01/14/2020 License Exp Dt: 01/14/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 293 of 405 County MEDINA Reg Svcs: TEAM X Region 07 Facility Information: Facility ID: 110227 License No.: 307521 Owner Information CHANGING SEASONS OF CASTROVILLE RESIDENTIAL CARE HOMES OF AMERICA, LLC 1687 OLD HIGHWAY 90 PO BOX 961 , CASTROVILLE TX 78009 HELOTES TEXAS 78240 Phone (210) 540-8288 Fax PHONE: (210) 540-8288 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL R KITCHEN License Eff Dt: 07/23/2019 License Exp Dt: 07/23/2022 Mgmt Co.: RESIDENTIAL CARE HOMES OF AMERICA, LLC

County MEDINA Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 050639 License No.: 149294 Owner Information BRENDA'S DEVINE HERITAGE DBA BRENDAS RESIDENTIAL ASSISTED LIVING BRENDA'S DEVINE HERITAGE RESIDENTIAL INC DBA BRENDA'S RESIDENTIAL ASSI 309 BRISCOE AVE P.O. BOX 224 , DEVINE TX 78016 DEVINE TEXAS 78016 Phone (210) 387-7515 Fax (830) 665-2033 PHONE: (830) 665-2000 FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BRENDA BURFORD License Eff Dt: 04/22/2020 License Exp Dt: 04/22/2023 Mgmt Co.:

County MEDINA Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 000578 License No.: 149660 Owner Information CHAPA RESIDENTIAL CARE HOME LLC CHAPA RESIDENTIAL CARE HOME LLC 216 WEST C R 5719 216 W CR 5719 , DEVINE TX 78016 DEVINE TX 78016 Phone (830) 709-4420 Fax (830) 709-5038 PHONE: (830) 709-4420 FAX: (830) 709-5038 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: CARLY B CHAPA License Eff Dt: 07/21/2020 License Exp Dt: 07/21/2023 Mgmt Co.:

County MEDINA Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 000599 License No.: 307106 Owner Information CRUZ PERSONAL CARE HOME CRUZ PERSONAL CARE HOME LLC 730 COUNTY ROAD 664 2603 W. SOUTHCROSS BLVD , DEVINE TX 78016 SAN ANTONIO TX 78211 Phone (830) 665-4801 Fax (830) 665-4801 PHONE: FAX: TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: VIRGINIA MINDIETA License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.:

County MEDINA Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 100900 License No.: 146916 Owner Information DEVINE ASSISTED LIVING BRENDA BURFORD 405 E HONDO P.O. BOX 224 , DEVINE TX 78016 DEVINE TEXAS 78016 Phone (210) 387-7515 Fax (830) 665-2033 PHONE: (830) 665-2000 FAX: (830) 665-3494 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BRENDA BURFORD License Eff Dt: 02/26/2021 License Exp Dt: 02/26/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 294 of 405 County MEDINA Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 050475 License No.: 144515 Owner Information RALPH AND LEONOR GARZA RESIDENT CARE HOME RALPH GARZA 265 COUNTY RD 6611 265 COUNTY RD 6611 , DEVINE TX 78016 DEVINE TX 78016 Phone (830) 665-2559 Fax (830) 665-2846 PHONE: (830) 665-2559 FAX: (830) 665-2846 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RALPH GARZA License Eff Dt: 04/27/2020 License Exp Dt: 04/27/2023 Mgmt Co.:

County MEDINA Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 000602 License No.: 148039 Owner Information RAMIREZ PERSONAL CARE HOME I RONALD D RAMIREZ 1024 CR 664 1024 CR 664 , DEVINE TX 78016 DEVINE TX 78016 Phone (830) 665-5829 Fax (830) 665-5829 PHONE: (830) 665-5829 FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RONALD D RAMIREZ License Eff Dt: 09/12/2019 License Exp Dt: 09/12/2021 Mgmt Co.:

County MEDINA Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 000615 License No.: 149507 Owner Information RAMIREZ PERSONAL CARE HOME I I RONALD D RAMIREZ 1024 CR 664 1024 CR 664 , DEVINE TX 78016 DEVINE TX 78016 Phone (830) 665-5829 Fax (830) 665-5829 PHONE: (830) 665-5829 FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RONALD D RAMIREZ License Eff Dt: 07/01/2020 License Exp Dt: 07/01/2023 Mgmt Co.:

County MEDINA Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 000604 License No.: 145517 Owner Information RAMIREZ RESIDENTIAL CARE HOME ROBERT B RAMIREZ 1034 CR 664 1034 CR 664 , DEVINE TX 78016 DEVINE TX 78016 Phone (830) 665-9725 Fax (830) 665-2787 PHONE: (830) 665-9725 FAX: (830) 665-2787 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ROBERT B RAMIREZ License Eff Dt: 09/24/2018 License Exp Dt: 09/24/2020 Mgmt Co.:

County MEDINA Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 000413 License No.: 146603 Owner Information STERLING RESIDENTIAL CARE STEINOLFSON RESIDENTIAL CARE INC 307 BRISCOE AVE 543 PINN RD , DEVINE TX 78016 SAN ANTONIO TX 78227 Phone (830) 665-2000 Fax (210) 670-0962 PHONE: (210) 670-1105 FAX: (210) 670-0962 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RICHARD S STEINOLFSON License Eff Dt: 01/01/2021 License Exp Dt: 01/01/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 295 of 405 County MEDINA Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 030233 License No.: 149868 Owner Information M A ASSISTED LIVING FACILITY MARY A PERALTA 185 C R 679 185 CR 679 , NATALIA TX 78059 NATALIA TX 78059 Phone (830) 709-4519 Fax (830) 709-0247 PHONE: (830) 709-4519 FAX: (830) 709-0247 TOTAL Lic Capacity: 24 PRIVATE Beds: 24 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MARY A PERALTA License Eff Dt: 01/22/2018 License Exp Dt: 01/22/2020 Mgmt Co.:

County MEDINA Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 101730 License No.: 147515 Owner Information REAGAN MANOR REAGAN MANOR INC 229 E CR 5718 286 W CR 5719 , NATALIA TX 78059 DEVINE TX 78016 Phone (210) 365-7799 Fax (830) 772-9949 PHONE: (210) 365-7799 FAX: (830) 709-0459 TOTAL Lic Capacity: 20 PRIVATE Beds: 20 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RAY E DUNCAN License Eff Dt: 05/21/2021 License Exp Dt: 05/21/2024 Mgmt Co.:

County MIDLAND Reg Svcs: MIDLAND GERIATRIC Region 02 Facility Information: Facility ID: 000323 License No.: 149020 Owner Information BROOKDALE MIDLAND ESC IV LP 1808 W LOOP 250 N 6737 W, WASHINGTON ST SUITE 2300 , MIDLAND TX 79705 MILWAUKEE WI 53214 Phone (432) 687-0460 Fax (432) 687-0355 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 87 PRIVATE Beds: 87 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KRYSTAL SPARKMON License Eff Dt: 10/01/2019 License Exp Dt: 10/01/2021 Mgmt Co.:

County MIDLAND Reg Svcs: MIDLAND GERIATRIC Region 02 Facility Information: Facility ID: 000802 License No.: 148098 Owner Information CIMARRON PLACE CIMARRON AID OPCO LLC 3400 CALDERA BLVD 330 N. WABASHSTE 3700 , MIDLAND TX 79707 CHICAGO IL 60611 Phone (432) 689-2717 Fax (432) 689-0203 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 58 PRIVATE Beds: 58 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LINDA ROW License Eff Dt: 07/11/2021 License Exp Dt: 07/11/2024 Mgmt Co.: ENLIVANT AID KB MGMT LLC

County MIDLAND Reg Svcs: MIDLAND GERIATRIC Region 02 Facility Information: Facility ID: 000699 License No.: 148856 Owner Information HELEN GREATHOUSE MANOR MANOR PARK INC 401 HELEN GREATHOUSE CIRCLE 2208 N LOOP 250 W , MIDLAND TX 79707 MIDLAND TX 79707 Phone (432) 694-1691 Fax (432) 699-0369 PHONE: (432) 689-9898 FAX: (432) 694-8769 TOTAL Lic Capacity: 233 PRIVATE Beds: 233 Cert Alzh Capacity: 58 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMANDA QUEST License Eff Dt: 12/15/2019 License Exp Dt: 12/15/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 296 of 405 County MIDLAND Reg Svcs: MIDLAND GERIATRIC Region 02 Facility Information: Facility ID: 104879 License No.: 148798 Owner Information LEGACY RANCH CHP LEGACY RANCH TX TENANT CORP 4800 BRAIRWOOD AVE 5310 HARVEST HILL RDSUITE 280 , MIDLAND TX 79707 DALLAS TX 75230 Phone (432) 694-5600 Fax (432) 694-5606 PHONE: (214) 871-2155 FAX: (214) 368-7341 TOTAL Lic Capacity: 66 PRIVATE Beds: 66 Cert Alzh Capacity: 66 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NADINE HILL License Eff Dt: 03/28/2020 License Exp Dt: 03/28/2023 Mgmt Co.: 12 OAKS MANAGEMENT SERVICES, INC

County MONTAGUE Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 010323 License No.: 148808 Owner Information INDEPENDENCE HALL IND HALL LLC 1210 JACKSON ST 1210 JACKSON ST , BOWIE TX 76230 BOWIE TX 76230 Phone (940) 872-9718 Fax (940) 872-8590 PHONE: (940) 872-9718 FAX: (940) 872-8590 TOTAL Lic Capacity: 36 PRIVATE Beds: 36 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LACRESIA P GREGORY License Eff Dt: 12/17/2019 License Exp Dt: 12/17/2021 Mgmt Co.:

County MONTAGUE Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 100415 License No.: 145437 Owner Information CHERRY STREET VILLAGE LYNN V ADAMS 200 E CHERRY ST 208 CLARK ST , NOCONA TX 76255 NOCONA TX 76255 Phone (940) 825-5085 Fax (940) 825-1032 PHONE: (940) 825-6820 FAX: TOTAL Lic Capacity: 36 PRIVATE Beds: 36 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARY L L ADAMS License Eff Dt: 08/10/2020 License Exp Dt: 08/10/2022 Mgmt Co.:

County MONTAGUE Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 104492 License No.: 147642 Owner Information YESTER YEAR HOME, LLC YESTER YEAR HOME LLC 914 FAYETTE 914 FAYETTE , NOCONA TX 76255 NOCONA TX 76255 Phone (940) 825-4913 Fax (940) 825-3048 PHONE: (940) 825-4913 FAX: (940) 825-3048 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 5 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LAURIE RITCHIE License Eff Dt: 12/22/2020 License Exp Dt: 12/22/2023 Mgmt Co.:

County MONTAGUE Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 000673 License No.: 148749 Owner Information TK RANCH DORM 1 THE JAMES BRUNER TK RANCH INC 406 PR 156 PO BOX 879 , SUNSET TX 76270 BOWIE TX 76230 Phone (940) 872-2027 Fax (940) 872-3222 PHONE: (940) 872-5581 FAX: (940) 872-3222 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ELIZABETH M DUNN License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.: THE JAMES BRUNER TK RANCH INC

Tuesday, September 28, 2021 Page 297 of 405 County MONTAGUE Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 000674 License No.: 146687 Owner Information TK RANCH DORM 2 THE JAMES BRUNER TK RANCH INC 364 PR 156 PO BOX 879 , SUNSET TX 76270 BOWIE TX 76230 Phone (940) 872-3623 Fax (940) 872-3222 PHONE: (940) 872-5581 FAX: (940) 872-3222 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ELIZABETH M DUNN License Eff Dt: 09/15/2019 License Exp Dt: 09/15/2022 Mgmt Co.:

County MONTAGUE Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 000839 License No.: 149153 Owner Information TK RANCH DORM 3 THE JAMES BRUNER TK RANCH INC 899 HUDDLESTON RD PO BOX 879 , SUNSET TX 76270 BOWIE TX 76230 Phone (940) 872-3360 Fax (940) 872-3222 PHONE: (940) 872-5581 FAX: (940) 872-3222 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ELIZABETH M DUNN License Eff Dt: 12/08/2019 License Exp Dt: 12/08/2021 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 104479 License No.: 307768 Owner Information ABOVE AND BEYOND ASSISTED LIVING RUBINA VAZIR LLC 204 WEST DALLAS STREET , CONROE TX 77301 Phone (936) 828-2334 Fax (936) 828-2331 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RUBINA VAZIR License Eff Dt: 10/11/2018 License Exp Dt: 10/11/2021 Mgmt Co.: ABOVE & BEYOND ASSISTED LIVING

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 103081 License No.: 148997 Owner Information ABUNDANT LIFE ASSISTED LIVING INC ABUNDANT LIFE ASSISTED LIVING INC 15245 SADDLEWOOD DR 15245 SADDLEWOOD DR , CONROE TX 77384 CONROE TX 77384 Phone (281) 221-3040 Fax (281) 789-4207 PHONE: (281) 221-3040 FAX: (936) 273-6337 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARQUE A BURBATT License Eff Dt: 11/30/2019 License Exp Dt: 11/30/2021 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 105730 License No.: 149592 Owner Information BRISTOL PARK AT CONROE CONROE MC PARTNERS LP 608 S CONROE MEDICAL DRIVE 5910 N CENTRAL EXPRESSWAY SUITE 200 , CONROE TX 77304 DALLAS TX 75206 Phone (936) 441-4454 Fax PHONE: FAX: TOTAL Lic Capacity: 52 PRIVATE Beds: 52 Cert Alzh Capacity: 52 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MONIQUE UZEE License Eff Dt: 01/31/2021 License Exp Dt: 01/31/2024 Mgmt Co.: SAGORA SENIOR LIVING, INC

Tuesday, September 28, 2021 Page 298 of 405 County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 103147 License No.: 148554 Owner Information CHATEAU WOODLANDS JED INC 327 TALLOW 327 TALLOW , CONROE TX 77385 CONROE TX 77385 Phone (281) 296-8825 Fax (281) 296-0066 PHONE: (281) 296-8825 FAX: (281) 296-0066 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JACQUELYN CHURCHILL License Eff Dt: 10/25/2017 License Exp Dt: 10/27/2021 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 000915 License No.: 149745 Owner Information CHURCHILL NEUROBEHAVIORAL RESOURCES LTD 9297 WAHRENBERGER RD P O BOX 929 , CONROE TX 77304 CONROE TEXAS 77305 Phone (936) 788-7770 Fax (936) 788-7785 PHONE: (936) 788-7770 FAX: (936) 788-7785 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ERIC CANTRELL License Eff Dt: 01/11/2020 License Exp Dt: 01/11/2022 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 104566 License No.: 149340 Owner Information COMPASSIONATE CARE SENIOR LIVING COMPASSIONATE CARE SENIOR LIVING 933 RIVERSHIRE 621 SPRING FOREST CT , CONROE TX 77304 CONROE TX 77302 Phone (936) 828-3059 Fax (936) 828-3059 PHONE: (936) 232-9144 FAX: (936) 271-9413 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: NICOLE WILSON License Eff Dt: 05/02/2019 License Exp Dt: 05/02/2022 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 105119 License No.: 148000 Owner Information COMPASSIONATE CARE SENIOR LIVING COMPASSIONATE CARE SENIOR LIVING 94 PANORAMA DR 621 SPRING FOREST CT , CONROE TX 77304 CONROE TX 77302 Phone (936) 228-2572 Fax (936) 271-9413 PHONE: (936) 232-9144 FAX: (936) 271-9413 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: NICOLE WILSON License Eff Dt: 07/03/2019 License Exp Dt: 07/03/2021 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 110262 License No.: 308039 Owner Information COUNTRYSIDE MANOR MEMORY CARE HOME LLC BLAGRAVE REAL ESTATE, LLC 15439 MCRAE LAKE , CONROE TX 77303 Phone (936) 264-0450 Fax PHONE: FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SEAN BLAGRAVE License Eff Dt: 02/14/2020 License Exp Dt: 02/14/2023 Mgmt Co.: NA

Tuesday, September 28, 2021 Page 299 of 405 County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 110115 License No.: 307238 Owner Information CURA HEALTHCARE SERVICES RH & ST INVESTMENTS LLC 120 PARKGATE STREET 503 ARBOR POINT CT , CONROE TX 77304 PINEHURST TEXAS 77362 Phone (936) 647-4260 Fax (936) 647-4260 PHONE: (832) 217-8724 FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JAMIE WADE License Eff Dt: 04/18/2021 License Exp Dt: 04/18/2024 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 000322 License No.: 149915 Owner Information ELMCROFT OF RIVERSHIRE EC OPCO RIVERSHIRE, LLC 450 N RIVERSHIRE 500 NORTH HURSTBOURNE PARKWAYSUITE 200 , CONROE TX 77304 LOUISVILLE KY 40222 Phone (936) 788-2626 Fax (936) 441-5874 PHONE: (502) 357-9000 FAX: (502) 357-9441 TOTAL Lic Capacity: 138 PRIVATE Beds: 138 Cert Alzh Capacity: 38 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STEPHEN D KELLEY License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2023 Mgmt Co.: ECLIPSE PROTFOLIO OPERATIONS, LLC

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 110296 License No.: 307717 Owner Information EXTENDED SENIOR CARE AND SERVICES EXTENDED SENIOR CARE AND SERVICES 101 S WOODSWAY ST W 101 S WOODSWAYS ST W , CONROE TX 77301 CONROE TX 77301 Phone (832) 933-3454 Fax PHONE: (832) 933-3454 FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: IAZA USMAN License Eff Dt: 02/06/2020 License Exp Dt: 02/06/2023 Mgmt Co.: EXTENDED SENIOR CARE AND SERVICES

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 103417 License No.: 149655 Owner Information GOOD DAY ASSISTED LIVING LIVIA ROTARI 3726 WOODCLIFFE DR 3726 WOODCLIFFE DR , CONROE TX 77304 CONROE TX 77304 Phone (936) 539-9951 Fax (936) 539-9951 PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LIVIA ROTARI License Eff Dt: 07/02/2020 License Exp Dt: 07/02/2023 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 106926 License No.: 149208 Owner Information HARMONY ASSISTED LIVING INC HARMONY ASSISTED LIVING INC 196 CAMELOT ST. 196 CAMELOT , CONROE TX 77304 CONROE TX 77304 Phone (832) 766-7608 Fax PHONE: (832) 766-7608 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ALEXANDRA CHIU License Eff Dt: 03/07/2020 License Exp Dt: 03/07/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 300 of 405 County MONTGOMERY Reg Svcs: UNIT 00 - Unassigned Facilities Region 06 Facility Information: Facility ID: 110527 License No.: 308344 Owner Information HARMONY MEMORY CARE INC HARMONY MEMORY CARE INC 194 CAMELOT ST. , CONROE TX 77304 Phone (832) 766-7608 Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ALEXANDRA CHIU License Eff Dt: 05/13/2021 License Exp Dt: 05/13/2024 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 104283 License No.: 308335 Owner Information HERITAGE OAKS ASSISTED LIVING AND MEMORY CARE COMMUNITY WELLTOWER TENANT GROUP LLC 903 LONGMIRE RD 4500 DORR STREET , CONROE TX 77304 TOLEDO OHIO 43615 Phone 936 7602010 Fax 936 7602030 PHONE: FAX: TOTAL Lic Capacity: 90 PRIVATE Beds: 90 Cert Alzh Capacity: 27 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BRANDY FRYE PUCKETT License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.: HERITAGE OAKS AL MC CARE PROPERTIES LLC

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 101166 License No.: 147587 Owner Information JANUS NEUROBEHAVIORAL RESOURCES LTD 285 HEREFORD DR P O BOX 929 , CONROE TX 77304 CONROE TEXAS 77305 Phone (936) 788-7770 Fax (936) 788-7785 PHONE: (936) 788-7770 FAX: (936) 788-7785 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: CYNTHIA MOSTAFFA License Eff Dt: 06/01/2019 License Exp Dt: 06/01/2022 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 030252 License No.: 149369 Owner Information LOVING KINDNESS ASSISTED LIVING HOME CHRISTINA DEDOMINICIS 635 PINEWOOD 635 PINEWOOD , CONROE TX 77385 CONROE TX 77385 Phone (281) 323-4676 Fax (281) 323-4676 PHONE: (281) 323-4676 FAX: TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: CHRISTINA DEDOMINICIS License Eff Dt: 05/03/2020 License Exp Dt: 05/03/2023 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 106107 License No.: 146275 Owner Information NEW GENESIS NEUROBEHAVIORAL RESOURCES LTD 9297 WAHRENBERGER RD P O BOX 929 , CONROE TX 77304 CONROE TEXAS 77305 Phone (936) 788-7770 Fax (936) 788-7785 PHONE: (936) 788-7770 FAX: (936) 788-7785 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TAMMY L HITE License Eff Dt: 01/07/2021 License Exp Dt: 01/07/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 301 of 405 County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 105942 License No.: 149955 Owner Information ROYAL PALMS SENIOR LIVING ROYAL PALMS SENIOR LIVING LLC 209 BYBEE DR. 209 BYBEE DR , CONROE TX 77301 CONROE TX 77301 Phone (936) 242-6142 Fax (936) 242-6145 PHONE: (936) 242-6142 FAX: (936) 242-6145 TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MELISSA PECHIANU License Eff Dt: 08/13/2020 License Exp Dt: 08/13/2023 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 110211 License No.: 307467 Owner Information SEASONS ASSISTED LIVING CONROE SEASONS ASSISTED LIVING, LLC 1 BRIARWOOD DRIVE 12542 SAVAGE CT , CONROE TX 77301 MAGNOLIA TX 77354 Phone (936) 703-3727 Fax PHONE: (832) 543-1354 FAX: TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHAWN S MEDLIN License Eff Dt: 09/06/2019 License Exp Dt: 09/06/2022 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 000429 License No.: 149927 Owner Information SOMERSET NEUROBEHAVIORAL RESOURCES LTD 9297 WAHRENBERGER RD P O BOX 929 , CONROE TX 77304 CONROE TEXAS 77305 Phone (936) 788-7770 Fax (936) 788-7785 PHONE: (936) 788-7770 FAX: (936) 788-7785 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ERIC CANTRELL License Eff Dt: 08/10/2020 License Exp Dt: 08/10/2023 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 000698 License No.: 148761 Owner Information STRAKE PLACE STRAKE AID OPCO LLC 1701 WESTVIEW BLVD 330 N WABASH AVESTE 3700 , CONROE TX 77304 CHICAGO IL 60611 Phone (936) 539-5558 Fax (936) 539-9858 PHONE: (312) 725-7000 FAX: (817) 871-4001 TOTAL Lic Capacity: 45 PRIVATE Beds: 45 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: FARRAH CAMPBELL License Eff Dt: 07/11/2021 License Exp Dt: 07/11/2024 Mgmt Co.: ENLIVANT AID FNMA MGMT LLC

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 050658 License No.: 147857 Owner Information SUNRISE SENIOR CARE HOME SUNRISE SENIOR CARE HOME INC 201 BYBEE DRIVE 201 BYBEE DRIVE , CONROE TX 77301 CONROE TX 77301 Phone (936) 442-1469 Fax (936) 756-2674 PHONE: (936) 442-1469 FAX: (936) 756-2674 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: IONUT VELICEA License Eff Dt: 07/19/2019 License Exp Dt: 07/19/2022 Mgmt Co.: SUNRISE SENIOR CARE HOME INC

Tuesday, September 28, 2021 Page 302 of 405 County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 100324 License No.: 149994 Owner Information THE WELLINGTON AT CONROE CSL CE CONROE LLC 500 RIVER POINTE DR 14160 DALLAS PKWYSTE 300 , CONROE TX 77304 DALLAS TX 75254 Phone (936) 756-8643 Fax (936) 756-8664 PHONE: (972) 308-8366 FAX: (972) 387-8216 TOTAL Lic Capacity: 35 PRIVATE Beds: 35 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BECKY GUENTHER License Eff Dt: 03/30/2020 License Exp Dt: 03/30/2022 Mgmt Co.: CSL ESPERANZA MANAGEMENT, LLC

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 105425 License No.: 149088 Owner Information VILLAGE CARE HOMESBEREAN ESTATES VILLAGE CARE HOMES LLC 13430 PARK AVE 1010 S MAGNOLIA BLVDSTE L , CONROE TX 77384 MAGNOLIA TX 77355 Phone (936) 273-3668 Fax (936) 273-1521 PHONE: (832) 674-0100 FAX: (936) 776-4702 TOTAL Lic Capacity: 23 PRIVATE Beds: 23 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNA OLSON License Eff Dt: 02/26/2020 License Exp Dt: 08/31/2022 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 107053 License No.: 149349 Owner Information VILLAGE CARE HOMESSTEPHEN F AUSTIN VILLAGE CARE HOMES LLC 414 STEPHEN F AUSTIN DRIVE 1010 S MAGNOLIA BLVDSTE L , CONROE TX 77302 MAGNOLIA TX 77355 Phone (832) 674-0100 Fax (936) 776-4702 PHONE: (832) 674-0100 FAX: (936) 776-4702 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNA OLSON License Eff Dt: 03/15/2020 License Exp Dt: 03/15/2023 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 105404 License No.: 148048 Owner Information VILLAGE GREEN ALZHEIMERS CARE HOME VILLAGE GREEN LLC 404 SOUTH LOOP 336 WEST 9111 KATY FREEWAYSTE. 307 , CONROE TX 77304 HOUSTON TX 77024 Phone (936) 760-2424 Fax (936) 760-2454 PHONE: (713) 341-1752 FAX: (713) 429-5864 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHANTEL ARROWOOD License Eff Dt: 05/17/2019 License Exp Dt: 05/17/2022 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 101044 License No.: 147296 Owner Information WINDSOR NEUROBEHAVIORAL RESOURCES LTD 9297 WAHRENBERGER P O BOX 929 , CONROE TX 77304 CONROE TEXAS 77305 Phone (936) 788-7770 Fax (936) 788-7785 PHONE: (936) 788-7770 FAX: (936) 788-7785 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ERIN CASSIDY License Eff Dt: 07/03/2019 License Exp Dt: 07/03/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 303 of 405 County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 106820 License No.: 307492 Owner Information WOODHAVEN VILLAGE SENIOR LIVING CPF LIVING COMMUNITIES II WOODHAVEN, LLC 2275 RIVERWAY DR. , CONROE TX 77304 Phone (936) 703-5333 Fax PHONE: FAX: TOTAL Lic Capacity: 102 PRIVATE Beds: 102 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STEVEN NASTASI License Eff Dt: 07/01/2019 License Exp Dt: 07/01/2022 Mgmt Co.: CPF GRACE MANAGEMENT, LLC

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 105248 License No.: 307629 Owner Information LANDON RIDGE KINGWOOD WELLTOWER TCG RIDEA TENANT, LLC 24025 KINGWOOD PLACE DR. 4500 DORR STREET , KINGWOOD TX 77339 TOLDEO OH 43615 Phone (281) 312-4400 Fax (832) 644-6090 PHONE: FAX: TOTAL Lic Capacity: 119 PRIVATE Beds: 119 Cert Alzh Capacity: 43 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KIMBERLY A WEATHERS License Eff Dt: 04/01/2019 License Exp Dt: 04/01/2022 Mgmt Co.: SAGORA SENIOR LIVING, INC

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 100259 License No.: 307187 Owner Information REUNION COURT OF KINGWOOD 12 OAKS KINGWOOD OPCO, LLC 919 ROCKMEAD DRIVE , KINGWOOD TX 77339 Phone (281) 359-8800 Fax (281) 359-8812 PHONE: FAX: TOTAL Lic Capacity: 83 PRIVATE Beds: 83 Cert Alzh Capacity: 40 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JACQUELINE E YOUNGER License Eff Dt: 10/17/2020 License Exp Dt: 10/17/2023 Mgmt Co.: HORIZON BAY MANAGEMENT LLC

County MONTGOMERY Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 050702 License No.: 307520 Owner Information THE AUBERGE AT KINGWOOD A MEMORY CARE COMMUNITY WELLTOWER TENANT GROUP LLC 22955 EASTEX FREEWAY 4500 DORR STEET , KINGWOOD TX 77339 TOLEDO OHIO 43615 Phone 281 3122526 Fax 281 3121040 PHONE: FAX: TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 48 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SABRINA PEGROSS License Eff Dt: 07/01/2019 License Exp Dt: 07/01/2022 Mgmt Co.: KINGWOOD MC CARE PROPERTIES, LLC

County MONTGOMERY Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 110218 License No.: 307485 Owner Information WATERCREST AT KINGWOOD GARDEN VILLAGE WATERCREST AT KINGWOOD PHASE II, LP 24129 WINDFORD SQUARE ROAD , KINGWOOD TX 77339 Phone pending Fax pending PHONE: FAX: TOTAL Lic Capacity: 46 PRIVATE Beds: 46 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEBRA BURTON License Eff Dt: 08/21/2019 License Exp Dt: 08/21/2022 Mgmt Co.: INTEGRATED SENIOR LIVING LLC

Tuesday, September 28, 2021 Page 304 of 405 County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 106898 License No.: 147990 Owner Information AURA COUNTRY COTTAGE LLC AURA COUNTRY COTTAGE LLC 202 MAPLELEAF STREET 202 MAPLELEAF ST , MAGNOLIA TX 77354 MAGNOLIA TX 77354 Phone (832) 521-5524 Fax (832) 521-5396 PHONE: (832) 521-5524 FAX: (832) 521-5396 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LAURA A COVINGTON License Eff Dt: 08/08/2021 License Exp Dt: 08/08/2024 Mgmt Co.: NA

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 101825 License No.: 144806 Owner Information LLEWELLYNS MAGNOLIA PLACE INC LLEWELLYNS MAGNOLIA PLACE INC 8912 WEST LANE 8912 WEST LANE , MAGNOLIA TX 77354 MAGNOLIA TX 77354 Phone (281) 356-3201 Fax (281) 356-3201 PHONE: (281) 356-3201 FAX: (281) 356-3201 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BARBARA J LLEWELLYNS License Eff Dt: 02/06/2020 License Exp Dt: 02/06/2023 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 105586 License No.: 307304 Owner Information LOVE ON 'EM ASSISTED LIVING LOVE ON 'EM ASSISTED LIVING LLC 31805 NICHOLS SAWMILL RD 15507 STILLER PARK DR , MAGNOLIA TX 77355 CYPRESS TX 77429 Phone (832) 521-5614 Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRISTI CASTRO License Eff Dt: 05/01/2021 License Exp Dt: 05/01/2024 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 102768 License No.: 149222 Owner Information MEMORY LANE ASSISTED LIVING LLC MEMORY LANE ASSISTED LIVING LLC 32802 WRIGHT RD 32802 WRIGHT DR , MAGNOLIA TX 77355 MAGNOLIA TX 77355 Phone (281) 259-9657 Fax (281) 259-2936 PHONE: (281) 259-9657 FAX: (281) 259-2936 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ADA FISCU License Eff Dt: 11/05/2019 License Exp Dt: 11/05/2022 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 110143 License No.: 307307 Owner Information RANCH LAKE ASSISTED LIVING RANCH LAKE ASSISTED LIVING LLC 5406 RANCH LAKE DR , MAGNOLIA TX 77354 Phone 936 2421352 Fax (936) 242-1688 PHONE: FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ADELINA HANDOLESCU License Eff Dt: 05/24/2019 License Exp Dt: 05/14/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 305 of 405 County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 104045 License No.: 149423 Owner Information STAGECOACH SENIOR LIVING DAVID FISCU 13715 STAGECOACH RD 13715 STAGECOACH RD , MAGNOLIA TX 77355 MAGNOLIA TX 77355 Phone (281) 259-8979 Fax (832) 934-0172 PHONE: (281) 900-3801 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARINELA HAMPU License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2022 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 107162 License No.: 307112 Owner Information VALIENTE SENIOR LIVING VALIENTE SENIOR LIVING LLC 33417 PINEHURST LOOP , MAGNOLIA TX 77355 Phone (832) 287-9681 Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SOHAIL SYED License Eff Dt: 08/01/2020 License Exp Dt: 08/01/2023 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 105000 License No.: 145643 Owner Information GENESIS SENIOR CARE INC GENESIS SENIOR CARE INC 14552 FM 2854 SAME AS ABOVE , MONTGOMERY TX 77316 MONTGOMERY TX 77316 Phone (936) 588-2432 Fax (936) 588-7472 PHONE: (936) 588-2678 FAX: (936) 588-7472 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LORENA STONE License Eff Dt: 10/04/2020 License Exp Dt: 10/04/2023 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 106955 License No.: 149479 Owner Information GENESIS SENIOR CARE INC GENESIS SENIOR CARE INC 14290 FM 2854 RD. 15593 CROWN OAKS DR. , MONTGOMERY TX 77316 MONTGOMERY TX 77316 Phone 936 4447595 Fax 936 5885185 PHONE: (936) 444-7595 FAX: (936) 588-7472 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROBERT STONE License Eff Dt: 04/25/2020 License Exp Dt: 04/25/2022 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 105320 License No.: 307667 Owner Information LIVE OAK SENIOR CARE ON LAKE CONROE LIVE OAK SENIOR CARE ON LAKE CONROE 115 LONE STAR BEND , MONTGOMERY TX 77356 Phone (936) 597-4140 Fax (936) 597-3653 PHONE: FAX: TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SUE HORNE License Eff Dt: 12/01/2019 License Exp Dt: 12/01/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 306 of 405 County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 000886 License No.: 147044 Owner Information SILVER HILLS I SCAL MONTGOMERY LLC 23164 LANDRUM VILLAGE DR 2501 E HEBRON PKWYSTE 100C , MONTGOMERY TX 77316 CARROLLTON TX 75010 Phone (936) 597-7377 Fax (936) 597-7426 PHONE: (972) 338-9748 FAX: (855) 557-2835 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VICKI MCGINNIS License Eff Dt: 04/09/2019 License Exp Dt: 04/09/2022 Mgmt Co.: SILVERCARE MANAGEMENT, LLC

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 103298 License No.: 146925 Owner Information SILVER HILLS III SCAL MONTGOMERY LLC 23188 LANDRUM VILLAGE DR 2501 E HEBRON PKWYSTE 100C , MONTGOMERY TX 77316 CARROLLTON TX 75010 Phone 936 4496717 Fax (936) 597-7426 PHONE: (972) 338-9748 FAX: (855) 557-2835 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JORDAN KIMBRELL License Eff Dt: 04/29/2021 License Exp Dt: 04/29/2024 Mgmt Co.: SILVERCARE MANAGEMENT, LLC

County MONTGOMERY Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 106688 License No.: 307413 Owner Information CARE AT HUMMINGBIRD LILAC ASSISTED LIVING 2307 HUMMINGBIRD ST 12419, N CAPROCK WAY , NEW CANEY TX 77357 HUMBLE TX 77346 Phone (832) 793-5173 Fax (832) 436-1678 PHONE: (832) 445-1522 FAX: (832) 436-1678 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DHARMISHA ANUP License Eff Dt: 12/19/2018 License Exp Dt: 12/19/2021 Mgmt Co.: LILAC ASSISTED LIVING

County MONTGOMERY Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 000906 License No.: 144732 Owner Information J AND D HOME CARE 2 LLC JIMMIE L SMITH 19874 N WHITE OAK DR 17188 OAK GROVE LN , NEW CANEY TX 77357 NEW CANEY TX 77357 Phone (281) 399-7654 Fax (281) 399-7654 PHONE: (281) 429-1838 FAX: (281) 429-1838 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JIMMIE L SMITH License Eff Dt: 04/06/2020 License Exp Dt: 04/06/2022 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 107078 License No.: 149785 Owner Information TOTAL LOVING CARE III TOTAL LOVING CARE INC 23315 JOHNSON ROAD 23370 JOHNSON RD , NEW CANEY TX 77357 NEW CANEY TX 77357 Phone (832) 543-5037 Fax (832) 201-7430 PHONE: (346) 932-6451 FAX: (832) 201-7430 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 11 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEONDRICK BOWLES License Eff Dt: 04/20/2020 License Exp Dt: 04/20/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 307 of 405 County MONTGOMERY Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 102301 License No.: 149552 Owner Information TOTAL LOVING CARE INC TOTAL LOVING CARE INC 23370 JOHNSON RD 23370 JOHNSON RD , NEW CANEY TX 77357 NEW CANEY TX 77357 Phone (281) 399-3718 Fax (832) 201-7590 PHONE: (346) 932-6451 FAX: (832) 201-7430 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 12 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LESHEQUA GASPER BOWLES License Eff Dt: 03/13/2020 License Exp Dt: 03/13/2023 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 103825 License No.: 148675 Owner Information TOTAL LOVING CARE INC II TOTAL LOVING CARE II INC 23374 JOHNSON RD 23374 JOHNSON RD , NEW CANEY TX 77357 NEW CANEY TX 77357 Phone (281) 399-8377 Fax (832) 201-7590 PHONE: (281) 399-8377 FAX: TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 9 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LESHEQUA GASPER BOWLES License Eff Dt: 10/16/2019 License Exp Dt: 10/16/2022 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 010337 License No.: 307178 Owner Information CARING HANDS SIBIU LLC 24181 KELLY ST SAME , PORTER TX 77365 Phone (281) 354-5254 Fax (281) 354-5673 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CORNELIU RADUTIU License Eff Dt: 10/10/2020 License Exp Dt: 10/10/2023 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 105336 License No.: 149545 Owner Information LOVING COMFORT SENIOR CARE LOVING COMFORT SENIOR CARE 20432 LANA LANE 20432 LANA LN , PORTER TX 77365 PORTER TX 77365 Phone (281) 312-1339 Fax (281) 652-8318 PHONE: (281) 312-1339 FAX: (281) 652-8318 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MAGDALENA GHIURAU License Eff Dt: 12/15/2019 License Exp Dt: 12/15/2021 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 103990 License No.: 148337 Owner Information PLANTATION ASSISTED LIVING LLC PLANTATION ASSISTED LIVING LLC 19930 S PLANTATION ESTATES 19926 S PLANTATION ESTATES , PORTER TX 77365 PORTER TX 77365 Phone (281) 354-1886 Fax (281) 577-0199 PHONE: (281) 354-1886 FAX: (281) 577-0199 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 8 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ALINA DUPU License Eff Dt: 12/16/2019 License Exp Dt: 12/16/2021 Mgmt Co.: PLANTATION ASSISTED LIVING LLC

Tuesday, September 28, 2021 Page 308 of 405 County MONTGOMERY Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 105421 License No.: 148802 Owner Information PLANTATION ASSISTED LIVING LLC , PLANTATION ASSISTED LIVING B LLC PLANTATION ASSISTED LIVING LLC 19926 S PLANTATION ESTATE 19926 S PLANTATION ESTATES , PORTER TX 77365 PORTER TX 77365 Phone (281) 354-5964 Fax (281) 577-0199 PHONE: (281) 354-1886 FAX: (281) 577-0199 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ALINA DUPU License Eff Dt: 05/30/2021 License Exp Dt: 05/30/2024 Mgmt Co.: PLANTATION ASSISTED LIVING LLC

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 106594 License No.: 150233 Owner Information AVANTI SENIOR LIVING AT VISION PARK IP AVANTI VISION PARK OPCO LLC 120 VISION PARK DR 2219 SAWDUST RDSTE 1903 , SHENANDOAH TX 77384 THE WOODLANDS TX 77380 Phone (281) 882-3855 Fax PHONE: (281) 907-9553 FAX: (281) 306-2382 TOTAL Lic Capacity: 98 PRIVATE Beds: 98 Cert Alzh Capacity: 40 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BARBARA BURTON License Eff Dt: 07/29/2020 License Exp Dt: 11/30/2020 Mgmt Co.: AVANTI SL MANAGEMENT LLC

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 110367 License No.: 307926 Owner Information SYCAMORE CREEK RANCH AT SHENANDOAH SCR MEMORY CARE, LLC 8938 TAMINA RD 12107 HOLDERRIETH RD , SHENANDOAH TX 77385 TOMBALL TX 77375 Phone Fax (832) 442-5415 PHONE: (281) 516-9440 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 07/30/2020 License Exp Dt: 07/30/2023 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 105684 License No.: 149528 Owner Information GRACE ELDERLY CARE HOME LLC GRACE ELDERLY CARE HOME LLC 25615 SPRING RIDGE DR 25615 SPRING RIDGE DR , SPRING TX 77386 SPRING TX 77386 Phone (832) 488-6539 Fax (281) 419-8707 PHONE: (281) 419-8707 FAX: (281) 419-8707 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CONSTANTIN L ROMAN License Eff Dt: 03/20/2020 License Exp Dt: 03/20/2022 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 104078 License No.: 149884 Owner Information GRACE MEMORY CARE II GRACE MEMORY CARE INC 25610 OAKHURST DR 25610 OAKHURST DR. , SPRING TX 77386 SPRING TX 77386 Phone (832) 677-2901 Fax (281) 419-3165 PHONE: (832) 677-2901 FAX: (281) 419-3165 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANCA COTRAU License Eff Dt: 01/22/2020 License Exp Dt: 01/22/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 309 of 405 County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 103452 License No.: 149518 Owner Information HELENS CARE COTTAGES ATBRO LLC 710 SHADOW BROOK DR 22946 HIGHLAND ESTATES CT , SPRING TX 77380 CONROE TX 77385 Phone (713) 410-4868 Fax (832) 442-4807 PHONE: (713) 410-4868 FAX: (832) 442-4807 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KELLY M ORTIZ License Eff Dt: 04/01/2020 License Exp Dt: 04/01/2023 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 102983 License No.: 308038 Owner Information RAFIKIHOMES UCGA LLC RAFIKIHOMES UCGA 29730 SPRING TERRACE DR 2759 MT PLEASANT ST , SPRING TX 77386 BURLINGTON IA 52601 Phone (281) 924-7173 Fax (844) 201-0621 PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 6 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHYROSE RAHEMTULLA License Eff Dt: 04/18/2019 License Exp Dt: 04/18/2022 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 110428 License No.: 308046 Owner Information THE HOLIDAY GREENS HOLIDAY GREENS LLC 25310 OAKHURST DRIVE , SPRING TX 77386 Phone (281) 688-4334 Fax (281) 688-4192 PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JEFFREY CANLAS License Eff Dt: 01/12/2021 License Exp Dt: 01/12/2024 Mgmt Co.: THE HOLIDAY GREENS

County MONTGOMERY Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 105291 License No.: 148885 Owner Information THE PINES AT OAKHURST SCR MEMORY CARE, LLC 25206 OAKHURST DR 12107 HOLDERRIETH RD , SPRING TX 77386 TOMBALL TX 77375 Phone (832) 585-0624 Fax PHONE: (281) 516-9440 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KATHERINE BAKER License Eff Dt: 07/30/2021 License Exp Dt: 07/30/2024 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 101708 License No.: 146426 Owner Information UNLIMITED CARE BUDDE #2 GEL PARTNERSHIP,INC 25707 BUDDE RD 13865, LONGWOOD DRIVE , SPRING TX 77380 WILLIS TX 77318 Phone (713) 858-6821 Fax (281) 466-4693 PHONE: (713) 858-6821 FAX: (281) 466-4693 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROBERT A BUCKHOLTZ License Eff Dt: 01/27/2021 License Exp Dt: 01/27/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 310 of 405 County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 102006 License No.: 150088 Owner Information UNLIMITED CARE BUDDE #3 GEL PARTNERSHIP,INC 25711 BUDDE RD 13865, LONGWOOD DRIVE , SPRING TX 77380 WILLIS TX 77318 Phone (713) 419-2609 Fax (281) 466-4693 PHONE: (713) 858-6821 FAX: (281) 466-4693 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROBERT A BUCKHOLTZ License Eff Dt: 01/27/2019 License Exp Dt: 01/27/2022 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 104487 License No.: 149473 Owner Information UNLIMITED CARE OAKRIDGE GEL PARTNERSHIP,INC 26222 HANNA RD 13865, LONGWOOD DRIVE , SPRING TX 77386 WILLIS TX 77318 Phone 281 298 1649 Fax 281 466 4693 PHONE: (713) 858-6821 FAX: (281) 466-4693 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROBERT A BUCKHOLTZ License Eff Dt: 05/17/2020 License Exp Dt: 05/17/2023 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 103909 License No.: 145070 Owner Information UNLIMITED CARE ASSISTED LIVING COTTAGES GEL PARTNERSHIP,INC 2027 CHERRY LAUREL DR 13865, LONGWOOD DRIVE , SPRING TX 77386 WILLIS TX 77318 Phone (713) 419-2609 Fax (936) 321-2795 PHONE: (713) 858-6821 FAX: (281) 466-4693 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 7 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROBERT A BUCKHOLTZ License Eff Dt: 03/17/2018 License Exp Dt: 03/17/2020 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 101315 License No.: 144726 Owner Information UNLIMITED CARE BUDDE GEL PARTNERSHIP,INC 25703 BUDDE RD 13865, LONGWOOD DRIVE , SPRING TX 77380 WILLIS TX 77318 Phone (713) 419-2609 Fax (936) 321-2795 PHONE: (713) 858-6821 FAX: (281) 466-4693 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROBERT A BUCKHOLTZ License Eff Dt: 04/01/2020 License Exp Dt: 04/01/2022 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 103673 License No.: 149079 Owner Information UNLIMITED CAREASSISTED LIVING COTTAGES GEL PARTNERSHIP,INC 25715 BUDDE RD 13865, LONGWOOD DRIVE , SPRING TX 77380 WILLIS TX 77318 Phone (713) 858-6821 Fax (936) 321-2795 PHONE: (713) 858-6821 FAX: (281) 466-4693 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROBERT A BUCKHOLTZ License Eff Dt: 09/09/2019 License Exp Dt: 09/09/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 311 of 405 County MONTGOMERY Reg Svcs: UNIT 08 Region 06 Facility Information: Facility ID: 110253 License No.: 307598 Owner Information VILLAGE GREEN ALZHEIMER'S CARE HOME VILLAGE GREEN LLC 19065 CHAMPION FOREST DR 9111 KATY FREEWAYSTE. 307 , SPRING TX 77379 HOUSTON TX 77024 Phone 346 8087348 Fax (346) 808-7351 PHONE: (713) 341-1752 FAX: (713) 429-5864 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMIE MCNATTY License Eff Dt: 11/07/2019 License Exp Dt: 11/07/2022 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 104378 License No.: 307903 Owner Information ADDINGTON PLACE OF THE WOODLANDS ARHC ALWOOTX01 TRS, LLC 10700 MONTFAIR BLVD. , THE WOODLANDS TX 77382 Phone (832) 764-5324 Fax (832) 764-5327 PHONE: FAX: TOTAL Lic Capacity: 44 PRIVATE Beds: 44 Cert Alzh Capacity: 44 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RONNIE TALENT License Eff Dt: 02/15/2020 License Exp Dt: 02/15/2023 Mgmt Co.: SLH THE WOODLANDS AL MANAGER, LLC

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 103125 License No.: 147196 Owner Information AUTUMN GROVE WOODLANDS GLEN HOPE HARBOR INC 5000 W ALDEN BRIDGE DR 317 MARTINIQUE PASS , THE WOODLANDS TX 77382 LAKEWAY TX 78734 Phone (281) 362-0900 Fax (281) 698-1222 PHONE: (469) 371-0445 FAX: (512) 761-3548 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JULIE CLEMENTS License Eff Dt: 02/26/2019 License Exp Dt: 02/26/2022 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 103213 License No.: 149235 Owner Information GRACE RESIDENTIAL CARE HOME INC GRACE RESIDENTIAL CARE HOME INC 25914 OAKRIDGE DR SAME , THE WOODLANDS TX 77380 THE WOODLANDS TX 77380 Phone (832) 291-6089 Fax (281) 292-1884 PHONE: (832) 291-6089 FAX: (281) 419-9721 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LIDIA O COZMA License Eff Dt: 05/01/2020 License Exp Dt: 05/01/2023 Mgmt Co.:

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 050724 License No.: 307170 Owner Information REUNION COURT OF THE WOODLANDS 12 OAKS THE WOODLANDS OPCO LLC 1730 WOODSTEAD COURT 12700 PARK CENTRAL DRIVE SUITE 300 , THE WOODLANDS TX 77380 DALLAS TX 75251 Phone (281) 681-9900 Fax (281) 681-9489 PHONE: FAX: TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 39 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DARREN SKREHOT License Eff Dt: 10/17/2020 License Exp Dt: 10/17/2022 Mgmt Co.: 12 OAKS MANAGEMENT SERVICES, INC

Tuesday, September 28, 2021 Page 312 of 405 County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 030375 License No.: 307577 Owner Information THE AUBERGE AT THE WOODLANDS A MEMORY CARE COMMUNITY WELLTOWER TENANT GROUP LLC 7950 BAY BRANCH DR 4500 DORR STREET , THE WOODLANDS TX 77382 TOLEDO OHIO 43615 Phone 281 6818000 Fax 281 6818001 PHONE: FAX: TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 48 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MELISSA CRUZ License Eff Dt: 07/01/2019 License Exp Dt: 07/01/2022 Mgmt Co.: THE WOODLANDS MC CARE PROPERTIES, LLC

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 000722 License No.: 307769 Owner Information THE FORUM AT THE WOODLANDS SNH LONGHORN TENANT LLC 5055 WEST PANTHER CREEK DR. , THE WOODLANDS TX 77381 Phone 281 2922600 Fax 281 2921836 PHONE: FAX: TOTAL Lic Capacity: 126 PRIVATE Beds: 126 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RACHEL EDWARDS License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.: FVE MANAGERS, INC

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 030266 License No.: 307671 Owner Information THE FORUM AT THE WOODLANDS SNH LONGHORN TENANT LLC 5055 WEST PANTHER CREEK DR. , THE WOODLANDS TX 77381 Phone 281 2922600 Fax 281 2921836 PHONE: FAX: TOTAL Lic Capacity: 54 PRIVATE Beds: 54 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RACHEL EDWARDS License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.: FVE MANAGERS, INC

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 104849 License No.: 147721 Owner Information THE VILLAGE AT THE WOODLANDS WATERWAY LCS WATERWAY LLC 2323 LAKE ROBBINS DR 400 LOCUST ST , THE WOODLANDS TX 77380 DES MOINES IA 50309 Phone (281) 292-4600 Fax (281) 292-4622 PHONE: (515) 875-4500 FAX: (515) 875-4780 TOTAL Lic Capacity: 119 PRIVATE Beds: 119 Cert Alzh Capacity: 34 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JESSE LEE L SIAS License Eff Dt: 05/15/2021 License Exp Dt: 05/15/2024 Mgmt Co.: NA

County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 106007 License No.: 145696 Owner Information OLIMPIA'S SENIOR CARE, LLC OLIMPIA'S SENIOR CARE LLC 13571 NEEDHAM PLACE 13571 NEEDHAM PL , WILLIS TX 77318 WILLIS TEXAS 77318 Phone (936) 344-6126 Fax (866) 345-2396 PHONE: (936) 344-6126 FAX: (866) 345-2396 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TEODOR SACACIU License Eff Dt: 09/17/2020 License Exp Dt: 09/17/2023 Mgmt Co.: OLIMPIA'S SENIOR CARE LLC

Tuesday, September 28, 2021 Page 313 of 405 County MONTGOMERY Reg Svcs: UNIT 16 Region 06 Facility Information: Facility ID: 102843 License No.: 150050 Owner Information UNLIMITED CARE ASSISTED LIVING COTTAGES GEL PARTNERSHIP,INC 14450 LONGSTREET RD 13865, LONGWOOD DRIVE , WILLIS TX 77318 WILLIS TX 77318 Phone (713) 858-6821 Fax (281) 466-4693 PHONE: (713) 858-6821 FAX: (281) 466-4693 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROBERT A BUCKHOLTZ License Eff Dt: 02/14/2020 License Exp Dt: 02/14/2023 Mgmt Co.:

County MORRIS Reg Svcs: TYLER NE TEAM Region 04 Facility Information: Facility ID: 103419 License No.: 145546 Owner Information BLUEBONNET ELITE ASSISTED LIVING TEXAS ENTERPRISES LLC 102 FLOYD ST PO BOX 1200 , NAPLES TX 75568 NAPLES TX 75568 Phone (903) 897-9600 Fax (903) 897-0311 PHONE: (908) 897-9600 FAX: (908) 897-0311 TOTAL Lic Capacity: 62 PRIVATE Beds: 62 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: OCTAVIA MINTER License Eff Dt: 08/12/2018 License Exp Dt: 08/12/2020 Mgmt Co.:

County NACOGDOCHES Reg Svcs: NACOGDOCHES GERIATRIC Region 04 Facility Information: Facility ID: 102964 License No.: 308208 Owner Information MAGNOLIA COURT ASSISTED LIVING AND MEMORY CARE COMMUNITY WELLTOWER TENANT GROUP LLC 5902 N STREET 4500 DORR STREET , NACOGDOCHES TX 75965 TOLEDO OHIO 43615 Phone 936 5696227 Fax 936 5696231 PHONE: FAX: TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DONNA CRABTREE License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.: MAGNOLIA COURT AL MC CARE PROPERTIES LLC

County NACOGDOCHES Reg Svcs: NACOGDOCHES GERIATRIC Region 04 Facility Information: Facility ID: 000491 License No.: 147950 Owner Information MEADOWVIEW PLACE AUSTIN AID OPCO LLC 901 OAKVIEW DR 330 N WABASH AVESTE 3700 , NACOGDOCHES TX 75961 CHICAGO IL 60611 Phone (936) 559-9055 Fax (936) 564-6794 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 36 PRIVATE Beds: 36 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHANTEL ARROWOOD License Eff Dt: 07/11/2021 License Exp Dt: 07/11/2024 Mgmt Co.: ENLIVANT AID FR MGMT LLC

County NACOGDOCHES Reg Svcs: NACOGDOCHES GERIATRIC Region 04 Facility Information: Facility ID: 000668 License No.: 147256 Owner Information THE ARBOR ASSISTED LIVING PSL ARBOR OPERATIONS LLC 3002 WESTWARD DR 8214 WESTCHESTER DRIVESTE. 600 , NACOGDOCHES TX 75964 DALLAS TX 75225 Phone (936) 560-1272 Fax (936) 560-1682 PHONE: (214) 736-7007 FAX: (214) 736-7020 TOTAL Lic Capacity: 90 PRIVATE Beds: 90 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARY J LEES License Eff Dt: 02/09/2021 License Exp Dt: 02/09/2024 Mgmt Co.: WIND RIVER MANAGEMENT CORPORATION

Tuesday, September 28, 2021 Page 314 of 405 County NAVARRO Reg Svcs: WACO Region 05 Facility Information: Facility ID: 000666 License No.: 146120 Owner Information BROOKDALE CORSICANA BROOKDALE SENIOR LIVING COMMUNITIES, INC 3329 W 7TH AVE 6737 W WASHINGTON ST STE 2300 , CORSICANA TX 75110 MILWAUKEE WI 53214 Phone (903) 872-8400 Fax (903) 872-8325 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEREK HOLLINGSWORTH License Eff Dt: 12/05/2020 License Exp Dt: 12/05/2023 Mgmt Co.:

County NAVARRO Reg Svcs: WACO Region 05 Facility Information: Facility ID: 000478 License No.: 307542 Owner Information THE VILLAGE AT HERITAGE OAKS ALF SOUTHWEST LTC CORSICANA LLC 3002 W. 2ND AVE. , CORSICANA TX 75110 Phone (903) 872-5130 Fax (903) 872-5949 PHONE: FAX: TOTAL Lic Capacity: 92 PRIVATE Beds: 92 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SUE S BOWLING LVN License Eff Dt: 04/01/2019 License Exp Dt: 04/01/2022 Mgmt Co.: SENIOR CARE CENTER MANAGEMENT, LLC

County NEWTON Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 103224 License No.: 146541 Owner Information ROSEWOOD ASSISTEDLIVING CENTER INC ROSEWOOD ASSISTEDLIVING CENTER INC 1010 HIGHWAY 87 SOUTH 1010 HWY 87 S , NEWTON TX 75966 NEWTON TX 75966 Phone (409) 379-2047 Fax (409) 379-2048 PHONE: (409) 379-2047 FAX: (409) 379-2048 TOTAL Lic Capacity: 23 PRIVATE Beds: 23 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: REBECCA L GUNTER License Eff Dt: 10/16/2020 License Exp Dt: 10/16/2023 Mgmt Co.:

County NOLAN Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 000501 License No.: 148691 Owner Information HOYT PLACE HOYT AID OPCO LLC 1700 HOYT AVE 330 N WABASHSTE 3700 , SWEETWATER TX 79556 CHICAGO IL 60611 Phone (325) 235-5655 Fax (325) 235-5391 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 36 PRIVATE Beds: 36 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JANET REDDEN License Eff Dt: 07/11/2021 License Exp Dt: 07/11/2024 Mgmt Co.: ENLIVANT AID FNMAB MGMT LLC

County NUECES Reg Svcs: CORPUS CHRISTI 11 Region 07 Facility Information: Facility ID: 107025 License No.: 150092 Owner Information AVALON ESTATES ASSISTED LIVING AVALON ESTATES ASSISTED LIVING LLC 490 CARMEL PARKWAY 490 CARMEL PARKWAY , CORPUS CHRISTI TX 78411 CORPUS CHRISTI TX 78411 Phone (361) 452-7990 Fax PHONE: (361) 452-7990 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANN PEREZ CNA License Eff Dt: 07/05/2018 License Exp Dt: 07/30/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 315 of 405 County NUECES Reg Svcs: CORPUS CHRISTI 11 Region 07 Facility Information: Facility ID: 000330 License No.: 308296 Owner Information BROOKDALE CORPUS CHRISTI BKD HOMEWOOD CORPUS CHRISTI PROPCO, LLC 6410 MEADOWVISTA DRIVE , CORPUS CHRISTI TX 78414 Phone (361) 985-0555 Fax (361) 985-6128 PHONE: FAX: TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ACHANDRA HEARN License Eff Dt: 01/01/2021 License Exp Dt: 01/01/2024 Mgmt Co.: AMERICAN RETIREMENT CORPORATION

County NUECES Reg Svcs: CORPUS CHRISTI 11 Region 07 Facility Information: Facility ID: 000682 License No.: 147588 Owner Information BROOKDALE TRINITY TOWERS TRINITY TOWERS LIMITED PARTNERSHIP 317 N CARANCAHUA ST 6737 W WASHINGTON STSTE 2300 , CORPUS CHRISTI TX 78401 MILWAUKEE WI 53214 Phone (361) 887-2000 Fax (361) 884-3320 PHONE: (615) 221-2250 FAX: (866) 885-0538 TOTAL Lic Capacity: 90 PRIVATE Beds: 90 Cert Alzh Capacity: 22 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LEROY CAMPBELL License Eff Dt: 07/25/2021 License Exp Dt: 07/25/2024 Mgmt Co.:

County NUECES Reg Svcs: CORPUS CHRISTI 11 Region 07 Facility Information: Facility ID: 107259 License No.: 307081 Owner Information ELAN CORPUS CHRISTI TSL CC OPCO LLC 5441 LIPES BLVD , CORPUS CHRISTI TX 78413 Phone (361) 218-4852 Fax PHONE: FAX: TOTAL Lic Capacity: 125 PRIVATE Beds: 125 Cert Alzh Capacity: 36 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHAY WALLACE License Eff Dt: 10/03/2020 License Exp Dt: 10/03/2023 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County NUECES Reg Svcs: CORPUS CHRISTI 11 Region 07 Facility Information: Facility ID: 030038 License No.: 146026 Owner Information GARDEN ESTATES OF CORPUS CHRISTI ASSISTED LIVING COMMUNITY LSREF GOLDEN OPS 26 TX II LLC 2709 CIMARRON BLVD 3500 LENOX RD NESTE 510 , CORPUS CHRISTI TX 78414 ATLANTA GA 30326 Phone (361) 980-8200 Fax (361) 980-8288 PHONE: (770) 754-9660 FAX: (770) 754-3085 TOTAL Lic Capacity: 67 PRIVATE Beds: 67 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BRANDON BANDA License Eff Dt: 04/01/2020 License Exp Dt: 04/01/2023 Mgmt Co.: SL CORPUS CHRISTI, LLC

County NUECES Reg Svcs: CORPUS CHRISTI 11 Region 07 Facility Information: Facility ID: 104912 License No.: 307620 Owner Information MIRADOR METHODIST RETIREMENT COMMUNITIES 5857 TIMBERGATE DR 1440 LAKE FRONT CIRCLE, SUITE 140 , CORPUS CHRISTI TX 78414 THE WOODLANDS TX 77380 Phone 361 651 1103 Fax (888) 258-7442 PHONE: FAX: TOTAL Lic Capacity: 66 PRIVATE Beds: 66 Cert Alzh Capacity: 18 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEBORAH K NUGENT License Eff Dt: 05/01/2019 License Exp Dt: 05/01/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 316 of 405 County NUECES Reg Svcs: CORPUS CHRISTI 11 Region 07 Facility Information: Facility ID: 000662 License No.: 149263 Owner Information SENIOR CARE OF CORPUS CHRISTI CORPUS CHRISTI SCC LLC 202 FORTUNE DR 1717 W 6TH STSTE 450 , CORPUS CHRISTI TX 78405 AUSTIN TX 78703 Phone (361) 252-0734 Fax (361) 289-7516 PHONE: (512) 340-7829 FAX: (512) 480-0258 TOTAL Lic Capacity: 66 PRIVATE Beds: 66 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KAREN R GARZA License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.: SAK SCC, LLC

County NUECES Reg Svcs: CORPUS CHRISTI 11 Region 07 Facility Information: Facility ID: 106554 License No.: 307510 Owner Information ST GABRIEL OF CORPUS CHRISTI VERITAS SENIOR LIVING LLC 7245 MCARDLE RD. 6858 SWINNEA RDBLDG 1A , CORPUS CHRISTI TX 78412 SOUTHAVEN MS 38671 Phone (361) 288-4695 Fax PHONE: (662) 510-5544 FAX: (662) 510-5471 TOTAL Lic Capacity: 64 PRIVATE Beds: 64 Cert Alzh Capacity: 64 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ALLYSON KIMBLE License Eff Dt: 05/01/2019 License Exp Dt: 05/01/2022 Mgmt Co.: THRIVE SENIOR LIVING LLC

County NUECES Reg Svcs: CORPUS CHRISTI 11 Region 07 Facility Information: Facility ID: 107233 License No.: 307242 Owner Information THE VIERA SENIOR LIVING TCG CORPUS CHRISTI CAMPUS, LLC 3010 AIRLINE RD. , CORPUS CHRISTI TX 78414 Phone (361) 392-4000 Fax PHONE: FAX: TOTAL Lic Capacity: 123 PRIVATE Beds: 123 Cert Alzh Capacity: 26 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNIFER MROSS License Eff Dt: 03/12/2021 License Exp Dt: 03/12/2024 Mgmt Co.: SAGORA SENIOR LIVING, INC

County NUECES Reg Svcs: CORPUS CHRISTI 11 Region 07 Facility Information: Facility ID: 000815 License No.: 145725 Owner Information THE WATERFORD AT CORPUS CHRISTI CSL CE CORPUS LLC 5813 ESPLANADE DR 14160 DALLAS PKWYSTE 300 , CORPUS CHRISTI TX 78414 DALLAS TX 75254 Phone (361) 991-9600 Fax (361) 980-8989 PHONE: (972) 308-8366 FAX: (972) 387-8216 TOTAL Lic Capacity: 56 PRIVATE Beds: 56 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: VELMA PADRON License Eff Dt: 10/17/2020 License Exp Dt: 10/17/2023 Mgmt Co.: CAPITAL SENIOR LIVING INC

County NUECES Reg Svcs: CORPUS CHRISTI 11 Region 07 Facility Information: Facility ID: 000317 License No.: 148563 Owner Information VILLA OF CORPUS CHRISTI SOUTH VILLA QUILT OF CORPUS SOUTH LIMITED PARTNERSHIP 4834 YORKTOWN BLVD 5353 WYOMING BLVDSTE A , CORPUS CHRISTI TX 78413 ALBUQUERQUE NM 87109 Phone (361) 991-3252 Fax (361) 991-2368 PHONE: (505) 797-8735 FAX: (505) 797-9003 TOTAL Lic Capacity: 96 PRIVATE Beds: 96 Cert Alzh Capacity: 40 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARTHA JAMISON License Eff Dt: 12/01/2021 License Exp Dt: 12/01/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 317 of 405 County NUECES Reg Svcs: CORPUS CHRISTI 11 Region 07 Facility Information: Facility ID: 000927 License No.: 150111 Owner Information VILLA RESIDENTIAL CARE OF CORPUS CHRISTI NORTHWEST VILLA QUILT OF CORPUS NORTHWEST LIMITED PARTNERSHIP 2822 ROBBY 5353 WYOMING BLVDSTE A , CORPUS CHRISTI TX 78410 ALBUQUERQUE NM 87109 Phone (361) 242-9446 Fax (361) 242-9764 PHONE: (505) 797-8735 FAX: (505) 797-9003 TOTAL Lic Capacity: 80 PRIVATE Beds: 80 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TONDA L JOHNSON License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.:

County OCHILTREE Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 100949 License No.: 149948 Owner Information THE SEASONS OCHILTREE HOSPITAL DISTRICT 401 SW 24TH AVE 3101 GARRETT DR , PERRYTON TX 79070 PERRYTON TX 79070 Phone (806) 648-1884 Fax (806) 648-1878 PHONE: (806) 435-3606 FAX: (806) 648-2813 TOTAL Lic Capacity: 54 PRIVATE Beds: 54 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LEROY SCHAFFNER License Eff Dt: 07/29/2020 License Exp Dt: 07/29/2023 Mgmt Co.:

County ORANGE Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 101381 License No.: 150044 Owner Information GOLDEN YEARS ASSISTED LIVING NDBL LLC 16532 S HWY 62 S 6230 WARREN ST , ORANGE TX 77630 GROVES TEXAS 77619 Phone (409) 745-9096 Fax (409) 745-9956 PHONE: (409) 656-5110 FAX: (409) 962-9622 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RACHELLE WILSON License Eff Dt: 06/10/2020 License Exp Dt: 06/10/2023 Mgmt Co.:

County ORANGE Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 100548 License No.: 307175 Owner Information HEARTFELT EMBRACE ASSISTED LIVING LLC HEARTFELT EMBRACE ASSISTED LIVING LLC 602 AZALEA AVE , ORANGE TX 77630 Phone (409) 988-8340 Fax (409) 670-9841 PHONE: FAX: TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNFER CALHOON License Eff Dt: 09/01/2018 License Exp Dt: 08/31/2021 Mgmt Co.: RMS LIVING PROPERTIES LLC

County ORANGE Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 000468 License No.: 147921 Owner Information SABINE PLACE SABINE AID OPCO LLC 5301 MEEKS DR 330 N. WABASH AVE.STE. 3700 , ORANGE TX 77630 CHICAGO IL 60611 Phone (936) 559-9055 Fax (409) 883-8302 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 42 PRIVATE Beds: 42 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MANDI JACKSON License Eff Dt: 07/11/2021 License Exp Dt: 07/11/2024 Mgmt Co.: ENLIVANT AID FR MGMT LLC

Tuesday, September 28, 2021 Page 318 of 405 County PALO PINTO Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 000672 License No.: 148397 Owner Information LAKEWELL PLACE LAKEWELL AID OPCO LLC 3005 NORTHEAST 2ND ST 330 N WABASHSTE 3700 , MINERAL WELLS TX 76067 CHICAGO IL 60611 Phone (940) 325-7979 Fax (940) 328-0699 PHONE: (312) 728-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 36 PRIVATE Beds: 36 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SABRA MOSIER License Eff Dt: 07/11/2021 License Exp Dt: 07/11/2024 Mgmt Co.: ENLIVANT AID FNMAB MGMT LLC

County PALO PINTO Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 105535 License No.: 147925 Owner Information SERENITY ESTATES LLC SERENITY ESTATES LLC 401 NW 4TH STREET 401 NW 4TH STREET , MINERAL WELLS TX 76067 MINERAL WELLS TX 76067 Phone (940) 325-3744 Fax (940) 325-3093 PHONE: (940) 325-3744 FAX: (940) 325-3093 TOTAL Lic Capacity: 26 PRIVATE Beds: 26 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ROXANN MARTIN License Eff Dt: 09/05/2019 License Exp Dt: 09/05/2022 Mgmt Co.:

County PANOLA Reg Svcs: TYLER NE TEAM Region 04 Facility Information: Facility ID: 102017 License No.: 149489 Owner Information CARRIES ASSISTED LIVING CENTER GRACELAND PERSONAL CARE HOMES INC 2625 CR 302 P.O. BOX 329 , CARTHAGE TX 75633 CARTHAGE TEXAS 75633 Phone (903) 694-9290 Fax (903) 694-9191 PHONE: (903) 693-9617 FAX: (903) 694-9191 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BOBBY R WILLIAMS SR. License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2023 Mgmt Co.:

County PANOLA Reg Svcs: TYLER NE TEAM Region 04 Facility Information: Facility ID: 101654 License No.: 307517 Owner Information MARIAN PLACE ASSISTED LIVING PARKS HEALTHCARE MANAGEMENT 1690 NE LOOP 1230 TATE LANE , CARTHAGE TX 75633 ARGYLE TX 76226 Phone (903) 690-0556 Fax (903) 690-0526 PHONE: (913) 522-4471 FAX: TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 14 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: EVELYN RAYSON License Eff Dt: 12/29/2018 License Exp Dt: 12/29/2021 Mgmt Co.: PARKS HEALTHCARE MANAGEMENT

County PANOLA Reg Svcs: TYLER NE TEAM Region 04 Facility Information: Facility ID: 000979 License No.: 148370 Owner Information WINKLER PLACE WINKLER AID OPCO LLC 513 NORTH ADAMS 330 N WABASHSTE 3700 , CARTHAGE TX 75633 CHICAGO IL 60611 Phone (903) 694-2525 Fax (903) 694-2644 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 36 PRIVATE Beds: 36 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHANTEL ARROWOOD License Eff Dt: 07/11/2021 License Exp Dt: 07/11/2024 Mgmt Co.: ENLIVANT AID FNMAB MGMT LLC

Tuesday, September 28, 2021 Page 319 of 405 County PANOLA Reg Svcs: TYLER NE TEAM Region 04 Facility Information: Facility ID: 030363 License No.: 145314 Owner Information HAPPY ACRES PERSONAL CARE ELZENA FITE 5154 US HWY 79 N 5154 US HWY 79 N , DE BERRY TX 75639 DE BERRY TX 75639 Phone (903) 622-4596 Fax (903) 622-4806 PHONE: (903) 622-4596 FAX: (903) 622-4806 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ELZENA FITE License Eff Dt: 07/19/2020 License Exp Dt: 07/19/2023 Mgmt Co.:

County PARKER Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 100164 License No.: 146879 Owner Information AUTUMN HILL MANOR AUTUMN H MANOR INC 228 W RENTZ ST 152 FALCON RDG , WEATHERFORD TX 76086 ALDEO TX 76008 Phone (817) 596-4159 Fax (817) 598-1696 PHONE: (817) 329-2739 FAX: (817) 598-1696 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CARI H DENNIS License Eff Dt: 01/20/2019 License Exp Dt: 01/20/2022 Mgmt Co.:

County PARKER Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 000611 License No.: 144332 Owner Information AUTUMN HILL MANOR AUTUMN H MANOR INC 202 W RENTZ ST 152 FALCON RDG , WEATHERFORD TX 76086 ALDEO TX 76008 Phone (817) 596-4159 Fax (817) 598-1696 PHONE: (817) 329-2739 FAX: (817) 598-1696 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GINA MCBEE License Eff Dt: 01/20/2020 License Exp Dt: 01/20/2023 Mgmt Co.:

County PARKER Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 000808 License No.: 146131 Owner Information BROOKDALE WEATHERFORD BROOKDALE SENIOR LIVING COMMUNITIES, INC 904 S LAMAR ST 6737 W WASHINGTON ST STE 2300 , WEATHERFORD TX 76086 MILWAUKEE WI 53214 Phone (817) 341-4100 Fax (817) 341-4101 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOY JACKSON License Eff Dt: 12/01/2020 License Exp Dt: 12/01/2023 Mgmt Co.:

County PARKER Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 000755 License No.: 149001 Owner Information HILLTOP PARK REHABILITATION AND CARE CENTER HOLLAND LAKE OHANA LLC 970 HILLTOP DR 970 HILLTOP DR , WEATHERFORD TX 76086 WEATHERFORD TX 76086 Phone (817) 596-9001 Fax (817) 599-3823 PHONE: (817) 599-0000 FAX: (817) 596-0751 TOTAL Lic Capacity: 40 PRIVATE Beds: 40 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TRACI WERNE License Eff Dt: 08/13/2021 License Exp Dt: 08/13/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 320 of 405 County PARKER Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 102928 License No.: 308148 Owner Information MARTIN CREST ASSISTED LIVING AND MEMORY CARE COMMUNITY WELLTOWER TENANT GROUP LLC 1818 MARTIN DR 4500 DORR STEET , WEATHERFORD TX 76086 TOLEDO OHIO 43615 Phone 817 3411169 Fax 817 5980926 PHONE: FAX: TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOANNE GOODMAN License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.: MARTIN CREST AL MC CARE PROPERTIES LLC

County PARKER Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 110265 License No.: 307622 Owner Information WEST FORK OF WEATHERFORD SUNNY WEST INVESTMENTS, LTD 980 HILLTOP DRIVE , WEATHERFORD TX 76086 Phone (682) 310-8737 Fax PHONE: FAX: TOTAL Lic Capacity: 116 PRIVATE Beds: 116 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RUTH CHEROP License Eff Dt: 12/11/2019 License Exp Dt: 12/11/2022 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County PARKER Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 030057 License No.: 307217 Owner Information WINDSOR COURT SENIOR LIVING JAMESON SENIOR LIVING, INC 1101 JAMESON ST , WEATHERFORD TX 76086 Phone (817) 599-5075 Fax (817) 613-9230 PHONE: FAX: TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ALEXA LEWIS License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.:

County PARKER Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 102371 License No.: 307195 Owner Information WINDSOR COURT SENIOR LIVING JAMESON SENIOR LIVING, INC 1101 JAMESON STREET , WEATHERFORD TX 76086 Phone (817) 599-5075 Fax (817) 613-9230 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ALEXA LEWIS License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.:

County PARKER Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 106697 License No.: 146506 Owner Information CLEAR FORK ASSISTED LIVING AND MEMORY CARE WPAL 2015 LLC 178 CROWN POINTE BLVD 3973 W VICKERY BLVD STE 101 , WILLOW PARK TX 76087 FORT WORTH TX 76107 Phone (817) 386-8326 Fax PHONE: (817) 386-8888 FAX: (817) 386-8324 TOTAL Lic Capacity: 78 PRIVATE Beds: 78 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JULIE PRESTON License Eff Dt: 01/20/2021 License Exp Dt: 01/20/2024 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

Tuesday, September 28, 2021 Page 321 of 405 County POLK Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 105331 License No.: 146988 Owner Information PROVIDENT MEMORY CARE CENTER PROVIDENT MEMORY CARE GROUP LLC 1810 N. WASHINGTON AVE. PO BOX 2424 , LIVINGSTON TX 77351 CEDAR PARK TX 78680 Phone (936) 327-8195 Fax (866) 245-6709 PHONE: (512) 630-4550 FAX: TOTAL Lic Capacity: 44 PRIVATE Beds: 44 Cert Alzh Capacity: 44 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KAREN R HARRELL License Eff Dt: 05/02/2021 License Exp Dt: 05/02/2024 Mgmt Co.: MEMORY MANAGEMENT INC

County POLK Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 104411 License No.: 308297 Owner Information TALL PINES ASSISTED LIVING LIVINGSTON TALL PINES ASSISTED LIVING LLC 1437 S. FM 1988 , LIVINGSTON TX 77351 Phone (936) 967-3636 Fax (936) 967-3635 PHONE: FAX: TOTAL Lic Capacity: 32 PRIVATE Beds: 32 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: VIRGINIA NORSWORTHY License Eff Dt: 04/01/2021 License Exp Dt: 04/01/2024 Mgmt Co.:

County POLK Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 100218 License No.: 146641 Owner Information THE GARDENS AT LIVINGSTON CARROLL PARTNERS INVESTMENT NO 2 INC 501 GARDEN RIDGE DR 601 GARDEN RIDGE DR , LIVINGSTON TX 77351 LIVINGSTON TX 77351 Phone (936) 327-3141 Fax (936) 327-0038 PHONE: (903) 327-3141 FAX: (936) 327-0038 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: OSMA CARROLL JR. License Eff Dt: 02/26/2021 License Exp Dt: 02/26/2024 Mgmt Co.: NO MANAGEMENT COMPANY NA

County POLK Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 100408 License No.: 146535 Owner Information THE GARDENS AT LIVINGSTON CARROLL PARTNERS INVESTMENT NO 2 INC 601 GARDEN RIDGE DR 601 GARDEN RIDGE DR , LIVINGSTON TX 77351 LIVINGSTON TX 77351 Phone (936) 327-3141 Fax (936) 327-0038 PHONE: (903) 327-3141 FAX: (936) 327-0038 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: OSMA CARROLL JR. License Eff Dt: 11/01/2018 License Exp Dt: 02/26/2021 Mgmt Co.: NO MANAGEMENT COMPANY NA

County POTTER Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 107088 License No.: 150177 Owner Information BEEHIVE HOMES OF AMARILLO BHH OPERATIONS OF TEXAS 2 LLC 5800 SW 54TH ST 4811 HARDWARE DRIVE NE, SUITE D1 , AMARILLO TX 79109 ALBUQUERQUE NM 87109 Phone (505) 480-1445 Fax (505) 821-1834 PHONE: (505) 554-2902 FAX: (505) 821-1834 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KATHY SMITH License Eff Dt: 07/12/2020 License Exp Dt: 07/12/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 322 of 405 County POTTER Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 050721 License No.: 150194 Owner Information BROOKDALE MEDI PARK WEST EMERITUS CORPORATION 7404 WALLACE BLVD 6737 W. WASHINGTON STREET SUITE 2300 , AMARILLO TX 79106 MILWAUKEE WI 53214 Phone (806) 356-8346 Fax (806) 355-7043 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 80 PRIVATE Beds: 80 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RYAN LOYD License Eff Dt: 07/31/2020 License Exp Dt: 07/31/2023 Mgmt Co.: SUNWEST MANAGEMENT INC

County POTTER Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 110333 License No.: 148052 Owner Information DR WINFRED AND ELIZABETH MOORE ASSISTED LIVING CENTER BAPTIST COMMUNITY SERVICES 400 S. W. 14TH ST. 701 PARK PLACESECOND FL , AMARILLO TX 79101 AMARILLO TX 79101 Phone (806) 337-4181 Fax (806) 337-5073 PHONE: (806) 337-5292 FAX: (806) 337-5075 TOTAL Lic Capacity: 107 PRIVATE Beds: 107 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GLORIA SILVA License Eff Dt: 08/22/2021 License Exp Dt: 08/22/2024 Mgmt Co.:

County POTTER Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 110158 License No.: 307350 Owner Information GOOD LIFE SENIOR LIVING AND MEMORY CARE GOOD LIFE SENIOR LIVING MANAGEMENT CO LLC 928 WESTWOOD DR. B P.O. BOX 1278 , AMARILLO TX 79124 RUIDOSO NM 88355 Phone Fax PHONE: (435) 820-1572 FAX: (469) 200-4074 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 06/25/2019 License Exp Dt: 06/25/2022 Mgmt Co.: GOOD LIFE SENIOR LIVING MANAGEMENT CO LLC

County POTTER Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 103381 License No.: 148090 Owner Information GOODLIFE SENIOR LIVING AND MEMORY CARE GOOD LIFE SENIOR LIVING MANAGEMENT CO LLC 928 WESTWOOD DR P.O. BOX 1278 , AMARILLO TX 79124 RUIDOSO NM 88355 Phone (806) 418-4320 Fax (806) 418-4323 PHONE: (435) 820-1572 FAX: (469) 200-4074 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TERRI BRYAN License Eff Dt: 11/22/2020 License Exp Dt: 11/22/2023 Mgmt Co.: GOOD LIFE SENIOR LIVING MANAGEMENT CO LLC

County POTTER Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 106345 License No.: 147213 Owner Information HEARTIS AMARILLO HEARTIS AMARILLO PARTNERS, LP 1610 RESEARCH STREET 5910 N CENTRAL EXPRESSWAY SUITE 200 , AMARILLO TX 79106 DALLAS TX 75206 Phone (806) 353-1900 Fax PHONE: (214) 916-5750 FAX: (469) 547-5422 TOTAL Lic Capacity: 96 PRIVATE Beds: 96 Cert Alzh Capacity: 35 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LINDSAY JONES License Eff Dt: 01/13/2019 License Exp Dt: 01/13/2022 Mgmt Co.: SAGORA SENIOR LIVING, INC

Tuesday, September 28, 2021 Page 323 of 405 County POTTER Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 000505 License No.: 148053 Owner Information PLUM CREEK PLACE POTTER AID OPCO LLC 6800 PLUM CREEK DR 330 N WABASH AVESTE 3700 , AMARILLO TX 79124 CHICAGO IL 60611 Phone (806) 353-5185 Fax (806) 353-6912 PHONE: (817) 871-4000 FAX: (817) 871-4001 TOTAL Lic Capacity: 58 PRIVATE Beds: 58 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LESA MARRELL License Eff Dt: 07/11/2019 License Exp Dt: 07/11/2022 Mgmt Co.: ENLIVANT AID KB MGMT LLC

County POTTER Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 000393 License No.: 146895 Owner Information SAGECREEK ASSISTED LIVING ER OPCO CRAIG, LLC 5500 WEST 9TH AVE ONE VILLAGE DR STE 400 , AMARILLO TX 79106 ABILENE TX 79606 Phone (806) 352-7244 Fax (806) 467-7473 PHONE: (806) 352-7244 FAX: (806) 467-7493 TOTAL Lic Capacity: 52 PRIVATE Beds: 52 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STEVEN M SCHMIDT License Eff Dt: 02/28/2021 License Exp Dt: 02/28/2024 Mgmt Co.: ER SENIOR MANAGEMENT LLC

County POTTER Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 010318 License No.: 145968 Owner Information THE COTTAGES AT QUAIL CREEK I QUAIL CREEK COTTAGES LTD 6811 PLUM CREEK DR 4514 TRAVIS ST STE 211 , AMARILLO TX 79124 DALLAS TX 75205 Phone (806) 351-2271 Fax (806) 351-1310 PHONE: (214) 526-0021 FAX: (214) 526-7965 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TIFFANY ALLEY License Eff Dt: 10/08/2020 License Exp Dt: 10/08/2023 Mgmt Co.: THE COTTAGES SENIOR LIVING LLC

County POTTER Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 010324 License No.: 145960 Owner Information THE COTTAGES AT QUAIL CREEK I I QUAIL CREEK COTTAGES LTD 6811 PLUM CREEK DRIVE 4514 TRAVIS ST STE 211 , AMARILLO TX 79124 DALLAS TX 75205 Phone (806) 351-2271 Fax (806) 351-1310 PHONE: (214) 526-0021 FAX: (214) 526-7965 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JULIA JOHNSON License Eff Dt: 10/08/2020 License Exp Dt: 10/08/2022 Mgmt Co.: THE COTTAGES SENIOR LIVING LLC

County POTTER Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 110179 License No.: 307389 Owner Information THE LEGACY AT TOWN SQUARE LEGACY MT LLC 9700 HILLSIDE RD 675 BERING DRSTE 550 , AMARILLO TX 79119 HOUSTON TX 77057 Phone (806) 208-4440 Fax PHONE: (713) 425-5423 FAX: TOTAL Lic Capacity: 104 PRIVATE Beds: 104 Cert Alzh Capacity: 29 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOE WALTER License Eff Dt: 07/16/2019 License Exp Dt: 07/16/2022 Mgmt Co.: LIFEWELL SENIOR LIVING

Tuesday, September 28, 2021 Page 324 of 405 County POTTER Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 106783 License No.: 149486 Owner Information THE SYCAMORE BAPTIST COMMUNITY SERVICES 1511 SOUTH VAN BUREN 701 PARK PLACESECOND FL , AMARILLO TX 79101 AMARILLO TX 79101 Phone (806) 337-4500 Fax (806) 803-9776 PHONE: (806) 337-5292 FAX: (806) 337-5075 TOTAL Lic Capacity: 56 PRIVATE Beds: 56 Cert Alzh Capacity: 56 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHEILA LOPEZ LVN License Eff Dt: 04/30/2020 License Exp Dt: 04/30/2023 Mgmt Co.:

County RANDALL Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 000327 License No.: 307466 Owner Information BROOKDALE SLEEPY HOLLOW EMERITOL SEVILLE ESTATES LLC 7401 SEVILLE DRIVE 111 WESTWOOD PLSTE 400 , AMARILLO TX 79121 BRENTWOOD TN 37027 Phone 806 3512105 Fax 806 3510143 PHONE: FAX: TOTAL Lic Capacity: 65 PRIVATE Beds: 65 Cert Alzh Capacity: 26 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEBBIE KING License Eff Dt: 06/24/2019 License Exp Dt: 06/24/2022 Mgmt Co.:

County RANDALL Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 104152 License No.: 308312 Owner Information HILLSIDE HAVEN CARE LLC HILLSIDE HAVEN CARE LLC 5230 ROYCE DRIVE 5230 ROYCE CR , AMARILLO TX 79110 AMARILLO TX 79110 Phone (806) 358-7996 Fax (806) 358-7958 PHONE: 806 2688921 FAX: TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HOLLY ELLIS License Eff Dt: 11/06/2020 License Exp Dt: 11/06/2023 Mgmt Co.: HILLSIDE HAVEN CARE LLC

County RANDALL Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 010218 License No.: 145741 Owner Information SKYWEST ASSISTED LIVING CENTER BY SHAWAMARILLO SKYWEST ASSISTED LIVING 6301 BLAKE AVE 2623 12TH AVE , AMARILLO TX 79119 CANYON TX 79015 Phone (806) 351-0686 Fax (806) 467-1359 PHONE: (806) 655-2911 FAX: (806) 655-1007 TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LONNIE SHAW License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.:

County RANDALL Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 106578 License No.: 150198 Owner Information THE RESERVE AT AMARILLO AMARILLO MEMORY CARE LLC 7480 HILLSIDE ROAD 545 E JOHN CARPENTER FREEWAYSTE 500 , AMARILLO TX 79119 IRVING TX 75062 Phone (806) 731-8713 Fax (806) 731-8712 PHONE: (214) 845-4500 FAX: (214) 845-4501 TOTAL Lic Capacity: 56 PRIVATE Beds: 56 Cert Alzh Capacity: 56 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAVID RASBAND License Eff Dt: 11/30/2020 License Exp Dt: 11/30/2023 Mgmt Co.: TLG FAMILY MANGEMENT, LLC

Tuesday, September 28, 2021 Page 325 of 405 County RANDALL Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 000497 License No.: 148135 Owner Information CONNER PLACE CONNER AID OPCO LLC 2 COTTONWOOD LN 330 N. WABASHSUITE 3700 , CANYON TX 79015 CHICAGO IL 60611 Phone (806) 655-5965 Fax (806) 655-8213 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 36 PRIVATE Beds: 36 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: EMILEA WHITE License Eff Dt: 07/11/2021 License Exp Dt: 07/11/2024 Mgmt Co.: ENLIVANT AID CMBS MGMT LLC

County RANDALL Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 101051 License No.: 308286 Owner Information HUDSON HOUSE CANYON MANAGEMENT COMPANY, LLC HUDSON HOUSE CANYON MANAGEMENT COMPANY, LLC 3210 RUSSELL LONG BLVD 3210 RUSSELL LONG BLVD. , CANYON TX 79015 CAN08/15/2020YON TX 79015 Phone (806) 655-4244 Fax (806) 655-7001 PHONE: (806) 655-4244 FAX: (806) 655-7001 TOTAL Lic Capacity: 33 PRIVATE Beds: 33 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ALYSSA HECK License Eff Dt: 10/04/2020 License Exp Dt: 10/04/2023 Mgmt Co.: HUDSON HOUSE CANYON MANAGEMENT COMPANY, LLC

County RANDALL Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 000762 License No.: 146703 Owner Information SKYWEST ASSISTED LIVING CENTER BY SHAW SKYWEST ASSISTED LIVING CENTER BY SHAW 2623 12TH AVE , CANYON TX 79015 Phone (806) 655-2911 Fax (806) 655-1077 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LONNIE SHAW License Eff Dt: 02/01/2021 License Exp Dt: 02/01/2024 Mgmt Co.:

County ROCKWALL Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 107131 License No.: 150023 Owner Information GOODLIFE SENIOR LIVING AND MEMORY CARE BUILDING A GOOD LIFE SENIOR LIVING MANAGEMENT CO LLC 126 SMIRL DRIVE P.O. BOX 1278 , HEATH TX 75032 RUIDOSO NM 88355 Phone (469) 338-0538 Fax PHONE: (435) 820-1572 FAX: (469) 200-4074 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HOLLI STEINECKE License Eff Dt: 07/17/2020 License Exp Dt: 07/17/2023 Mgmt Co.:

County ROCKWALL Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 107130 License No.: 150024 Owner Information GOODLIFE SENIOR LIVING AND MEMORY CARE BUILDING B GOOD LIFE SENIOR LIVING MANAGEMENT CO LLC 126 SMIRL DRIVE BUILDING B P.O. BOX 1278 , HEATH TX 75032 RUIDOSO NM 88355 Phone (469) 338-0538 Fax PHONE: (435) 820-1572 FAX: (469) 200-4074 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HOLLI STEINECKE License Eff Dt: 07/17/2020 License Exp Dt: 07/17/2023 Mgmt Co.: COVENANT GRACE HOSPICE, INC

Tuesday, September 28, 2021 Page 326 of 405 County ROCKWALL Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 030301 License No.: 308227 Owner Information BROOKDALE SUMMER RIDGE EMERIROCK LLC 3020 RIDGE ROAD , ROCKWALL TX 75032 Phone (972) 771-2800 Fax (972) 771-0340 PHONE: FAX: TOTAL Lic Capacity: 140 PRIVATE Beds: 140 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DONNA PIET License Eff Dt: 01/01/2021 License Exp Dt: 01/01/2024 Mgmt Co.:

County ROCKWALL Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 104757 License No.: 149808 Owner Information ESSENTIAL LIVING RESIDENTIAL CARE GOLD STAR PROS LLC 489 BENDING OAKS TR 5853 FM 36 SOUTH , ROCKWALL TX 75087 QUINLAN TX 75474 Phone (972) 722-2958 Fax PHONE: (817) 371-5566 FAX: TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DON COPE License Eff Dt: 12/22/2019 License Exp Dt: 12/22/2021 Mgmt Co.: GOLD STAR PROS LLC

County ROCKWALL Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 103958 License No.: 307381 Owner Information LAKESHORE ASSISTED LIVING AND MEMORY CARE SANDSTONE SENIOR LIVING, INC 5250 MEDICAL DRIVE , ROCKWALL TX 75032 Phone (469) 338-0204 Fax (469) 338-0207 PHONE: FAX: TOTAL Lic Capacity: 86 PRIVATE Beds: 86 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TORI MOORE License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.: SENIOR REALTY OF TEXAS LLC

County ROCKWALL Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 104957 License No.: 307515 Owner Information REVERE COURT OF ROCKWALL CHANCELLOR HEALTH CARE OF TEXAS I, INC 225 E. RALPH HALL PARKWAY , ROCKWALL TX 75032 Phone (469) 402-1883 Fax PHONE: FAX: TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 50 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KAREN QUALLS License Eff Dt: 06/07/2019 License Exp Dt: 06/07/2022 Mgmt Co.: CHANCELLOR HEALTH CARE, INC

County ROCKWALL Reg Svcs: TEAM 5 Region 03 Facility Information: Facility ID: 105757 License No.: 147130 Owner Information ROCK RIDGE ASSISTED LIVING AND MEMORY CARE ROCKWALL ALF LLC 720 E. RALPH HALL PARKWAY 8415 E 21ST STREET N, SUITE 100 , ROCKWALL TX 75032 WICHITA KANSAS 67206 Phone (469) 757-8300 Fax PHONE: (316) 616-6288 FAX: (316) 616-6255 TOTAL Lic Capacity: 85 PRIVATE Beds: 85 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: WENDY HUG License Eff Dt: 06/16/2021 License Exp Dt: 06/16/2024 Mgmt Co.: LEGEND SENIOR LIVING LLC

Tuesday, September 28, 2021 Page 327 of 405 County RUNNELS Reg Svcs: SAN ANGELO GERIATRIC Region 02 Facility Information: Facility ID: 100396 License No.: 307207 Owner Information ASHWOOD MANOR LLC ASHWOOD MANOR LLC 1502 STATE HWY 158 , BALLINGER TX 76821 Phone (325) 365-2959 Fax PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: NIKKI G LOWE License Eff Dt: 07/30/2021 License Exp Dt: 07/30/2024 Mgmt Co.:

County RUNNELS Reg Svcs: SAN ANGELO GERIATRIC Region 02 Facility Information: Facility ID: 000388 License No.: 308212 Owner Information RESIDENCE AT WINTERS LLC RESIDENCE AT WINTERS LLC 616 E. TRUETT , WINTERS TX 79567 Phone (325) 754-5083 Fax (325) 754-4570 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHANNA FUENTES License Eff Dt: 10/25/2020 License Exp Dt: 10/25/2023 Mgmt Co.: LTC INFORMATON SYSTEMS INC

County RUSK Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 030004 License No.: 146475 Owner Information BROOKDALE HENDERSON ESC IV LP 1000 RICHARDSON DR 6737 W WASHINGTON ST STE 2300 , HENDERSON TX 75654 MILWAUKEE WI 53214 Phone (903) 655-1198 Fax (903) 656-2259 PHONE: FAX: TOTAL Lic Capacity: 80 PRIVATE Beds: 80 Cert Alzh Capacity: 21 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRISTY BROWN License Eff Dt: 01/01/2019 License Exp Dt: 01/01/2021 Mgmt Co.:

County RUSK Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 000708 License No.: 308051 Owner Information PINE LODGE ASSISTED LIVING PINE LODGE ASSISTED LIVING LLC 1905 OLD NACOGDOCHES ROAD , HENDERSON TX 75654 Phone (903) 657-1563 Fax (903) 657-4693 PHONE: FAX: TOTAL Lic Capacity: 36 PRIVATE Beds: 36 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAVID KITCHENS License Eff Dt: 09/16/2020 License Exp Dt: 09/16/2023 Mgmt Co.: WIND RIVER MANAGEMENT CORPORATION

County RUSK Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 001276 License No.: 146892 Owner Information STARLING'S ADULT FOSTER CARE HOME MERELINE STARLING 4285 U.S 259 (SOUTH) PO BOX 21 , HENDERSON TX 75654 HENDERSON TEXAS 75653 Phone (903) 657-4304 Fax (903) 657-4304 PHONE: FAX: TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE C Administrator: MERELINE STARLING License Eff Dt: 04/15/2019 License Exp Dt: 04/15/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 328 of 405 County SAN AUGUSTINE Reg Svcs: TYLER NE TEAM Region 04 Facility Information: Facility ID: 030024 License No.: 307916 Owner Information STONECREEK ASSISTED LIVING & RETIREMENT CENTER SAN AUGUSTINE MANAGEMENT LLC 1997 DAVIDSON DR. , SAN AUGUSTINE TX 75972 Phone (936) 275-0222 Fax (936) 275-5978 PHONE: FAX: TOTAL Lic Capacity: 52 PRIVATE Beds: 52 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PAMELA WINFIELD License Eff Dt: 04/01/2020 License Exp Dt: 04/01/2023 Mgmt Co.: RCG HEALTH CARE LLC

County SAN PATRICIO Reg Svcs: CORPUS CHRISTI 11 Region 07 Facility Information: Facility ID: 010345 License No.: 307689 Owner Information THE PAVILION WILLACY HEALTHCARE INC 211 CEDAR DR , PORTLAND TX 78374 Phone (361) 777-4250 Fax (361) 777-2892 PHONE: FAX: TOTAL Lic Capacity: 40 PRIVATE Beds: 40 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHERYL LONGWELL License Eff Dt: 11/16/2019 License Exp Dt: 11/16/2022 Mgmt Co.:

County SCURRY Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 104895 License No.: 307047 Owner Information GOOD LIFE SENIOR LIVING AND MEMORY CARE B GOOD LIFE SENIOR LIVING MANAGEMENT CO LLC 1904 MARTHA ANN BLVD P.O. BOX 1278 , SNYDER TX 79549 RUIDOSO NM 88355 Phone (325) 436-0228 Fax (325) 436-0229 PHONE: (435) 820-1572 FAX: (469) 200-4074 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BUFFIE HERRERA License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2022 Mgmt Co.: GOOD LIFE SENIOR LIVING MANAGEMENT CO LLC

County SCURRY Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 107010 License No.: 308368 Owner Information GOODLIFE SENIOR LIVING AND MEMORY CARE SNYDER SENIOR CARE FOUNDATION, INC 1906 MARTHA ANN BLVD. C P.O. BOX 1270 , SNYDER TX 79549 RUIDOSO NM 88355 Phone (806) 418-4320 Fax (806) 418-4323 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BUFFIE HERRERA License Eff Dt: 08/13/2021 License Exp Dt: 08/13/2024 Mgmt Co.: SNYDER GOODLIFE, LLC

County SCURRY Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 104894 License No.: 307007 Owner Information GOODLIFE SENIOR LIVING AND MEMORY CARE BUILDING A GOOD LIFE SENIOR LIVING MANAGEMENT CO LLC 1906 MARTHA ANN BLVD BUILDING A P.O. BOX 1278 , SNYDER TX 79549 RUIDOSO NM 88355 Phone (806) 418-4320 Fax (806) 418-4323 PHONE: (435) 820-1572 FAX: (469) 200-4074 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BUFFIE HERRERA License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2022 Mgmt Co.: TASCOSA MANAGEMENT, LLC

Tuesday, September 28, 2021 Page 329 of 405 County SHELBY Reg Svcs: TYLER NE TEAM Region 04 Facility Information: Facility ID: 104343 License No.: 146074 Owner Information LAKESIDE VILLAGE ASSISTED LIVING TENAHA CREEK, LLC 1468 LOOP 500 1468 LOOP 500 EAST , CENTER TX 75935 CENTER TX 75935 Phone (936) 590-9300 Fax (936) 590-9315 PHONE: (936) 590-9300 FAX: (936) 590-9315 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BRENDA K POWELL License Eff Dt: 12/15/2020 License Exp Dt: 12/15/2023 Mgmt Co.:

County SMITH Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 104878 License No.: 146054 Owner Information WESLEY HOUSE WESLEY HOUSE LINDALE LLC 13923 FM 2710 110 DALLAS ST , LINDALE TX 75771 MT. VERNON TX 75457 Phone (903) 882-9296 Fax (903) 881-5742 PHONE: (903) 537-4116 FAX: (903) 270-6227 TOTAL Lic Capacity: 54 PRIVATE Beds: 54 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NICOLE JENKINS License Eff Dt: 11/06/2020 License Exp Dt: 11/06/2023 Mgmt Co.: WESLEY PARTNERS II, LLC

County SMITH Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 000331 License No.: 147545 Owner Information ATRIA COPELAND WG COPELAND SH LLC 5317 NEW COPELAND RD 300 EAST MARKET STREETATTN: LEGAL DEPT. SUITE 100 , TYLER TX 75703 LOUISVILLE KY 40202 Phone (903) 509-9575 Fax (903) 509-9890 PHONE: (502) 779-4700 FAX: (502) 779-4701 TOTAL Lic Capacity: 80 PRIVATE Beds: 80 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHARON BROWN License Eff Dt: 05/12/2021 License Exp Dt: 05/12/2024 Mgmt Co.: ATRIA MANAGEMENT COMPANY LLC

County SMITH Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 000947 License No.: 148858 Owner Information ATRIA WILLOW PARK WG WILLOW PARK SH LLC 3500 S VINE AVE 500 N HURSTBOURNE PKWYSTE 200 , TYLER TX 75701 LOUISVILLE KY 40222 Phone (903) 561-4302 Fax (903) 561-2581 PHONE: (502) 779-4700 FAX: (502) 779-4749 TOTAL Lic Capacity: 82 PRIVATE Beds: 82 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LATISHA CARTWRIGHT License Eff Dt: 05/12/2021 License Exp Dt: 05/12/2024 Mgmt Co.: ATRIA MANAGEMENT COMPANY LLC

County SMITH Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 102945 License No.: 308277 Owner Information AZALEA TRAILS ASSISTED LIVING AND MEMORY CARE COMMUNITY WELLTOWER TENANT GROUP LLC 5550 OLD JACKSONVILLE HWY 4500 DORR STEET , TYLER TX 75703 TOLEDO OHIO 43615 Phone 903 5614307 Fax 903 5614603 PHONE: FAX: TOTAL Lic Capacity: 54 PRIVATE Beds: 54 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RESENCIA PRYOR License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.: AZALEA TRAILS AL MC CARE PROPERTIES LLC

Tuesday, September 28, 2021 Page 330 of 405 County SMITH Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 000800 License No.: 146226 Owner Information BROOKDALE TYLER EAST BROOKDALE SENIOR LIVING COMMUNITIES, INC 3505 UNIVERSITY BLVD 6737 W WASHINGTON ST STE 2300 , TYLER TX 75701 MILWAUKEE WI 53214 Phone (903) 565-0800 Fax (903) 565-0802 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SALLY PALMER License Eff Dt: 12/01/2020 License Exp Dt: 12/01/2023 Mgmt Co.:

County SMITH Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 010226 License No.: 148941 Owner Information BROOKDALE TYLER SOUTH ESC IV LP 5403 PLANTATION DR 6737 W, WASHINGTON ST SUITE 2300 , TYLER TX 75703 MILWAUKEE WI 53214 Phone (903) 534-4955 Fax (903) 534-1311 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 56 PRIVATE Beds: 56 Cert Alzh Capacity: 56 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SALLY PALMER License Eff Dt: 03/31/2019 License Exp Dt: 03/31/2022 Mgmt Co.:

County SMITH Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 000308 License No.: 145248 Owner Information EAST TEXAS ALF REUNION INN LLC EAST TEXAS ALF REUNION INN LLC 1515 RICE RD 4939 ELIZABETH , TYLER TX 75703 TEXARKANA TX 75503 Phone (903) 581-6100 Fax (903) 581-1119 PHONE: (903) 832-0429 FAX: (903) 255-0385 TOTAL Lic Capacity: 51 PRIVATE Beds: 51 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STACY RICH License Eff Dt: 05/01/2020 License Exp Dt: 05/01/2023 Mgmt Co.:

County SMITH Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 103676 License No.: 150017 Owner Information EAST TEXAS ALF WATERTON INN LLC EAST TEXAS ALF WATERTON INN LLC 2885 SHILOH ROAD 4939 ELIZABETHSTE 208 , TYLER TX 75703 TEXARKANA TX 75503 Phone (903) 939-9664 Fax (903) 939-0334 PHONE: (903) 832-0429 FAX: (903) 255-0385 TOTAL Lic Capacity: 39 PRIVATE Beds: 39 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BRENDA FORD License Eff Dt: 05/01/2020 License Exp Dt: 05/01/2022 Mgmt Co.:

County SMITH Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 030387 License No.: 149930 Owner Information GARDEN ESTATES OF TYLER ASSISTED LIVING COMMUNITY LSREF GOLDEN OPS 26 TX III LLC 2055 GRANDE BLVD 3500 LENOX ROAD NESUITE 510 , TYLER TX 75703 ATLANTA GA 30326 Phone (903) 534-0449 Fax (903) 534-0462 PHONE: (770) 754-9660 FAX: (770) 754-3085 TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: KARLA JACKSON License Eff Dt: 04/01/2020 License Exp Dt: 04/01/2023 Mgmt Co.: SL TYLER, LLC

Tuesday, September 28, 2021 Page 331 of 405 County SMITH Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 104686 License No.: 146600 Owner Information MEADOW LAKE ASSISTED LIVING COMMUNITY ER OPCO ML, LLC 16044 COUNTY ROAD 165 PO BOX 2107 , TYLER TX 75703 BRENTWOOD TN 37024 Phone (903) 526-5599 Fax (903) 526-3717 PHONE: (615) 915-2932 FAX: (615) 915-2938 TOTAL Lic Capacity: 54 PRIVATE Beds: 54 Cert Alzh Capacity: 34 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: EARTHA-KNIKOLEG CALDWELL-JORDAN License Eff Dt: 02/28/2019 License Exp Dt: 02/28/2022 Mgmt Co.: ER SENIOR MANAGEMENT LLC

County SMITH Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 101997 License No.: 149066 Owner Information NEURORESTORATIVE TEXAS MENTOR ABI, LLC 11937 US HWY 271 11937 US HWY 271 , TYLER TX 75708 TYLER TX 75708 Phone (903) 877-8700 Fax (903) 877-8707 PHONE: (617) 790-4800 FAX: (617) 790-4271 TOTAL Lic Capacity: 20 PRIVATE Beds: 20 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: EPPERSON JENNA License Eff Dt: 02/22/2020 License Exp Dt: 02/22/2023 Mgmt Co.:

County SMITH Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 105019 License No.: 150035 Owner Information OAK HILLS TERRACE MEMORY CARE FM OAK HILLS TYLER INVESTORS, LLC 2651 ELKTON TRAIL 7420 BRIDGEPORT RD.SUITE 105 , TYLER TX 75703 PORTLAND OR 97224 Phone (903) 747-3927 Fax (903) 939-9937 PHONE: (503) 443-1818 FAX: (503) 443-1919 TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 48 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ELIZABETH JORDAN License Eff Dt: 09/03/2020 License Exp Dt: 09/03/2023 Mgmt Co.: FM OAK HILLS TYLER INVESTORS, LLC

County SMITH Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 104335 License No.: 150115 Owner Information PENNY RELLA HOME CARE LUCILLE HAYTER 220 MAC ARTHUR ST 220 MCARTHUR ST , TYLER TX 75704 TYLER TX 75704 Phone (903) 705-2374 Fax (903) 526-4094 PHONE: (903) 526-4094 FAX: (903) 526-4094 TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE C Administrator: LUCILLE HAYTER LVN License Eff Dt: 06/09/2018 License Exp Dt: 03/31/2021 Mgmt Co.:

County SMITH Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 103159 License No.: 148552 Owner Information PRESTIGE ESTATES LLC PRESTIGE ESTATES LLC 6928 PALUXY DR 6928 PALUXY DR , TYLER TX 75703 TYLER TX 75703 Phone (903) 561-6102 Fax (903) 561-6541 PHONE: (903) 561-6102 FAX: (903) 561-6541 TOTAL Lic Capacity: 104 PRIVATE Beds: 104 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KRISTY L REDMAN License Eff Dt: 10/04/2019 License Exp Dt: 10/04/2021 Mgmt Co.: REDMAN REAL ESTATES LLC

Tuesday, September 28, 2021 Page 332 of 405 County SMITH Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 110513 License No.: 308301 Owner Information PRIMROSE OF TYLER TYLER RETIREMENT, LLC 2780 THREE LAKES PARKWAY PO BOX 1359 , TYLER TX 75703 ABERDEEN SD 57401 Phone (903) 714-1048 Fax (605) 226-2521 PHONE: FAX: TOTAL Lic Capacity: 104 PRIVATE Beds: 104 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHELSEA OWENS License Eff Dt: 06/15/2021 License Exp Dt: 06/15/2024 Mgmt Co.:

County SMITH Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 000316 License No.: 145804 Owner Information THE FOUNTAINS OF TYLER TYLER I ENTERPRISES, LLC 3323 GARDEN VALLEY RD SAME , TYLER TX 75702 FORT WORTH TX 76109 Phone (903) 592-8852 Fax (903) 533-1565 PHONE: (817) 348-8959 FAX: (817) 348-0466 TOTAL Lic Capacity: 27 PRIVATE Beds: 27 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: AMBER ARANGO LESCHHORN License Eff Dt: 09/01/2020 License Exp Dt: 09/01/2022 Mgmt Co.: CREATIVE SOLUTIONS IN HEALTHCARE, INC

County SMITH Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 000560 License No.: 145598 Owner Information THE FOUNTAINS OF TYLER TYLER I ENTERPRISES, LLC 3323 GARDEN VALLEY RD SAME , TYLER TX 75702 FORT WORTH TX 76109 Phone (903) 592-8852 Fax (903) 533-1565 PHONE: (817) 348-8959 FAX: (817) 348-0466 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: AMBER ARANGO LESCHHORN License Eff Dt: 09/01/2020 License Exp Dt: 09/01/2023 Mgmt Co.: CREATIVE SOLUTIONS IN HEALTHCARE, INC

County SMITH Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 000558 License No.: 150029 Owner Information THE FOUNTAINS OF TYLER TYLER I ENTERPRISES, LLC 3323 GARDEN VALLEY RD SAME , TYLER TX 75702 FORT WORTH TX 76109 Phone (903) 592-8852 Fax (903) 533-1565 PHONE: (817) 348-8959 FAX: (817) 348-0466 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: AMBER ARANGO LESCHHORN License Eff Dt: 08/18/2021 License Exp Dt: 09/01/2023 Mgmt Co.: CREATIVE SOLUTIONS IN HEALTHCARE, INC

County SMITH Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 103375 License No.: 307029 Owner Information THE HAMPTONS SENIOR LIVING HAMPTONS 2016 LLC 4250 OLD OMEN RD , TYLER TX 75707 Phone (903) 566-8931 Fax (903) 566-8506 PHONE: FAX: TOTAL Lic Capacity: 108 PRIVATE Beds: 108 Cert Alzh Capacity: 38 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANDREW OTTE License Eff Dt: 02/28/2019 License Exp Dt: 02/28/2022 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

Tuesday, September 28, 2021 Page 333 of 405 County SMITH Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 000559 License No.: 150053 Owner Information VILLA OF TYLER BUILDING 3 TYLER I ENTERPRISES, LLC 3323 GARDEN VALLEY RD SAME , TYLER TX 75702 FORT WORTH TX 76109 Phone (903) 592-8852 Fax (903) 533-1565 PHONE: (817) 348-8959 FAX: (817) 348-0466 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: AMBER ARANGO LESCHHORN License Eff Dt: 09/01/2020 License Exp Dt: 09/01/2023 Mgmt Co.: CREATIVE SOLUTIONS IN HEALTHCARE, INC

County SMITH Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 102114 License No.: 147347 Owner Information TENDER LOVING ELDERLY CARE DIANNE M FARRELL 14830 CR 2333 14830 CR 2333 , WHITEHOUSE TX 75791 WHITEHOUSE TX 75791 Phone (903) 534-3676 Fax (903) 534-6211 PHONE: (903) 534-3676 FAX: (903) 534-6211 TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE C Administrator: DIANNE M FARRELL License Eff Dt: 11/29/2018 License Exp Dt: 10/09/2021 Mgmt Co.:

County SWISHER Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 101627 License No.: 149805 Owner Information SWISHER MEMORIAL HOSPITAL RESIDENTIAL LIVING CENTER SWISHER MEMORIAL HOSPITAL DISTRICT 539 S E 2ND ST PO BOX 808 , TULIA TX 79088 TULIA TX 79088 Phone (806) 995-8211 Fax (806) 995-2277 PHONE: (806) 995-3581 FAX: (806) 995-8283 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHERRY THORNTON License Eff Dt: 06/01/2020 License Exp Dt: 06/01/2023 Mgmt Co.: NA

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 101771 License No.: 149642 Owner Information 24 HOURS HOME CARE INC 24 HOUR HOME CARE INC 2133 POSTWOOD LN 2133 POSTWOOD LN , ARLINGTON TX 76018 ARLINGTON TX 76018 Phone (817) 903-7564 Fax (817) 419-6501 PHONE: (817) 903-7564 FAX: (817) 419-6501 TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE C Administrator: KEHINDE ADELANA License Eff Dt: 01/10/2020 License Exp Dt: 01/10/2023 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 105379 License No.: 145629 Owner Information AVALON CARE GROUP LLC AVALON CARE GROUP LLC 7140 HWY 287 S 1625 N STEMMONS FREEWAY , ARLINGTON TX 76001 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 25 PRIVATE Beds: 25 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TIM SEIB License Eff Dt: 08/15/2020 License Exp Dt: 08/15/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 334 of 405 County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 110377 License No.: 307958 Owner Information AVALON MEMORY CARE AVALON DEMENTIA CARE MANAGEMENT LLC 7120 US HWY 287 S 1625 N STEMMONS FRWY , ARLINGTON TX 76001 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TIM SEIB License Eff Dt: 03/12/2020 License Exp Dt: 03/12/2023 Mgmt Co.: AVALON DEMENTIA CARE MANAGEMENT LLC

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 100660 License No.: 145833 Owner Information AVALON MEMORY CARE AVALON CARE GROUP LLC 7204 HWY 287 1625 N STEMMONS FREEWAY , ARLINGTON TX 76001 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 25 PRIVATE Beds: 25 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TIM SEIB License Eff Dt: 08/15/2020 License Exp Dt: 08/15/2023 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 100656 License No.: 149957 Owner Information AVALON MEMORY CARE AVALON CARE GROUP LLC 7200 HWY 287 1625 N STEMMONS FREEWAY , ARLINGTON TX 76001 DALLAS TX 75207 Phone (817) 563-0714 Fax (817) 563-6152 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 25 PRIVATE Beds: 25 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TIM SEIB License Eff Dt: 08/15/2020 License Exp Dt: 08/15/2023 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 000616 License No.: 147852 Owner Information BETHESDA FOUNDATION DBA BETHESDA GARDENS BETHESDA FOUNDATION 1103 W ARKANSAS LN 15475 GLENEAGLE DR , ARLINGTON TX 76013 COLORADO SPRINGS CO 80921 Phone (817) 861-4644 Fax (817) 861-4669 PHONE: (719) 481-0100 FAX: (719) 481-6080 TOTAL Lic Capacity: 75 PRIVATE Beds: 75 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BONNIE L PLEASANTS License Eff Dt: 07/31/2019 License Exp Dt: 07/31/2022 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 100159 License No.: 146706 Owner Information BROOKDALE PECAN PARK SH OPCO PECAN PARK, LLC 915 NORTH FIELDER RD 6737 W WASHINGTON ST STE 2300 , ARLINGTON TX 76012 MILWAUKEE WI 53214 Phone (817) 265-6900 Fax (817) 265-6906 PHONE: (949) 407-0700 FAX: (949) 407-0800 TOTAL Lic Capacity: 31 PRIVATE Beds: 31 Cert Alzh Capacity: 31 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: REBECCA MINER License Eff Dt: 12/01/2018 License Exp Dt: 12/01/2020 Mgmt Co.: BKD TWENTYONE MANAGEMENT COMPANY, INC

Tuesday, September 28, 2021 Page 335 of 405 County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 050686 License No.: 146456 Owner Information BROOKDALE PECAN PARK SH OPCO PECAN PARK, LLC 915 NORTH FIELDER RD 6737 W WASHINGTON ST STE 2300 , ARLINGTON TX 76012 MILWAUKEE WI 53214 Phone (817) 265-6900 Fax (817) 265-6906 PHONE: (949) 407-0700 FAX: (949) 407-0800 TOTAL Lic Capacity: 160 PRIVATE Beds: 160 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: REBECCA MINER License Eff Dt: 12/01/2020 License Exp Dt: 12/01/2022 Mgmt Co.: BKD TWENTYONE MANAGEMENT COMPANY, INC

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 100222 License No.: 149469 Owner Information CASTLEROCK ASSISTED LIVING LP CASTLEROCK ASSISTED LIVING LP 5519 S COLLINS ST. 5519 S COLLINS ST , ARLINGTON TX 76018 ARLINGTON TX 76018 Phone (817) 557-2221 Fax (817) 557-2215 PHONE: (817) 557-2221 FAX: (817) 557-2215 TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MANUEL MARTINEZ License Eff Dt: 02/01/2020 License Exp Dt: 02/01/2023 Mgmt Co.: WESTERNCARE MANAGEMENT LLC

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 050057 License No.: 148931 Owner Information COMPASSION OF FAITH LINDA'S ALTERNATIVE CARE INC 2501/2503 OAK HILL DR 2503 OAK HILL DR , ARLINGTON TX 76006 ARLINGTON TX 76006 Phone (817) 649-4048 Fax (817) 288-0771 PHONE: (817) 905-7190 FAX: (817) 288-0771 TOTAL Lic Capacity: 18 PRIVATE Beds: 18 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LINDA D SALEEM-MCGHEE License Eff Dt: 12/05/2019 License Exp Dt: 12/05/2021 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 102989 License No.: 144817 Owner Information COURAGE ASSISTED LIVING FACILITY PATIENCE O EGUAE 519 RED COAT LN , ARLINGTON TX 76002 Phone (817) 375-1059 Fax (817) 419-8146 PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: PATIENCE O EGUAE License Eff Dt: 04/01/2018 License Exp Dt: 04/01/2020 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 030053 License No.: 149475 Owner Information ELMCROFT OF ARLINGTON EC OPCO ARLINGTON LLC 4101 W ARKANSAS LN 500 NORTH HURSTBOURNE PARKWAYSUITE 200 , ARLINGTON TX 76016 LOUISVILLE KY 40222 Phone (817) 469-7671 Fax (817) 469-1423 PHONE: (502) 357-9000 FAX: (502) 357-9441 TOTAL Lic Capacity: 119 PRIVATE Beds: 119 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JASON WOOD License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2023 Mgmt Co.: ECLIPSE PROTFOLIO OPERATIONS, LLC

Tuesday, September 28, 2021 Page 336 of 405 County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 106576 License No.: 148870 Owner Information HEARTIS ARLINGTON HEARTIS ARLINGTON PARTNERS LP 3424 INTERSTATE 20 5910 N CENTRAL EXPWY , ARLINGTON TX 76017 DALLAS TX 75206 Phone (817) 952-8242 Fax PHONE: (214) 916-5750 FAX: TOTAL Lic Capacity: 95 PRIVATE Beds: 95 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNIFER J GARLAND LSW License Eff Dt: 07/21/2019 License Exp Dt: 07/21/2022 Mgmt Co.: FRONTIER SENIOR LIVING LLC

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 030336 License No.: 149692 Owner Information LEGACY LIVING AT ARLINGTON ARLINGTON MC MANAGEMENT LLC 1501 NE GREEN OAKS BLVD , ARLINGTON TX 76006 Phone (817) 795-1700 Fax (817) 795-1709 PHONE: FAX: TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 60 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LIDIA PEDRAZA License Eff Dt: 12/07/2019 License Exp Dt: 12/07/2022 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 106830 License No.: 147716 Owner Information LIGHTHOUSE OF CARE INC LIGHTHOUSE OF CARE INC 6215 KEN AVENUE 6215 KEN AVENUE , ARLINGTON TX 76001 ARLINGTON TX 76001 Phone (817) 891-2361 Fax (951) 602-6184 PHONE: (817) 891-2361 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: REBECCA ZIELINSKI License Eff Dt: 07/06/2021 License Exp Dt: 07/06/2024 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 000847 License No.: 149992 Owner Information MEADOW VIEW ASSISTED LIVING SOUTHWEST LTCMEADOW VIEW LTD 2815 MEDLIN DR 5560 TENNYSON PARKWAYSTE 210 , ARLINGTON TX 76015 PLANO TX 75024 Phone (817) 465-9596 Fax (817) 465-4026 PHONE: (469) 916-6100 FAX: TOTAL Lic Capacity: 80 PRIVATE Beds: 80 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JESSIE C NETTLES License Eff Dt: 07/01/2020 License Exp Dt: 07/01/2023 Mgmt Co.: SOUTHWEST LTC MANAGEMENT SERVICES LLC

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 105353 License No.: 147281 Owner Information MEADOWBROOK MEMORY CARE COMMUNITY JACK HENRY ARLINGTON LLC 2300 LITTLE RD 111 MARKET STREET N.E. SUITE 200 , ARLINGTON TX 76016 OLYMPIA WA 98501 Phone (817) 451-9700 Fax (817) 451-9701 PHONE: (360) 867-1900 FAX: (360) 867-1954 TOTAL Lic Capacity: 69 PRIVATE Beds: 69 Cert Alzh Capacity: 69 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AUDRA H JONES License Eff Dt: 01/31/2019 License Exp Dt: 01/31/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 337 of 405 County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 050565 License No.: 149618 Owner Information METRO HOME CARE SUMAINA S IBRAHIM 802 LEVELLAND DR 7903 TINCUP DR , ARLINGTON TX 76017 ARLINTON TEXAS 76001 Phone (817) 784-3827 Fax (817) 477-4438 PHONE: (817) 477-5775 FAX: (871) 477-4438 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SUMAINA S IBRAHIM License Eff Dt: 11/20/2019 License Exp Dt: 11/20/2022 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 100100 License No.: 308363 Owner Information MORADA LAKE ARLINGTON HP ARLINGTON OPCO, LLC 2517 LITTLE ROAD , ARLINGTON TX 76016 Phone (817) 503-0702 Fax NA PHONE: FAX: TOTAL Lic Capacity: 101 PRIVATE Beds: 101 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PEYTON IMAN License Eff Dt: 02/01/2021 License Exp Dt: 02/01/2024 Mgmt Co.: MORADA SENIOR LIVING LLC

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 103189 License No.: 149954 Owner Information NEW ERA ASSISTED LIVING SUMAINA S IBRAHIM 7903 TINCUP DRIVE 7903 TINCUP DR , ARLINGTON TX 76001 ARLINTON TEXAS 76001 Phone (817) 477-5775 Fax PHONE: (817) 477-5775 FAX: (871) 477-4438 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LILLIAN IBRAHIM License Eff Dt: 08/07/2020 License Exp Dt: 08/07/2023 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 010360 License No.: 307535 Owner Information REVERE COURT OF ARLINGTON CHANCELLOR HEALTH CARE OF TEXAS II, INC 514 CENTRAL PARK DRIVE , ARLINGTON TX 76014 WINDSOR CA 95492 Phone (817) 419-6700 Fax (817) 419-6779 PHONE: FAX: TOTAL Lic Capacity: 46 PRIVATE Beds: 46 Cert Alzh Capacity: 46 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: WILLIAM KENNY License Eff Dt: 06/07/2019 License Exp Dt: 06/07/2022 Mgmt Co.: CHANCELLOR HEALTH CARE, INC

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 105709 License No.: 146482 Owner Information SATORI SENIOR CARE AT SAINT CLAIRE SATORI SENIOR CARE 2305 SAINT CLAIRE DR 2305 SAINT CLAIRE DRIVE , ARLINGTON TX 76012 ARLINGTON TX 76012 Phone (817) 224-2281 Fax PHONE: (817) 224-2281 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JEREMY M TOMSIC License Eff Dt: 10/02/2020 License Exp Dt: 10/02/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 338 of 405 County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 103046 License No.: 148042 Owner Information SEASONS ASSISTED LIVING MCCULLY HOMES LLC 2424 VENTURA 2424 VENTURA DR , ARLINGTON TX 76015 ARLINGTON TX 76015 Phone (817) 460-5889 Fax (817) 299-0334 PHONE: (817) 528-7575 FAX: (817) 299-0334 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JESSICA C MCCULLY License Eff Dt: 08/22/2019 License Exp Dt: 08/22/2022 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 101918 License No.: 146631 Owner Information TENDER CARE HOME FOR ADULTS TENDER ELDERLY CARE INC 3600 CHAMBERLAND DR 3600 CHAMBERLAND DRIVE , ARLINGTON TX 76014 ARLINGTON TEXAS 76014 Phone (817) 800-9948 Fax (817) 557-5434 PHONE: (817) 800-9948 FAX: (817) 557-5434 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ELIZABETH ONI License Eff Dt: 01/28/2021 License Exp Dt: 01/28/2024 Mgmt Co.: TENDER ELDERLY CARE INC

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 110532 License No.: 308369 Owner Information TENDER CARE HOME FOR ADULTS #4 TENDER ELDERLY CARE INC 7110 LAKE ROBERTS WAY 3600 CHAMBERLAND DRIVE , ARLINGTON TX 76002 ARLINGTON TEXAS 76014 Phone Fax (817) 466-0444 PHONE: (817) 800-9948 FAX: (817) 557-5434 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 08/17/2021 License Exp Dt: 08/17/2024 Mgmt Co.: TENDER ELDERLY CARE INC

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 104085 License No.: 148974 Owner Information TENDERCARE HOME FOR ADULTS #2 TENDER ELDERLY CARE INC 7200 GEORGE FINGER RD 3600 CHAMBERLAND DRIVE , ARLINGTON TX 76002 ARLINGTON TEXAS 76014 Phone (817) 800-9948 Fax (817) 557-5434 PHONE: (817) 800-9948 FAX: (817) 557-5434 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ELIZABETH ONI License Eff Dt: 01/14/2020 License Exp Dt: 01/14/2022 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 103205 License No.: 143725 Owner Information THE GUARDIAN MARIE HART 1804 MARTINIQUE DR 1804 MARTINIQUE DRIVE , ARLINGTON TX 76012 ARLINGTON TX 76012 Phone (817) 986-4534 Fax (817) 274-0328 PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARIE HART License Eff Dt: 05/05/2019 License Exp Dt: 05/05/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 339 of 405 County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 000919 License No.: 149600 Owner Information THE WATERFORD ON COOPER CSL CE ARLINGTON LLC 1860 N COOPER ST 14160 DALLAS PKWYSTE 300 , ARLINGTON TX 76011 DALLAS TX 75254 Phone (817) 261-3601 Fax (817) 261-2810 PHONE: (972) 308-8366 FAX: (972) 387-8216 TOTAL Lic Capacity: 124 PRIVATE Beds: 124 Cert Alzh Capacity: 27 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAVID BEATHARD License Eff Dt: 03/30/2020 License Exp Dt: 03/30/2023 Mgmt Co.: CAPITAL SENIOR LIVING INC

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 110308 License No.: 307748 Owner Information WOODSIDE PLACE ASSISTED LIVING LLC WOODSIDE PLACE ASSISTED LIVING LLC 2705 WOODSIDE DRIVE 2705 WOODSIDE DRIVE , ARLINGTON TX 76016 ARLINGTON TX 76016 Phone (682) 551-9059 Fax PHONE: (682) 551-9059 FAX: NA TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: OLUWATOYIN AKINYODE License Eff Dt: 02/03/2020 License Exp Dt: 02/03/2023 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 030096 License No.: 148285 Owner Information EAGLE CREST HEALTH CARE LLLP EAGLE CREST HEALTH CARE LLLP 113 DENVER TR 7150 GANTT ACCESS ROAD , AZLE TX 76020 AZLE TX 76020 Phone (817) 444-3249 Fax (817) 444-3275 PHONE: (817) 444-3249 FAX: (817) 444-3275 TOTAL Lic Capacity: 55 PRIVATE Beds: 55 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HEATHER R ARNOLD-HOLMAN License Eff Dt: 09/01/2019 License Exp Dt: 09/01/2022 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 107301 License No.: 307653 Owner Information LEGACY OAKS OF AZLE CSL AZLE 2016, LLC 1364 SOUTHEAST PARKWAY , AZLE TX 76020 Phone (817) 629-5136 Fax PHONE: FAX: TOTAL Lic Capacity: 114 PRIVATE Beds: 114 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 05/30/2019 License Exp Dt: 05/30/2022 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 000643 License No.: 146983 Owner Information SILVER CREEK ASSISTED LIVING SILVER CREEK AL LLC 1300 SILVER CREEK AZLE ROAD 2501 E HEBRON PKWYSTE 100 C , AZLE TX 76020 CARROLLTON TX 75010 Phone (817) 238-8126 Fax (817) 238-8784 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DURENDA MEINTS License Eff Dt: 02/28/2021 License Exp Dt: 02/28/2024 Mgmt Co.: SILVERCARE MANAGEMENT, LLC

Tuesday, September 28, 2021 Page 340 of 405 County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 030035 License No.: 145573 Owner Information BROOKDALE EDEN ESTATES EMERITUS CORPORATION 1997 FOREST RIDGE DR 6737 W. WASHINGTON STREET SUITE 2300 , BEDFORD TX 76021 MILWAUKEE WI 53214 Phone (817) 267-2488 Fax (817) 267-0406 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 80 PRIVATE Beds: 80 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RHENNE CERVANTES License Eff Dt: 07/31/2020 License Exp Dt: 07/31/2023 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 010265 License No.: 150249 Owner Information BROOKDALE OAK HOLLOW ESC IV LP 2016 L DON DODSON PKY 6737 W, WASHINGTON ST SUITE 2300 , BEDFORD TX 76021 MILWAUKEE WI 53214 Phone (817) 267-6200 Fax (817) 267-6455 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 56 PRIVATE Beds: 56 Cert Alzh Capacity: 56 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STEVE SLAYTON License Eff Dt: 03/24/2020 License Exp Dt: 03/24/2022 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 030346 License No.: 149847 Owner Information ELMCROFT OF BEDFORD EC OPCO BEDFORD, LLC 3800 CENTRAL DRIVE 500 NORTH HURSTBOURNE PARKWAYSUITE 200 , BEDFORD TX 76021 LOUISVILLE KY 40222 Phone (817) 283-6604 Fax (817) 283-7425 PHONE: (502) 357-9000 FAX: (502) 357-9441 TOTAL Lic Capacity: 118 PRIVATE Beds: 118 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: FELECIA D WELLS License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2023 Mgmt Co.: ECLIPSE PROTFOLIO OPERATIONS, LLC

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 107210 License No.: 307084 Owner Information HEARTIS MIDCITIES HEARTIS MIDCITIES PARTNERS, LP 2308 HIGHWAY 121 , BEDFORD TX 76021 Phone (817) 571-0000 Fax PHONE: FAX: TOTAL Lic Capacity: 137 PRIVATE Beds: 137 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JEREMY L PARTLOW License Eff Dt: 11/20/2020 License Exp Dt: 11/20/2023 Mgmt Co.: FRONTIER SENIOR LIVING LLC

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 000567 License No.: 144913 Owner Information PARKWOOD HEALTHCARE COMMUNITY LCSPHC LLC 2600 PARKVIEW LANE CAPITAL SQUARE 800 LOCUST ST STE 820 , BEDFORD TX 76022 DES MOINES IA 50309 Phone (817) 354-6556 Fax (817) 354-1808 PHONE: (515) 875-4590 FAX: (515) 875-4780 TOTAL Lic Capacity: 84 PRIVATE Beds: 84 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RICHARD R ELEDGE License Eff Dt: 06/30/2020 License Exp Dt: 04/30/2021 Mgmt Co.: NA

Tuesday, September 28, 2021 Page 341 of 405 County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 105563 License No.: 148850 Owner Information PBH RESIDENTIAL CARE HOMES LP PBH RESIDENTIAL CARE HOMES LP 604 DONNA LANE PO BOX 535293 , BEDFORD TX 76022 GRAND PRAIRIE TX 75053 Phone (817) 494-8488 Fax (888) 397-1087 PHONE: (469) 682-6670 FAX: (972) 660-2204 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LISA A TUPPER License Eff Dt: 11/05/2019 License Exp Dt: 11/05/2022 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 000619 License No.: 148732 Owner Information MIRABELLA ASSISTED LIVING S TCG BENBROOK AL, LLC 4242 BRYANT IRVIN RD. 801 CHERRY STSUITE 2400 - UNIT 31 , BENBROOK TX 76109 FORT WORTH TX 76102 Phone (817) 763-0088 Fax (817) 763-8411 PHONE: (817) 446-4792 FAX: (817) 446-0923 TOTAL Lic Capacity: 170 PRIVATE Beds: 170 Cert Alzh Capacity: 26 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHAD HOFFMAN License Eff Dt: 09/15/2019 License Exp Dt: 09/15/2021 Mgmt Co.: SAGORA SENIOR LIVING, INC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 000384 License No.: 308156 Owner Information MORADA BURLESON HP BURLESON OPCO, LLC 611 NE ALSBURY BLVD , BURLESON TX 76028 Phone 817 4474477 Fax (817) 447-4505 PHONE: FAX: TOTAL Lic Capacity: 80 PRIVATE Beds: 80 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DEBRA TANGUAY License Eff Dt: 02/01/2021 License Exp Dt: 02/01/2024 Mgmt Co.: MORADA SENIOR LIVING LLC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 105473 License No.: 307433 Owner Information ELLERY ARBOR MEMORY CARE WELLTOWER TCG RIDEA TENANT, LLC 8100 PRECINCT LINE RD. 4500 DORR STREET , COLLEYVILLE TX 76034 TOLDEO OH 43615 Phone (817) 500-5006 Fax (817) 605-9457 PHONE: FAX: TOTAL Lic Capacity: 106 PRIVATE Beds: 106 Cert Alzh Capacity: 75 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHARLOTTE NEFF License Eff Dt: 04/01/2019 License Exp Dt: 04/01/2022 Mgmt Co.: SAGORA SENIOR LIVING, INC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 103487 License No.: 149548 Owner Information ANCHOR WAY SENIOR CARE LLC ANCHOR WAY SENIOR CARE LLC 10805 W CLEBURNE RD 10805 W CLEBURNE RD , CROWLEY TX 76036 CROWLEY TX 76036 Phone (682) 240-8181 Fax (866) 323-0948 PHONE: (682) 240-8181 FAX: (866) 323-0948 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHELITA Y WOODS License Eff Dt: 07/04/2020 License Exp Dt: 07/04/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 342 of 405 County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 106639 License No.: 145863 Owner Information AVENDELLE ASSISTED LIVING OF EULESS AVENDELLE ASSISTED LIVING OF EULESS LLC 807 FORESTCREST COURT 807 FORESTCREST CT , EULESS TX 76039 EULESS TX 76039 Phone (919) 606-5945 Fax (817) 785-3778 PHONE: (919) 606-5945 FAX: (817) 785-3778 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TERRY L HUBBARD License Eff Dt: 10/04/2020 License Exp Dt: 10/04/2023 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 106043 License No.: 148695 Owner Information VINCENT VICTORIA VILLAGE HEALTHCORE SYSTEM MANAGEMENT, LLC 4607 E CALIFORNIA PKWY 1312 LIVERPOOL LN , FOREST HILL TX 76119 MANSFIELD TX 76063 Phone (817) 247-8259 Fax (817) 534-6974 PHONE: (817) 247-8259 FAX: (817) 534-6974 TOTAL Lic Capacity: 80 PRIVATE Beds: 80 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RHODA SALVADOR License Eff Dt: 11/10/2019 License Exp Dt: 11/10/2021 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 106726 License No.: 148822 Owner Information ANAM RESIDENTIAL CARE ANAM RESIDENTIAL CARE 7112 WELSHMAN DR 7112 WELSHMAN DRIVE , FORT WORTH TX 76137 FORT WORTH TX 76137 Phone (817) 238-3535 Fax (817) 238-3535 PHONE: (817) 690-4848 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ANGELA J MINNEWEATHER License Eff Dt: 12/20/2019 License Exp Dt: 12/20/2022 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 104331 License No.: 149877 Owner Information AUTUMN LEAVES OF CITYVIEW SOUTHWEST FT WORTH MEMORY CARE LLC 7100 DUTCH BRANCH ROAD 545 E JOHN CARPENTER FRWYSTE 500 , FORT WORTH TX 76132 IRVING TX 75062 Phone (817) 769-3800 Fax (817) 769-3801 PHONE: (214) 845-4500 FAX: (214) 845-4501 TOTAL Lic Capacity: 46 PRIVATE Beds: 46 Cert Alzh Capacity: 46 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LAKEN LACY License Eff Dt: 07/24/2020 License Exp Dt: 07/24/2023 Mgmt Co.: TLG FAMILY MANGEMENT, LLC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 000803 License No.: 145337 Owner Information AVALON MEMORY CARE AVALON CARE GROUP LLC 4551 BOAT CLUB RD 1625 N STEMMONS FREEWAY , FORT WORTH TX 76135 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 40 PRIVATE Beds: 40 Cert Alzh Capacity: 40 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TIM SEIB License Eff Dt: 08/15/2020 License Exp Dt: 08/15/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 343 of 405 County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 100339 License No.: 148436 Owner Information BETHESDA GARDENS BSLC II 5417 ALTA MESA BLVD 15475 GLENEAGLE DRIVE , FORT WORTH TX 76133 COLORADO SPRINGS CO 80921 Phone (817) 292-8886 Fax (817) 292-3128 PHONE: (719) 481-0100 FAX: (719) 488-6080 TOTAL Lic Capacity: 124 PRIVATE Beds: 124 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KRISTEE THOMAS License Eff Dt: 09/26/2019 License Exp Dt: 09/26/2021 Mgmt Co.: BETHESDA FOUNDATION

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 103785 License No.: 148662 Owner Information BETHESDA GARDENS MEMORY CARE COMMUNITY BSLC II 5349 ALTAMESA BLVD 15475 GLENEAGLE DRIVE , FORT WORTH TX 76123 COLORADO SPRINGS CO 80921 Phone (817) 292-8886 Fax (817) 292-3128 PHONE: (719) 481-0100 FAX: (719) 488-6080 TOTAL Lic Capacity: 62 PRIVATE Beds: 62 Cert Alzh Capacity: 62 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KRISTEE THOMAS License Eff Dt: 09/26/2019 License Exp Dt: 09/26/2022 Mgmt Co.: BETHESDA FOUNDATION

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 107043 License No.: 150205 Owner Information BRIDGEMOOR ASSISTED LIVING OF FORT WORTH MOC FORT WORTH LLC 6301 OAKMONT BLVD 1320 ARROW POINT DRSTE 506 , FORT WORTH TX 76132 CEDAR PARK TX 78613 Phone (682) 250-4055 Fax (682) 312-8551 PHONE: (512) 524-7321 FAX: (512) 271-6888 TOTAL Lic Capacity: 36 PRIVATE Beds: 36 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BEATY GLORIA License Eff Dt: 06/28/2020 License Exp Dt: 06/28/2023 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 000707 License No.: 308027 Owner Information BROOKDALE BROADWAY CITYVIEW WATERMARK BROADWAY CITYVIEW, LLC 5301 BRYANT IRVIN RD 2020 W RUDASILL RD. , FORT WORTH TX 76132 TUCSON ARIZONA 85704 Phone (817) 346-9407 Fax (817) 294-3235 PHONE: (817) 346-9407 FAX: (817) 294-3232 TOTAL Lic Capacity: 52 PRIVATE Beds: 52 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TIMOTHY WETZEL License Eff Dt: 07/25/2020 License Exp Dt: 07/25/2023 Mgmt Co.: FORT AUSTIN LIMITED PARTNERSHIP

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 000301 License No.: 148686 Owner Information BROOKDALE TANGLEWOOD OAKS ESCNGH, LP 2698 S HULEN ST 111 WESTWOOD PL STE 400 , FORT WORTH TX 76109 BRENTWOOD TN 37027 Phone (817) 922-9559 Fax (817) 922-0050 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 116 PRIVATE Beds: 116 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMY MARTIN License Eff Dt: 10/01/2019 License Exp Dt: 10/01/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 344 of 405 County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 100206 License No.: 148241 Owner Information BROOKDALE WESTOVER HILLS ARC WESTOVER HILLS LP 6201 PLAZA PKWY 6737 WEST WASHINGTON STSTE 2300 , FORT WORTH TX 76116 MILWAUKE WI 53214 Phone (817) 989-1174 Fax (817) 989-1946 PHONE: (414) 918-5000 FAX: TOTAL Lic Capacity: 144 PRIVATE Beds: 144 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RICHARD DIXON License Eff Dt: 07/20/2019 License Exp Dt: 07/20/2022 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 100302 License No.: 148651 Owner Information BROOKDALE WESTOVER HILLS ARC WESTOVER HILLS LP 6201 PLAZA PKWY 6737 WEST WASHINGTON STSTE 2300 , FORT WORTH TX 76116 MILWAUKE WI 53214 Phone (817) 989-1174 Fax (817) 989-1946 PHONE: (414) 918-5000 FAX: TOTAL Lic Capacity: 31 PRIVATE Beds: 31 Cert Alzh Capacity: 31 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KAREN JENNINGS License Eff Dt: 07/25/2021 License Exp Dt: 07/25/2024 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 104433 License No.: 146250 Owner Information CIRCLE OF HELPING HANDS CIRCLE OF HELPING HANDS LLC 6405 GREENBRIAR LN 6405 GREENBRIAR LN , FORT WORTH TX 76132 FORT WORTH TX 76132 Phone (817) 346-3022 Fax (817) 534-5771 PHONE: (817) 991-2768 FAX: (817) 534-5771 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRISTOPHER JONES License Eff Dt: 09/15/2020 License Exp Dt: 09/15/2023 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 106415 License No.: 146708 Owner Information CIRCLE OF HELPING HANDS LLC CIRCLE OF HELPING HANDS LLC 6901 WICKS TRAIL 6405 GREENBRIAR LN , FORT WORTH TX 76133 FORT WORTH TX 76132 Phone (817) 346-3022 Fax (817) 534-5771 PHONE: (817) 991-2768 FAX: (817) 534-5771 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRISTOPHER JONES License Eff Dt: 02/03/2019 License Exp Dt: 02/03/2022 Mgmt Co.: CIRCLE OF HELPING HANDS LLC

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 110185 License No.: 307407 Owner Information CNSHIGHLAND MEADOW CNS FW, LLC 5017 HIGHLAND MEADOW DRIVE , FORT WORTH TX 76132 Phone (817) 289-5960 Fax (817) 289-5979 PHONE: FAX: TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BRITTANY HENDERSON License Eff Dt: 07/19/2022 License Exp Dt: 07/19/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 345 of 405 County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 030369 License No.: 147878 Owner Information COLONIAL GARDENS OF FORT WORTH FW1 SOUTHWEST LTC FORT WORTH ALF LLC 6939 RIVER PARK CIRCLE 1518 LEGACY DRIVESUITE 110 , FORT WORTH TX 76116 FRISCO TX 75034 Phone (817) 731-1440 Fax (817) 731-0535 PHONE: (469) 916-6100 FAX: (469) 916-6105 TOTAL Lic Capacity: 20 PRIVATE Beds: 20 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMANDA SHARP License Eff Dt: 05/01/2021 License Exp Dt: 05/01/2024 Mgmt Co.: SOUTHWEST LTC MANAGEMENT SERVICES LLC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 100325 License No.: 148108 Owner Information COLONIAL GARDENS OF FORT WORTH FW2 SOUTHWEST LTC FORT WORTH ALF LLC 6931 RIVER PARK CIR 1518 LEGACY DRIVESUITE 110 , FORT WORTH TX 76116 FRISCO TX 75034 Phone (817) 731-7611 Fax (817) 731-4909 PHONE: (469) 916-6100 FAX: (469) 916-6105 TOTAL Lic Capacity: 20 PRIVATE Beds: 20 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMANDA SHARP License Eff Dt: 05/01/2019 License Exp Dt: 05/01/2022 Mgmt Co.: SOUTHWEST LTC MANAGEMENT SERVICES LLC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 104322 License No.: 308347 Owner Information COURTYARDS AT RIVER PARK MERRILL GARDENS LLC 3201 RIVER PARK 1938 FAIRVIEW AVE ESTE 300 , FORT WORTH TX 76116 SEATTLE WA 98102 Phone (817) 732-4436 Fax (817) 732-2667 PHONE: (206) 676-5300 FAX: (206) 676-5353 TOTAL Lic Capacity: 71 PRIVATE Beds: 71 Cert Alzh Capacity: 22 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TOMMY THOMAS License Eff Dt: 07/21/2020 License Exp Dt: 07/21/2023 Mgmt Co.: NA

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 101467 License No.: 149624 Owner Information DRAKES ASSISTED LIVING BETTY K DRAKE 3229 COMANCHE ST 3229 COMANCHE ST , FORT WORTH TX 76119 FORT WORTH TX 76119 Phone (817) 536-1454 Fax (817) 572-2539 PHONE: (817) 313-2776 FAX: (817) 572-2539 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BETTY K DRAKE License Eff Dt: 06/16/2020 License Exp Dt: 06/16/2023 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 106927 License No.: 307008 Owner Information FLEURDLEYS ASSISTED LIVING INC FLEURDLEYS ASSISTED LIVING, INC 6120 RENDON NEW HOPE ROAD , FORT WORTH TX 76140 Phone (817) 483-4899 Fax (817) 483-5651 PHONE: FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL J SWINYAR SR License Eff Dt: 09/06/2020 License Exp Dt: 09/06/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 346 of 405 County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 100982 License No.: 147855 Owner Information FLEURDLEYS INC FLEURDLEYS INC 6104 RENDON NEW HOPE RD 6104 RENDON NEW HOPE RD , FORT WORTH TX 76140 FORT WORTH TX 76140 Phone (817) 483-2808 Fax (817) 483-5651 PHONE: (817) 483-2808 FAX: (817) 483-5651 TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL J SWINYAR SR License Eff Dt: 07/03/2019 License Exp Dt: 07/03/2021 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 105743 License No.: 138919 Owner Information GOOD LIFE SENIOR LIVING AND MEMORY CARE MAGNOLIA MEDICAL MANAGEMENT LLC 812 WEST MORPHY ST 812 W MORPHY ST , FORT WORTH TX 76104 FORT WORTH TX 79382 Phone (817) 805-0507 Fax (817) 921-5402 PHONE: (806) 535-6322 FAX: (817) 921-5402 TOTAL Lic Capacity: 42 PRIVATE Beds: 42 Cert Alzh Capacity: 42 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: C. DELIGHT FELPS License Eff Dt: 02/13/2016 License Exp Dt: 09/30/2021 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 000812 License No.: 150138 Owner Information GREENBRIAR MANSION GREENBRIAR PRIME MANAGEMENT LLC 7865 OAKMONT BLD PO BOX 185339 , FORT WORTH TX 76132 FORT WORTH TEXAS 76181 Phone (817) 292-0792 Fax (817) 292-6856 PHONE: (817) 535-3827 FAX: (817) 535-1362 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BRANDY INGRAM License Eff Dt: 09/11/2020 License Exp Dt: 09/11/2023 Mgmt Co.: PHOENIX HEALTH RESOURCES, INC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 106183 License No.: 147425 Owner Information HEARTIS EAGLE MOUNTAIN EAGLE MOUNTAIN AL PARTNERS, LP 3141 DALHART DRIVE 5910 N CENTRAL EXPRESSWAY STE 1400 , FORT WORTH TX 76179 DALLAS TX 75206 Phone (817) 236-6116 Fax PHONE: (214) 916-5750 FAX: (469) 547-5422 TOTAL Lic Capacity: 95 PRIVATE Beds: 95 Cert Alzh Capacity: 35 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHARLES SHADOWENS License Eff Dt: 01/13/2019 License Exp Dt: 04/30/2021 Mgmt Co.: SAGORA SENIOR LIVING, INC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 105915 License No.: 307387 Owner Information HERITAGE PLACE ASSISTED LIVING W TCG BURLESON AL, LLC 621 OLD HIGHWAY 1187 , FORT WORTH TX 76028 Phone (817) 293-2300 Fax PHONE: FAX: TOTAL Lic Capacity: 140 PRIVATE Beds: 140 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: FREDA G JOHNSON License Eff Dt: 09/15/2019 License Exp Dt: 09/15/2022 Mgmt Co.: SAGORA SENIOR LIVING, INC

Tuesday, September 28, 2021 Page 347 of 405 County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 000669 License No.: 148212 Owner Information HERITAGE SQUARE GREENBRIAR PRIME MANAGEMENT LLC 500 S BEACH ST PO BOX 185339 , FORT WORTH TX 76105 FORT WORTH TEXAS 76181 Phone (817) 534-0013 Fax (817) 534-0308 PHONE: (817) 535-3827 FAX: (817) 535-1362 TOTAL Lic Capacity: 85 PRIVATE Beds: 85 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRISTINA WALKER License Eff Dt: 09/08/2019 License Exp Dt: 09/08/2021 Mgmt Co.: PHOENIX HEALTH RESOURCES, INC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 105382 License No.: 307524 Owner Information LAKE COUNTRY ASSISTED LIVING PARKS HEALTHCARE MANAGEMENT 7505 LOCHWOOD CT. 1230 TATE LANE , FORT WORTH TX 76179 ARGYLE TX 76226 Phone (682) 707-7548 Fax (682) 707-7548 PHONE: (913) 522-4471 FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PRINCIA MABIALA License Eff Dt: 10/15/2020 License Exp Dt: 10/15/2023 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 000813 License No.: 148341 Owner Information LAKEWOOD VILLAGE PERSONAL CARE UNIT CHRISTIAN CARE CENTERS INC 5100 RANDOL MILL RD 900 WIGGINS PKWY , FORT WORTH TX 76112 MESQUITE TX 75150 Phone (817) 451-8001 Fax (866) 529-7014 PHONE: (972) 686-2460 FAX: (866) 216-7525 TOTAL Lic Capacity: 81 PRIVATE Beds: 81 Cert Alzh Capacity: 18 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MATTHEW MCKNIGHT License Eff Dt: 07/30/2018 License Exp Dt: 07/30/2020 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 106140 License No.: 150105 Owner Information LEGEND AT FORT WORTH DFW ALF 1 LLC 8600 N RIVERSIDE DR 8415 E 21ST ST NSTE 100 , FORT WORTH TX 76244 WICHITA KS 67206 Phone (817) 885-8800 Fax (817) 784-6818 PHONE: (316) 616-6288 FAX: (316) 616-6255 TOTAL Lic Capacity: 100 PRIVATE Beds: 100 Cert Alzh Capacity: 18 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANDREA FICHTNER License Eff Dt: 06/10/2021 License Exp Dt: 06/10/2024 Mgmt Co.: LEGEND SENIOR LIVING LLC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 030236 License No.: 146330 Owner Information MORRIS FAMILY HOMES JERRY BMORRIS JR 1333 E RICHMOND AVE , FORT WORTH TX 76104 Phone (817) 926-7041 Fax (817) 926-7461 PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JERRY B MORRIS JR. License Eff Dt: 01/26/2019 License Exp Dt: 01/26/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 348 of 405 County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 103283 License No.: 145342 Owner Information PATHWAYS ADULT LIVING INC PATHWAYS ADULT LIVING INC 921 W CANNON ST 921 WEST CANNON ST , FORT WORTH TX 76104 FORT WORTH TX 76104 Phone (817) 810-0606 Fax (817) 810-0616 PHONE: (817) 726-2974 FAX: (682) 707-9585 TOTAL Lic Capacity: 35 PRIVATE Beds: 35 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LYNDA J BRYANT License Eff Dt: 06/05/2020 License Exp Dt: 06/05/2023 Mgmt Co.: PATHWAYS ADULT LIVING INC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 105869 License No.: 150162 Owner Information RIVERSIDE INN AT FOSSIL CREEK MEMORY CARE COMMUNITY RIVERSIDE INN AT FOSSIL CREEK MEMORY CARE 6621 N. RIVERSIDE DRIVE , FORT WORTH TX 76137 Phone (817) 708-2234 Fax PHONE: FAX: TOTAL Lic Capacity: 68 PRIVATE Beds: 68 Cert Alzh Capacity: 68 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LUCY TAMAYO License Eff Dt: 08/20/2020 License Exp Dt: 08/20/2023 Mgmt Co.: KOELSCH SENIOR COMMUNITIES LLC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 105244 License No.: 146323 Owner Information SAVANNA OAKS RANCH PATE REHABILITATION ENDEAVORS, INC 232 BENS TRAIL 2655 VILLA CREEK STE 140 , FORT WORTH TX 76120 DALLAS TX 75234 Phone (972) 838-2602 Fax (972) 837-1205 PHONE: (972) 241-9334 FAX: (972) 484-4739 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ERIN JIMENEZ License Eff Dt: 12/06/2020 License Exp Dt: 12/06/2022 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 106460 License No.: 146280 Owner Information SPARKS ASSISTED LIVING LLC SPARKS ASSISTED LIVING LLC 808 OAKMONT LN N. 4214 HONEYSUCKLE DR , FORT WORTH TX 76112 MCKINNEY TEXAS 75070 Phone (214) 226-1043 Fax PHONE: (214) 226-1043 FAX: TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MICHAEL E SPARKS License Eff Dt: 12/21/2020 License Exp Dt: 12/21/2023 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 106067 License No.: 148208 Owner Information ST JOHN'S RESIDENTIAL CARE HOME INC ST JOHN'S RESIDENTIAL CARE HOME 805 FIRE WHEEL TRAIL 4448 MALLOW OAK DRIVE , FORT WORTH TX 76112 FORT WORTH TX 76123 Phone (817) 680-5171 Fax (817) 361-9244 PHONE: (817) 680-5171 FAX: (817) 361-9244 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JUDITH C TAN-PASCUAL License Eff Dt: 06/22/2021 License Exp Dt: 06/22/2024 Mgmt Co.: ST JOHN'S RESIDENTIAL CARE HOME

Tuesday, September 28, 2021 Page 349 of 405 County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 104442 License No.: 148817 Owner Information ST JOHN'S RESIDENTIAL CARE HOME INC ST JOHN'S RESIDENTIAL CARE HOME 6317 WALLINGFORD DRIVE 4448 MALLOW OAK DRIVE , FORT WORTH TX 76133 FORT WORTH TX 76123 Phone (817) 680-5171 Fax (817) 361-9244 PHONE: (817) 680-5171 FAX: (817) 361-9244 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JUDITH C TAN-PASCUAL License Eff Dt: 11/21/2019 License Exp Dt: 11/21/2021 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 110497 License No.: 308221 Owner Information ST JOHN'S RESIDENTIAL CARE HOME INC ST JOHN'S RESIDENTIAL CARE HOME 6321 WALLINGFORD DRIVE 4448 MALLOW OAK DRIVE , FORT WORTH TX 76133 FORT WORTH TX 76123 Phone (817) 680-5171 Fax (817) 361-9244 PHONE: (817) 680-5171 FAX: (817) 361-9244 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JUDITH C TAN-PASCUAL License Eff Dt: 05/07/2021 License Exp Dt: 05/07/2024 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 102163 License No.: 149515 Owner Information ST JOHN'S RESIDENTIAL CARE HOME INC ST JOHN'S RESIDENTIAL CARE HOME 4448 MALLOW OAK DR 4448 MALLOW OAK DRIVE , FORT WORTH TX 76123 FORT WORTH TX 76123 Phone (817) 680-5171 Fax (817) 361-9244 PHONE: (817) 680-5171 FAX: (817) 361-9244 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JUDITH C TAN-PASCUAL License Eff Dt: 05/19/2020 License Exp Dt: 05/19/2023 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 106954 License No.: 307009 Owner Information ST JOHN'S RESIDENTIAL CARE HOMES INC ST JOHN'S RESIDENTIAL CARE HOME 6317 WALLINGFORD DRIVE 4448 MALLOW OAK DRIVE , FORT WORTH TX 76133 FORT WORTH TX 76123 Phone (817) 680-5171 Fax PHONE: (817) 680-5171 FAX: (817) 361-9244 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JUDITH C TAN-PASCUAL License Eff Dt: 08/21/2020 License Exp Dt: 08/21/2023 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 110258 License No.: 307605 Owner Information ST JOHN'S RESIDENTIAL CARE HOMES INC ST JOHN'S RESIDENTIAL CARE HOME 8001 W. CLEBURNE RD 4448 MALLOW OAK DRIVE , FORT WORTH TX 76123 FORT WORTH TX 76123 Phone Fax (817) 361-9244 PHONE: (817) 680-5171 FAX: (817) 361-9244 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: License Eff Dt: 12/18/2019 License Exp Dt: 12/18/2022 Mgmt Co.: ST JOHN'S RESIDENTIAL CARE HOME

Tuesday, September 28, 2021 Page 350 of 405 County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 102835 License No.: 149829 Owner Information SUNRISE OF FORT WORTH MS FORT WORTH SH LLC 6151 BRYANT IRVIN ROAD 7902 WESTPARK DRIVE , FORT WORTH TX 76132 MCLEAN VA 22102 Phone (817) 292-2288 Fax (817) 292-4668 PHONE: (502) 357-9000 FAX: (502) 357-9441 TOTAL Lic Capacity: 105 PRIVATE Beds: 105 Cert Alzh Capacity: 42 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MELLISA DALEY License Eff Dt: 05/01/2020 License Exp Dt: 05/01/2023 Mgmt Co.: SUNRISE SENIOR LIVING MANAGEMENT, INC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 000964 License No.: 145731 Owner Information TANDY VILLAGE ROMANS HOUSE LLC 2601 TANDY AVE 1312 LIVER POOL LANE , FORT WORTH TX 76103 MANSFIELD TX 76063 Phone 817 5351253 Fax 817 5360177 PHONE: (817) 247-8259 FAX: (817) 753-7808 TOTAL Lic Capacity: 160 PRIVATE Beds: 160 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TRISHA LE License Eff Dt: 09/15/2018 License Exp Dt: 09/15/2020 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 105780 License No.: 307614 Owner Information THE AUBERGE AT BENBROOK LAKE A MEMORY CARE COMMUNITY WELLTOWER TENANT GROUP LLC 7001 BRYANT IRVIN ROAD 4500 DORR STREET , FORT WORTH TX 76132 TOLEDO OHIO 43615 Phone 817 2922662 Fax 817 2922662 PHONE: FAX: TOTAL Lic Capacity: 92 PRIVATE Beds: 92 Cert Alzh Capacity: 92 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LINDSAY MARTIN License Eff Dt: 07/01/2019 License Exp Dt: 07/01/2022 Mgmt Co.: FORT WORTH MC CARE PROPERTIES, LLC

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 110351 License No.: 307888 Owner Information THE GRANDVIEW OF CHISOLM TRAIL GRANDVIEW CHISOLM TRAIL, LLC 8533 BREWER BLVD , FORT WORTH TX 76123 Phone (817) 386-8006 Fax PHONE: FAX: TOTAL Lic Capacity: 129 PRIVATE Beds: 129 Cert Alzh Capacity: 21 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRISTINA KINNISON License Eff Dt: 06/09/2020 License Exp Dt: 06/09/2023 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 107109 License No.: 149979 Owner Information THE RIDGLEA SENIOR LIVING RIDGLEA SENIOR LIVING 2015 LLC 4109 WESTRIDGE AVE 777 MAIN STSTE 2300 , FORT WORTH TX 76116 FORT WORTH TX 76102 Phone (817) 386-8251 Fax PHONE: (817) 386-8888 FAX: TOTAL Lic Capacity: 105 PRIVATE Beds: 105 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ALUN SKITT License Eff Dt: 06/13/2020 License Exp Dt: 06/13/2023 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

Tuesday, September 28, 2021 Page 351 of 405 County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 104969 License No.: 148929 Owner Information THE STAYTON AT MUSEUM WAY TARRANT COUNTY SENIOR LIVING CENTER INC 2501 MUSEUM WAY 15601 DALLAS PKWYSTE 200 , FORT WORTH TX 76107 ADDISON TX 75001 Phone (817) 332-3332 Fax (817) 332-3340 PHONE: (469) 420-5450 FAX: (214) 853-5164 TOTAL Lic Capacity: 72 PRIVATE Beds: 72 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RONALD C BYERS License Eff Dt: 12/22/2019 License Exp Dt: 12/22/2021 Mgmt Co.: SENIORITY, INC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 106208 License No.: 307909 Owner Information THE VANTAGE AT CITYVIEW FFI VANTAGE TENANT LLC 6251 OVERTON RIDGE BLVD , FORT WORTH TX 76132 Phone (817) 292-5600 Fax (817) 292-1955 PHONE: FAX: TOTAL Lic Capacity: 88 PRIVATE Beds: 88 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LORI ANN KENNEDY License Eff Dt: 12/20/2019 License Exp Dt: 12/20/2022 Mgmt Co.: BLUE RIDGE SENIOR HOUSING, LLC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 106999 License No.: 148553 Owner Information TRINITY TERRACE ASSISTED LIVING & MEMORY SUPPORT THE CUMBERLAND REST INC 1600 TEXAS STREET 1600 TEXAS ST , FORT WORTH TX 76102 FORT WORTH TX 76102 Phone (817) 338-2400 Fax (817) 338-8233 PHONE: (817) 338-2400 FAX: (817) 338-8233 TOTAL Lic Capacity: 31 PRIVATE Beds: 31 Cert Alzh Capacity: 17 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LESLEY D PATTERSON License Eff Dt: 11/30/2021 License Exp Dt: 11/30/2024 Mgmt Co.: PACIFIC RETIREMENT SERVICES INC

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 110317 License No.: 307781 Owner Information DISCOVERY VILLAGE AT ALLIANCE TOWN CENTER DSL TENANT II, LLC 9901 N. RIVERSIDE DRIVE 4500 DORR STREET , FT. WORTH TX 76117 TOLEDO OH 43615 Phone (682) 232-4184 Fax (817) 203-8873 PHONE: FAX: TOTAL Lic Capacity: 98 PRIVATE Beds: 98 Cert Alzh Capacity: 22 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AARON J DENOVELLIS License Eff Dt: 04/09/2020 License Exp Dt: 04/09/2023 Mgmt Co.: AMERICAN TRUST SENIOR CARE, LLC

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 105944 License No.: 146485 Owner Information ABBY'S PLACE LLC ABBY'S PLACE LLC 5819 SUMMERWOOD DRIVE 5819 SUMMERWOOD DRIVE , GRAND PRAIRIE TX 75052 GRAND PRAIRIE TX 75052 Phone (972) 986-6806 Fax PHONE: (972) 986-6806 FAX: (866) 432-0262 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ABIGIEL A TAVA License Eff Dt: 01/14/2017 License Exp Dt: 08/31/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 352 of 405 County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 110285 License No.: 307672 Owner Information GILGAL HOME ASSISTED LIVING GILGAL ENTERPRISE LLC 2968 VOLTURNO DRIVE , GRAND PRAIRIE TX 75052 Phone (682) 248-3801 Fax (817) 459-1224 PHONE: FAX: TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: OSABUOHIEN EREGIE License Eff Dt: 01/25/2020 License Exp Dt: 01/25/2023 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 000860 License No.: 307434 Owner Information HEALTHCOR INTEGRATION LLC HEALTHCOR CAPITAL LLC 402 DUNCAN PERRY ROAD 10935 ESTATE LANE #213 , GRAND PRAIRIE TX 75050 DALLAS TX 75238-2315 Phone (214) 336-3683 Fax 18772333611 PHONE: FAX: TOTAL Lic Capacity: 32 PRIVATE Beds: 32 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AQUA UMOREN License Eff Dt: 06/03/2019 License Exp Dt: 06/03/2022 Mgmt Co.: MEZIE HOLDINGS LLC

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 110186 License No.: 307408 Owner Information HOUSE OF LOVE ASSISTED LIVING LLC HOUSE OF LOVE ASSISTED LIVING LLC 2935 PALADIUM DR , GRAND PRAIRIE TX 75052 Phone (469) 332-3289 Fax PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TANISHCIA MOORE LVN License Eff Dt: 07/02/2019 License Exp Dt: 07/02/2022 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 106040 License No.: 148324 Owner Information OXFORD GLEN AT GRAND PRAIRIE OXFORD MEMORY CARE GP, LTD 2424 N. GRAND PENINSULA DRIVE 125 N. MARKET SUITE 1416 , GRAND PRAIRIE TX 75054 WICHITA KS 67202 Phone (972) 841-2599 Fax PHONE: (316) 201-3210 FAX: (316) 201-3219 TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 48 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: WENDA GRANGER License Eff Dt: 01/09/2021 License Exp Dt: 01/09/2024 Mgmt Co.: OXFORD MANAGEMENT GROUP LLC

County TARRANT Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 110430 License No.: 308052 Owner Information STILL MANAGEMENT LLC STILL MANAGEMENT LLC 2768 PARK PLACE DRIVE P.O. BOX 2252 , GRAND PRAIRIE TX 75052 MANSFIELD TEXAS 76063 Phone (214) 830-7554 Fax (682) 422-3181 PHONE: FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MARCIE FRAZIER License Eff Dt: 01/27/2021 License Exp Dt: 01/27/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 353 of 405 County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 030384 License No.: 147240 Owner Information ATRIA GRAPEVINE WG GRAPEVINE SH LLC 3975 WILLIAM D TATE AVE ATTN: LEGAL DEPT300 EAST MARKET ST - STE 100 , GRAPEVINE TX 76051 LOUISVILLE KY 40202 Phone (817) 416-8907 Fax (817) 421-9792 PHONE: (502) 779-4700 FAX: (502) 779-4701 TOTAL Lic Capacity: 110 PRIVATE Beds: 110 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JANIE JOLLY License Eff Dt: 05/12/2019 License Exp Dt: 05/12/2022 Mgmt Co.: ATRIA MANAGEMENT COMPANY LLC

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 104742 License No.: 150101 Owner Information DANCING RIVER ASSISTED LIVING CIVITAS DRA 2016 MANAGEMENT LLC 3735 IRA E WOODS 777 MAIN STSTE 2300 , GRAPEVINE TX 76051 FORT WORTH TX 76102 Phone (817) 442-0505 Fax (817) 488-9752 PHONE: (817) 386-8888 FAX: (817) 386-8324 TOTAL Lic Capacity: 106 PRIVATE Beds: 106 Cert Alzh Capacity: 19 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HEATHER MACCHIETTO License Eff Dt: 10/01/2018 License Exp Dt: 10/01/2020 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 101961 License No.: 149691 Owner Information GRAND BROOK MEMORY CARE OF GRAPEVINE GRAPEVINE OPCO LLC 2501 HERITAGE AVENUE 7708 SAN JACINTO #100 , GRAPEVINE TX 76051 PLANO TX 75024 Phone (817) 329-8500 Fax (817) 329-8501 PHONE: (469) 331-8200 FAX: (469) 331-8200 TOTAL Lic Capacity: 48 PRIVATE Beds: 48 Cert Alzh Capacity: 48 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BARBARA HOLLAND License Eff Dt: 12/23/2019 License Exp Dt: 12/23/2021 Mgmt Co.: CONSTANT CARE MANAGEMENT COMPANY

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 105836 License No.: 147658 Owner Information MEADOWOOD ASSISTED LIVING & MEMORY CARE AT THE VINEYARDS MEADOWOOD ALF LLC 4545 MERLOT AVE 8415 E 21ST N, SUITE 100 , GRAPEVINE TX 76051 WICHITA KANSAS 67206 Phone (817) 275-6100 Fax PHONE: (316) 615-6288 FAX: (316) 616-6255 TOTAL Lic Capacity: 85 PRIVATE Beds: 85 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JILL WOOLLY License Eff Dt: 06/15/2019 License Exp Dt: 06/15/2022 Mgmt Co.: LEGEND SENIOR LIVING LLC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 103208 License No.: 307984 Owner Information OAK RIDGE ALZHEIMER'S SPECIAL CARE CENTER SH1 SILVER SAGE OPCO LLC 4501 SILVER SAGE DRIVE , HALTOM CITY TX 76137 Phone 817 8498000 Fax 817 8498111 PHONE: FAX: TOTAL Lic Capacity: 46 PRIVATE Beds: 46 Cert Alzh Capacity: 46 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: QUENTIN ZAMBECK License Eff Dt: 11/22/2019 License Exp Dt: 11/22/2022 Mgmt Co.: JERRY ERWIN ASSOCIATES LLC

Tuesday, September 28, 2021 Page 354 of 405 County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 106482 License No.: 150186 Owner Information AVALON MEMORY CARE KELLER AVALON DEMENTIA CARE MANAGEMENT LLC 1137 RUFE SNOW DR 1625 N STEMMONS FRWY , KELLER TX 76248 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 25 PRIVATE Beds: 25 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JONATHAN C SEIB License Eff Dt: 11/30/2020 License Exp Dt: 11/30/2023 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 106766 License No.: 147433 Owner Information AVALON MEMORY CAREKELLER II AVALON DEMENTIA CARE MANAGEMENT LLC 1137B RUFE SNOW DRIVE 1625 N STEMMONS FRWY , KELLER TX 76248 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 25 PRIVATE Beds: 25 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JONATHAN C SEIB License Eff Dt: 05/31/2019 License Exp Dt: 05/31/2022 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 050086 License No.: 148369 Owner Information HIDDEN OAKS ASSISTED LIVING LLC HIDDEN OAKS ASSISTED LIVING LLC 765 BANDIT TRAIL PO BOX 147 , KELLER TX 76248 DE BERRY TX 75639 Phone (817) 479-7021 Fax (817) 479-6609 PHONE: (903) 622-7565 FAX: (903) 622-7565 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHANNON SUITERS License Eff Dt: 12/01/2019 License Exp Dt: 12/01/2022 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 110321 License No.: 307786 Owner Information HILLSIDE ASSISTED LIVING HILLSIDE ASSISTED LIVING, LLC 553 BIG BEND DRIVE 205 LAMAR ST , KELLER TX 76248 ROANOKE TX 76262 Phone (682) 593-0725 Fax PHONE: FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAVID VARNER License Eff Dt: 04/08/2020 License Exp Dt: 04/08/2022 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 105907 License No.: 308162 Owner Information MEADOWVIEW HOUSE LIBERTY SENIOR RESIDENTIAL CARE HOMES LLC 2000 MEADOWVIEW DRIVE 1633 GLENCAIRN LANE , KELLER TX 76262 LEWISVILLE TX 75067 Phone (214) 222-2369 Fax (469) 385-8866 PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RUSINDER BAINS License Eff Dt: 02/01/2021 License Exp Dt: 02/01/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 355 of 405 County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 110233 License No.: 307528 Owner Information METROPLEX RESIDENTIAL SENIOR CARE LLC METROPLEX RESIDENTIAL SENIOR CARE, LLC 1625 SARAH BROOKS DR 3713 HIDALGO ST , KELLER TX 76248 IRVING TX 75062 Phone (817) 479-6843 Fax (214) 602-5441 PHONE: (469) 763-3587 FAX: (214) 602-5441 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CARMEN V PEREZ License Eff Dt: 09/27/2019 License Exp Dt: 09/27/2022 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 107184 License No.: 149911 Owner Information MUSTANG CREEK ESTATES KELLER HOUSE C MCE II OP CO LLC 675 RAPP ROAD 5000 LEGACY DRIVESUITE 210 , KELLER TX 76248 PLANO TX 75024 Phone (817) 337-8300 Fax (972) 502-9985 PHONE: (214) 683-5111 FAX: (972) 502-9985 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RENEE D RAMSEY License Eff Dt: 07/05/2020 License Exp Dt: 07/05/2022 Mgmt Co.: CLERMONT MANAGEMENT LLC

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 107185 License No.: 149914 Owner Information MUSTANG CREEK ESTATES KELLER HOUSE D MCE II OP CO LLC 675 RAPP ROAD 5000 LEGACY DRIVESUITE 210 , KELLER TX 76248 PLANO TX 75024 Phone (817) 337-8300 Fax (972) 502-9985 PHONE: (214) 683-5111 FAX: (972) 502-9985 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RENEE D RAMSEY License Eff Dt: 07/05/2020 License Exp Dt: 07/05/2023 Mgmt Co.: CLERMONT MANAGEMENT LLC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 104908 License No.: 147046 Owner Information MUSTANG CREEK ESTATES KELLER HOUSE E MCE II OP CO LLC 675 RAPP ROAD BLDG E 5000 LEGACY DRIVESUITE 210 , KELLER TX 76248 PLANO TX 75024 Phone (214) 396-5828 Fax (972) 502-9985 PHONE: (214) 683-5111 FAX: (972) 502-9985 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RENEE D RAMSEY License Eff Dt: 02/20/2021 License Exp Dt: 02/20/2024 Mgmt Co.: CLERMONT MANAGEMENT LLC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 105549 License No.: 148033 Owner Information MUSTANG CREEK ESTATES KELLER HOUSE F MCE II OP CO LLC 701 RAPP ROAD 5000 LEGACY DRIVESUITE 210 , KELLER TX 76248 PLANO TX 75024 Phone (214) 683-5111 Fax (972) 623-2275 PHONE: (214) 683-5111 FAX: (972) 502-9985 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RENEE D RAMSEY License Eff Dt: 02/20/2021 License Exp Dt: 02/20/2024 Mgmt Co.: CLERMONT MANAGEMENT LLC

Tuesday, September 28, 2021 Page 356 of 405 County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 105550 License No.: 147205 Owner Information MUSTANG CREEK ESTATES KELLER HOUSE G MCE II OP CO LLC 701 RAPP RD 5000 LEGACY DRIVESUITE 210 , KELLER TX 76248 PLANO TX 75024 Phone (214) 683-5111 Fax (972) 623-2275 PHONE: (214) 683-5111 FAX: (972) 502-9985 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RENEE D RAMSEY License Eff Dt: 02/20/2021 License Exp Dt: 02/20/2024 Mgmt Co.: CLERMONT MANAGEMENT LLC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 104920 License No.: 147055 Owner Information MUSTANG CREEK ESTATES KELLER HOUSES A&B MCE II OP CO LLC 675 RAPP ROAD 5000 LEGACY DRIVESUITE 210 , KELLER TX 76248 PLANO TX 75024 Phone (214) 396-5828 Fax (972) 502-9985 PHONE: (214) 683-5111 FAX: (972) 502-9985 TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RENEE D RAMSEY License Eff Dt: 02/20/2021 License Exp Dt: 02/20/2024 Mgmt Co.: CLERMONT MANAGEMENT LLC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 106142 License No.: 143924 Owner Information TENDER LOVING CARE ASSISTED LIVING HOME CESAM CARE LLC 1113 HILLSIDE DRIVE 1113 HILLSIDE DRIVE , KELLER TX 76248 KELLER TX 76248 Phone (817) 562-2388 Fax PHONE: (817) 562-2388 FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HYERYUNG S CHUNG License Eff Dt: 11/24/2019 License Exp Dt: 11/24/2021 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 105555 License No.: 308217 Owner Information TRUEWOOD BY MERRILL, KELLER MERRILL GARDENS LLC 200 KELLER SMITHFIELD ROAD SOUTH 1938 FAIRVIEW AVE ESTE 300 , KELLER TX 76248 SEATTLE WA 98102 Phone (817) 993-0757 Fax (817) 993-0748 PHONE: (206) 676-5300 FAX: (206) 676-5353 TOTAL Lic Capacity: 90 PRIVATE Beds: 90 Cert Alzh Capacity: 26 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STACEY BROADNAX License Eff Dt: 05/24/2021 License Exp Dt: 02/10/2023 Mgmt Co.: INTEGRAL SENIOR LIVING MANAGEMENT, LLC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 030244 License No.: 146430 Owner Information WHITLEY PLACE CAPITAL SENIOR MANAGEMENT 2 INC 800 WHITLEY RD 14160 DALLAS PKWYSTE 300 , KELLER TX 76248 DALLAS TX 75254 Phone (817) 379-0795 Fax (817) 337-1032 PHONE: (972) 770-5600 FAX: (972) 770-5666 TOTAL Lic Capacity: 65 PRIVATE Beds: 65 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CORRIE WELLS License Eff Dt: 02/01/2019 License Exp Dt: 02/01/2022 Mgmt Co.: CAPITAL SENIOR LIVING INC

Tuesday, September 28, 2021 Page 357 of 405 County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 000807 License No.: 149188 Owner Information BROOKDALE MANSFIELD BROOKDALE SENIOR LIVING COMMUNITIES, INC 1771 COUNTRY CLUB DRIVE 6737 W WASHINGTON ST STE 2300 , MANSFIELD TX 76063 MILWAUKEE WI 53214 Phone (817) 477-0600 Fax (817) 477-2223 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 58 PRIVATE Beds: 58 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SAMANTHA GUTHRIE License Eff Dt: 12/01/2019 License Exp Dt: 12/01/2021 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 106384 License No.: 149419 Owner Information CEDAR BLUFF ASSISTED LIVING AND MEMORY CARE MTAL OPERATOR, LLC 354 MATLOCK ROAD 500 E. 4TH STREETSUITE 175 , MANSFIELD TX 76063 FORT WORTH TX 76102 Phone (817) 473-2200 Fax (817) 518-1660 PHONE: (682) 316-2071 FAX: TOTAL Lic Capacity: 112 PRIVATE Beds: 112 Cert Alzh Capacity: 52 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: FRED MONTOYA License Eff Dt: 06/30/2020 License Exp Dt: 06/30/2023 Mgmt Co.: 12 OAKS MANAGEMENT SERVICES, INC

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 110130 License No.: 307277 Owner Information DFW ALF 3, LLC DBA LEGEND ASSISTED LIVING AND MEMORY CARE OF MANSFIELD DFW ALF 3, LLC 2500 N WALNUT CREEK DRIVE 8415 E 21ST N, SUITE 100 , MANSFIELD TX 76063 WICHITA KANSAS 67206 Phone (817) 406-9000 Fax PHONE: FAX: TOTAL Lic Capacity: 85 PRIVATE Beds: 85 Cert Alzh Capacity: 17 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: FREDA G JOHNSON License Eff Dt: 04/30/2019 License Exp Dt: 04/30/2022 Mgmt Co.: LEGEND SENIOR LIVING LLC

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 110504 License No.: 308263 Owner Information ECHELON PLACE ECHELON PLACE LP 140 N. MITCHELL SAME , MANSFIELD TX 76063 EULESS TX 76039 Phone (214) 773-6000 Fax (817) 557-2215 PHONE: (682) 518-1070 FAX: (682) 518-1093 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BLAKE LANKFORD License Eff Dt: 05/26/2021 License Exp Dt: 05/26/2024 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 110293 License No.: 307711 Owner Information HIGHLANDS VILLAGE SENIOR LIVING LLC HIGHLANDS VILLAGE SENIOR LIVING LLC 120 REGENCY PKWY , MANSFIELD TX 76063 Phone (817) 779-9088 Fax (817) 394-1288 PHONE: FAX: TOTAL Lic Capacity: 98 PRIVATE Beds: 98 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BENJAMIN F IRBY License Eff Dt: 01/27/2020 License Exp Dt: 01/27/2023 Mgmt Co.: HIGHLANDS SENIOR LIVING ARLINGTON LLC

Tuesday, September 28, 2021 Page 358 of 405 County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 104688 License No.: 149760 Owner Information ISLE AT WATERCREST MANSFIELD CHP ISLE AT WATERCRESTMANSFIELD TENANT CORP 200 E. DEBBIE LANE 200 EAST DEBBIE LANE , MANSFIELD TX 76063 MANSFIELD TX 76063 Phone (817) 453-3900 Fax (817) 453-3909 PHONE: (817) 453-3900 FAX: TOTAL Lic Capacity: 130 PRIVATE Beds: 130 Cert Alzh Capacity: 43 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GLENN B DAVIS License Eff Dt: 05/05/2020 License Exp Dt: 05/05/2023 Mgmt Co.: INTEGRATED SENIOR LIVING LLC

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 102915 License No.: 308275 Owner Information WALNUT CREEK ASSISTED LIVING AND MEMORY CARE COMMUNITY WELLTOWER TENANT GROUP LLC 2281 COUNTRY CLUB DR 4500 DORR STREET , MANSFIELD TX 76063 TOLEDO OHIO 43615 Phone 817 4733018 Fax 817 4531652 PHONE: FAX: TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TERRY ACKER License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.: WALNUT CREEK AL MC CARE PROPERTIES LLC

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 100285 License No.: 149476 Owner Information ASHWOOD COURT NORTH RICHLAND HILLS SENIOR LIVING LLC 7501 GLENVIEW DR 117 WEST MAIN , NORTH RICHLAND HILLS TX 76180 ALLEN TX 75013 Phone (817) 804-3100 Fax PHONE: (817) 984-4404 FAX: (903) 215-8581 TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ANDREA IRBY License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2022 Mgmt Co.: RSL HEALTHCARE MANAGEMENT LLC

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 010232 License No.: 146808 Owner Information BROOKDALE NORTH RICHLAND HILLS SH THIRTYFIVE OPCO NORTH RICHLAND HILLS, LLC 8500 EMERALD HILLS WAY 1920 MAIN STREETSTE 1200 , NORTH RICHLAND HILLS TX 76180 IRVINE CA 92614 Phone (817) 577-3337 Fax (817) 427-1973 PHONE: (949) 407-0700 FAX: (949) 407-0800 TOTAL Lic Capacity: 110 PRIVATE Beds: 110 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RONALD H SMITH License Eff Dt: 04/30/2021 License Exp Dt: 04/30/2024 Mgmt Co.: BKD TWENTYONE MANAGEMENT COMPANY, INC

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 030174 License No.: 307502 Owner Information HOLIDAY LANE ESTATES 12 OAKS NRH OPCO LLC 6155 HOLIDAY LANE , NORTH RICHLAND HILLS TX 76180 Phone 817 4270275 Fax (817) 656-4227 PHONE: FAX: TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TONYA BRADY License Eff Dt: 06/01/2019 License Exp Dt: 06/01/2022 Mgmt Co.: 12 OAKS MANAGEMENT SERVICES, INC

Tuesday, September 28, 2021 Page 359 of 405 County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 000304 License No.: 308157 Owner Information MORADA NORTH RICHLAND HILLS HP NORTH RICHLAND HILLS OPCO II, LLC 7801 N. RICHLAND BOULEVARD , NORTH RICHLAND HILLS TX 76180 Phone 817 5816310 Fax (817) 581-0608 PHONE: FAX: TOTAL Lic Capacity: 80 PRIVATE Beds: 80 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SHERYL THOMLEY License Eff Dt: 02/01/2021 License Exp Dt: 02/01/2024 Mgmt Co.: MORADA SENIOR LIVING LLC

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 110180 License No.: 307392 Owner Information STONECREEK NORTH RICHLAND HILLS NRH SL OPERATIONS, LP 8505 MID-CITIES BLVD , NORTH RICHLAND HILLS TX 76182 Phone (817) 918-8002 Fax PHONE: FAX: TOTAL Lic Capacity: 115 PRIVATE Beds: 115 Cert Alzh Capacity: 26 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MICHAEL THOMAS License Eff Dt: 07/02/2019 License Exp Dt: 07/02/2022 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 000804 License No.: 146039 Owner Information BROOKDALE RICHLAND HILLS AHC RICHLAND HILLS LLC 7520 GLENVIEW DR 6737 W. WASHINGTONSUITE 2300 , RICHLAND TX 76180 MILWAUKEE WI 53214 Phone (817) 589-8600 Fax (817) 589-7603 PHONE: (414) 518-5441 FAX: (414) 918-6076 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JAMES M DONOVAN License Eff Dt: 09/20/2020 License Exp Dt: 09/20/2023 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 030263 License No.: 150149 Owner Information BROOKDALE RICHLAND HILLS 2 AHC RICHLAND HILLS LLC 7520 B GLENVIEW DR 6737 W. WASHINGTONSUITE 2300 , RICHLAND HILLS TX 76180 MILWAUKEE WI 53214 Phone (817) 589-9688 Fax (817) 590-2881 PHONE: (414) 518-5441 FAX: (414) 918-6076 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 50 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAWN SAMUELS License Eff Dt: 09/20/2020 License Exp Dt: 09/20/2023 Mgmt Co.:

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 110279 License No.: 307649 Owner Information GOLDEN CREEK RESIDENTIAL CARE PROFESSIONAL SENIOR CARE SERVICES, LLC 116 ROBERTS DRIVE 1962 LEWIS CROSSING DR , SAGINAW TX 76179 KELLER TX 76248 Phone (817) 847-7048 Fax (817) 887-0821 PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MELISSA CARTER License Eff Dt: 12/17/2019 License Exp Dt: 12/17/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 360 of 405 County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 105649 License No.: 307553 Owner Information DISCOVERY VILLAGE AT SOUTHLAKE DSL TENANT II, LLC 201 WATERMERE DRIVE 4500 DORR STREET , SOUTHLAKE TX 76092 TOLEDO OH 43615 Phone (817) 482-1340 Fax (817) 431-1314 PHONE: FAX: TOTAL Lic Capacity: 83 PRIVATE Beds: 83 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AL RUTEZ MASON License Eff Dt: 04/01/2019 License Exp Dt: 04/01/2022 Mgmt Co.: AMERICAN TRUST SENIOR CARE, LLC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 103303 License No.: 307706 Owner Information DISCOVERY VILLAGE AT SOUTHLAKE DSL TENANT II, LLC 101 WATERMERE DR. 4500 DORR STREET , SOUTHLAKE TX 76092 TOLEDO OH 43615 Phone (817) 748-4000 Fax (817) 748-4001 PHONE: FAX: TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 40 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNIFER HODGES License Eff Dt: 04/01/2019 License Exp Dt: 04/01/2022 Mgmt Co.: AMERICAN TRUST SENIOR CARE, LLC

County TARRANT Reg Svcs: TEAM 6 Region 03 Facility Information: Facility ID: 106942 License No.: 148598 Owner Information HARBORCHASE OF SOUTHLAKE SILVERSTONE HARBORCHASE SOUTHLAKE OPERATING LLC 700 E. STATE HIGHWAY 114 700 E STATE HIGHWAY 114 , SOUTHLAKE TX 76092 SOUTHLAKE TX 76092 Phone (682) 305-7022 Fax (682) 305-7033 PHONE: (682) 305-7022 FAX: (682) 305-7033 TOTAL Lic Capacity: 148 PRIVATE Beds: 148 Cert Alzh Capacity: 38 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MINDI WILLIS License Eff Dt: 11/29/2019 License Exp Dt: 11/29/2021 Mgmt Co.: HARBOR SOUTHLAKE MANAGEMENT LLC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 105902 License No.: 148127 Owner Information SILVERADO SOUTHLAKE SILVERADO SOUTHLAKE LLC 2001 E. KIRKWOOD BLVD. 6400 OAK CANYONSUITE 200 , SOUTHLAKE TX 76092 IRVINE CA 92618 Phone (817) 756-8600 Fax (817) 886-2620 PHONE: (949) 240-7200 FAX: (949) 240-7270 TOTAL Lic Capacity: 91 PRIVATE Beds: 91 Cert Alzh Capacity: 91 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CINDY OHLMANN License Eff Dt: 06/01/2019 License Exp Dt: 10/31/2021 Mgmt Co.: SILVERADO SENIOR LIVING MANAGEMENT, INC

County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 030018 License No.: 145651 Owner Information BROOKDALE WATAUGA BROOKDALE SENIOR LIVING COMMUNITIES, INC 5800 N PARK DR 6737 W WASHINGTON ST STE 2300 , WATAUGA TX 76148 MILWAUKEE WI 53214 Phone (817) 498-2222 Fax (817) 498-5777 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANEIL CARTER License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 361 of 405 County TARRANT Reg Svcs: TEAM 2 Region 03 Facility Information: Facility ID: 106056 License No.: 307436 Owner Information THE WESTMORE SENIOR LIVING WELLTOWER TCG RIDEA TENANT, LLC 25 LEONARD TRAIL 4500 DORR STREET , WESTWORTH VILLAGE TX 76114 TOLDEO OH 43615 Phone (817) 755-1644 Fax PHONE: FAX: TOTAL Lic Capacity: 140 PRIVATE Beds: 140 Cert Alzh Capacity: 23 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JULIE PRESTON License Eff Dt: 04/01/2019 License Exp Dt: 04/01/2022 Mgmt Co.: SAGORA SENIOR LIVING, INC

County TAYLOR Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 101090 License No.: 147674 Owner Information AMBERS HOUSE DISABILITY RESOURCES INC 3264 VARNER LN PO BOX 1880 , ABILENE TX 79601 ABILENE TEXAS 79604 Phone (325) 232-6926 Fax (325) 673-7829 PHONE: (325) 677-6815 FAX: (325) 673-7829 TOTAL Lic Capacity: 7 PRIVATE Beds: 7 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ROGER CARAWAY License Eff Dt: 08/01/2021 License Exp Dt: 08/01/2024 Mgmt Co.:

County TAYLOR Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 110385 License No.: 307972 Owner Information BEEHIVE HOMES OF ABILENE BHH OPERATIONS OF TEXAS 4 5301 MEMORIAL DRIVE 4811 HARDWARE DRIVE NE, SUITE D1 , ABILENE TX 79606 ALBUQUERQUE NM 87109 Phone (505) 480-1445 Fax (505) 821-1834 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KATHI CARTER License Eff Dt: 09/04/2020 License Exp Dt: 09/04/2023 Mgmt Co.:

County TAYLOR Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 000626 License No.: 147815 Owner Information CHISHOLM PLACE CHISHOLM AID OPCO LLC 1450 E N 10TH ST 330 N WABASHSTE 3700 , ABILENE TX 79601 CHICAGO IL 60611 Phone (325) 670-0961 Fax (325) 670-0780 PHONE: (312) 725-7000 FAX: (312) 332-5300 TOTAL Lic Capacity: 44 PRIVATE Beds: 44 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KIM STEWART License Eff Dt: 07/11/2019 License Exp Dt: 07/11/2022 Mgmt Co.: ENLIVANT AID CMBS MGMT LLC

County TAYLOR Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 000665 License No.: 148818 Owner Information HIGHLAND ASSISTED LIVING LLC HIGHLAND ASSISTED LIVING L L C 2310 S SEVENTH PO BOX 3395 , ABILENE TX 79605 ABILENE TX 79604 Phone (325) 675-5100 Fax (325) 675-5300 PHONE: (915) 675-5100 FAX: (325) 675-5300 TOTAL Lic Capacity: 39 PRIVATE Beds: 39 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SAMI P YARBROUGH License Eff Dt: 10/02/2019 License Exp Dt: 10/02/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 362 of 405 County TAYLOR Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 001014 License No.: 147670 Owner Information KENNETH HART KENNETH HART 1742 SAYLES BLVD 1742 SAYLES BLVD , ABILENE TX 79605 ABILENE TX 79605 Phone (325) 701-4044 Fax (325) 701-4044 PHONE: (325) 690-6123 FAX: TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE C Administrator: KENNETH HART License Eff Dt: 07/19/2019 License Exp Dt: 07/19/2022 Mgmt Co.:

County TAYLOR Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 107257 License No.: 307061 Owner Information LYNDALE ABILENE MEMORY CARE S TCG ABILENE CAMPUS, LLC 6568 PARK CENTRAL BLVD 801 CHERRY ST., STE. 2400, UNIT 31 , ABILENE TX 79606 FORT WORTH TX 76102 Phone (325) 603-2726 Fax (325) 690-9210 PHONE: (817) 446-4792 FAX: (817) 446-0923 TOTAL Lic Capacity: 64 PRIVATE Beds: 64 Cert Alzh Capacity: 64 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KYLE DOUTHIT License Eff Dt: 10/22/2020 License Exp Dt: 10/22/2023 Mgmt Co.: SAGORA SENIOR LIVING, INC

County TAYLOR Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 030102 License No.: 148515 Owner Information LYNDALE AT ABILENE S TCG ABILENE CAMPUS, LLC 6565 CENTRAL PARK BLVD. 801 CHERRY ST., STE. 2400, UNIT 31 , ABILENE TX 79606 FORT WORTH TX 76102 Phone (325) 603-2726 Fax (325) 690-9210 PHONE: (817) 446-4792 FAX: (817) 446-0923 TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BRIDGET N MOORE License Eff Dt: 09/15/2021 License Exp Dt: 09/15/2024 Mgmt Co.: SAGORA SENIOR LIVING, INC

County TAYLOR Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 030108 License No.: 308191 Owner Information MORADA ABILENE HP ABILENE OPCO, LLC 3234 BUFFALO GAP RD. , ABILENE TX 79605 Phone 325 7931144 Fax (325) 793-1422 PHONE: FAX: TOTAL Lic Capacity: 55 PRIVATE Beds: 55 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAVID COLLINS License Eff Dt: 02/01/2021 License Exp Dt: 02/01/2024 Mgmt Co.: MORADA SENIOR LIVING LLC

County TAYLOR Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 103249 License No.: 147821 Owner Information THE WOOD GROUP TWG INVESTMENTS LTD 858 FORMOSA ST 3610 BARNETT RD , ABILENE TX 79602 WICHITA FALLS TX 76310 Phone (940) 767-0463 Fax (940) 767-0466 PHONE: (940) 767-0463 FAX: (940) 767-0466 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BRADEN WOOD License Eff Dt: 12/27/2020 License Exp Dt: 12/27/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 363 of 405 County TAYLOR Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 102002 License No.: 146984 Owner Information WESLEY COURT ASSISTED LIVING CENTER ER OPCO WC, LLC 2617 ANTILLEY ROAD PO BOX 2107 , ABILENE TX 79606 BRENTWOOD TN 37024-2107 Phone (325) 437-1184 Fax (325) 437-1185 PHONE: (615) 915-2932 FAX: (615) 915-2938 TOTAL Lic Capacity: 29 PRIVATE Beds: 29 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MILO PARSONS License Eff Dt: 02/28/2021 License Exp Dt: 02/28/2024 Mgmt Co.: ER SENIOR MANAGEMENT LLC

County TAYLOR Reg Svcs: ABILENE GERIATRIC Region 02 Facility Information: Facility ID: 000414 License No.: 307579 Owner Information WISTERIA PLACE ASSISTED LIVING BROOKHOLLOW SENIOR LIVING LLC 3202 S. WILLIS STREET , ABILENE TX 79605 Phone (325) 695-6145 Fax (325) 695-2629 PHONE: FAX: TOTAL Lic Capacity: 82 PRIVATE Beds: 82 Cert Alzh Capacity: 38 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JONATHAN V BURTON License Eff Dt: 10/01/2019 License Exp Dt: 10/01/2022 Mgmt Co.:

County TERRY Reg Svcs: HIGH PLAINS GERI 2 Region 01 Facility Information: Facility ID: 030026 License No.: 145026 Owner Information COTTAGE VILLAGE COTTAGE VILLAGE LIVING II LLC 1202 CHERYL DR 204 5TH ST NE , BROWNFIELD TX 79316 CHILDRESS TX 79201 Phone (806) 637-9066 Fax (806) 637-6305 PHONE: (806) 637-9066 FAX: (806) 637-6305 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAVID C KARNES License Eff Dt: 06/01/2020 License Exp Dt: 06/01/2022 Mgmt Co.:

County TITUS Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 000748 License No.: 146328 Owner Information HERITAGE PARK VILLAGE MOUNT PLEASANT SENIOR LIVING LLC 1712 NORTH EDWARDS ST 117 W MAIN ST , MOUNT PLEASANT TX 75455 ALLEN TX 75013 Phone (903) 577-0759 Fax (903) 215-8581 PHONE: (817) 984-4404 FAX: (903) 215-8581 TOTAL Lic Capacity: 34 PRIVATE Beds: 34 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JANET BANKS License Eff Dt: 02/01/2021 License Exp Dt: 02/01/2024 Mgmt Co.: RSL HEALTHCARE MANAGEMENT LLC

County TITUS Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 000428 License No.: 147098 Owner Information HERITAGE PARK VILLAGE MOUNT PLEASANT SENIOR LIVING LLC 1714 N EDWARDS ST 117 W MAIN ST , MOUNT PLEASANT TX 75455 ALLEN TX 75013 Phone (903) 577-0759 Fax (903) 577-8777 PHONE: (817) 984-4404 FAX: (903) 215-8581 TOTAL Lic Capacity: 51 PRIVATE Beds: 51 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CONNIE TEDFORD License Eff Dt: 04/29/2021 License Exp Dt: 04/29/2024 Mgmt Co.: RSL HEALTHCARE MANAGEMENT LLC

Tuesday, September 28, 2021 Page 364 of 405 County TITUS Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 000782 License No.: 144044 Owner Information MOUNT PLEASANT ASSISTED LIVING MOUNT PLEASANT ALF OPERATING COMPANY LLC 2009 N EDWARDS 2009 N EDWARDS , MOUNT PLEASANT TX 75455 MOUNT PLEASANT TX 75455 Phone (903) 572-8123 Fax (903) 577-1559 PHONE: (903) 572-8123 FAX: (903) 577-1599 TOTAL Lic Capacity: 25 PRIVATE Beds: 25 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BARKER L DONYA License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.:

County TITUS Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 000580 License No.: 148738 Owner Information MOUNT PLEASANT ASSISTED LIVING MOUNT PLEASANT ALF OPERATING COMPANY LLC 2013 N EDWARDS 2009 N EDWARDS , MOUNT PLEASANT TX 75455 MOUNT PLEASANT TX 75455 Phone (903) 572-8123 Fax (903) 577-1559 PHONE: (903) 572-8123 FAX: (903) 577-1599 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BARKER L DONYA License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.:

County TITUS Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 105033 License No.: 148727 Owner Information MOUNT PLEASANT HOSPITALITY HOUSE ORGANIZATIONAL CONSULTANTS OF AMERICA: ORCA INC 804 WEST 16TH ST PO BOX 1138 , MOUNT PLEASANT TX 75455 MOUNT PLEASANT TX 75456 Phone (903) 572-9893 Fax (903) 572-8873 PHONE: (903) 572-9893 FAX: TOTAL Lic Capacity: 65 PRIVATE Beds: 65 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JACOB AINSWORTH License Eff Dt: 01/23/2020 License Exp Dt: 01/23/2023 Mgmt Co.:

County TITUS Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 000709 License No.: 148661 Owner Information MT PLEASANT ASSISTED LIVING MOUNT PLEASANT ALF OPERATING COMPANY LLC 2011 N EDWARDS 2009 N EDWARDS , MOUNT PLEASANT TX 75455 MOUNT PLEASANT TX 75455 Phone (903) 572-8123 Fax (903) 577-1559 PHONE: (903) 572-8123 FAX: (903) 577-1599 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BARKER L DONYA License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2023 Mgmt Co.:

County TITUS Reg Svcs: TYLER NW TEAM Region 04 Facility Information: Facility ID: 106133 License No.: 146702 Owner Information THE LODGE ASSISTED LIVING AND MEMORY CARE THE LODGE AT MT PLEASANT LLC 1880 WEST 16TH ST 1880 W 16TH ST , MOUNT PLEASANT TX 75455 MOUNT PLEASANT TX 75455 Phone (903) 577-5656 Fax (903) 577-5682 PHONE: (903) 577-5656 FAX: (903) 577-5682 TOTAL Lic Capacity: 66 PRIVATE Beds: 66 Cert Alzh Capacity: 36 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHEELA SINGAPERUMAL License Eff Dt: 03/27/2021 License Exp Dt: 03/27/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 365 of 405 County TOM GREEN Reg Svcs: SAN ANGELO GERIATRIC Region 02 Facility Information: Facility ID: 000387 License No.: 307438 Owner Information BRAYDEN PARK ASSISTED LIVING TCG SAN ANGELO AL, LLC 2695 VALLEYVIEW BLVD. , SAN ANGELO TX 76904 Phone (325) 829-5109 Fax (325) 223-8144 PHONE: FAX: TOTAL Lic Capacity: 133 PRIVATE Beds: 133 Cert Alzh Capacity: 38 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SABRINA MUNNS License Eff Dt: 01/08/2019 License Exp Dt: 01/08/2022 Mgmt Co.: SAGORA SENIOR LIVING, INC

County TOM GREEN Reg Svcs: SAN ANGELO GERIATRIC Region 02 Facility Information: Facility ID: 030100 License No.: 149052 Owner Information LYNDALE AT SAN ANGELO S TCG SAN ANGELO CAMPUS, LLC 6101 GRAND COURT RD. 801 CHERRY STSTE 2400 UNIT 31 , SAN ANGELO TX 76901 FORT WORTH TX 76102 Phone (325) 939-8812 Fax (325) 947-0043 PHONE: (817) 446-4792 FAX: (817) 446-0923 TOTAL Lic Capacity: 78 PRIVATE Beds: 78 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: REGINA FUCHS License Eff Dt: 09/15/2021 License Exp Dt: 09/15/2024 Mgmt Co.: SAGORA SENIOR LIVING, INC

County TOM GREEN Reg Svcs: SAN ANGELO GERIATRIC Region 02 Facility Information: Facility ID: 105267 License No.: 144648 Owner Information NEW HAVEN ASSISTED LIVING OF SAN ANGELO LLC NEW HAVEN ASSISTED LIVING OF SAN ANGELO LLC 2501 SAWGRASS DR. 1919 SHIELD DR , SAN ANGELO TX 76904 NEW BRAUNFELS TX 78130 Phone (325) 267-2316 Fax PHONE: (847) 975-1609 FAX: (801) 606-2793 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TESSA WILSON License Eff Dt: 01/29/2020 License Exp Dt: 01/29/2023 Mgmt Co.: ENRICHED SENIOR LIVING LLC

County TOM GREEN Reg Svcs: SAN ANGELO GERIATRIC Region 02 Facility Information: Facility ID: 105266 License No.: 149543 Owner Information NEW HAVEN ASSISTED LIVING OF SAN ANGELO LLC NEW HAVEN ASSISTED LIVING OF SAN ANGELO LLC 2501 SAWGRASS DR 1919 SHIELD DR , SAN ANGELO TX 76904 NEW BRAUNFELS TX 78130 Phone (325) 227-4748 Fax PHONE: (847) 975-1609 FAX: (801) 606-2793 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ASHLEY MURPHY License Eff Dt: 01/29/2020 License Exp Dt: 01/29/2022 Mgmt Co.: ENRICHED SENIOR LIVING LLC

County TOM GREEN Reg Svcs: SAN ANGELO GERIATRIC Region 02 Facility Information: Facility ID: 106541 License No.: 145547 Owner Information THE CREST EAST BAPTIST MEMORIALS MINISTRIES 430 E. 8TH STREET P.O. BOX 5661 , SAN ANGELO TX 76903 SAN ANGELO TEXAS 76903 Phone (325) 655-7391 Fax (325) 655-2574 PHONE: (325) 655-7391 FAX: (325) 653-1413 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 15 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TANYA SOLSBERY License Eff Dt: 08/11/2020 License Exp Dt: 08/11/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 366 of 405 County TOM GREEN Reg Svcs: SAN ANGELO GERIATRIC Region 02 Facility Information: Facility ID: 106545 License No.: 147801 Owner Information THE CRESTWEST BAPTIST MEMORIALS MINISTRIES 402 E 8TH ST P.O. BOX 5661 , SAN ANGELO TX 76903 SAN ANGELO TEXAS 76903 Phone (325) 655-7391 Fax (325) 653-1413 PHONE: (325) 655-7391 FAX: (325) 653-1413 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 15 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TANYA SOLSBERY License Eff Dt: 02/08/2019 License Exp Dt: 02/08/2022 Mgmt Co.:

County TOM GREEN Reg Svcs: SAN ANGELO GERIATRIC Region 02 Facility Information: Facility ID: 105285 License No.: 150130 Owner Information THE SPRINGS MEMORY CARE CHP SPRINGS TX TENANT CORP 6102 GRAND COURT RD 12700 PARK CENTRAL DRIVE STE 300 , SAN ANGELO TX 76901 DALLAS TX 75251 Phone (325) 224-3040 Fax PHONE: (214) 871-2155 FAX: (214) 368-7341 TOTAL Lic Capacity: 66 PRIVATE Beds: 66 Cert Alzh Capacity: 66 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PAULINE NORWOOD License Eff Dt: 04/02/2020 License Exp Dt: 04/02/2022 Mgmt Co.: 12 OAKS MANAGEMENT SERVICES, INC

County TOM GREEN Reg Svcs: SAN ANGELO GERIATRIC Region 02 Facility Information: Facility ID: 030009 License No.: 148504 Owner Information THE ST ANGELUS COMFORT SENIOR LIVING LLC 15 N VAN BUREN 15 N VAN BUREN , SAN ANGELO TX 76901 SAN ANGELO TX 76901 Phone (325) 659-4581 Fax PHONE: (325) 659-4581 FAX: TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: KAREN L DUPREE License Eff Dt: 09/01/2019 License Exp Dt: 09/01/2022 Mgmt Co.:

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 107237 License No.: 307746 Owner Information ACCESSION ESTATES ASSISTED LIVING HOMES ACCESSION ESTATES LLC 10301 ENGLISH OAK DRIVE UNKNOWN , AUSTIN TX 78748 Phone (512) 800-7405 Fax (512) 800-7617 PHONE: FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAVE G PADOLINA License Eff Dt: 02/27/2020 License Exp Dt: 02/27/2023 Mgmt Co.:

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 100262 License No.: 147070 Owner Information ARDEN COURTS OF AUSTIN ARDEN COURTS OF AUSTIN TX LLC 11630 FOUR IRON DR 333 N SUMMIT ST , AUSTIN TX 78750 TOLEDO OH 43604 Phone (512) 918-2800 Fax (512) 918-2862 PHONE: (419) 252-5500 FAX: (877) 385-9446 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 60 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NANCY E TURCO License Eff Dt: 04/07/2019 License Exp Dt: 07/30/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 367 of 405 County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 103582 License No.: 146565 Owner Information AUSTIN NORTH ASSISTED LIVING AUSTIN NORTH ASSISTED LIVING LLC 11206 POWDER MILL 2103 OLD MILL RD , AUSTIN TX 78750 CEDAR PARK TX 78613 Phone (512) 465-2157 Fax (512) 465-2157 PHONE: (512) 249-6760 FAX: (512) 465-2157 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: REBECCA L SCHEVERS License Eff Dt: 12/22/2020 License Exp Dt: 12/22/2023 Mgmt Co.:

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 010257 License No.: 150032 Owner Information AUSTIN SENIOR CARE CYUSHIKA L BROOKSTUDMON 1414 CARDINAL HILL DR 1414 CARDINAL HILL DR , AUSTIN TX 78758 AUSTIN TX 78758 Phone (512) 853-9503 Fax (512) 692-7648 PHONE: (512) 853-9503 FAX: (512) 692-7648 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CYUSHIKA L BROOKS-TUDMON License Eff Dt: 08/04/2020 License Exp Dt: 08/04/2023 Mgmt Co.:

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 010282 License No.: 146872 Owner Information BROOKDALE BECKETT MEADOWS ESC IV LP 7709 BECKETT RD 6737 W, WASHINGTON ST SUITE 2300 , AUSTIN TX 78749 MILWAUKEE WI 53214 Phone (512) 891-9544 Fax (512) 892-8980 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 95 PRIVATE Beds: 95 Cert Alzh Capacity: 23 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JODY STRATTON License Eff Dt: 03/31/2021 License Exp Dt: 03/31/2024 Mgmt Co.:

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 030416 License No.: 147182 Owner Information BROOKDALE GAINES RANCH BKD GAINES RANCH LLC 4409 GAINES RANCH LOOP 111 WESTWOOD PLACESTE 400 , AUSTIN TX 78735 BRENTWOOD TN 37027 Phone (512) 721-3100 Fax (512) 899-1711 PHONE: (615) 221-2250 FAX: (615) 221-5284 TOTAL Lic Capacity: 58 PRIVATE Beds: 58 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: NICHOLAS SNYDER License Eff Dt: 06/10/2019 License Exp Dt: 06/10/2022 Mgmt Co.:

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 030267 License No.: 308375 Owner Information BROOKDALE LOHMANS CROSSING EMERIVISTA, LLC 1604 LOHMANS CROSSING , AUSTIN TX 78734 Phone (512) 261-6653 Fax (512) 261-2699 PHONE: FAX: TOTAL Lic Capacity: 75 PRIVATE Beds: 75 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARIE KRAMER License Eff Dt: 01/01/2021 License Exp Dt: 01/01/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 368 of 405 County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 000948 License No.: 145836 Owner Information BROOKDALE NORTH AUSTIN ESCNGH, LP 5310 DUVAL RD 111 WESTWOOD PL STE 400 , AUSTIN TX 78727 BRENTWOOD TN 37027 Phone (512) 418-8228 Fax (512) 418-9211 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 112 PRIVATE Beds: 112 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MEGAN GOODWIN License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2023 Mgmt Co.:

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 050750 License No.: 148361 Owner Information BROOKDALE NORTHWEST HILLS BROOKDALE NORTHWEST HILLS LLC 5715 MESA DR 6737 W WASHINGTON ST#2300 , AUSTIN TX 78731 MILWAUKEE WI 53214 Phone (512) 454-5900 Fax (512) 652-0004 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 240 PRIVATE Beds: 240 Cert Alzh Capacity: 28 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STEVEN G AICHLMAYR License Eff Dt: 07/29/2019 License Exp Dt: 07/29/2021 Mgmt Co.: ARC MANAGEMENT LLC

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 000745 License No.: 146376 Owner Information BROOKDALE WESTLAKE HILLS FORT AUSTIN LIMITED PARTNERSHIP 1034 LIBERTY PARK DR 111 WESWOOD PLACE STE 400 , AUSTIN TX 78746 BRENTWOOD TN 37027 Phone (512) 328-3775 Fax (512) 329-6533 PHONE: (312) 977-3742 FAX: TOTAL Lic Capacity: 36 PRIVATE Beds: 36 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DAVID LAMAR License Eff Dt: 07/25/2020 License Exp Dt: 07/25/2023 Mgmt Co.:

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 000482 License No.: 147669 Owner Information COLONIAL GARDENS OF AUSTIN A1 SOUTHWEST LTC AUSTIN ALF LLC 3700 ADELPHI LN 5560 TENNYSON PARKWAY STE 210 , AUSTIN TX 78727 PLANO TEXAS 75024 Phone (512) 833-0114 Fax (512) 833-3235 PHONE: (469) 916-6100 FAX: (469) 916-6105 TOTAL Lic Capacity: 32 PRIVATE Beds: 32 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LYNDA TELFEYAN License Eff Dt: 05/01/2021 License Exp Dt: 05/01/2024 Mgmt Co.: SOUTHWEST LTC MANAGEMENT SERVICES LLC

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 030112 License No.: 147510 Owner Information COLONIAL GARDENS OF AUSTIN A2 SOUTHWEST LTC AUSTIN ALF LLC 3706 ADELPHI LN 5560 TENNYSON PARKWAY STE 210 , AUSTIN TX 78727 PLANO TEXAS 75024 Phone (512) 833-0114 Fax (512) 833-3235 PHONE: (469) 916-6100 FAX: (469) 916-6105 TOTAL Lic Capacity: 32 PRIVATE Beds: 32 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LYNDA TELFEYAN License Eff Dt: 05/01/2021 License Exp Dt: 05/01/2024 Mgmt Co.: SOUTHWEST LTC MANAGEMENT SERVICES LLC

Tuesday, September 28, 2021 Page 369 of 405 County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 100114 License No.: 307108 Owner Information ELMCROFT OF AUSTIN EC OPCO AUSTIN, LLC 7017 MANCHACA RD , AUSTIN TX 78745 Phone (512) 916-4095 Fax (512) 916-9239 PHONE: FAX: TOTAL Lic Capacity: 133 PRIVATE Beds: 133 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMBER TURNER License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2022 Mgmt Co.: ECLIPSE PROTFOLIO OPERATIONS, LLC

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 100113 License No.: 147874 Owner Information GRACE HOUSE ASSISTED LIVING 11825 BEE CAVE ROAD OPERATING COMPANY LLC 11825 BEE CAVE RD 2001 ROUTE 46 SUITE 310C/O LQC PARTNERS , AUSTIN TX 78738 PARSIPPANY NJ 7054 Phone (512) 402-0968 Fax (512) 402-0950 PHONE: (212) 920-7794 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHEILA IRVIN License Eff Dt: 03/15/2021 License Exp Dt: 03/15/2024 Mgmt Co.: RSL HEALTHCARE MANAGEMENT LLC

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 100279 License No.: 147794 Owner Information GRACE HOUSE ASSISTED LIVING 11825 BEE CAVE ROAD OPERATING COMPANY LLC 11825 BEE CAVE RD 2001 ROUTE 46 SUITE 310C/O LQC PARTNERS , AUSTIN TX 78738 PARSIPPANY NJ 7054 Phone (512) 402-0968 Fax (512) 402-0950 PHONE: (212) 920-7794 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LAURA SOTO License Eff Dt: 03/15/2021 License Exp Dt: 03/15/2024 Mgmt Co.: RSL HEALTHCARE MANAGEMENT LLC

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 050404 License No.: 149793 Owner Information HOME OF SOUTHERN HOSPITALITY LLC HOME OF SOUTHERN HOSPITALITY LLC 5000 SHOALWOOD AVE 6302 COLINA LN , AUSTIN TX 78756 AUSTIN TX 78759 Phone (512) 451-8400 Fax (512) 451-7972 PHONE: (512) 451-8400 FAX: (512) 451-7972 TOTAL Lic Capacity: 15 PRIVATE Beds: 15 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MICHELLE D HOWARD License Eff Dt: 04/02/2020 License Exp Dt: 04/02/2022 Mgmt Co.:

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 000958 License No.: 149598 Owner Information JUNIPER VILLAGE AT SPICEWOOD SUMMIT SH OPCO SPICEWOOD SPRINGS LLC 4401 SPICEWOOD SPRINGS RD 6737 W WASHINGTON ST#2300 , AUSTIN TX 78759 MILWAUKEE WI 92614 Phone (512) 418-8822 Fax (512) 418-8825 PHONE: (414) 918-5000 FAX: (414) 918-6076 TOTAL Lic Capacity: 109 PRIVATE Beds: 109 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: REBECCA FOLTA-MAY License Eff Dt: 01/18/2021 License Exp Dt: 01/18/2024 Mgmt Co.: JUNIPER MANAGEMENT LLC

Tuesday, September 28, 2021 Page 370 of 405 County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 106219 License No.: 148775 Owner Information LEGACY OAKS ASSISTED LIVING AND MEMORY CARE CSH AUSTIN LICENSEE LLC 7501 W HWY 290 1275 PENNSYLVANIA AVENW-2ND FL , AUSTIN TX 78736 WASHINGTON DC 20004 Phone (512) 288-8300 Fax (512) 767-1844 PHONE: (202) 469-8400 FAX: TOTAL Lic Capacity: 122 PRIVATE Beds: 122 Cert Alzh Capacity: 32 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROBERTO RAMIREZ License Eff Dt: 03/01/2021 License Exp Dt: 03/01/2024 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 103390 License No.: 148979 Owner Information LIVE OAK DRIVE LIVE OAK ESTATES LLC 11611 CIRCLE DR 213 BRADFIELD DR , AUSTIN TX 78748 BUDA TX 78610 Phone (512) 906-0377 Fax (512) 373-8838 PHONE: (512) 757-4478 FAX: (512) 312-9336 TOTAL Lic Capacity: 13 PRIVATE Beds: 13 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CAMILLE BERTRAND License Eff Dt: 01/08/2020 License Exp Dt: 01/08/2023 Mgmt Co.:

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 106179 License No.: 146929 Owner Information LIVE OAK ESTATES LIVE OAK ESTATES LLC 10212 ENGLISH OAK DR. 213 BRADFIELD DR , AUSTIN TX 78748 BUDA TX 78610 Phone (512) 551-9331 Fax (512) 861-5799 PHONE: (512) 757-4478 FAX: (512) 312-9336 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: WENDY M SKOOG License Eff Dt: 03/27/2021 License Exp Dt: 03/27/2024 Mgmt Co.:

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 104789 License No.: 149822 Owner Information LIVE OAK WEST LIVE OAK ESTATES LLC 3123 SUNLAND DR 213 BRADFIELD DR , AUSTIN TX 78748 BUDA TX 78610 Phone (512) 351-9446 Fax (512) 916-8623 PHONE: (512) 757-4478 FAX: (512) 312-9336 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARYANN CRUZ License Eff Dt: 01/26/2020 License Exp Dt: 01/26/2023 Mgmt Co.:

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 104169 License No.: 149511 Owner Information LONGHORN VILLAGE LONGHORN VILLAGE 12001 LONGHORN PARKWAY 12001 LONGHORN PARKWAY , AUSTIN TX 78732 AUSTIN TX 78732 Phone (512) 266-5600 Fax (512) 628-6170 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LYDIA CASILLAS License Eff Dt: 03/24/2020 License Exp Dt: 03/24/2023 Mgmt Co.: NA

Tuesday, September 28, 2021 Page 371 of 405 County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 103952 License No.: 146167 Owner Information LONGHORN VILLAGE LONGHORN VILLAGE 12001 LONGHORN PARKWAY 12001 LONGHORN PARKWAY , AUSTIN TX 78732 AUSTIN TX 78732 Phone (512) 266-5600 Fax (512) 628-6170 PHONE: FAX: TOTAL Lic Capacity: 40 PRIVATE Beds: 40 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SUSAN HOYLAND License Eff Dt: 10/25/2020 License Exp Dt: 10/25/2023 Mgmt Co.:

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 110291 License No.: 307700 Owner Information MARAVILLA AT THE DOMAIN SP AUSTIN OPCO LLC 11001 AUSTIN LANE , AUSTIN TX 78758 Phone (512) 598-4100 Fax PHONE: FAX: TOTAL Lic Capacity: 108 PRIVATE Beds: 108 Cert Alzh Capacity: 42 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARK RANNO License Eff Dt: 02/14/2020 License Exp Dt: 02/14/2023 Mgmt Co.: SRG DOMAIN MGMT LLC

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 000417 License No.: 150005 Owner Information MARILYN M CAMPBELL CENTER BUCKNER RETIREMENT SERVICES INC 11110 TOM ADAMS DR 700 N PEARL STREET, SUITE 1200 , AUSTIN TX 78753 DALLAS TX 75201 Phone (512) 836-1515 Fax (512) 836-1951 PHONE: (214) 758-8031 FAX: (214) 758-8153 TOTAL Lic Capacity: 80 PRIVATE Beds: 80 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOE DENNIS License Eff Dt: 12/27/2019 License Exp Dt: 12/27/2021 Mgmt Co.:

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 110292 License No.: 308294 Owner Information NEURORESTORATIVE TEXAS E & J HEALTH CARE LLC 8600 CROSS PARK DR. 400 HWY 290BLDG B #203 , AUSTIN TX 78754 DRIPPING SPRINGS TX 78620 Phone (512) 648-8276 Fax PHONE: FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: BLAKE AGEE License Eff Dt: 11/07/2020 License Exp Dt: 11/07/2023 Mgmt Co.:

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 030175 License No.: 307119 Owner Information PARMER WOODS AT NORTH AUSTIN WELLTOWER PEGASUS TENANT, LLC 12429 SCOFIELD FARMS DRIVE , AUSTIN TX 78758 Phone (512) 835-1316 Fax (512) 410-2688 PHONE: FAX: TOTAL Lic Capacity: 112 PRIVATE Beds: 112 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MATT RITTER License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.: PSL ASSOCIATES, LLC

Tuesday, September 28, 2021 Page 372 of 405 County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 030176 License No.: 307198 Owner Information PARMER WOODS AT NORTH AUSTIN WELLTOWER PEGASUS TENANT, LLC 12429 SCOFIELD FARMS DRIVE , AUSTIN TX 78758 Phone (512) 835-1316 Fax (512) 410-2688 PHONE: FAX: TOTAL Lic Capacity: 36 PRIVATE Beds: 36 Cert Alzh Capacity: 36 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LISA JOY License Eff Dt: 11/01/2020 License Exp Dt: 11/01/2023 Mgmt Co.: PSL ASSOCIATES, LLC

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 000785 License No.: 148668 Owner Information PARSONS HOUSE AUSTIN PARSONS HOUSE RE AUSTIN, LLC 1130 CAMINO LA COSTA 1 NORTH CALLE CESAR CHAVEZSTE 200 , AUSTIN TX 78752 SANTA BARBARA CA 93103 Phone (512) 454-0524 Fax (512) 454-5502 PHONE: (805) 564-3341 FAX: (805) 966-2009 TOTAL Lic Capacity: 120 PRIVATE Beds: 120 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SARAH IRWIN License Eff Dt: 11/05/2019 License Exp Dt: 11/05/2022 Mgmt Co.: THE PARSONS GROUP, INC

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 104336 License No.: 147858 Owner Information PAVILION AT GREAT HILLS CHP AUSTIN TX TENANT CORP 11819 PAVILION BLVD 450 S ORANGE AVE , AUSTIN TX 78759 ORLANDO FL 32801 Phone (512) 249-0500 Fax (512) 249-0567 PHONE: (407) 650-1000 FAX: (407) 540-2576 TOTAL Lic Capacity: 35 PRIVATE Beds: 35 Cert Alzh Capacity: 35 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMY S CHIDESTER License Eff Dt: 07/30/2019 License Exp Dt: 07/30/2022 Mgmt Co.: SLH AUSTIN MANAGER LLC

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 106074 License No.: 148168 Owner Information PECAN RIDGE MEMORY CARE TFP AUSTIN MEMORY CARE PARTNERS LP 10025 ANDERSON MILL RD 809 N CUERNAVACA DR , AUSTIN TX 78750 AUSTIN TX 78733 Phone (512) 487-5243 Fax (512) 487-5972 PHONE: (713) 471-4750 FAX: (512) 692-4198 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 50 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOHN R MAROON License Eff Dt: 08/11/2019 License Exp Dt: 08/11/2022 Mgmt Co.: 12 OAKS MANAGEMENT SERVICES, INC

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 103685 License No.: 149885 Owner Information PROVIDENT MEMORY CARE CENTER PROVIDENT MEMORY CARE GROUP LLC 11013 SIGNAL HILL DR PO BOX 2424 , AUSTIN TX 78737 CEDAR PARK TX 78680 Phone (512) 637-5400 Fax (512) 637-5404 PHONE: (512) 630-4550 FAX: TOTAL Lic Capacity: 22 PRIVATE Beds: 22 Cert Alzh Capacity: 22 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JANICE CAMPBELL License Eff Dt: 07/11/2019 License Exp Dt: 07/11/2022 Mgmt Co.: TRILOGY SENIOR LIVING, LLC

Tuesday, September 28, 2021 Page 373 of 405 County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 103118 License No.: 146691 Owner Information QUERENCIA AT BARTON CREEK BARTON CREEK SENIOR LIVING CENTER, INC 2500 BARTON CREEK BOULEVARD SAME , AUSTIN TX 78735 DALLAS TX 78735 Phone (512) 610-9400 Fax (512) 610-9427 PHONE: (469) 916-8958 FAX: (214) 623-6115 TOTAL Lic Capacity: 73 PRIVATE Beds: 73 Cert Alzh Capacity: 23 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARCELLA BRISENO License Eff Dt: 01/30/2021 License Exp Dt: 01/30/2024 Mgmt Co.: SENIORITY, INC

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 000733 License No.: 149769 Owner Information RENAISSANCE AUSTIN HARVEST RENAISSANCE AUSTIN LLC 11279 TAYLOR DRAPER LN 480 N ORLANDO AVE#236 , AUSTIN TX 78759-3953 WINTER PARK FL 32789 Phone (512) 338-0995 Fax (512) 794-8687 PHONE: (503) 586-7309 FAX: (503) 431-2320 TOTAL Lic Capacity: 44 PRIVATE Beds: 44 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MENDI RAMSAY License Eff Dt: 02/28/2020 License Exp Dt: 02/28/2023 Mgmt Co.: HOLIDAY AL MANAGEMENT SUB LLC

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 101766 License No.: 147894 Owner Information SHADY HOLLOW ASSISTED LIVING NA 11315 MENODORA DR 11303 ALOYSIA DRIVE , AUSTIN TX 78748 AUSTIN TEXAS 78748 Phone (512) 280-8861 Fax (512) 292-4796 PHONE: (512) 560-7695 FAX: (512) 292-4796 TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JUAN TORRES License Eff Dt: 06/15/2019 License Exp Dt: 10/09/2021 Mgmt Co.: NA

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 102254 License No.: 148781 Owner Information SHADY HOLLOW II ASSISTED LIVING SHADY HOLLOW ASSISTED LIVING CORPORATION 11303 ALOYSIA DR 11315 MENODORA DR , AUSTIN TX 78748 AUSTIN TX 78748 Phone (512) 292-4796 Fax (512) 292-4796 PHONE: FAX: TOTAL Lic Capacity: 5 PRIVATE Beds: 5 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JUAN TORRES License Eff Dt: 05/25/2019 License Exp Dt: 10/09/2021 Mgmt Co.:

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 106821 License No.: 147847 Owner Information SILVERADO BARTON SPRINGS SOUTH AUSTIN MEMORY CARE LLC 5200A DAVIS LANE 454 E JOHN CARPENTER FREEWAYSUITE 500 , AUSTIN TX 78749 IRVING TX 75062 Phone (512) 817-2561 Fax (512) 301-8785 PHONE: (214) 845-4500 FAX: (214) 845-4501 TOTAL Lic Capacity: 56 PRIVATE Beds: 56 Cert Alzh Capacity: 56 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MICHELLE M M NEUMANN License Eff Dt: 06/29/2019 License Exp Dt: 06/29/2022 Mgmt Co.: TLG FAMILY MANGEMENT, LLC

Tuesday, September 28, 2021 Page 374 of 405 County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 107111 License No.: 307146 Owner Information SILVERLEAF ELDERCARE AT WILDRIDGE SILVERLEAF ELDERCARE, LLC 9004 WILDRIDGE DRIVE 512 W MLK JR BLVD #289 , AUSTIN TX 78759 AUSTIN TX 78701 Phone (512) 831-5600 Fax PHONE: FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JASON E BRENIZER License Eff Dt: 09/20/2020 License Exp Dt: 09/20/2023 Mgmt Co.:

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 110472 License No.: 308119 Owner Information SOCO VILLAGE SOCO ASSISTED LIVING LLC 3700 PAYLOAD PASS , AUSTIN TX 78704 Phone 512 6531430 Fax PHONE: FAX: TOTAL Lic Capacity: 129 PRIVATE Beds: 129 Cert Alzh Capacity: 36 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CASSANDRA FAULHABER License Eff Dt: 10/15/2020 License Exp Dt: 10/15/2023 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 105080 License No.: 149394 Owner Information SOUTH AUSTIN ASSISTED LIVING INC SOUTH AUSTIN ASSISTED LIVING INC 4816 CHESNEY RIDGE DR 4601 CHESNEY RIDGE DRIVE , AUSTIN TX 78749 AUSTIN TX 78749 Phone (512) 243-8476 Fax (512) 436-8004 PHONE: (512) 436-8004 FAX: (512) 436-8004 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NELSON OZOA License Eff Dt: 06/14/2020 License Exp Dt: 06/14/2023 Mgmt Co.:

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 103370 License No.: 148294 Owner Information SOUTH AUSTIN ASSISTED LIVING INC SOUTH AUSTIN ASSISTED LIVING INC 4601 CHESNEY RIDGE DR 4601 CHESNEY RIDGE DRIVE , AUSTIN TX 78749 AUSTIN TX 78749 Phone (512) 436-8004 Fax (512) 436-8004 PHONE: (512) 436-8004 FAX: (512) 436-8004 TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: NELSON OZOA License Eff Dt: 07/08/2021 License Exp Dt: 07/08/2024 Mgmt Co.:

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 107005 License No.: 307181 Owner Information TECH RIDGE OAKS ASSISTED LIVING AND MEMORY CARE CSL TECHRIDGE 2018, LLC 400 E YAGER LANE , AUSTIN TX 78753 Phone (512) 339-9700 Fax PHONE: FAX: TOTAL Lic Capacity: 131 PRIVATE Beds: 131 Cert Alzh Capacity: 38 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MELISSA BERGERON License Eff Dt: 07/18/2020 License Exp Dt: 07/18/2022 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

Tuesday, September 28, 2021 Page 375 of 405 County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 100331 License No.: 307062 Owner Information TEXAS NEURO REHAB CENTER NEURO INSTITUTE OF AUSTIN, LP 1106 W DITTMAR RD 6640 CAROTHERS PKWY STE 500 , AUSTIN TX 78745 FRANKLIN TN 37067 Phone (512) 444-4835 Fax (512) 462-6709 PHONE: (615) 312-5700 FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JANET BITNER License Eff Dt: 09/04/2020 License Exp Dt: 09/04/2023 Mgmt Co.: UHS OF DELAWARE, INC

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 110425 License No.: 308037 Owner Information TEXAS NEUROREHAB CENTER NEURO INSTITUTE OF AUSTIN, LP 1106 W. DITTMAR ROAD 6640 CAROTHERS PKWY STE 500 , AUSTIN TX 78745 FRANKLIN TN 37067 Phone (512) 444-4835 Fax (512) 462-6709 PHONE: (615) 312-5700 FAX: TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JANET BITNER License Eff Dt: 10/15/2020 License Exp Dt: 10/15/2023 Mgmt Co.: UHS OF DELAWARE, INC

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 050182 License No.: 146145 Owner Information TEXAS RESIDENTIAL AND VOCATIONAL SERVICES BENNY RAY HOWARD ESTATE 2107 BRUNSWICK DR 6702 BREEZY PASS , AUSTIN TX 78723 AUSTIN TEXAS 78749 Phone (512) 928-2498 Fax (512) 928-2473 PHONE: (512) 928-2498 FAX: (512) 928-2473 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: BRENDA F HOWARD License Eff Dt: 12/30/2020 License Exp Dt: 12/30/2023 Mgmt Co.:

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 105478 License No.: 307631 Owner Information THE AUBERGE AT ONION CREEK A MEMORY CARE COMMUNITY WELLTOWER TENANT GROUP LLC 11330 FARRAH LANE 4500 DORR STREET , AUSTIN TX 78748 TOLEDO OHIO 43615 Phone 512 2802030 Fax PHONE: FAX: TOTAL Lic Capacity: 92 PRIVATE Beds: 92 Cert Alzh Capacity: 92 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MICHELLE M M NEUMANN License Eff Dt: 07/01/2019 License Exp Dt: 07/01/2022 Mgmt Co.: AUSTIN MC CARE PROPERTIES, LLC

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 010266 License No.: 308292 Owner Information THE COLLINFIELD HOUSE RALOP LLC 9205 COLLINFIELD DR SAME , AUSTIN TX 78758 CEDAR PARK TX 78613 Phone (512) 619-4366 Fax 512 3584851 PHONE: 512 7313633 FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STEVEN BURROWS License Eff Dt: 08/27/2020 License Exp Dt: 08/27/2023 Mgmt Co.: RALOP LLC

Tuesday, September 28, 2021 Page 376 of 405 County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 104337 License No.: 148415 Owner Information THE PAVILION AT GREAT HILLS CHP AUSTIN TX TENANT CORP 11819 PAVILION BLVD 450 S ORANGE AVE , AUSTIN TX 78759 ORLANDO FL 32801 Phone (512) 249-0500 Fax (512) 249-0567 PHONE: (407) 650-1000 FAX: (407) 540-2576 TOTAL Lic Capacity: 130 PRIVATE Beds: 130 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MATT RITTER License Eff Dt: 07/30/2019 License Exp Dt: 07/30/2021 Mgmt Co.: SLH AUSTIN MANAGER LLC

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 107288 License No.: 307341 Owner Information THE VILLAGE AT THE TRIANGLE HSRE VILLAGE AT THE TRIANGLE TRS, LLC 4517 TRIANGLE AVENUE , AUSTIN TX 78751 Phone (512) 323-0933 Fax (512) 489-0956 PHONE: FAX: TOTAL Lic Capacity: 98 PRIVATE Beds: 98 Cert Alzh Capacity: 27 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOEL H QUADE License Eff Dt: 03/29/2019 License Exp Dt: 03/29/2022 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 106662 License No.: 307921 Owner Information THE WATERMARK AT SOUTHPARK MEADOWS SHP VI AUSTIN LLC 9320 ALICE MAE LANE , AUSTIN TX 78748 Phone (512) 222-3224 Fax (512) 649-1514 PHONE: FAX: TOTAL Lic Capacity: 122 PRIVATE Beds: 122 Cert Alzh Capacity: 36 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LEE ANN LEE License Eff Dt: 11/25/2019 License Exp Dt: 11/25/2022 Mgmt Co.: WATERMARK RETIREMENT COMMUNITIES, LLC

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 106824 License No.: 307147 Owner Information THREE RIVERS ASSISTED LIVING HUNTERS LANE THREE RIVERS ADVISORS LLC 11300 AND 11032 HUNTERS LANE 11300 HUNTERS LANE , AUSTIN TX 78753 AUSTIN TX 78753 Phone (337) 274-6549 Fax PHONE: FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOHN DARBY License Eff Dt: 09/01/2020 License Exp Dt: 10/05/2023 Mgmt Co.: DARSEA II LLC

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 106216 License No.: 145213 Owner Information VILLAGE ON THE PARKONION CREEK BRIDGEWOOD SOUTH AUSTIN LLC 11300 FARRAH LANE BLDG 6 6363 WOODWAY SUITE 410 , AUSTIN TX 78748 HOUSTON TX 77057 Phone (512) 280-5500 Fax (281) 996-1141 PHONE: (713) 623-6767 FAX: (713) 623-6772 TOTAL Lic Capacity: 38 PRIVATE Beds: 38 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOHN REDFORD License Eff Dt: 07/11/2020 License Exp Dt: 07/11/2023 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

Tuesday, September 28, 2021 Page 377 of 405 County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 105071 License No.: 145292 Owner Information WESTMINSTER MANOR ASSISTED LIVING WESTMINSTER MANOR 4200 JACKSON AVENUE 4200 JACKSON , AUSTIN TX 78731 AUSTIN TX 78731 Phone (512) 454-2140 Fax (512) 454-5713 PHONE: (512) 454-4711 FAX: (512) 454-8350 TOTAL Lic Capacity: 37 PRIVATE Beds: 37 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOE SANCHEZ License Eff Dt: 05/18/2020 License Exp Dt: 05/18/2023 Mgmt Co.: NA

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 105945 License No.: 307568 Owner Information THE AUBERGE AT BEE CAVE A MEMORY CARE COMMUNITY WELLTOWER TENANT GROUP LLC 14058 A BEE CAVE PARKWAY 4500 DORR STREET , BEE CAVE TX 78738 TOLEDO OHIO 43615 Phone 512 2632544 Fax 512 2632944 PHONE: FAX: TOTAL Lic Capacity: 92 PRIVATE Beds: 92 Cert Alzh Capacity: 92 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHARON MILLER-NEAL License Eff Dt: 07/01/2019 License Exp Dt: 07/01/2022 Mgmt Co.: BEE CAVE MC CARE PROPERTIES, LLC

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 106031 License No.: 149393 Owner Information ARBOR TERRACE LAKEWAY CRPCSH HARBOR LAKEWAY OWNER LP 300 MEDICAL PARKWAY 1001 PENNSYLVANIA AVENUE NW , LAKEWAY TX 78738 WASHINGTON DC 20004-2505 Phone (512) 402-1222 Fax (512) 263-4289 PHONE: (202) 469-8401 FAX: (202) 469-8402 TOTAL Lic Capacity: 226 PRIVATE Beds: 226 Cert Alzh Capacity: 43 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: COOPER VITTITOW License Eff Dt: 02/01/2020 License Exp Dt: 02/01/2023 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 107187 License No.: 307077 Owner Information BELMONT VILLAGE LAKEWAY, LLC BELMONT VILLAGE LAKEWAY, LLC 107 BELLA MONTAGNA CIRCLE , LAKEWAY TX 78734 TX Phone (512) 402-1800 Fax (512) 402-1803 PHONE: FAX: TOTAL Lic Capacity: 215 PRIVATE Beds: 215 Cert Alzh Capacity: 35 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CLINT STRICKLAND License Eff Dt: 09/11/2020 License Exp Dt: 09/11/2023 Mgmt Co.: BELMONT VILLAGE LP

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 030272 License No.: 148491 Owner Information BROOKDALE LAKEWAY BROOKDALE LAKEWAY LLC 1915 LOHMANS CROSSING RD 111 WESTWOOD PLACE#400 , LAKEWAY TX 78734 BRENTWOOD TN 37027 Phone (512) 261-7146 Fax (512) 261-7149 PHONE: (615) 221-2250 FAX: (615) 221-2280 TOTAL Lic Capacity: 132 PRIVATE Beds: 132 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: TODD A MACKENZIE License Eff Dt: 07/29/2021 License Exp Dt: 07/29/2024 Mgmt Co.: ARC MANAGEMENT LLC

Tuesday, September 28, 2021 Page 378 of 405 County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 030273 License No.: 147700 Owner Information BROOKDALE LAKEWAY I BROOKDALE LAKEWAY LLC 1915 LOHMANS CROSSING RD 111 WESTWOOD PLACE#400 , LAKEWAY TX 78734 BRENTWOOD TN 37027 Phone (512) 261-7146 Fax (512) 261-7149 PHONE: (615) 221-2250 FAX: (615) 221-2280 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TODD A MACKENZIE License Eff Dt: 07/29/2021 License Exp Dt: 07/29/2024 Mgmt Co.: ARC MANAGEMENT LLC

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 000706 License No.: 146548 Owner Information MABEE VILLAGE AT MARBRIDGE MARBRIDGE FOUNDATION INC 2310 BLISS SPILLAR RD PO BOX 2250 , MANCHACA TX 78652 MANCHACA TX 78652 Phone (512) 282-3163 Fax (512) 282-5279 PHONE: (512) 282-1144 FAX: (512) 282-3723 TOTAL Lic Capacity: 90 PRIVATE Beds: 90 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: WILLIAM HOERWANN License Eff Dt: 01/14/2019 License Exp Dt: 01/14/2022 Mgmt Co.:

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 000520 License No.: 146805 Owner Information MARBRIDGE RANCH MARBRIDGE FOUNDATION INC 2310 BLISS SPILLAR RD PO BOX 2250 , MANCHACA TX 78652 MANCHACA TX 78652 Phone (512) 282-1144 Fax (512) 282-3723 PHONE: (512) 282-1144 FAX: (512) 282-3723 TOTAL Lic Capacity: 99 PRIVATE Beds: 99 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MARCUS MERCER License Eff Dt: 05/01/2021 License Exp Dt: 05/01/2024 Mgmt Co.:

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 000377 License No.: 149581 Owner Information BROOKSIDE FARM SCHOLEYMORRISON COMMUNITY OPTIONS INC 2213 E HOWARD LN P.O. BOX 82214 , MANOR TX 78653 AUSTIN TEXAS 78708 Phone (512) 251-6997 Fax (512) 251-7003 PHONE: (512) 251-1211 FAX: (512) 251-7003 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: NINA C MORRISON License Eff Dt: 06/30/2020 License Exp Dt: 06/30/2023 Mgmt Co.:

County TRAVIS Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 104144 License No.: 149935 Owner Information FAMILY TREE ASSISTED LIVING LLC VELOCITY VENTURES LLC 15309 DELAHUNTY 15309 DELAHUNTY LANE , PFLUGERVILLE TX 78660 PFLUGERVILLE TX 78660 Phone (512) 721-5352 Fax (512) 251-1811 PHONE: FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JUDITH A KENNIS License Eff Dt: 07/01/2020 License Exp Dt: 07/01/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 379 of 405 County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 105483 License No.: 148012 Owner Information GRACELAND SENIOR LIVING JEFFREY MILLER A SOLE PROPRIETOR 17228 SANDWICK DRIVE 17228 SANDWICK DR , PFLUGERVILLE TX 78660 PFLUGERVILLE TX 78660 Phone (512) 736-6206 Fax (512) 857-0353 PHONE: (361) 542-1588 FAX: (512) 857-0353 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SUSAN COUCH License Eff Dt: 07/02/2019 License Exp Dt: 07/02/2022 Mgmt Co.: JEFFREY MILLER A SOLE PROPRIETOR

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 105183 License No.: 149653 Owner Information KNIGHT'S ASSISTED LIVING LLC KNIGHT'S ASSISTED LIVING LLC 20816 WINDMILL RIDGE ST 20816 WINDMILL RIDGE , PFLUGERVILLE TX 78660 PFLUGERVILLE TX 78666 Phone (512) 721-5865 Fax (512) 721-5018 PHONE: (512) 529-3641 FAX: (512) 721-5018 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LEANDRA H DULOCK License Eff Dt: 07/20/2020 License Exp Dt: 07/20/2023 Mgmt Co.:

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 110306 License No.: 307745 Owner Information MOUNTAIN VIEW ASSISTED LIVING GRAND EUROPA MANAGEMENT LLC 811 MOUNTAIN VIEW COVE , PFLUGERVILLE TX 78660 Phone (512) 368-5831 Fax 18442700340 PHONE: FAX: TOTAL Lic Capacity: 6 PRIVATE Beds: 6 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JUVY GRISWOLD License Eff Dt: 03/24/2020 License Exp Dt: 03/24/2023 Mgmt Co.:

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 105497 License No.: 307756 Owner Information SERENITY SENIOR LIVING STRAIGHT LINE PARTNERS, LLC 900 RAMBLE CREEK DRIVE , PFLUGERVILLE TX 78660 Phone (512) 989-5816 Fax (512) 989-5816 PHONE: FAX: TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LORI OSBORNE License Eff Dt: 11/04/2019 License Exp Dt: 11/04/2022 Mgmt Co.:

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 106829 License No.: 146737 Owner Information SPANISH OAK ASSISTED LIVING LLC SPANISH OAK ASSISTED LIVING LLC 1417 E PFENNIG LN 18412 ORVIETO DR , PFLUGERVILLE TX 78660 PFLUGERVILLE TX 78660 Phone (940) 736-0532 Fax (737) 203-5206 PHONE: (512) 529-3641 FAX: (512) 721-5018 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PHILLIP J DULOCK License Eff Dt: 02/22/2021 License Exp Dt: 02/22/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 380 of 405 County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 000896 License No.: 307764 Owner Information WELLS POINT LODGE BLACK INK 401 SOUTH HEATHERWILDE BLVD UNKNOWN , PFLUGERVILLE TX 78660 TX Phone (512) 251-1640 Fax (512) 251-1642 PHONE: FAX: TOTAL Lic Capacity: 20 PRIVATE Beds: 20 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: AMY CASILLAS License Eff Dt: 05/01/2019 License Exp Dt: 05/01/2022 Mgmt Co.: RSL HEALTHCARE MANAGEMENT LLC

County TRAVIS Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 100306 License No.: 307704 Owner Information WELLS POINT LODGE PF SENIOR LIVING LLC 401 SOUTH HEATHERWILDE BLVD , PFLUGERVILLE TX 78660 Phone (512) 251-1640 Fax (512) 251-1642 PHONE: FAX: TOTAL Lic Capacity: 40 PRIVATE Beds: 40 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JOHN HAIRGROVE License Eff Dt: 07/04/2021 License Exp Dt: 07/04/2024 Mgmt Co.: RSL HEALTHCARE MANAGEMENT LLC

County TRAVIS Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 105870 License No.: 147076 Owner Information BELMONT VILLAGE WEST LAKE HILLS TENANT LLC BELMONT VILLAGE WEST LAKE HILLS TENANT LLC 4310 BEE CAVE ROAD 7660 WOODWAY DR., SUITE 400 , WEST LAKE HILLS TX 78746 HOUSTON TX 77063 Phone (512) 347-1700 Fax (512) 347-1701 PHONE: (419) 247-2800 FAX: (419) 247-2826 TOTAL Lic Capacity: 183 PRIVATE Beds: 183 Cert Alzh Capacity: 75 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DONNA HERMANN License Eff Dt: 04/01/2021 License Exp Dt: 04/01/2024 Mgmt Co.: BELMONT VILLAGE LP

County TYLER Reg Svcs: BEAUMONT GERIATRIC Region 04 Facility Information: Facility ID: 030269 License No.: 148958 Owner Information THE ORCHARD WOODVILLE AL HOME LLC 805 W DOGWOOD ST 18843 REDLAND ROAD , WOODVILLE TX 75979 SAN ANTONIO TX 78259 Phone (409) 283-5678 Fax (409) 283-2044 PHONE: (210) 499-5627 FAX: (210) 499-5327 TOTAL Lic Capacity: 55 PRIVATE Beds: 55 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ELAINE JEFFERSON License Eff Dt: 10/19/2021 License Exp Dt: 10/19/2024 Mgmt Co.: LOREE TAMAYO CONSULTING INCORPORATED

County UPSHUR Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 100559 License No.: 149703 Owner Information THE BRADFORD HOUSE THE MADERA CORPORATION 1704 N BRADFORD ST 387 NECTARINE RD , GILMER TX 75644 GILMER TX 75644 Phone (903) 843-7601 Fax (903) 843-4871 PHONE: (903) 725-7660 FAX: (903) 843-4871 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KRISTIN WALKER License Eff Dt: 06/05/2020 License Exp Dt: 06/05/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 381 of 405 County UPSHUR Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 102729 License No.: 148860 Owner Information WESLEY HOUSE WESLEY HOUSE ATLANTA LLC 231 QUAIL DRIVE , GILMER TX 75644 Phone (903) 734-1784 Fax (903) 734-1752 PHONE: FAX: TOTAL Lic Capacity: 86 PRIVATE Beds: 86 Cert Alzh Capacity: 26 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: PAMELA Y POWELL License Eff Dt: 12/20/2019 License Exp Dt: 12/20/2022 Mgmt Co.: WESLEY PARTNERS II, LLC

County UVALDE Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 000862 License No.: 147905 Owner Information 214 MARTIN AN ASSISTED RESIDENCE 214 MARTIN LC 214 MARTIN ST 214 MARTIN ST , UVALDE TX 78801 UVALDE TX 78801 Phone (830) 278-1134 Fax (830) 279-0956 PHONE: (210) 826-8548 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: VICTORIA GASS License Eff Dt: 08/12/2021 License Exp Dt: 08/12/2024 Mgmt Co.:

County UVALDE Reg Svcs: TEAM V Region 07 Facility Information: Facility ID: 103846 License No.: 146011 Owner Information THE VERANDA UALC LLC 201 HAM 18843 REDLAND ROAD , UVALDE TX 78801 SAN ANTONIO TX 78259 Phone (830) 278-8220 Fax PHONE: (210) 499-5627 FAX: (210) 499-5327 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARY T HIATT License Eff Dt: 12/18/2020 License Exp Dt: 12/18/2023 Mgmt Co.: LOREE TAMAYO CONSULTING INCORPORATED

County VAL VERDE Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 105102 License No.: 149273 Owner Information SOUTHWEST ASSISTED LIVING SOUTHWEST ASSISTED LIVING DEL RIO LLC 1088 AMISTAD BOULEVARD 710 GIBBS STREET , DEL RIO TX 78840 DEL RIO TX 78840 Phone (830) 775-6400 Fax PHONE: (830) 778-9418 FAX: TOTAL Lic Capacity: 26 PRIVATE Beds: 26 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SAMANTHA SANTELLANES License Eff Dt: 05/03/2020 License Exp Dt: 05/03/2023 Mgmt Co.:

County VAL VERDE Reg Svcs: TEAM Y Region 07 Facility Information: Facility ID: 105079 License No.: 145969 Owner Information SOUTHWEST ASSISTED LIVING MEMORY CARE SOUTHWEST ASSISTED LIVING DEL RIO LLC 78 TOMAHAWK TRAIL 710 GIBBS STREET , DEL RIO TX 78840 DEL RIO TX 78840 Phone (830) 775-6400 Fax (830) 775-6425 PHONE: (830) 778-9418 FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 12 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SAMANTHA SANTELLANES License Eff Dt: 11/14/2020 License Exp Dt: 11/14/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 382 of 405 County VAN ZANDT Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 105759 License No.: 149541 Owner Information CP 13 TX LLC CP 13 TX LLC 1833 SOUTH TRADE DAYS BLVD. 3131 MCKINNEY AVE.STE. 475 , CANTON TX 75103 DALLAS TX 75204 Phone (903) 567-2942 Fax (903) 567-2364 PHONE: (214) 347-7140 FAX: (214) 347-7142 TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CARLA BROWN License Eff Dt: 06/30/2020 License Exp Dt: 06/30/2023 Mgmt Co.: CP ASSISTED LIVING MANAGEMENT LLC

County VAN ZANDT Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 105785 License No.: 149677 Owner Information CP ASSISTED LIVING 1 TX LLC CP ASSISTED LIVING 1 TX LLC 1835 SOUTH TRADE DAYS BLVD. 3131 MCKINNEY AVESTE 475 , CANTON TX 75103 DALLAS TX 75204 Phone (903) 567-2313 Fax (903) 567-4210 PHONE: FAX: TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JAMIE FIZER License Eff Dt: 06/02/2020 License Exp Dt: 06/02/2022 Mgmt Co.: CP ASSISTED LIVING MANAGEMENT LLC

County VAN ZANDT Reg Svcs: TYLER SW TEAM Region 04 Facility Information: Facility ID: 030034 License No.: 307683 Owner Information CRESTWOOD ASSISTED LIVING APPALOOSA HEALTHCARE, INC 1440 HOUSTON STEET , WILLS POINT TX 75169 Phone 903 8733400 Fax 903 8734011 PHONE: FAX: TOTAL Lic Capacity: 72 PRIVATE Beds: 72 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARY RUSSELL License Eff Dt: 12/01/2019 License Exp Dt: 12/01/2022 Mgmt Co.: SENIOR CARE CENTER MANAGEMENT, LLC

County VICTORIA Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 000334 License No.: 150052 Owner Information ELMCROFT OF VICTORIA EC OPCO VICTORIA, LLC 411 E. LARKSPUR 500 NORTH HURSTBOURNE PARKWAYSUITE 200 , VICTORIA TX 77904 LOUISVILLE KY 40222 Phone (361) 576-0444 Fax (361) 576-2551 PHONE: (502) 357-9000 FAX: (502) 357-9441 TOTAL Lic Capacity: 99 PRIVATE Beds: 99 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: AMITRA SHERMAN License Eff Dt: 03/02/2020 License Exp Dt: 03/02/2022 Mgmt Co.: ECLIPSE PROTFOLIO OPERATIONS, LLC

County VICTORIA Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 000789 License No.: 308293 Owner Information MORADA VICTORIA HP VICTORIA OPCO II, LLC 9606 NE ZAC LENTZ PKWY , VICTORIA TX 77904 Phone (361) 582-2100 Fax NA PHONE: FAX: TOTAL Lic Capacity: 30 PRIVATE Beds: 30 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SHARON L ANDRESS License Eff Dt: 02/01/2021 License Exp Dt: 02/01/2024 Mgmt Co.: MORADA SENIOR LIVING LLC

Tuesday, September 28, 2021 Page 383 of 405 County VICTORIA Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 102979 License No.: 308376 Owner Information MORADA VICTORIA HP VICTORIA OPCO II, LLC 9606B NE ZAC LETZ PKWY , VICTORIA TX 77904 Phone (361) 582-2100 Fax NA PHONE: FAX: TOTAL Lic Capacity: 25 PRIVATE Beds: 25 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHARON L ANDRESS License Eff Dt: 02/01/2021 License Exp Dt: 02/01/2024 Mgmt Co.: MORADA SENIOR LIVING LLC

County VICTORIA Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 110398 License No.: 307993 Owner Information SILVER SERENITY ASSISTED LIVING LLC SILVER SERENITY ASSISTED LIVING LLC 3414 OLD GOLIAD RD. , VICTORIA TX 77905 Phone (361) 579-0784 Fax (361) 579-0785 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: MARCY BURGER License Eff Dt: 10/14/2020 License Exp Dt: 10/14/2023 Mgmt Co.:

County VICTORIA Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 101060 License No.: 149330 Owner Information SODALIS ELDER LIVING VICTORIA 1 ALZ CARE LLC 4409 N. JOHN STOCKBAUER DRIVE 302 CROSS STREET , VICTORIA TX 77904 NEW BRAUNFELS TX 78130 Phone (361) 580-3151 Fax (361) 580-1201 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TRACI TAYLOR License Eff Dt: 06/11/2021 License Exp Dt: 06/11/2024 Mgmt Co.: TRILOGY SENIOR LIVING, LLC

County VICTORIA Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 105046 License No.: 149384 Owner Information SODALIS ELDER LIVING VICTORIA II ALZ CARE LLC 4409 N JOHN STOCKBAUER RD 302 CROSS STREET , VICTORIA TX 77904 NEW BRAUNFELS TX 78130 Phone (361) 572-3336 Fax (361) 572-3433 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DANIEL CORTEZ License Eff Dt: 04/25/2020 License Exp Dt: 04/25/2023 Mgmt Co.: TRILOGY SENIOR LIVING, LLC

County VICTORIA Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 000400 License No.: 146164 Owner Information THE DEVEREUX FOUNDATION THE DEVEREUX FOUNDATION 120 DAVID WADE DR 2012 RENAISSANCE BLVD , VICTORIA TX 77905 KING OF PRUSSIA PA 19406 Phone (361) 575-8271 Fax (361) 645-1987 PHONE: (610) 520-3000 FAX: (361) 575-6520 TOTAL Lic Capacity: 64 PRIVATE Beds: 64 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: PAMELA REED License Eff Dt: 12/21/2020 License Exp Dt: 12/21/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 384 of 405 County VICTORIA Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 101763 License No.: 149210 Owner Information THE DEVEREUX FOUNDATION THE DEVEREUX FOUNDATION 120 DAVID WADE DR 2012 RENAISSANCE BLVD , VICTORIA TX 77905 KING OF PRUSSIA PA 19406 Phone (361) 575-8271 Fax (361) 593-6500 PHONE: (610) 520-3000 FAX: (361) 575-6520 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: RICHARD L PERKINS License Eff Dt: 12/21/2019 License Exp Dt: 12/21/2022 Mgmt Co.:

County VICTORIA Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 106070 License No.: 146997 Owner Information VITALITY COURT AT VICTORIA VSL VICTORIA, LLC 1303 N JOHN STOCKBAUER DR 216 CENTERVIEW DRIVE, SUITE 200 , VICTORIA TX 77904 BRENTWOOD TN 37027 Phone (361) 500-6651 Fax (361) 574-1043 PHONE: (615) 538-3200 FAX: TOTAL Lic Capacity: 109 PRIVATE Beds: 109 Cert Alzh Capacity: 28 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SARAH E CROUCH License Eff Dt: 12/01/2020 License Exp Dt: 12/01/2023 Mgmt Co.: VITALITY SENIOR LIVING MANAGEMENT, LLC

County WALKER Reg Svcs: NACOGDOCHES GERIATRIC Region 04 Facility Information: Facility ID: 105146 License No.: 145577 Owner Information CARRIAGE INNHUNTSVILLE CARDINAL BAY, INC 2805 LAKE ROAD 317 MARTINIQUE PASS , HUNTSVILLE TX 77340 LAKEWAY TX 78734 Phone (936) 295-0600 Fax PHONE: (972) 377-3309 FAX: TOTAL Lic Capacity: 22 PRIVATE Beds: 22 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHERYL DIXON License Eff Dt: 08/17/2020 License Exp Dt: 08/17/2022 Mgmt Co.: BRIDGEWOODRCM PROPERTY MANAGEMENT, LLC

County WALKER Reg Svcs: NACOGDOCHES GERIATRIC Region 04 Facility Information: Facility ID: 105397 License No.: 147595 Owner Information CREEKSIDE RETIREMENT COMMUNITY METHODIST RETIREMENT COMMUNITIES 1433 VETERANS MEMORIAL PARKWAY 1440 LAKE FRONT CIRCLE, SUITE 140 , HUNTSVILLE TX 77340 THE WOODLANDS TX 77380 Phone (936) 295-0216 Fax (936) 291-2907 PHONE: FAX: TOTAL Lic Capacity: 56 PRIVATE Beds: 56 Cert Alzh Capacity: 18 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JAMES C LOGAN License Eff Dt: 04/11/2021 License Exp Dt: 04/11/2024 Mgmt Co.: METHODIST RETIREMENT COMMUNITIES

County WALKER Reg Svcs: NACOGDOCHES GERIATRIC Region 04 Facility Information: Facility ID: 101846 License No.: 307690 Owner Information SUNDALE SENIOR LIVING THE LEXINGTON CENTER SUNDALE SENIOR LIVING LP 679 I- 45 SOUTH 9069 TAMINA ROAD , HUNTSVILLE TX 77340 CONROE TEXAS 77385 Phone (936) 295-4488 Fax (936) 293-8755 PHONE: FAX: TOTAL Lic Capacity: 56 PRIVATE Beds: 56 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LESLIE STEWARD License Eff Dt: 11/20/2019 License Exp Dt: 11/20/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 385 of 405 County WALKER Reg Svcs: NACOGDOCHES GERIATRIC Region 04 Facility Information: Facility ID: 104372 License No.: 145758 Owner Information PECAN GROVE KNEWMAN HOLDINGS, LLC DBA PECAN GROVE 929 STATE HIGHWAY 150 929 F SH 150 , NEW WAVERLY TX 77358 NEW WAVERLY TX 77358 Phone (936) 337-4334 Fax (832) 218-3468 PHONE: (936) 337-4334 FAX: (936) 344-9502 TOTAL Lic Capacity: 14 PRIVATE Beds: 14 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: KENNETH NEWMAN License Eff Dt: 10/13/2020 License Exp Dt: 10/13/2023 Mgmt Co.:

County WALLER Reg Svcs: UNIT 21 (ICF-IID) Region 06 Facility Information: Facility ID: 100784 License No.: 145790 Owner Information ANDERSON HOME THE BROOKWOOD COMMUNITY, INC 1752 FM 1489 1752 FM 1489 , BROOKSHIRE TX 77423 BROOKSHIRE TX 77423 Phone (281) 375-2100 Fax (281) 375-2160 PHONE: (281) 375-2100 FAX: (281) 375-2160 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: VIVIAN S SHUDDE License Eff Dt: 10/04/2020 License Exp Dt: 10/04/2023 Mgmt Co.:

County WALLER Reg Svcs: UNIT 21 (ICF-IID) Region 06 Facility Information: Facility ID: 100782 License No.: 145844 Owner Information DEREK HOME THE BROOKWOOD COMMUNITY, INC 1752 FM 1489 1752 FM 1489 , BROOKSHIRE TX 77423 BROOKSHIRE TX 77423 Phone (281) 375-2100 Fax (281) 375-2160 PHONE: (281) 375-2100 FAX: (281) 375-2160 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: VIVIAN S SHUDDE License Eff Dt: 10/04/2020 License Exp Dt: 10/04/2023 Mgmt Co.:

County WALLER Reg Svcs: UNIT 21 (ICF-IID) Region 06 Facility Information: Facility ID: 100783 License No.: 149322 Owner Information FOLLETT HOME THE BROOKWOOD COMMUNITY, INC 1752 FM 1489 1752 FM 1489 , BROOKSHIRE TX 77423 BROOKSHIRE TX 77423 Phone (281) 375-2100 Fax (281) 375-2160 PHONE: (281) 375-2100 FAX: (281) 375-2160 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: VIVIAN S SHUDDE License Eff Dt: 10/04/2021 License Exp Dt: 10/04/2024 Mgmt Co.:

County WALLER Reg Svcs: UNIT 21 (ICF-IID) Region 06 Facility Information: Facility ID: 100786 License No.: 145625 Owner Information JAMAIL HOME THE BROOKWOOD COMMUNITY, INC 1752 FM 1489 1752 FM 1489 , BROOKSHIRE TX 77423 BROOKSHIRE TX 77423 Phone (281) 375-2100 Fax (281) 375-2160 PHONE: (281) 375-2100 FAX: (281) 375-2160 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: VIVIAN S SHUDDE License Eff Dt: 10/04/2020 License Exp Dt: 10/04/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 386 of 405 County WALLER Reg Svcs: UNIT 21 (ICF-IID) Region 06 Facility Information: Facility ID: 100780 License No.: 145529 Owner Information KILROY HOME THE BROOKWOOD COMMUNITY, INC 1752 FM 1489 1752 FM 1489 , BROOKSHIRE TX 77423 BROOKSHIRE TX 77423 Phone (281) 375-2100 Fax (281) 375-2160 PHONE: (281) 375-2100 FAX: (281) 375-2160 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VIVIAN S SHUDDE License Eff Dt: 10/04/2020 License Exp Dt: 10/04/2023 Mgmt Co.:

County WALLER Reg Svcs: UNIT 21 (ICF-IID) Region 06 Facility Information: Facility ID: 100781 License No.: 148253 Owner Information MEADOWS HOME THE BROOKWOOD COMMUNITY, INC 1752 FM 1489 1752 FM 1489 , BROOKSHIRE TX 77423 BROOKSHIRE TX 77423 Phone (281) 375-2100 Fax (281) 375-2160 PHONE: (281) 375-2100 FAX: (281) 375-2160 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: VIVIAN S SHUDDE License Eff Dt: 10/04/2021 License Exp Dt: 10/04/2024 Mgmt Co.:

County WALLER Reg Svcs: UNIT 21 (ICF-IID) Region 06 Facility Information: Facility ID: 050035 License No.: 148632 Owner Information THE INN THE BROOKWOOD COMMUNITY, INC 1752 FM 1489 1752 FM 1489 , BROOKSHIRE TX 77423 BROOKSHIRE TX 77423 Phone (281) 375-2100 Fax (281) 375-2160 PHONE: (281) 375-2100 FAX: (281) 375-2160 TOTAL Lic Capacity: 34 PRIVATE Beds: 34 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: VIVIAN S SHUDDE License Eff Dt: 09/20/2019 License Exp Dt: 09/20/2022 Mgmt Co.:

County WALLER Reg Svcs: UNIT 21 (ICF-IID) Region 06 Facility Information: Facility ID: 100785 License No.: 149046 Owner Information TUTTLE HOME THE BROOKWOOD COMMUNITY, INC 1752 FM 1489 1752 FM 1489 , BROOKSHIRE TX 77423 BROOKSHIRE TX 77423 Phone (281) 375-2100 Fax (281) 375-2160 PHONE: (281) 375-2100 FAX: (281) 375-2160 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: VIVIAN S SHUDDE License Eff Dt: 10/04/2019 License Exp Dt: 10/04/2022 Mgmt Co.:

County WALLER Reg Svcs: UNIT 21 (ICF-IID) Region 06 Facility Information: Facility ID: 104848 License No.: 148603 Owner Information WEEKLEY HOME THE BROOKWOOD COMMUNITY, INC 1752 FM 1489 1752 FM 1489 , BROOKSHIRE TX 77423 BROOKSHIRE TX 77423 Phone (281) 375-2100 Fax (281) 375-2160 PHONE: (281) 375-2100 FAX: (281) 375-2160 TOTAL Lic Capacity: 4 PRIVATE Beds: 4 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: VIVIAN S SHUDDE License Eff Dt: 06/27/2021 License Exp Dt: 06/27/2024 Mgmt Co.:

Tuesday, September 28, 2021 Page 387 of 405 County WALLER Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 000867 License No.: 144621 Owner Information WILLOW RIVER FARMS THE CENTER FOR PURSUIT 4073 FM 3318 3550 WEST DALLAS , BROOKSHIRE TX 77423 HOUSTON TX 77019 Phone (713) 525-8302 Fax (713) 525-8363 PHONE: (713) 525-8400 FAX: (713) 525-8334 TOTAL Lic Capacity: 53 PRIVATE Beds: 53 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: TARA KEENER License Eff Dt: 05/10/2020 License Exp Dt: 05/10/2023 Mgmt Co.:

County WALLER Reg Svcs: UNIT 15 Region 06 Facility Information: Facility ID: 030241 License No.: 148395 Owner Information V S BROWN HOUSE JEANNETTE BATCHELDER 1119 SMITH ST 1119 SMITH ST , WALLER TX 77484 WALLER TX 77484 Phone (936) 931-1625 Fax (936) 931-1625 PHONE: (832) 407-2277 FAX: (936) 931-1253 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JEANNETTE BATCHELDER License Eff Dt: 09/20/2017 License Exp Dt: 12/30/2019 Mgmt Co.:

County WASHINGTON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 030327 License No.: 149411 Owner Information ARGENT COURT ARGENT BRENHAM OPERATIONS LLC 2815 VICTORY LN 8301 BROADWAYSTE 319 , BRENHAM TX 77833 SAN ANTONIO TX 78209 Phone (979) 836-8000 Fax (979) 836-1900 PHONE: (210) 829-7121 FAX: (830) 372-4477 TOTAL Lic Capacity: 57 PRIVATE Beds: 57 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARIBEL PADRON License Eff Dt: 03/15/2020 License Exp Dt: 03/15/2023 Mgmt Co.:

County WASHINGTON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 101116 License No.: 146670 Owner Information RUTH DALLMEYER LA ROCHE MANOR KRUSE VILLAGE, LLC 1700 EAST STONE 1700 E. STONE STREET , BRENHAM TX 77833 BRENHAM TX 77833 Phone (979) 836-5442 Fax (979) 836-4926 PHONE: (979) 830-1996 FAX: (979) 836-4926 TOTAL Lic Capacity: 58 PRIVATE Beds: 58 Cert Alzh Capacity: 22 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SUSAN KRATZKE License Eff Dt: 12/02/2020 License Exp Dt: 12/02/2022 Mgmt Co.: HOUSTON HEALTH DIMENSIONS CONSULTING, INC

County WASHINGTON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 110192 License No.: 307420 Owner Information SILVER SAGE ASSISTED LIVING OF BRENHAM SILVER SAGE ASSISTED LIVING OF BRENHAM 1121 PRAIRIE LEA ST 2550 RYAN ST., BRENHAM, TX 77833 , BRENHAM TX 77833 BRENHAM TEXAS 77833 Phone (979) 353-2090 Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MICHAEL W. REDMAN License Eff Dt: 08/01/2019 License Exp Dt: 08/01/2022 Mgmt Co.: MSB TEXAS T, LLC

Tuesday, September 28, 2021 Page 388 of 405 County WASHINGTON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 110198 License No.: 307442 Owner Information SILVER SAGE ASSISTED LIVING OF BRENHAM SILVER SAGE ASSISTED LIVING OF BRENHAM 1119 PRAIRIE LEA 2550 RYAN ST., BRENHAM, TX 77833 , BRENHAM TX 77833 BRENHAM TEXAS 77833 Phone 979 353 2090 Fax 979 353 2091 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LORETTA CAVASAR License Eff Dt: 08/01/2019 License Exp Dt: 08/01/2022 Mgmt Co.: RSN SENIOR MANAGEMENT

County WHARTON Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 030194 License No.: 145776 Owner Information MERIDIAN ASSISTED LIVING RJ MERIDIAN CARE OF EL CAMPO LLC 3515 WEST LOOP 2765 25009 OAKHURST DR , EL CAMPO TX 77437 SPRING TX 77386 Phone (979) 541-5488 Fax (979) 541-5115 PHONE: (281) 465-0636 FAX: (281) 465-0748 TOTAL Lic Capacity: 44 PRIVATE Beds: 44 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ADRAIN ALMEDA License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2022 Mgmt Co.:

County WHARTON Reg Svcs: UNIT 11 Region 06 Facility Information: Facility ID: 000838 License No.: 148459 Owner Information ELMCROFT OF WHARTON EC OPCO WHARTON, LLC 1930 BRIAR LN , WHARTON TX 77488 Phone (979) 532-5800 Fax (979) 532-2322 PHONE: FAX: TOTAL Lic Capacity: 100 PRIVATE Beds: 100 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ROXANNE SANCHEZ License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2023 Mgmt Co.: ECLIPSE PROTFOLIO OPERATIONS, LLC

County WHEELER Reg Svcs: HIGH PLAINS GERI 1 Region 01 Facility Information: Facility ID: 101195 License No.: 149459 Owner Information PARKVIEW HOSPITAL NORTH WHEELER COUNTY HOSPITAL DISTRICT 901 S SWEETWATER PO BOX 1030 , WHEELER TX 79096 WHEELER TEXAS 79096 Phone (806) 826-5581 Fax (806) 826-3201 PHONE: FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MONICA KIDD License Eff Dt: 05/21/2020 License Exp Dt: 05/21/2022 Mgmt Co.:

County WICHITA Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 000840 License No.: 150262 Owner Information ARBOR HOUSE VERITAS SENIOR LIVING LLC 1525 HWY 79 SOUTH 6858 SWINNEA RDBLDG 1A , WICHITA FALLS TX 76302 SOUTHAVEN MS 38671 Phone (940) 723-5035 Fax (940) 767-1686 PHONE: (662) 510-5544 FAX: (662) 510-5471 TOTAL Lic Capacity: 58 PRIVATE Beds: 58 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DIRONDA KINSEY License Eff Dt: 03/01/2020 License Exp Dt: 03/01/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 389 of 405 County WICHITA Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 000861 License No.: 143496 Owner Information BROOKDALE MIDWESTERN BROOKDALE SENIOR LIVING COMMUNITIES, INC 918 MIDWESTERN PKWY 6737 W WASHINGTON ST STE 2300 , WICHITA FALLS TX 76302 MILWAUKEE WI 53214 Phone (940) 322-0918 Fax (940) 322-8765 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JARVIS POLVADO License Eff Dt: 12/01/2019 License Exp Dt: 12/01/2021 Mgmt Co.:

County WICHITA Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 000385 License No.: 148842 Owner Information BROOKDALE SIKES LAKE ESC IV LP 2649 PLAZA PKWY 6737 W, WASHINGTON ST SUITE 2300 , WICHITA FALLS TX 76308 MILWAUKEE WI 53214 Phone (940) 696-1351 Fax (940) 696-1785 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 158 PRIVATE Beds: 158 Cert Alzh Capacity: 30 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KATRINA YORK License Eff Dt: 09/30/2019 License Exp Dt: 09/30/2022 Mgmt Co.:

County WICHITA Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 030316 License No.: 307133 Owner Information ELMCROFT OF LAKE WELLINGTON BISHOP LAKE WELLINGTON LESSEE LLC 5100 KELL W BLVD , WICHITA FALLS TX 76310 Phone (940) 691-8181 Fax (940) 691-6770 PHONE: FAX: TOTAL Lic Capacity: 85 PRIVATE Beds: 85 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: LYNDIE MOELLER License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2022 Mgmt Co.: ECLIPSE PORTFOLIO OPERATIONS II LLC

County WICHITA Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 104517 License No.: 148567 Owner Information ROLLING MEADOWS WICHITA FALLS RETIREMENT FOUNDATION 3006 MCNIEL 3006 MCNEIL , WICHITA FALLS TX 76309 WICHITA FALLS TX 76309 Phone (940) 691-7511 Fax (940) 696-5154 PHONE: (940) 691-7511 FAX: (940) 696-5154 TOTAL Lic Capacity: 22 PRIVATE Beds: 22 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TAMARA BOYETTE License Eff Dt: 10/11/2021 License Exp Dt: 10/11/2024 Mgmt Co.: NA

County WICHITA Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 030030 License No.: 146828 Owner Information WOOD LIVING CENTER OF WICHITA FALLS WOOD CARE CENTERS INC 1400 6TH ST 3610 BARNETT RD , WICHITA FALLS TX 76301 WICHITA FALLS TX 76310 Phone (940) 766-3877 Fax (940) 767-3861 PHONE: (940) 767-0463 FAX: (940) 767-0466 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: STEPHANIE MCMANUS License Eff Dt: 12/27/2020 License Exp Dt: 12/27/2023 Mgmt Co.:

Tuesday, September 28, 2021 Page 390 of 405 County WILBARGER Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 030315 License No.: 148689 Owner Information EAGLE FLATS VILLAGE SANDHILL VERNON LLC 4501 COLLEGE DR 832 SOUTHHAMPTON DRIVE , VERNON TX 76384 PALO ALTO CA 94303 Phone (940) 552-8181 Fax (940) 552-6288 PHONE: (650) 996-7801 FAX: (877) 692-7555 TOTAL Lic Capacity: 78 PRIVATE Beds: 78 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: KIM BERGT License Eff Dt: 12/17/2019 License Exp Dt: 12/17/2022 Mgmt Co.: RENAISSANCE SENIOR COMMUNITIES INC

County WILLACY Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 106947 License No.: 147995 Owner Information LA JARRA RANCH ASSISTED LIVING LA JARRA ASSISTED LIVING FACILITY LLC 102 W. LA JARRA RANCH ROAD 12061 LAS MAJADAS RANCH ROAD , RAYMONDVILLE TX 78580 RAYMONDVILLE TEXAS 78580 Phone (281) 650-7127 Fax PHONE: (281) 650-7127 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CRAIG A CHILDS License Eff Dt: 09/12/2017 License Exp Dt: 11/30/2019 Mgmt Co.:

County WILLACY Reg Svcs: CORPUS CHRISTI 12 Region 07 Facility Information: Facility ID: 106946 License No.: 148178 Owner Information LA JARRA RANCH MEMORY CARE LA JARRA ASSISTED LIVING FACILITY LLC 12595 LA MAJADAS RANCH RD 12061 LAS MAJADAS RANCH ROAD , RAYMONDVILLE TX 78580 RAYMONDVILLE TEXAS 78580 Phone (281) 650-7127 Fax PHONE: (281) 650-7127 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CRAIG A CHILDS License Eff Dt: 09/14/2019 License Exp Dt: 09/14/2022 Mgmt Co.:

County WILLIAMSON Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 030159 License No.: 149385 Owner Information ANDERSON MILL ASSISTED LIVING LLC ANDERSON MILL ASSISTED LIVING LLC 11009 EL SALIDO PKWY 11009 EL SALIDO PKWY , AUSTIN TX 78750 AUSTIN TX 78750 Phone (512) 250-1853 Fax (512) 250-1853 PHONE: (512) 250-1853 FAX: (512) 250-1853 TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: REBECCA L SCHEVERS License Eff Dt: 12/19/2019 License Exp Dt: 12/19/2021 Mgmt Co.:

County WILLIAMSON Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 030306 License No.: 146767 Owner Information BROOKDALE ROUND ROCK SH THIRTYFIVE OPCO ROUND ROCK, LLC 8005 CORNERWOOD DR 1920 MAIN STREETSTE 1200 , AUSTIN TX 78717 IRVINE CA 92614 Phone (512) 238-7200 Fax (512) 238-8593 PHONE: (949) 407-0700 FAX: (949) 407-0800 TOTAL Lic Capacity: 74 PRIVATE Beds: 74 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: DOUGLAS WILLIAMS License Eff Dt: 04/30/2019 License Exp Dt: 04/30/2022 Mgmt Co.: BKD TWENTYONE MANAGEMENT COMPANY, INC

Tuesday, September 28, 2021 Page 391 of 405 County WILLIAMSON Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 030374 License No.: 147305 Owner Information BROOKDALE ROUND ROCK SH THIRTYFIVE OPCO ROUND ROCK, LLC 8005 CORNERWOOD DR 1920 MAIN STREETSTE 1200 , AUSTIN TX 78717 IRVINE CA 92614 Phone (512) 238-7200 Fax (512) 238-8593 PHONE: (949) 407-0700 FAX: (949) 407-0800 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 12 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: DOUGLAS WILLIAMS License Eff Dt: 04/30/2019 License Exp Dt: 04/30/2022 Mgmt Co.: BKD TWENTYONE MANAGEMENT COMPANY, INC

County WILLIAMSON Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 030303 License No.: 146663 Owner Information THE HERITAGE AT HUNTERS CHASE 12151 HUNTERS CHASE DRIVE, LP 12151 HUNTERS CHASE DR 6370 LBJ FREEWAY, SUITE 276 , AUSTIN TX 78729 DALLAS TX 75240 Phone (512) 336-4100 Fax (512) 336-4155 PHONE: (469) 619-5418 FAX: (972) 385-0029 TOTAL Lic Capacity: 135 PRIVATE Beds: 135 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CAROLYN LATHAM License Eff Dt: 09/30/2020 License Exp Dt: 09/30/2023 Mgmt Co.: SURPASS SENIOR LIVING

County WILLIAMSON Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 106027 License No.: 146539 Owner Information AVALON MEMORY CARE CEDAR PARK ATKINSON MANAGEMENT LLC 2215 S LAKELINE 1625 N STEMMONS FRWY , CEDAR PARK TX 78613 DALLAS TX 75207 Phone (214) 752-7050 Fax (214) 752-7054 PHONE: (214) 752-7050 FAX: (214) 752-7054 TOTAL Lic Capacity: 25 PRIVATE Beds: 25 Cert Alzh Capacity: 25 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TIMOTHY L SEIB License Eff Dt: 01/27/2019 License Exp Dt: 01/27/2022 Mgmt Co.:

County WILLIAMSON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 102655 License No.: 307545 Owner Information CEDAR RIDGE ALZHEIMER'S SPECIAL CARE CENTER SH1 CEDAR RIDGE LLC 2100 LAKELINE BLVD , CEDAR PARK TX 78613 Phone (512) 258-5157 Fax (512) 258-5157 PHONE: FAX: TOTAL Lic Capacity: 66 PRIVATE Beds: 66 Cert Alzh Capacity: 66 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TINA W THOMAS License Eff Dt: 03/13/2019 License Exp Dt: 03/13/2022 Mgmt Co.: JERRY ERWIN ASSOCIATES LLC

County WILLIAMSON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 104870 License No.: 149401 Owner Information ISLE AT CEDAR RIDGE CHP ISLE AT CEDAR RIDGE TX TENANT CORP 2200 S LAKELINE BLVD 251 WATERMERE DRIVE , CEDAR PARK TX 78613 SOUTHLAKE TX 76092 Phone (512) 219-0200 Fax (512) 219-0466 PHONE: (407) 650-1000 FAX: (407) 540-2544 TOTAL Lic Capacity: 98 PRIVATE Beds: 98 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KIM DORAMUS License Eff Dt: 02/28/2020 License Exp Dt: 02/28/2023 Mgmt Co.: INTEGRATED SENIOR LIVING LLC

Tuesday, September 28, 2021 Page 392 of 405 County WILLIAMSON Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 106804 License No.: 147672 Owner Information POET'S WALK CEDAR PARK CEDAR PARK NJ TE LLC 1503 MEDICAL PARKWAY 515 PLAINFIELD AVESUITE 200 , CEDAR PARK TX 78613 EDISON NJ 8817 Phone (512) 725-8288 Fax (512) 738-8289 PHONE: (732) 582-0400 FAX: (732) 582-0268 TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 70 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GIBRAN CHAMBERS License Eff Dt: 05/23/2019 License Exp Dt: 05/23/2022 Mgmt Co.: CEDAR PARK NJ MANAGEMENT LLC

County WILLIAMSON Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 030240 License No.: 146679 Owner Information POINTE AT CEDAR PARK LSREF GOLDEN OPS 26 TX LLC 450 DISCOVERY BLVD 3500 LENOX ROAD NE STE 510 , CEDAR PARK TX 78613 ATLANTA GA 30326 Phone (512) 259-6525 Fax (512) 260-7365 PHONE: (770) 754-9660 FAX: (770) 754-3085 TOTAL Lic Capacity: 60 PRIVATE Beds: 60 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: WENDY DORSEY License Eff Dt: 01/15/2021 License Exp Dt: 01/15/2024 Mgmt Co.: SL CEDAR PARK LLC

County WILLIAMSON Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 106346 License No.: 307848 Owner Information SERENITY SENIOR LIVING STRAIGHT LINE PARTNERS, LLC 100 SHADY TRAILS PASS , CEDAR PARK TX 78613 Phone (512) 250-9108 Fax (512) 727-6038 PHONE: FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LORI OSBORNE License Eff Dt: 11/19/2019 License Exp Dt: 11/19/2022 Mgmt Co.:

County WILLIAMSON Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 101583 License No.: 149440 Owner Information SHENANDOAH VILLA SHENANDOAH VILLA LLC 1623 SHENANDOAH DR. , CEDAR PARK TX 78613 Phone (512) 257-7526 Fax (512) 257-1673 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ZALINA WILLIAMS License Eff Dt: 03/09/2020 License Exp Dt: 03/09/2023 Mgmt Co.:

County WILLIAMSON Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 106075 License No.: 146232 Owner Information SUNDANCE AT BRUSHY CREEK THE ESTHER BLIND TRUST 3000 GLACIER PASS LN. 5301 VILLAGE CREEK DR. STE. A , CEDAR PARK TX 78613 PLANO TX 75093 Phone (713) 542-6700 Fax PHONE: (713) 542-6700 FAX: TOTAL Lic Capacity: 52 PRIVATE Beds: 52 Cert Alzh Capacity: 52 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SARAH IRWIN License Eff Dt: 11/25/2020 License Exp Dt: 11/25/2023 Mgmt Co.: TWIN VILLAGE MANAGEMENT LLC

Tuesday, September 28, 2021 Page 393 of 405 County WILLIAMSON Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 106257 License No.: 307864 Owner Information THE AUBERGE AT CEDAR PARK A MEMORY CARE COMMUNITY WELLTOWER TENANT GROUP LLC 800 C-BAR RANCH TRAIL 4500 DORR STREET , CEDAR PARK TX 78613 TOLEDO OHIO 43615 Phone 512 9867202 Fax 512 9867140 PHONE: FAX: TOTAL Lic Capacity: 90 PRIVATE Beds: 90 Cert Alzh Capacity: 90 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KIM DORAMUS License Eff Dt: 07/01/2019 License Exp Dt: 07/01/2022 Mgmt Co.: CEDAR PARK MC CARE PROPERTIES, LLC

County WILLIAMSON Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 110184 License No.: 307406 Owner Information THE ENCLAVE AT CEDAR PARK SENIOR LIVING CEDAR PARK OPERATOR, LLC 3405 EL SALIDO PARKWAY , CEDAR PARK TX 78613 Phone 512 4025040 Fax PHONE: FAX: TOTAL Lic Capacity: 46 PRIVATE Beds: 46 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JENNIFER SCOTT License Eff Dt: 06/14/2019 License Exp Dt: 06/14/2022 Mgmt Co.: SRC OF TEXAS, LLC

County WILLIAMSON Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 110190 License No.: 307416 Owner Information THE ENCLAVE AT CEDAR PARK SENIOR LIVING CEDAR PARK OPERATOR, LLC 3405 EL SALIDO PARKWAY , CEDAR PARK TX 78613 Phone 512 4025040 Fax PHONE: FAX: TOTAL Lic Capacity: 65 PRIVATE Beds: 65 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: JENNIFER SCOTT License Eff Dt: 06/14/2019 License Exp Dt: 06/14/2022 Mgmt Co.: SRC OF TEXAS, LLC

County WILLIAMSON Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 000329 License No.: 149094 Owner Information BROOKDALE GEORGETOWN BROOKDALE SENIOR LIVING COMMUNITIES, INC 2600 E UNIVERSITY AVE 6737 W WASHINGTON ST STE 2300 , GEORGETOWN TX 78626 MILWAUKEE WI 53214 Phone (512) 863-7700 Fax (512) 819-9498 PHONE: (414) 918-5000 FAX: (414) 918-5054 TOTAL Lic Capacity: 54 PRIVATE Beds: 54 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: GINA LAFLER License Eff Dt: 12/01/2019 License Exp Dt: 12/01/2021 Mgmt Co.:

County WILLIAMSON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 104046 License No.: 148747 Owner Information GEORGETOWN LIVING MPH TEXAS GROUP INC 2700 SHELL RD 2700 SHELL RD , GEORGETOWN TX 78628 GEORGETOWN TX 78628 Phone (512) 863-9888 Fax (512) 863-8222 PHONE: (512) 818-7277 FAX: (512) 863-8222 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHAR Y HU License Eff Dt: 12/22/2019 License Exp Dt: 12/22/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 394 of 405 County WILLIAMSON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 104973 License No.: 149298 Owner Information GEORGETOWN LIVING II MPH TEXAS GROUP INC 2700 SHELL RD 2700 SHELL RD , GEORGETOWN TX 78628 GEORGETOWN TX 78628 Phone (512) 843-0117 Fax (512) 863-8222 PHONE: (512) 818-7277 FAX: (512) 863-8222 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHAR Y HU License Eff Dt: 06/01/2020 License Exp Dt: 06/01/2023 Mgmt Co.:

County WILLIAMSON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 105556 License No.: 308282 Owner Information LEGACY AT GEORGETOWN MERRILL GARDENS LLC 4907 WILLIAMS DRIVE 1938 FAIRVIEW AVE ESTE 300 , GEORGETOWN TX 78633 SEATTLE WA 98102 Phone (512) 686-1694 Fax PHONE: (206) 676-5300 FAX: (206) 676-5353 TOTAL Lic Capacity: 156 PRIVATE Beds: 156 Cert Alzh Capacity: 42 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHILPA PATEL License Eff Dt: 02/10/2020 License Exp Dt: 02/10/2023 Mgmt Co.: INTEGRAL SENIOR LIVING MANAGEMENT, LLC

County WILLIAMSON Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 110418 License No.: 308024 Owner Information PLATINUM RESORT ASSISTED LIVING AND MEMORY CARE PLATINUM RESORT MESA, LLC 208 MESA DR , GEORGETOWN TX 78628 Phone (512) 580-8037 Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHANNAN L CONWAY License Eff Dt: 12/10/2020 License Exp Dt: 12/10/2023 Mgmt Co.:

County WILLIAMSON Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 103423 License No.: 148792 Owner Information ROCKY HOLLOW CABINS ROCKY HOLLOW CABINS LLC 1650 CR 245 1650 CR 245 , GEORGETOWN TX 78633 GEORGETOWN TX 78633 Phone (512) 868-7885 Fax (254) 793-2554 PHONE: (713) 927-7946 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: FAEZ KHAN License Eff Dt: 01/27/2021 License Exp Dt: 01/27/2024 Mgmt Co.:

County WILLIAMSON Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 106641 License No.: 307391 Owner Information ROCKY HOLLOW LAKE HOUSE RK LAKE HOUSE LLC 1650 COUNTY ROAD 245 1650 COUNTY RD. 245 , GEORGETOWN TX 78633 GEORGETOWN TX 78633 Phone (254) 793-2311 Fax PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: FAEZ KHAN License Eff Dt: 07/11/2019 License Exp Dt: 12/31/2021 Mgmt Co.:

Tuesday, September 28, 2021 Page 395 of 405 County WILLIAMSON Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 102467 License No.: 148014 Owner Information ROCKY HOLLOW LODGE ROCKY HOLLOW LODGE, LLC 1650 CR 245 1650 CR 245 , GEORGETOWN TX 78633 GEORGETOWN TX 78633 Phone (512) 868-7885 Fax (254) 793-2554 PHONE: (713) 927-7946 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: FAEZ KHAN License Eff Dt: 01/27/2021 License Exp Dt: 01/27/2024 Mgmt Co.:

County WILLIAMSON Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 105653 License No.: 148627 Owner Information SEDRO TRAIL ASSISTED LIVING AND MEMORY CARE SEDRO TRAIL ASSISTED LIVING AND MEMORY CARE LLC 292 SEDRO TRL 292 SEDRO TRL , GEORGETOWN TX 78633 GEORGETOWN TX 78633 Phone (512) 943-4837 Fax PHONE: (512) 943-4837 FAX: TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 12 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JASON S HALL License Eff Dt: 10/14/2019 License Exp Dt: 10/14/2021 Mgmt Co.:

County WILLIAMSON Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 106705 License No.: 146203 Owner Information THE DELANEY AT GEORGETOWN VILLAGE LCS GEORGETOWN PROPCO LLC 359 VILLAGE COMMONS BOULEVARD 400 LOCUST STSTE 820 , GEORGETOWN TX 78633 DES MONIES IA 50309 Phone (512) 819-9500 Fax (844) 789-0917 PHONE: (515) 875-4500 FAX: (515) 875-4780 TOTAL Lic Capacity: 97 PRIVATE Beds: 97 Cert Alzh Capacity: 36 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SAMUEL T RICHARDSON License Eff Dt: 11/28/2020 License Exp Dt: 11/28/2023 Mgmt Co.: NA

County WILLIAMSON Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 106160 License No.: 147683 Owner Information THE RESERVE AT GEORGETOWN GEORGETOWN MEMORY CARE LLC 3600 WILLIAMS DRIVE 545 E JOHN CARPENTER FRWYSTE 500 , GEORGETOWN TX 78628 IRVING TX 75062 Phone (512) 688-5113 Fax (512) 688-5145 PHONE: (214) 845-4500 FAX: (214) 845-4501 TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 50 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: STEPHANIE MORTON License Eff Dt: 06/10/2021 License Exp Dt: 06/10/2024 Mgmt Co.: GEORGETWON MC CARE PROPERTIES, LLC

County WILLIAMSON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 104746 License No.: 148187 Owner Information THE WESLEYAN AT ESTRELLA ASSISTED LIVING WESLEYAN HOMES, INC 109 ESTRELLA CROSSING P. O. BOX 486 , GEORGETOWN TX 78628 GEORGETOWN TX 78627 Phone (512) 943-9804 Fax (512) 943-9808 PHONE: FAX: TOTAL Lic Capacity: 104 PRIVATE Beds: 104 Cert Alzh Capacity: 20 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KELLY GOETZ License Eff Dt: 07/21/2019 License Exp Dt: 07/21/2022 Mgmt Co.:

Tuesday, September 28, 2021 Page 396 of 405 County WILLIAMSON Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 105479 License No.: 147835 Owner Information TIFFIN HOUSE II TIFFIN HOUSE II LLC 90 WOODCREST RD 90 WOODCREST RD. , GEORGETOWN TX 78633 GEORGETOWN TX 78633 Phone (512) 818-7697 Fax (512) 869-7762 PHONE: (512) 718-4280 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JUSTIN J TRODAHL License Eff Dt: 04/23/2021 License Exp Dt: 04/23/2024 Mgmt Co.: TIFFIN HOUSE II LLC

County WILLIAMSON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 104055 License No.: 148711 Owner Information TIFFIN HOUSE LLC TIFFIN HOUSE LLC 84 WOODCREST RD 84 WOODCREST RD , GEORGETOWN TX 78633 GEORGETOWN TX 78633 Phone (512) 869-7788 Fax (512) 869-7762 PHONE: (512) 818-7697 FAX: (512) 869-7762 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JUSTIN J TRODAHL License Eff Dt: 09/18/2019 License Exp Dt: 09/18/2022 Mgmt Co.: TIFFIN HOUSE LLC

County WILLIAMSON Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 110298 License No.: 307724 Owner Information WILLOBELL ASSISTED LIVING, LLC WILLOBELL ASSISTED LIVING, LLC 800 N. COMMERCE STREET PO BOX 727 , GRANGER TX 76530 GRANGER TEXAS 76530 Phone (254) 527-3371 Fax (254) 527-3173 PHONE: (254) 527-3371 FAX: TOTAL Lic Capacity: 40 PRIVATE Beds: 40 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: PHILIP D BRANT III License Eff Dt: 02/27/2020 License Exp Dt: 02/27/2023 Mgmt Co.:

County WILLIAMSON Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 106164 License No.: 149922 Owner Information LEGACY AT CRYSTAL FALLS LACF TENANT LLC 1841 CRYSTAL FALLS PARKWAY 675 BERING DRSTE 550 , LEANDER TX 78641 HOUSTON TX 77057 Phone (512) 487-7049 Fax PHONE: (713) 425-5423 FAX: (713) 425-5402 TOTAL Lic Capacity: 138 PRIVATE Beds: 138 Cert Alzh Capacity: 31 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CHRISTINE MOSS License Eff Dt: 01/01/2020 License Exp Dt: 01/01/2022 Mgmt Co.: LIFEWELL SENIOR LIVING LLC

County WILLIAMSON Reg Svcs: SOUTH AUSTIN Region 05 Facility Information: Facility ID: 107248 License No.: 307141 Owner Information PRECIOUS GROUP HOME CARE LLC PRECIOUS GROUP HOME CARE LLC 2200 SOUTH BAGDAD ROAD 2200 SOUTH BAGDAD ROAD , LEANDER TX 78641 LEANDER TX 78641 Phone (512) 541-1606 Fax (512) 221-2927 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: RITA UZOMBA License Eff Dt: 01/11/2021 License Exp Dt: 01/11/2024 Mgmt Co.: NA

Tuesday, September 28, 2021 Page 397 of 405 County WILLIAMSON Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 106837 License No.: 148141 Owner Information RIVA RIDGE ASSISTED LIVING RIVA RIDGE ASSISTED LIVING CENTER LLC 807 RIVA RIDGE DR 801 RIVA RIDGE DRIVE , LEANDER TX 78641 LEANDER TX 78641 Phone (512) 259-1330 Fax (512) 988-5024 PHONE: (512) 456-0173 FAX: (512) 986-5024 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KENNETH N MISSLER License Eff Dt: 08/22/2021 License Exp Dt: 08/22/2024 Mgmt Co.:

County WILLIAMSON Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 103482 License No.: 148013 Owner Information RIVA RIDGE MEMORY CARE CENTER KNM SENIOR CARE SERVICES LLC 801 RIVA RIDGE DR 801 RIVA RIDGE DRIVE , LEANDER TX 78641 LEANDER TX 78641 Phone (512) 259-1330 Fax (512) 986-5024 PHONE: (972) 741-1852 FAX: (512) 986-5024 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 12 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KENNETH N MISSLER License Eff Dt: 06/01/2021 License Exp Dt: 06/01/2024 Mgmt Co.:

County WILLIAMSON Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 101068 License No.: 307168 Owner Information A SERENE SETTING A SERENE SETTING LLC 2101 CROSS CREEK TRL 2101 CROSSS CREEK TRL , ROUND ROCK TX 78681 ROUND ROCK TX 78681 Phone (512) 716-0108 Fax (512) 716-0108 PHONE: FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: COLLEEN CRUZ License Eff Dt: 07/01/2020 License Exp Dt: 07/01/2023 Mgmt Co.:

County WILLIAMSON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 030013 License No.: 148937 Owner Information A TOUCH OF HOME SCOTT ENTERPRISES INC 4301 CRESTRIDGE DR 4301 CRESTRIDGE DR. , ROUND ROCK TX 78681 ROUND ROCK TX 78681 Phone (512) 218-0042 Fax (512) 218-0039 PHONE: (512) 218-0042 FAX: (512) 218-0039 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: THERESA SCOTT License Eff Dt: 10/15/2021 License Exp Dt: 10/15/2024 Mgmt Co.:

County WILLIAMSON Reg Svcs: TEMPLE (GERI) Region 05 Facility Information: Facility ID: 030121 License No.: 146953 Owner Information COURT AT ROUND ROCK ASSISTED LIVING COMMUNITY LSREF GOLDEN OPS 26 TX LLC 2700 SUNRISE RD 3500 LENOX ROAD NE STE 510 , ROUND ROCK TX 78664 ATLANTA GA 30326 Phone (512) 310-0002 Fax (512) 310-0002 PHONE: (770) 754-9660 FAX: (770) 754-3085 TOTAL Lic Capacity: 123 PRIVATE Beds: 123 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: ANNA SLACK License Eff Dt: 01/15/2021 License Exp Dt: 01/15/2024 Mgmt Co.: SL ROUND ROCK LLC

Tuesday, September 28, 2021 Page 398 of 405 County WILLIAMSON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 107007 License No.: 307522 Owner Information DOUBLE CREEK ASSISTED LIVING CSL DOUBLE CREEK 2018, LLC 2300 LOUIS HENNA BLVD , ROUND ROCK TX 78664 Phone (512) 839-2823 Fax PHONE: FAX: TOTAL Lic Capacity: 122 PRIVATE Beds: 122 Cert Alzh Capacity: 34 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHILPA PATEL License Eff Dt: 10/31/2020 License Exp Dt: 10/31/2023 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

County WILLIAMSON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 102973 License No.: 148339 Owner Information FAIRWAY VISTA SHELLY R DEHN 1017 HIDDEN VIEW PLACE 20227 MCSHEPHERD ROAD , ROUND ROCK TX 78665 GEORGETOWN TX 78626 Phone (512) 220-7316 Fax (512) 220-7317 PHONE: (512) 220-7316 FAX: (512) 220-7317 TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KERRI A DEHN LVN License Eff Dt: 10/04/2019 License Exp Dt: 10/04/2021 Mgmt Co.:

County WILLIAMSON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 104424 License No.: 148425 Owner Information FAIRWAY VISTA II FAIRWAY ASSISTED LIVING LLC 1019 HIDDEN VIEW PL 1017 HIDDEN VIEW PL , ROUND ROCK TX 78665 ROUND ROCK TX 78665 Phone (512) 220-7316 Fax (512) 220-7317 PHONE: (512) 220-7316 FAX: (512) 220-7317 TOTAL Lic Capacity: 9 PRIVATE Beds: 9 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SHELLY R DEHN License Eff Dt: 04/21/2019 License Exp Dt: 04/21/2022 Mgmt Co.:

County WILLIAMSON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 107093 License No.: 307123 Owner Information FAMILY TREE ASSITED LIVING VELOCITY VENTURES LLC DBA FAMILY TREE ASSISTED LIVING LLC 124 SILK TREE LANE PO BOX 32 , ROUND ROCK TX 78664 NOLANVILLE TX 78660 Phone (703) 283-6397 Fax PHONE: FAX: TOTAL Lic Capacity: 10 PRIVATE Beds: 10 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CRAIG C BROOKS License Eff Dt: 01/29/2021 License Exp Dt: 01/29/2024 Mgmt Co.:

County WILLIAMSON Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 106733 License No.: 147329 Owner Information FRANKLIN PARK TERAVISTA ASSISTED LIVING FAM ROUND ROCK SENIORS, LTD 4155 TERAVISTA CLUB DRIVE 21260 GATHERING OAK , ROUND ROCK TX 78665 SAN ANTONIO TX 78260 Phone (512) 388-6076 Fax (512) 388-6087 PHONE: (210) 694-2223 FAX: (210) 694-2225 TOTAL Lic Capacity: 88 PRIVATE Beds: 88 Cert Alzh Capacity: 24 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ALICIA DEL ROSARIO License Eff Dt: 05/18/2021 License Exp Dt: 05/18/2024 Mgmt Co.: FRANKLIN APARTMENT MANAGEMENT LTD

Tuesday, September 28, 2021 Page 399 of 405 County WILLIAMSON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 103931 License No.: 150298 Owner Information HAMPTON SENIOR LIVING LLC HAMPTON SENIOR LIVING LLC 1905 HAMPTON LN 1905 HAMPTON LANE , ROUND ROCK TX 78664 ROUND ROCK TX 78664 Phone (512) 394-8146 Fax (512) 672-6200 PHONE: (513) 394-8146 FAX: (512) 672-6200 TOTAL Lic Capacity: 12 PRIVATE Beds: 12 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: NICOLE FUNDERBURKE License Eff Dt: 12/10/2019 License Exp Dt: 12/10/2021 Mgmt Co.:

County WILLIAMSON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 110102 License No.: 307138 Owner Information MENTIS NEURO AUSTIN, LLC E & J HEALTH CARE LLC 5150 N. AW GRIMES BLVD 400 HWY 290BLDG B #203 , ROUND ROCK TX 78665 DRIPPING SPRINGS TX 78620 Phone (512) 982-9929 Fax (512) 218-3984 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KRISTINA MAGAHA License Eff Dt: 01/17/2021 License Exp Dt: 01/17/2024 Mgmt Co.:

County WILLIAMSON Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 106513 License No.: 149737 Owner Information POET'S WALK ROUND ROCK CHANDLER NJ TE LLC 4050 SUNRISE ROAD 515 PLAINFIELD AVESUITE 200 , ROUND ROCK TX 78665 EDISON NJ 8817 Phone (512) 255-6009 Fax (512) 255-6039 PHONE: (732) 582-0400 FAX: (732) 582-0268 TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 70 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: ALICIA DEL ROSARIO License Eff Dt: 07/12/2020 License Exp Dt: 07/12/2023 Mgmt Co.: CHANDLER NJ MANAGEMENT LLC

County WILLIAMSON Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 106613 License No.: 145938 Owner Information ROUND ROCK ASSISTED LIVING, LLC ROUND ROCK ASSISTED LIVING LLC 16708 MARSALA SPRINGS DRIVE 16708 MARSALA SPRINGS DR , ROUND ROCK TX 78681 ROUND ROCK TX 78681 Phone (512) 218-5952 Fax (844) 272-2643 PHONE: (512) 983-8677 FAX: TOTAL Lic Capacity: 11 PRIVATE Beds: 11 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: SONIA Y SPEARS License Eff Dt: 10/21/2018 License Exp Dt: 07/30/2021 Mgmt Co.:

County WILLIAMSON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 107060 License No.: 149438 Owner Information SUNDARA OF ROUND ROCK SUNDARA OPCO1 LLC 1000-1 RUSK ROAD 1000 RUSK ROAD , ROUND ROCK TX 78665 ROUND ROCK TX 78665 Phone (512) 400-0488 Fax PHONE: (512) 400-0488 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KELLI K HUDSON License Eff Dt: 04/27/2020 License Exp Dt: 04/27/2023 Mgmt Co.: SUNDARA SENIOR LIVING LLC

Tuesday, September 28, 2021 Page 400 of 405 County WILLIAMSON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 107062 License No.: 149481 Owner Information SUNDARA ROUND ROCK SUNDARA OPCO1 LLC 1000-2 RUSK ROAD 1000 RUSK ROAD , ROUND ROCK TX 78665 ROUND ROCK TX 78665 Phone (512) 400-0488 Fax PHONE: (512) 400-0488 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: KELLI K HUDSON License Eff Dt: 04/27/2018 License Exp Dt: 11/30/2020 Mgmt Co.: SUNDARA SENIOR LIVING LLC

County WILLIAMSON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 030118 License No.: 145810 Owner Information THE COTTAGES AT CHANDLER CREEK I CHANDLER CREEK COTTAGES, LTD 2401 NORTH A W GRIMES BLVD 4514 TRAVIS ST STE 211 , ROUND ROCK TX 78665 DALLAS TX 75205 Phone (512) 218-9757 Fax (512) 218-9759 PHONE: (214) 526-0021 FAX: (214) 526-7965 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LESLIE HAZELWOOD License Eff Dt: 10/08/2020 License Exp Dt: 10/08/2023 Mgmt Co.: PRESTON SENIOR LIVING LLC

County WILLIAMSON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 030119 License No.: 150250 Owner Information THE COTTAGES AT CHANDLER CREEK II CHANDLER CREEK COTTAGES, LTD 2401 N AW GRIMES BLVD 4514 TRAVIS ST STE 211 , ROUND ROCK TX 78665 DALLAS TX 75205 Phone (512) 218-9757 Fax (512) 218-9759 PHONE: (214) 526-0021 FAX: (214) 526-7965 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LESLIE HAZELWOOD License Eff Dt: 10/08/2021 License Exp Dt: 10/08/2024 Mgmt Co.: THE COTTAGES SENIOR LIVING LLC

County WILLIAMSON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 104692 License No.: 148066 Owner Information THE COTTAGES AT CHANDLER CREEK III CHANDLER CREEK COTTAGES II LTD 2351 NORTH A.W. GRIMES BLVD 25 HIGHLAND PARK VILLAGE, SUITE 100-799 , ROUND ROCK TX 78665 DALLAS TEXAS 75205 Phone (512) 218-9757 Fax (512) 218-8768 PHONE: (214) 526-0021 FAX: (512) 526-7985 TOTAL Lic Capacity: 54 PRIVATE Beds: 54 Cert Alzh Capacity: 54 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARY JANE KESLER License Eff Dt: 04/21/2021 License Exp Dt: 04/21/2024 Mgmt Co.: THE COTTAGES SENIOR LIVING LLC

County WILLIAMSON Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 110368 License No.: 307927 Owner Information THE ENCLAVE AT ROUND ROCK SENIOR LIVING ROUND ROCK OPERATOR, LLC 2351 OAKMONT DRIVE , ROUND ROCK TX 78665 Phone (512) 693-2420 Fax (512) 255-6414 PHONE: FAX: TOTAL Lic Capacity: 116 PRIVATE Beds: 116 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: SHAWN ELAINE MCNULTY License Eff Dt: 07/13/2020 License Exp Dt: 07/13/2023 Mgmt Co.: SRC OF TEXAS, LLC

Tuesday, September 28, 2021 Page 401 of 405 County WILLIAMSON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 105170 License No.: 307688 Owner Information THE ROSE AT ROUND ROCK PAL ROUND ROCK TRS, LLC 7230 WYOMING SPRINGS DRIVE , ROUND ROCK TX 78681 Phone (855) 840-7257 Fax (512) 218-0073 PHONE: FAX: TOTAL Lic Capacity: 114 PRIVATE Beds: 114 Cert Alzh Capacity: 36 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: HEATHER K FOLEY License Eff Dt: 12/10/2019 License Exp Dt: 12/10/2022 Mgmt Co.: AVENTINE HILL COMMUNITIES, LLC

County WILLIAMSON Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 106171 License No.: 147475 Owner Information TRAN'S SENIOR OASIS LLC TRAN'S SENIOR OASIS LLC 2304 LIVE OAK CIRCLE , ROUND ROCK TX 78681 Phone (512) 310-8727 Fax (512) 792-9893 PHONE: FAX: TOTAL Lic Capacity: 8 PRIVATE Beds: 8 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LUAN NGUYEN TRAN License Eff Dt: 04/10/2021 License Exp Dt: 04/10/2024 Mgmt Co.:

County WILLIAMSON Reg Svcs: BRENHAM Region 05 Facility Information: Facility ID: 104858 License No.: 147607 Owner Information UNIVERSITY VILLAGE MEMORY CARE UV MEMORY CARE LLC 4701 CAMPUS VILLAGE DRIVE 8310-1 CAPITOL OF TEXAS HWY NSTE 275 , ROUND ROCK TX 78665 AUSTIN TX 78731 Phone (512) 248-2222 Fax (512) 248-2234 PHONE: (512) 248-2222 FAX: (512) 248-2234 TOTAL Lic Capacity: 74 PRIVATE Beds: 74 Cert Alzh Capacity: 74 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TERRA JONES License Eff Dt: 08/18/2021 License Exp Dt: 08/18/2024 Mgmt Co.: UVMC MANAGEMENT LLC

County WILLIAMSON Reg Svcs: NORTH AUSTIN Region 05 Facility Information: Facility ID: 101695 License No.: 149055 Owner Information SPJST ASSISTED LIVING FACILITY SPJST REST HOME 505 E LAKE DR 1810 OLD GRANGER RD. , TAYLOR TX 76574 TAYLOR TX 76574 Phone (512) 352-6940 Fax (512) 352-6947 PHONE: (513) 352-6337 FAX: (512) 352-7209 TOTAL Lic Capacity: 64 PRIVATE Beds: 64 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: JANICE BURNS License Eff Dt: 12/04/2019 License Exp Dt: 12/04/2022 Mgmt Co.:

County WILSON Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 107004 License No.: 149026 Owner Information NEW HAVEN ASSISTED LIVING OF FLORESVILLE NEW HAVEN SENIORS OF FLORESVILLE LLC 107B VETERANS DRIVE PO BOX 1927 , FLORESVILLE TX 78114 KYLE TX 78640 Phone (830) 355-2886 Fax (830) 542-8920 PHONE: (208) 867-8682 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LORI BROOKS License Eff Dt: 02/22/2020 License Exp Dt: 02/22/2023 Mgmt Co.: ENRICHED SENIOR LIVING LLC

Tuesday, September 28, 2021 Page 402 of 405 County WILSON Reg Svcs: TEAM W Region 07 Facility Information: Facility ID: 107003 License No.: 148991 Owner Information NEW HAVEN ASSISTED LIVING OF FLORESVILLE NEW HAVEN SENIORS OF FLORESVILLE LLC 107A VETERANS DR PO BOX 1927 , FLORESVILLE TX 78114 KYLE TX 78640 Phone (830) 355-2886 Fax (830) 542-8920 PHONE: (208) 867-8682 FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LETTICIA GARCIA License Eff Dt: 02/22/2020 License Exp Dt: 02/22/2023 Mgmt Co.: ENRICHED SENIOR LIVING LLC

County WISE Reg Svcs: TEAM 3 Region 03 Facility Information: Facility ID: 000473 License No.: 147660 Owner Information THE RESIDENCES AT BRIDGEPOINT MEDICAL LODGE PMG OPCOBRIDGEPORT LLC 2106 15TH ST 3710 RAWLINS STREET, SUITE 1325 , BRIDGEPORT TX 76426 DALLAS TX 75219 Phone (940) 683-6307 Fax (940) 683-3184 PHONE: (972) 428-0900 FAX: (940) 683-3184 TOTAL Lic Capacity: 36 PRIVATE Beds: 36 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CINDY HICKEY License Eff Dt: 02/28/2021 License Exp Dt: 02/28/2024 Mgmt Co.: PRIORITY MANAGEMENT GROUP

County WISE Reg Svcs: TEAM 1 Region 03 Facility Information: Facility ID: 000362 License No.: 145777 Owner Information GOVERNOR'S RIDGE LIVE OAKS HOLDINGS LLC 300 E DEVEREAUX ST 1230 ROSECRANS AVE STE 405 , DECATUR TX 76234 MANHATTAN BEACH CA 90266 Phone (940) 627-1104 Fax (940) 627-1159 PHONE: (310) 725-0120 FAX: (310) 469-0114 TOTAL Lic Capacity: 70 PRIVATE Beds: 70 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: LESLIE MISENHIMER License Eff Dt: 09/01/2020 License Exp Dt: 09/01/2023 Mgmt Co.: TITAN SENQUEST MANAGEMENT INC

County WOOD Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 010397 License No.: 149045 Owner Information THE GARDENS AT HAWKINS ALC CARROLL PARTNERS INVESTMENT INC 840 N BEAULAH ST PO BOX 1069 , HAWKINS TX 75765 HAWKINS TX 75765 Phone (903) 769-9105 Fax (903) 769-9019 PHONE: (903) 769-9105 FAX: (903) 769-9019 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: OSMA CARROLL JR. License Eff Dt: 04/16/2020 License Exp Dt: 04/16/2023 Mgmt Co.:

County WOOD Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 010219 License No.: 149382 Owner Information THE GARDENS AT HAWKINS ALC CARROLL PARTNERS INVESTMENT INC 830 NORTH BEAULAH ST PO BOX 1069 , HAWKINS TX 75765 HAWKINS TX 75765 Phone (903) 769-9105 Fax (903) 769-9019 PHONE: (903) 769-9105 FAX: (903) 769-9019 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: OSMA CARROLL JR. License Eff Dt: 04/25/2020 License Exp Dt: 04/25/2023 Mgmt Co.: NO MANAGEMENT COMPANY NA

Tuesday, September 28, 2021 Page 403 of 405 County WOOD Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 000564 License No.: 147059 Owner Information THE GARDENS AT HAWKINS ALC CARROLL PARTNERS INVESTMENT INC 648 N BEAULAH ST PO BOX 1069 , HAWKINS TX 75765 HAWKINS TX 75765 Phone (903) 769-9105 Fax (903) 769-9019 PHONE: (903) 769-9105 FAX: (903) 769-9019 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: OSMA CARROLL JR. License Eff Dt: 06/06/2019 License Exp Dt: 06/06/2022 Mgmt Co.: NA

County WOOD Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 000584 License No.: 146800 Owner Information THE GARDENS AT HAWKINS ALC CARROLL PARTNERS INVESTMENT INC 698 N BEAULAH ST PO BOX 1069 , HAWKINS TX 75765 HAWKINS TX 75765 Phone (903) 769-9105 Fax (903) 769-9019 PHONE: (903) 769-9105 FAX: (903) 769-9019 TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: OSMA CARROLL JR. License Eff Dt: 01/24/2019 License Exp Dt: 01/24/2022 Mgmt Co.:

County WOOD Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 050618 License No.: 148699 Owner Information WESLEY HOUSE WESLEY HOUSE ATLANTA LLC 1031 E GOODE BOX 143 , QUITMAN TX 75783 Phone (903) 763-1303 Fax (903) 763-2403 PHONE: FAX: TOTAL Lic Capacity: 50 PRIVATE Beds: 50 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: TAMMY PURDY License Eff Dt: 05/19/2021 License Exp Dt: 05/19/2024 Mgmt Co.: WESLEY PARTNERS II, LLC

County WOOD Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 105574 License No.: 147825 Owner Information AUTUMN WIND ASSISTED LIVING AUTUMN WIND PARTNERS 135 AUTUMN WIND CT 310 CR 2910 , WEST MINEOLA TX 75773 PITTSBURG TX 75686 Phone (903) 569-1111 Fax (903) 569-6007 PHONE: (903) 569-1111 FAX: (903) 569-6007 TOTAL Lic Capacity: 90 PRIVATE Beds: 90 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: MARY S CABLE License Eff Dt: 09/06/2019 License Exp Dt: 09/06/2022 Mgmt Co.:

County WOOD Reg Svcs: TYLER SE TEAM Region 04 Facility Information: Facility ID: 104275 License No.: 307732 Owner Information AUTUMN WIND QUALITY SENIOR HOUSING FOUNDATION OF EAST TEXAS, INC 1004 E. COKE RD , WINNSBORO TX 75494 Phone (903) 342-3388 Fax (903) 342-3389 PHONE: FAX: TOTAL Lic Capacity: 69 PRIVATE Beds: 69 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CATHARYN CHILDERS License Eff Dt: 09/01/2019 License Exp Dt: 09/01/2022 Mgmt Co.: CIVITAS SENIOR HEALTHCARE LLC

Tuesday, September 28, 2021 Page 404 of 405 County YOUNG Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 030297 License No.: 307126 Owner Information ELMCROFT OF GRAHAM BISHOP GRAHAM LESSEE LLC 1015 CLIFF DR , GRAHAM TX 76450 Phone (940) 549-8181 Fax (940) 549-1171 PHONE: FAX: TOTAL Lic Capacity: 16 PRIVATE Beds: 16 Cert Alzh Capacity: 16 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE B Administrator: CAROLYN SCOTT License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2023 Mgmt Co.: BKD TWENTYONE MANAGEMENT COMPANY, INC

County YOUNG Reg Svcs: WICHITA FALLS GERIATRIC Region 02 Facility Information: Facility ID: 030296 License No.: 307124 Owner Information ELMCROFT OF GRAHAM BISHOP GRAHAM LESSEE LLC 1015 CLIFF DR , GRAHAM TX 76450 Phone (940) 549-8181 Fax (940) 549-1171 PHONE: FAX: TOTAL Lic Capacity: 80 PRIVATE Beds: 80 Cert Alzh Capacity: 0 PROGRAM TYPE: Assisted Living SERVICE TYPE: TYPE A Administrator: TRACHELLE LEWELLING License Eff Dt: 10/01/2020 License Exp Dt: 10/01/2022 Mgmt Co.: ECLIPSE PORTFOLIO OPERATIONS II LLC

Tuesday, September 28, 2021 Page 405 of 405