El Paso Senior AdvisorBy El Paso Senior Advisor Care Team · October 26, 2026
Most El Paso assisted living licenses are small homes: 21 of 31 serve 16 residents or fewer, many in Cielo Vista and Eastwood. They offer a household feel and familiar caregivers; check the license type, night staffing and the TULIP findings.
The small homes
| Home | Type | Licensed residents | Part of El Paso | Recent findings |
|---|---|---|---|---|
| Maria C Ruvalcaba | Type C | 4 | East Side & Far East | 0 |
| Pino Real Adult Foster Home | Type C | 4 | West Side, Upper Valley & Northwest | 1 |
| Ricci's Foster Home | Type C | 4 | West Side, Upper Valley & Northwest | 0 |
| Mailland Health Care Services | Type B | 6 | Cielo Vista, Eastwood & the UMC Corridor | 3 |
| Hogar Esperanza | Type A | 7 | Cielo Vista, Eastwood & the UMC Corridor | 8 |
| Rodriguez Assisted Living | Type B | 7 | Cielo Vista, Eastwood & the UMC Corridor | 13 |
| Sisters Casita | Type B | 7 | Cielo Vista, Eastwood & the UMC Corridor | 4 |
| Casa Everay #3 | Type A | 8 | Cielo Vista, Eastwood & the UMC Corridor | 2 |
| Genesis Home Care | Type B | 8 | Central, Downtown & Kern Place | 16 |
| El Paso Foster Care services | Type B | 10 | Cielo Vista, Eastwood & the UMC Corridor | 16 |
| Rosedale Adult Foster Home | Type B | 10 | East Side & Far East | 2 |
| Casa Everay | Type A | 12 | Cielo Vista, Eastwood & the UMC Corridor | 0 |
| Casa Feliz Yandel | Type A | 12 | Central, Downtown & Kern Place | 6 |
| The Forest Assisted Living | Type A | 13 | Lower Valley & Ysleta | 0 |
| Scottsdale Personal Care Facility | Type B | 14 | East Side & Far East | 38 |
| Los Abuelos Assisted Living | Type B | 15 | Northeast El Paso & Fort Bliss | 0 |
| Eden North Assisted Living Center | Type B | 16 | Northeast El Paso & Fort Bliss | 4 |
| Good Life Senior Living & Memory Care | Type B | 16 | Northeast El Paso & Fort Bliss | 2 |
| Goodlife Senior Living and Memory Care a | Type B | 16 | Northeast El Paso & Fort Bliss | 1 |
| Harmony Sun City Care | Type B | 16 | West Side, Upper Valley & Northwest | 0 |
| Serenity House Assisted Living Facility | Type B | 16 | Northeast El Paso & Fort Bliss | 7 |
What a small home offers
A small home is usually a converted house with a few caregivers who know every resident. Meals are home-style, routines are steady and noise is low. For people with mild confusion or anxiety, that calm can matter more than amenities.
What to check
Check the license type first: a Type A home cannot keep a resident who needs help to evacuate. Then ask who is awake overnight, who covers when the manager is off site, how medications are handled, and how the home would get every resident out in a fire.
Read the TULIP findings. Small homes often have Life Safety Code findings for alarm and sprinkler maintenance and fire drill records; ask what was fixed.
Type C foster homes
El Paso still has 3 Type C homes, a four-resident adult foster care license HHSC no longer issues. They are the most household-like setting available, and they will slowly disappear as operators retire.
Comparing two small homes
When two small homes look alike, compare the people: how long the manager and caregivers have been there, whether the owner lives nearby or on site, and how residents spend the afternoon. Compare the records: health findings about training, background checks and medications weigh more than a missing sign. And compare the house: bathrooms with grab bars, a step-free entrance, and a cool, safe outdoor space.
When a small home stops being the right fit
Needs change. A resident who starts to wander needs a certified unit; one who becomes bedfast needs a nursing facility. Ask the home how it handles those changes and whether it will help find the next setting. A good small home will be honest about its limits.
Questions to ask a small home's manager
Ask how many residents live there today, who works each shift, and whether caregivers are employees. Ask how the home handles a medical emergency at night, who calls the family and how quickly. Ask what training caregivers receive before working alone and how often a nurse reviews medications. Finally, ask what a typical day looks like and whether residents go outside, attend church or have visitors often. The answers tell you whether the home's small size is a strength or a limitation for your parent.
Where the small homes are
Small homes cluster in Cielo Vista and Eastwood, with others in the Northeast, the West Side and the Lower Valley. Location still matters: pick one close to the family member who will visit most.
A final check
Before signing, read the admission agreement, confirm the license type on TULIP and visit once more at an unannounced time.
Price and payment
Small homes often price by the room. Compare written quotes, ask what is included, and ask whether the home accepts STAR+PLUS.
Frequently asked questions
Are small homes licensed like large communities?
Yes. They hold the same HHSC license types and face the same inspections.
Can a small home care for dementia?
A Type B home can serve some confusion, but only certified facilities may market dementia care.
What is a Type C home?
A legacy four-resident adult foster care license that HHSC no longer issues.
