First Street Assisted Living and Adult Day Care
Reviewer concerns include severe safety and medical management issues — investigate before committing.
based on 6 Google reviews

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What this means for your family
This facility presents significant risks that cannot be ignored, specifically regarding physical safety and medication management. While a few reviewers mention liking certain staff members, the reports of broken glass and missing prescriptions are critical red flags that require immediate investigation during a tour.
Google Reviews
Google Reviews
6 reviews on Google“Families should exercise extreme caution, as several reviews report severe safety and care concerns, including broken windows with exposed glass and missing prescriptions. While some individuals praise specific staff members and the food quality, the presence of critical allegations regarding neglect and unprofessionalism is significant.”
Quality Themes
Tap a score for detailsStrengths
- Friendly individual staff members
- Convenient location near senior centers
- Occasional high-quality meals
Concerns
- Severe safety and medical management issues
Rating Trends
Tap a year to see what changed
Distribution · 6 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1With such a small, intimate community of 16 residents, how do you ensure each person receives personalized attention for their specific daily needs?
- 2Could you walk me through your specific protocols for medication administration and how you track accuracy for each resident?
- 3What is your routine for maintaining the cleanliness and upkeep of the common areas and resident rooms to ensure a comfortable environment?
- 4I'd love to hear more about the dining experience—how do you plan the menus and how often are high-quality, nutritious meals served?
- 5In the event of a medical emergency during the day or overnight, what is the immediate response plan for the residents?
- 6What kind of daily activities or social outings do you organize to keep the residents engaged with the local senior community?
Personalized based on this facility's data
Key Review Excerpts
“Not sure where high ratings come from but I would NEVER place a loved one here. Have seen windows broken out of residents room with sharp glass exposed, resident prescriptions missing, extremely poor food (have seen a plain hot dog served for lunch and dinner same day with nothing else, breakfast as a piece of toast with nothing else, and time where the only night attendant left the premise, and much more.”
“l love it, we all have good days and bad days and the staff always make our bad days better. Great Place to send your loved ones”
State Inspection History
State Inspections
Source: Texas Health & Human Services Commission
Key Findings
This facility has a history of multiple safety violations, primarily related to fire safety, building maintenance, and emergency planning. Most significantly, a recent enforcement action in April 2025 resulted in a $2,250 penalty regarding failure to protect residents from abuse, neglect, and exploitation.
Apr 17, 2025EnforcementPenaltyReport
Administrative Penalty — The facility failed to ensure each resident was free from abuse, neglect, and exploitation. (TAC 553.267(a)(3)(E)(ii))
Oct 20, 2022Routine
Health Code (1 violations)
The facility failed to train staff in the use of fire extinguishers, failed to inspect and maintain fire extinguishers, and failed to keep records of inspection and maintenance of fire extinguishers.
May 28, 2021Routine
Life Safety Code (1 violations)
The facility failed to provide a site and/or building free of fire, health, or physical hazards.
Oct 9, 2019Routine
Life Safety Code (6 violations)
The facility failed to ensure the kitchen layout was designed by a registered or licensed dietitian or architect having knowledge in kitchen designs.
The facility failed to comply with Chapter 33, Existing Residential Board and Care Occupancies.
The facility failed to ensure the common wall between the facility and another occupancy had a fire rating of at least two hours.
The facility failed to ensure compliance with smoking regulations in the licensing standards for assisted living facilities.
The facility failed to provide a written contract with a fire alarm firm to perform inspections, testing, and system maintenance at least every six months.
The facility failed to ensure a written emergency plan that addresses the eight core functions of emergency management was provided.
The facility failed to ensure the required sprinkler system was inspected, tested, and maintained in compliance with NFPA 25.
Ownership & Operations
Who Operates This Facility
American Assisted Living Group Lp
for profit
MS. LINDA APPIAH-SIRIBOE, RN
Contact
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References & Resources
Google Maps
Photos, directions & neighborhood info
Google Reviews
6 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
TX HHSC — View Official Record
Public-record source of inspection history and licensure data shown on this page
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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