The OIG audited Le Rêve Rehabilitation and Memory Care (Le Rêve) to determine if staffing requirements were met for patient safety and review whether clients were properly notified about facility certifications. Le Rêve, a facility licensed by Texas Health and Human Services, provides nursing services and residential care to Medicaid clients, some of whom have been diagnosed with Alzheimer’s disease or a related condition. In advertising as a memory care facility, Le Reve was identified by the OIG’s annual audit risk assessment regarding assisted living facilities advertising as providing memory care services without disclosing whether the facility holds a certification to serve residents with Alzheimer’s disease. The OIG also determined the facility needed to improve situations involving staffing and specialized training for direct care providers.