CareWitness
CareWitnessTexasElginAdult Day Care CentersDown Home Ranch, Inc

Down Home Ranch, Inc

20250 FM 619, Elgin, TX, 78621

Type
Adult day care
State-licensed

State licensing & capacity

License number
310894
Licensed capacity
60 daily slots
Current license effective
February 14, 2025
Current license expires
February 14, 2028
Initial license date
February 14, 2023

Texas HHS licensing registry · as of April 16, 2026

Ownership & operations

Licensee
Down Home Ranch, Inc (Nonprofit Organization)
Administrator
Barry Hamilton

Texas HHS licensing registry · as of April 16, 2026

About this community

Down Home Ranch, Inc. operates a licensed adult day health services (DAHS) program in Elgin, Bastrop County, with a licensed capacity of 60 participants. The program is run by a nonprofit organization of the same name, with Barry Hamilton listed as administrator. The current license is active through February 2028 and was first issued in February 2023.

Written from state licensing records · last updated April 19, 2026

Questions to ask when you tour

  1. Daily structure and programming

    Ask what a typical day looks like for participants — what activities, therapies, or health monitoring are included in the program.

  2. Transportation to and from the program

    Ask whether the program arranges pickup and drop-off, since transportation access directly affects whether a daily schedule is feasible.

  3. License issued in February 2023

    The program has been licensed for roughly two years — ask how staffing and daily operations have developed since opening.

  4. Current enrollment versus 60-seat capacity

    Ask how many participants are currently enrolled to understand waitlist likelihood and how closely staff-to-participant ratios reflect the licensed maximum.

  5. Medicaid acceptance and payment options

    The license record lists no Medicaid-designated slots — ask which payment sources the program currently accepts and whether Medicaid billing is available.

Where this information comes from

  • License, capacity, ownership, administrator: Texas HHS licensing registry, snapshot as of April 16, 2026.
  • Summary, insights, and tour questions: Written from the state licensing records above, last updated April 19, 2026.

Read our methodology for how this information is collected and verified.