4501 Dudmar Dr, Austin, TX 78735 · Travis County · (512) 892-1131
126 certified beds, about 99 residents a day · Government - Hospital district · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675596 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 16, 2026, inspectors cited 9 health deficiencies (the Texas average is 9.4, the national average 9.2).
None of its 23 health citations since January 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.50 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.
42.2% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Nexion Health, an affiliated group of 51 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 23 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide, based on the comprehensive assessment and care plan and the preferences of each resident, an ongoing program to support residents in their choice of activities, both facility-sponsored group and individual activities and independent activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident, encouraging both independence and interaction in the community for 4 of 16 residents (Residents #17, #10, #1, and #63) reviewed for activities. The facility failed to ensure Residents #17, #10, #1, and #63, all of whom were completely dependent on staff, received activities that interested them. This failure placed residents at risk of depression and diminished quality of life. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care within 48 hours of admission for 1 of 1 residents (Resident #2) reviewed for dialysis. The facility failed to include nursing interventions for Resident #2's hemodialysis in her comprehensive care plan. This failure could put residents at risk for missed treatments, and inadequate care. Record review of Resident #2' s admission MDS assessment, dated 03/30/2026, reflected the resident was a [AGE] year-old female who was admitted to the facility on [DATE]. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good personal hygiene for 2 of 8 residents (Residents #19 and 78) reviewed for nail care. The facility failed to ensure Residents #19 and 78 had clean, trimmed fingernails on 04/14/2026 and 04/15/2026. This failure placed residents at risk of skin tears and infection. Findings Included: Review of the undated face sheet for Resident #19 reflected a [AGE] year-old male admitted to the facility on [DATE]. His diagnoses included dementia with unspecified severity, muscle wasting and atrophy, age-related physical disability, persistent mood disorder, and chronic viral hepatitis C. [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents for 2 of 10 residents (Resident #99 and Resident #52)The facility failed to ensure the floor mat in Resident #99's room was beside his bed on 04/14/2026 and 04/15/2026. The facility failed to ensure the floor mat in Resident #52's room was beside his bed on 04/14/2026. This violation could place residents at risk of experiencing avoidable injuries from falls.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who were fed by enteral means received the appropriate treatment and services to prevent complications of enteral feeding for 1 of 1 Resident (Resident #10) reviewed for medication administration. RN C failed to administer medications and enteral feed safely to Resident #10 by: initiating medication administration without first checking for G-tube (a tube inserted through the abdominal wall into the stomach for the administration of medication and food) placement, forcefully pushing medications and the bolus feed through a connected syringe instead of gravity, shaking syringe from side to side and moving it in circular motions while it was attached to G-tube. These failures could place residents at risk of . aspirations and injuries to the stoma site.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that residents who required dialysis received such services, consistent with professional standards of practice for 1 of 1 resident (Resident # 2) reviewed for dialysis:The facility failed to ensure Resident #2 had a physician's order for hemodialysis (machine filters the blood when kidneys do not work) 3 x week on Mondays, Wednesdays, and Fridays. This failure could have placed residents on hemodialysis at risk of not receiving proper care and/or treatment. Findings Included:Record review of Resident #2' s admission MDS assessment, dated 03/30/2026, reflected the resident was a [AGE] year-old female who was admitted to the facility on [DATE]. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to establish a system of receipt and disposition of all controlled drugs in sufficient detail to enable accurate reconciliation and determine that drug records were in order and that an account of all controlled drugs was maintained and ensure pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 of 1 resident (Resident #90) and 1 of 2 medication rooms observed for medications storage. The facility failed to document on Resident #90's MAR medication Tramadol (controlled opioid medication used to manage moderate to severe chronic pain) and sign it out on the controlled medication count sheet; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 (Resident #10 and Resident #90) of 2 residents observed for infection control. The facility failed to ensure RN C performed hand hygiene and changed gloves during administration of medications and feeding via G-Tube to Resident #10. The facility failed to ensure RN C performed hand hygiene during administration of Resident # 90's medications. This failure could place residents at risk of cross contamination and the spread of infection. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an effective pest control program so that the facility is free of pests and rodents for 1 of 8 residents (Resident #17) reviewed for pest control. The facility failed to ensure that Resident #17's room was free of flies on 04/16/2026. This failure placed residents at risk of infection and diminished quality of life. Findings Included:Review of the undated face sheet for Resident #17 reflected a [AGE] year-old female admitted to the facility on [DATE]. Her diagnoses included spastic quadriplegic cerebral palsy (the most severe form of cerebral palsy, affecting all four limbs, the trunk, and often the face, causing significant muscle stiffness and motor impairment), severe intellectual disabilities, Rett syndrome (genetic disorder that typically becomes apparent after 6-18 months of age; [...]
Inspectors wroteBased on interview and record review the facility failed to, in response to allegations of abuse, neglect, exploitation, or mistreatment, have evidence that all alleged violations were thoroughly investigated and report the results of all investigations to the state survey agency within five working days of the incident for1 (Resident #1) of 1 reviewed for abuse and neglect. On 01/03/26, Resident #1 fell out of bed after the bed brakes/wheel locks were not set. Resident #1 sustained no injuries, but was sent to the ER. The facility failed to thoroughly investigate this incident, as well as failed to submit the investigation to the state agency. This deficient practice placed residents at risk of ongoing neglect due to not having a thorough investigation done for facility reported incidents. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that 1 (Resident #1) of 1 residents received adequate supervision that could prevent accidents when reviewed for supervision. On 01/03/26, Resident #1 fell out of bed and was found on the floor, uninjured, when his bed brakes were not locked. These failures placed residents at risk of accidents and injuries. [...]
Inspectors wroteBased on , interviews, and record reviews, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 1 (Resident #3) of 4 residents reviewed for quality of care. The facility failed to provide wound care for Resident #1 in accordance with physician orders (three times a week on 11/27/2025, 11/29/2025 and 12/4/2025) and daily (12/10/2025, 12/11/2025 and 12/12/2025). The facility failed to change Resident #1's dressing when it appeared soiled according to physician's orders on 12/2/2025 and 12/11/2025 according to Resident #1's November 2025 and December 2025 TAR. This deficient practice could place residents at risk for not being provided the care/treatment required, and/or delayed treatment.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure resident medical records were kept in accordance with accepted professional standards and practices, maintaining medical records on each resident that are complete and accurately documented for 1 of 4 residents (Resident #1) reviewed for clinical records. The facility failed to document that Resident #1 had a care plan conference on 12/4/2025. This failure could place residents at risk of not receiving the care and services needed due to inaccurate or incomplete clinical records.
Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure resident rights for personal privacy for 3 of 10 residents (Resident #58, Resident #63, and Resident #83) reviewed for personal privacy. The facility failed to knock on Resident #58, #63, and #83's room when going into the residents' rooms. This failure could affect all residents right to privacy in the facility and cause the resident to feel like their privacy was being invaded or the facility was not their home.
Inspectors wroteBased on interview and record review the facility failed to conduct a comprehensive assessment of a resident in accordance with the timeframes, within 14 calendar days after admission, excluding readmission in which there is no significant change in the resident's physical or mental condition and not less than once every 12 months for 1 of 18 residents (Resident #47) reviewed for comprehensive annual assessments. The facility failed to ensure Resident #48's annual MDS Assessment was completed within 14 days of the ARD. This failure could place residents at-risk of not having their assessments completed timely, which could result in denial of services and or payment for services.
Inspectors wroteBased on interview and record review, the facility failed to identify a diagnosis of mental illness on the preadmission screening and resident review (PASRR) assessment for 2 of 6 residents (Resident #78 and Resident #85) whose records were reviewed for PASRR services. The facility failed to get PASRR eval when Resident #78's Level 1 PASRR screening indicated the resident had mental illness diagnoses of schizoaffective disorder bipolar type, and anxiety. The facility failed to complete a PASRR screening on Resident #85. This deficient practice could place residents with mental illness at risk for not obtaining the services needed to treat their mental health diagnoses.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 5 residents (Resident #47) reviewed for transmission-based precautions, in that: The facility failed to provide Enhanced Barrier Precautions for Resident #47, who had a chronic wound with drainage that could not be covered with a dressing. This deficient practice could put the resident at risk for infection.
Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 (Resident #1) of 6 residents reviewed for competent nursing services. CNA A was asleep during 1:1 care of Resident #1 who is legally blind, on evening shift of 01/28/2025 and 01/29/2025. These failures placed residents at risk of injury.
Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure residents had the right to and the facility promoted and facilitated resident self-determination through support of resident choice, which included but not limited to the right to make choices about aspects of his or her life in the facility that were significant to the resident for 1 of 5 residents (Resident #1) reviewed for self-determination. The facility failed to allow Resident #1 to go on activity outings with his peers, only allowing him to utilize an outside vendor, which caused him to feel angry and viewed as less important as his peers because of his disability. This failure placed residents at risk for being denied the opportunity to exercise their autonomy regarding things that were important in their lives and a decrease in their quality of life.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good toileting hygiene for 1 (Resident #1) of 5 residents reviewed for ADLs. The facility failed to change Resident #1's briefs and document all incontinent care performed on 03/07/24. This deficient practice could place residents at risk of a decreased quality of life.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide housekeeping and maintenance services to maintain a sanitary, orderly, and comfortable interior for 4 (Resident #67, Resident #197, Resident #92 and Resident #63) of 11 Resident's bathrooms observed for environment as evidence by: Resident #67, Resident #197, Resident #92 and Resident #63's toilets were dirty with black fungus and/or feces. This failure could place residents at risk for a diminished quality of life and a diminished clean, homelike environment.
Inspectors wroteBased on interview and record review, the facility failed to develop a comprehensive care plan within 7 days after completion of the comprehensive assessment for 1 of 15 residents (Resident #88) whose records were reviewed for assessments and care plans, as well as having an IDT team present at the care conference. The facility failed to ensure that Resident #88 had care plan developed and updated within 7 days following the completion of the MDS as well as having an Intradisciplinary Team present at the care conference. This failure could place residents at risk of not have having their care plans completed accurately and timely.
Inspectors wroteBased on interview and record review the facility failed to ensure the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive for 1 (Resident #197) of 3 residents reviewed for enactment of advance directives in that:. Resident #197 did not have any documentation in her electronic record as what her wishes were concerning whether or not she would like CPR (cardiopulmonary resuscitation) or life saving measures if she stopped breathing. This failure could put residents at risk of not having their end of life wishes honored.
8 fire safety citations on file: 5 on April 16, 2026, 1 on February 26, 2025, 2 on January 19, 2024.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.50 | 3.39 | 3.86 |
| Registered nurses | 0.34 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.02 | 2.98 | 3.42 |
| Nurse aides | 2.22 | ||
| Licensed practical nurses | 0.94 | ||
| Nursing staff turnover (share who left in a year) | 42.2% | 55.3% | 45.8% |
| Registered nurse turnover | 54.5% | 54.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.65 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.70 on weekdays and 3.02 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.96 in April to June 2025 to 3.50 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.50 | 0.34 | 3.70 | 3.02 | 0.0% | 0 of 90 | 99 |
| Oct to Dec 2025 | 3.45 | 0.33 | 3.61 | 3.04 | 0.0% | 0 of 92 | 92 |
| Jul to Sep 2025 | 3.77 | 0.42 | 3.97 | 3.27 | 0.0% | 0 of 92 | 83 |
| Apr to Jun 2025 | 3.96 | 0.50 | 4.19 | 3.36 | 0.0% | 0 of 91 | 82 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 28.1 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.4 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.9 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.0 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.3 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Barton Valley Rehabilitation and Healthcare Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 19 eligible stays.
9.6% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 51 eligible stays.
7.6% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 33 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 16 residents counted.
0.0% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 24 residents counted.
0.0% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 24 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 2 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: NEXION HEALTH AT AUSTIN, INC.. CMS links this home to Nexion Health, a group of 51 nursing homes averaging 2.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Nexion Health of Ohi Inc | 5% or greater direct ownership interest | Organization | 100% | 10/08/2020 |
| Nexion Health Leasing, Inc. | 5% or greater indirect ownership interest | Organization | 10/08/2020 | |
| Nexion Health, Inc. | 5% or greater indirect ownership interest | Organization | 10/08/2020 | |
| Bolt, Bretton | 5% or greater indirect ownership interest | Individual | 10/08/2020 | |
| Kirley, Francis | 5% or greater indirect ownership interest | Individual | 10/08/2020 | |
| Miller, Kelsey | W-2 managing employee | Individual | 12/01/2020 | |
| Herdrich, William | Corporate director | Individual | 10/08/2020 | |
| Kirley, Francis | Corporate director | Individual | 10/08/2020 | |
| Reid, John | Corporate director | Individual | 10/08/2020 | |
| Riner, Meera | Corporate director | Individual | 10/08/2020 | |
| Fallon, John | Corporate officer | Individual | 10/08/2020 | |
| Kirley, Francis | Corporate officer | Individual | 10/08/2020 | |
| Lee, Brian | Corporate officer | Individual | 10/08/2020 | |
| Riner, Meera | Corporate officer | Individual | 10/08/2020 | |
| Nexion Health Leasing, Inc. | Operational/managerial control | Organization | 12/01/2020 | |
| Nexion Health of Ohi Inc | Operational/managerial control | Organization | 12/01/2020 | |
| Nexion Health, Inc. | Operational/managerial control | Organization | 12/01/2020 | |
| Kirley, Francis | Operational/managerial control | Individual | 12/01/2020 | |
| Riner, Meera | Operational/managerial control | Individual | 12/01/2020 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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