Down Home Ranch, Inc
20250 FM 619, Elgin, TX, 78621
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
Daily structure and programming
Ask what a typical day looks like for participants — what activities, therapies, or health monitoring are included in the program.
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.
License issued in February 2023
The program has been licensed for roughly two years — ask how staffing and daily operations have developed since opening.
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.
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.