Serenity House Assisted Living Facility at 4200 Skyline, El Paso is a Type B assisted living facility licensed by the Texas Health and Human Services Commission (license #311678) for 16 residents; it holds no Alzheimer's certification, and the current license runs through August 13, 2026.
What Texas license does Serenity House Assisted Living Facility hold?
Yes. HHSC's active-license directory carries Serenity House Assisted Living Facility as Type B assisted living facility #311678, licensed for 16 residents through August 13, 2026.
| Field | From the state record |
|---|---|
| HHSC license | Assisted living, Type B, #311678 |
| Licensed capacity | 16 residents |
| Alzheimer's certification | No certificate |
| Current license period | July 5, 2023 to August 13, 2026 |
| First licensed | April 3, 2009 |
| Latest HHSC visit on TULIP | November 13, 2025 |
| HHSC administrative penalties on TULIP | 1 |
| Licensee (per HHSC) | Ep Noble Care LLC |
| Accepts Medicaid (per HHSC) | No |
| Part of the metro | Northeast El Paso & Fort Bliss |
The letter on a Texas license is about evacuation, not luxury. Type B residents may need staff help to evacuate, may need care during the night and may not be able to follow directions in an emergency, though they cannot be permanently bedfast.
TULIP currently shows this license with an enforcement action pending, which means HHSC has opened a formal enforcement case that has not been closed. Ask the administrator what it concerns.
How large is Serenity House Assisted Living Facility compared with other El Paso assisted living?
At 16 licensed places, Serenity House Assisted Living Facility ranks 11th of 31 licensed assisted living facilities in El Paso and Hudspeth counties, a mid-sized settings, with about 2% of the metro's licensed assisted living capacity.
El Paso's typical assisted living license is for 15 residents. In a home this small, one caregiver may be on duty overnight; ask exactly who is awake at 3 a.m. and how quickly a second person can arrive.
What did Texas inspectors cite at Serenity House Assisted Living Facility?
The state's TULIP system shows November 13, 2025 as Serenity House Assisted Living Facility's latest inspection visit, and 7 findings cited in recent health and Life Safety Code inspections.
Health inspection (November 13, 2025) cited:
- The facility failed to either assess a resident or to develop, approve, sign, or follow a service plan within the allowable time.
- The facility failed to procure food from acceptable sources, or failed to handle food, subject to spoilage, as required.
Life Safety Code (fire and building) inspection (October 2, 2024) cited:
- The facility failed to obtain an inspection by the fire marshal every year and to keep documentation showing the outcome of the last inspection.
- The facility failed to conduct required fire drills and document fire drills on the required form.
- The facility failed to have a program to inspect, test, and maintain the fire alarm system and keep records of inspection, testing, and maintenance of the fire alarm system.
- The facility failed to have a program to inspect, test, and maintain the fire sprinkler system and keep records of inspection, testing, and maintenance of the fire sprinkler system.
- The facility failed to inspect, test, and maintain fire sprinkler system components.
Routine HHSC inspections happen at least every two years under state law, with extra visits for complaints and incidents. Across the 31 licensed facilities in the metro, the median latest visit is 11 months old and the median count of recent findings is 4.
Does Serenity House Assisted Living Facility offer memory care?
Serenity House Assisted Living Facility holds no Alzheimer's certification, so it may not advertise specialized dementia care under Texas rules, although as a Type B facility it can serve residents with some confusion who need help to evacuate.
A diagnosis alone does not force a move. The closest certified Alzheimer's units are The MonteVista at Coronado in West Side, Upper Valley & Northwest (38 certified places, 4.7 mi); Good Life Senior Living & Memory Care in Northeast El Paso & Fort Bliss (16 certified places, 5.2 mi); Goodlife Senior Living and Memory Care a in Northeast El Paso & Fort Bliss (16 certified places, 5.2 mi).
What enforcement history does Serenity House Assisted Living Facility have in Texas?
Yes. TULIP lists 1 administrative penalty against Serenity House Assisted Living Facility, $2,250 in all, the most recent dated September 3, 2026.
- September 3, 2026: Administrative Penalty of $2,250; rule 553.253(c)(3)(F): The facility failed to have sufficient staff to ensure safe evacuation of the facility in the event of emergency.
Penalty size says little on its own; the cited rule says more. Ask how the facility monitors the problem now and whether HHSC has revisited since.
What other licensed assisted living is near Serenity House Assisted Living Facility?
The nearest other licensed assisted living is Eden North Assisted Living Center (0.3 mi by straight line, Type B, 16 places), and the closest acute-care hospital is The Hospitals of Providence Memorial Campus at about 6.6 miles.
| Facility | Miles (straight line) | License type | Licensed capacity | Alzheimer's capacity | Latest HHSC visit | HHSC penalties on file |
|---|---|---|---|---|---|---|
| Eden North Assisted Living Center 8961 Ankerson, 79904 | 0.3 | Type B | 16 | 0 | 09/15/2025 | 0 |
| Los Abuelos Assisted Living 8230 Mt Latona Dr, 79904 | 1.2 | Type B | 15 | 0 | 04/23/2025 | 0 |
| The MonteVista at Coronado 1575 Belvidere St, 79912 | 4.7 | Type B | 76 | 38 | 10/01/2025 | 0 |
| Good Life Senior Living & Memory Care 10400 Railroad Drive B, 79924 | 5.2 | Type B | 16 | 16 | 08/14/2025 | 1 |
| Goodlife Senior Living and Memory Care a 10400 Railroad Drive, 79924 | 5.2 | Type B | 16 | 16 | 11/13/2025 | 0 |
The closest Medicare-certified nursing homes are Ambrosio Guillen Texas State Veterans Home (1.6 mi, CMS 2 of 5) and Avir at Patriot (4.2 mi, CMS 1 of 5).
These are straight-line miles from 4200 Skyline; actual driving routes around El Paso will be longer.
Which questions does Serenity House Assisted Living Facility's record raise?
Begin with the questions the public record itself raises: ask what led to the September 3, 2026 penalty under rule 553.253(c)(3)(F) and how it is monitored now.
- Ask who gives medications, and whether a licensed nurse reviews the medication records.
- Ask how quickly a call is answered at 3 a.m., and how the facility measures it.
- Ask which languages the day and night caregivers speak; many El Paso families need a bilingual team.
- Ask whether the facility contracts with STAR+PLUS health plans for assisted living services, and the room-and-board rate if so.
- Ask for the written admission agreement before deposit day and read the discharge section closely.
