Hillcrest Assisted Living in San Augustine, TX, is a senior living community that provides assisted living, memory support, and short-term respite care. Located within a small-town East Texas setting, this 52-bed community fosters independence and dignity for older adults, supported by a 24-hour staffing model.
The daily experience for older adults at this community is designed to promote social connection and self-care in a manageable, mid-sized setting. While memory care is included in the service offerings, it is important to note that the community does not currently hold a formal Alzheimer’s certification. Families seeking specialized dementia care are encouraged to speak directly with the administration to confirm that the available support matches the specific needs of their loved one. With a walk score of 39, the community is largely car-dependent, so families are also encouraged to coordinate with the team regarding transportation for off-site appointments and errands.
Regulatory oversight is managed by the Texas Health and Human Services Commission, accumulating a total of 11 citations, which is notably higher than the state average. Six of these were health-related deficiencies, focusing on medication administration, employee tuberculosis screening, and the accuracy of resident records. The remaining five findings involved Life Safety Codes, including fire safety and building maintenance, some of which were noted as recurring items from 2022. No formal enforcement actions were filed.
As one of the primary assisted living options in San Augustine, Hillcrest Assisted Living fills a vital role for families in this part of the state.




















