Mission Road Developmental Center provides residential care for adults with intellectual and other developmental disabilities through the ICF-MR (Intermediate Care Facility-Mental Retardation) program and the HCS (Home and Community-Based Services) programs.

Mission Road has 12 adult community homes throughout the city of San Antonio, as well as one assisted living home for adults on the main Mission Road campus. Residents living in the homes are assisted by well-trained, 24-hour AWAKE staff. During the week, residents spend their day working, training for a job, volunteering or engaging in a social/habilitation program. Evenings are spent acquiring and refining the skills needed to live a more independent and fulfilled life. Weekends are for shopping, completing chores, recreational activities and spending time with friends.

The Texas Department of Aging and Disability Services and the Texas Health & Human Services Commission monitor and license the HCS and the ICF-MR group homes and the assisted living program.