14058 Bee Caves Parkway, Bldg B, Bee Cave, TX 78738 · Travis County · (512) 872-8170
140 certified beds, about 120 residents a day · Government - Hospital district · Medicare and Medicaid since 2014
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676373 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on September 17, 2025, inspectors cited 3 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 37 health citations since June 2023, 7 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 2 fines totaling $19,608 in the last three years; the largest was $13,270, and the latest is dated April 29, 2025.
Nurses and nurse aides worked 3.07 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.
48.5% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to The Ensign Group, an affiliated group of 344 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 37 health citations on file.
Inspectors wroteBased on interview and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, which included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for 1 of 7 residents (Resident #1) reviewed for care plans. The facility failed to update Resident #1's code status on her care plan based on her wishes and OOH DNR signed by her legally authorized representative. This failure could place residents at risk of individualized medical and nursing needs not being met resulting in injury and the residents' end-of-life wishes not being respected.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the right to reside and receive services in the facility with reasonable accommodation of needs and preferences for one (1) of five (5) residents (Resident #1) reviewed for reasonable accommodation of needs. The facility failed to ensure CNA C was not wearing earbuds while working on the floor on 02/10/2026 and failed to assist Resident #1 to bed when requested. This failure had the potential to place all residents at risk of not having their needs met timely and decreased dignity.
Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one of one kitchen reviewed for infection control. The facility failed to maintain infection control practice and proper hand hygiene when preparing meals. These failures could place residents at risk for consuming contaminated food and developing foodborne illnesses. Findings Included: An observation was conducted on 09/17/2025 at 11:15AM in the kitchen. During the observation, [NAME] A had started the meal preparation for the puree foods. [NAME] A had put on a pair of gloves and placed the menu item food into the blender. When the menu item, bread, was pureed, [NAME] A removed their gloves, rinsed their hands off and grabbed new gloves. [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each for 3 of 8 residents (Residents #44, #45 and #74) and 2 of 4 medication carts (100/300-hall nurses' cart and 600-hall med aide' cart) reviewed for pharmacy services. A) The facility failed to ensure expired medication Refresh eye P.M. Ointment for Resident #44 opened on 8/10/25, was removed from the 600-hall med aide medication carts after 30 days of opening. B) The facility failed to ensure an expired medication bottle of nitroglycerin tablets sublingual 0.4 mg was removed from the 100/300-hall nursing cart. C) The facility failed to ensure an insulin pen for Resident #74 was labeled with an open date. [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure drugs and biologicals were stored in locked compartments and permitted only authorized personnel to have access to the keys for 1 of 6 medication and treatment carts. The facility failed to ensure that a treatment cart located in the activity room area between the 100 and 200 halls was locked with keys left on the cart accessible to anybody including residents in the facility. The failure could place residents at risk of injury if medications and biologicals left unsecured were consumed. During an observation on 09/15/2025 from 09:31 PM - 10:05 AM revealed a nurse's treatment cart was left unlocked and unattended with keys left on the top of the cart near the activity room between the 100 and 200 halls. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 (Resident #1) of 6 residents reviewed for quality of care. The facility failed to ensure Resident #1's brief was changed, and she was put back in bed after she was transferred to her wheelchair on [DATE] at 8:45 AM until approximately 6:00 PM which resulted in skin breakdown on her sacral area. This failure could place residents at risk of not receiving adequate care, harm, or injuries.
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 (Resident #2) of 6 residents observed for infection control. The facility failed to ensure RN G performed hand hygiene before and during tracheostomy care glove changes for Resident #2. The facility failed to ensure RN G did not test the yankauer in an open container of clear fluid and then suction Resident #2. The facility failed to ensure RN G sanitize the area prior to placing sterile supplies for tracheostomy care performed for Resident #2. These failures placed residents at an increased risk of exposure to infections, development of infections, decreased quality of life and/or hospitalizations.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that residents who needed respiratory care were provided with such care, consistent with professional standards of practice for three (Resident #2, Resident #3, and Resident #4) of six residents reviewed for respiratory care. The facility failed to ensure RN G did not test the yankauer (tool for suctioning) in an open container of water prior to suctioning Resident #2's tracheostomy. The facility failed to ensure RN G monitored Resident #2's oxygen during tracheostomy care. The facility failed to ensure RN G did not continue with tracheostomy care when the yankauer was not functioning for Resident #2. These failures could place residents at risk of inadequate care, respiratory distress and hospitalization. [...]
Inspectors wroteBased on interview and record review, the facility failed to coordinate assessments with the Preadmission Screening and Resident Review (PASRR) program under Medicaid to the maximum extent practicable to avoid duplicative testing and efforts and did not incorporate the recommendations from the PASRR evaluation report into the resident's assessment, care planning, and transition of care for 1 of 1 resident (Resident #1) reviewed for PASRR. The facility failed to submit a complete and accurate request for Nursing Facility Specialized Services (NFSS) in the LTC Online Portal within 20 business days after the Interdisciplinary Team (IDT) meeting for Resident #1. This failure could place residents at risk of not receiving necessary care or specialized services, which could diminish their quality of life and ability to achieve the highest practical level of functioning. [...]
Inspectors wroteBased on interview and record review, the facility failed to immediately consult with the resident's physician when there was a significant change in the resident's mental and psychosocial status (that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications) for one (Resident #1) of four residents reviewed for notification of changes. The facility failed to immediately notify the physician/provider when Resident #1 was found with the belt of her robe around her neck and tied to her bed rail on 05/31/2025. This failure could result in decreased continuity of care, and a delay in needed treatment and services.
Inspectors wroteBased on interview and record review, the facility failed to ensure that residents who needed respiratory care were provided with such care, consistent with professional standards of practice for one (Resident #1) of three residents reviewed for respiratory care. The facility failed to ensure nurses were documenting the oxygen flow rate or response to oxygen therapy for Resident #1. [...]
Inspectors wroteBased on interview and record review, the facility did not provide pharmaceutical services to meet the needs of each resident for one (Resident #1) of four residents reviewed for pharmaceutical services. The facility failed to ensure Resident #1 was administered her prescribed Keppra (anticonvulsant), Buprenorphine (for pain), and Buspirone (for depression and anxiety) until five hours after the scheduled administration time on 04/22/25 causing her to be in increased pain, anxiety, and continuous spasms in her legs. This failure could place residents at risk of not receiving the intended therapeutic benefit of the medications and supplements or could result in worsening or exacerbation of chronic medical conditions.
Inspectors wroteBased on interview and record review the facility failed to have assessments that accurately reflected the status for one (Resident #1) of five residents reviewed for assessment accuracy. The facility failed to ensure Resident #1's transfer status was accurate in her MDS as it did not reflect she required a mechanical lift. This deficient practice could result in errors in care and treatment.
Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timetables to meet a resident's medical, nursing, and mental and psychosocial needs for one (Resident #1) of five residents reviewed for care plans. The facility failed to ensure Resident #1's transfer status was accurate in her care plan as it did not reflect she required a mechanical lift. This deficient practice could result in errors in care and treatment.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents' right retain and use personal possessions for 3 of 8 residents (Residents #56, 68, and 74) reviewed for rights. The facility failed to ensure the former administrator introduced herself and requested permission to search the rooms of Residents #56, 68, and 74 prior to doing so on an undisclosed date. This failure placed residents at risk of misappropriation and feelings of indignity.
Inspectors wroteBased on interview and record review, the facility failed to consider the views of the resident or family group and act promptly upon the grievances and recommendations of such groups concerning issues of resident care and life in the facility or to demonstrate their response and rationale for such response for 1 of 1 resident council reviewed. The facility failed to follow up on concerns and requests expressed in resident council meetings from May 2024 through June 2024 . This failure placed residents at risk of not having their preferences honored.
Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan that includes measurable objectives and time frames to meet a resident's mental and psychosocial needs for 5 of 8 residents (Residents #14, 32, 74, 76, and 77) reviewed for care plans. The facility failed to ensure the care plans for Residents #14, 32, 74, 76, and 77 included person-centered goals and interventions for activities. This failure placed residents at risk of not having their recreational and social needs met.
Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure a resident who needs respiratory care is provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for 3 of 3 residents (Residents #20, 46, and 298). The facility failed to ensure Resident #20's, #46's, and #298's oxygen tubing and humidifier bottles were dated to ensure they were changed weekly. This failure placed the residents at risk of developing a respiratory infection from contamination of the tubing and humidifier water.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that drugs and biologicals used in the facility were stored properly for 1 (Hall 200) of 2 Medication storage rooms reviewed for drug storage. The facility failed to ensure 2 expired I.V. PICC Line Stat lock Plus Stabilizations devices, 1 expired Covid 19 Test, and 3 expired laboratory bacterial swabs were removed from the Hall 200 medication storage room. These failures could place residents who needed I.V. medications at risk to have unsecured IV PICC Lines, which could cause the resident to have an unnecessary invasive PICC replacement procedure or put them at risk of infection. Expired Covid test and lab swabs could lead to inaccurate diagnosis and worsening of resident's health due to inaccurate and ineffective treatments. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a nourishing snack was served at bedtime, when more than 14 hours and up to 16 hours elapsed between a substantial evening meal and breakfast the following day for 3 of 6 halls (100, 200, and 300 halls on the long-term care unit) reviewed for evening snack. The facility failed to offer or serve a substantial snack on the evening of 08/07/24 after dinner was served at 05:15 PM and breakfast was not served the next day until 08:00 AM (14.75 hours between meal services). This failure placed residents at risk of hunger and weight loss.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents had a safe, clean, comfortable, and homelike environment for 2 of 8 residents (Residents #40 and 56) reviewed for environment. The facility failed to ensure lightbulbs were promptly replaced when they began blinking in light fixtures in Residents #40 and 56's rooms. This failure placed residents at risk of diminished quality of life and falls.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene for 1 (Resident #77) of 8 residents reviewed for showers. The facility failed to provide Resident #77 showers as scheduled from 07/22/24 to 08/08/24. This failure placed residents at risk of skin breakdown and infection.
Inspectors wroteBased on 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 1 of 8 residents (Resident #76) reviewed for activities. The facility failed to provide Resident #76 with activities from 08/06/24-08/08/24. This failure placed residents at risk of not having their recreational and social needs met.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure, based on the comprehensive assessment of a resident, that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for 1 of 2 residents (Resident #10) reviewed for quality of care. The facility failed to ensure Resident #10's wound care orders were followed on 8/6/24 as ordered. This failure could place residents at risk for worsening of wounds, development of infections, and loss of the highest practicable level of functioning.
Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure residents received care, consistent with professional standards of practice to prevent pressure ulcers from developing and promote healing for 1 of 2 residents (Resident #12) reviewed for pressure ulcers prevention. The facility failed to ensure Resident #12's pressure relieving low air loss mattress was plugged in and always functioning. This failure could place residents at risk of worsening pressure ulcers and the development of new pressure ulcers.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide 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 and to establish a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation for 1 of 8 residents (Resident #74) reviewed for pharmaceutical services. The facility failed to ensure Resident #74's discontinued APAP/Codeine Tab 300-30 mg was removed from the medication cart and the failure to remove the discontinued APAP/Codeine resulted in one tablet of APAP/Codeine being removed and unaccounted for. This failure placed residents at risk of drug diversion and giving the wrong medication.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident received and the facility provided food that accommodated resident preferences for 1 of 8 residents (Resident #60) reviewed for food preferences. The facility failed to ensure Resident #60's lunch tray was free of iced tea, in accordance with his dislikes listed on his meal ticket, on 08/06/24, 08/07/24, and 08/08/24. This failure placed residents at risk of diminished quality of life.
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 transmission of communicable diseases and infections for 1 of 1 resident (Resident #12) reviewed for infection control. The facility failed to ensure WND performed proper hand hygiene when performing wound care on Resident #12. This failure could place residents at risk for development of communicable diseases and infections.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that a resident who was incontinent of bladder received appropriate treatment and services for 1 of 3 residents (Resident #1) reviewed for urinary catheters in that: The facility failed to ensure Resident #1's Foley catheter was secure to prevent trauma and CNA A failed to provide catheter care properly to Resident #1 to prevent infection.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that pain management was provided to a resident who required such services, consistent with professional standards of practice for two (Resident #1 and Resident #2) of four residents reviewed for pain. The facility failed to provide effective pain management for Residents #1 and #2 as they went multiple days without their pain medication leaving them in excruciating pain. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 07/19/24 at 3:00 PM. While the IJ was removed on 07/21/24 at 12:50 PM, the facility remained at a level of no actual harm at a scope of pattern that is not immediate jeopardy due to the facility's need to evaluate the effectiveness of the corrective systems. [...]
Inspectors wroteBased on observation, interview, and record review, the facility did not provide pharmaceutical services to meet the needs of each resident for two (Resident #1 and Resident #2) of four residents reviewed for pharmaceutical services. The facility failed to ensure Residents #1 and #2's pain medication was ordered in a timely manner. On several occasions they went without their pain medication subsequently leaving them in excruciating pain. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 07/19/24 at 3:00 PM. While the IJ was removed on 07/21/24 at 12:50 PM, the facility remained at a level of no actual harm at a scope of pattern that is not immediate jeopardy due to the facility's need to evaluate the effectiveness of the corrective systems. This failure placed residents at risk for prolonged and unnecessary pain and suffering and a decreased quality of life.
Inspectors wroteBased on interview, observation, and record review, the facility failed to provide accurate and timely pharmaceutical services to meet the needs of each resident, in that: Three residents (Resident #1, Resident #2, Resident #3) out of six reviewed had not consistently received medications ordered to meet their needs. The facility failed to acquire and administer prescribed drugs as ordered; Resident #1 had not received all doses of his Triamcinolone Cream as ordered, Resident #2 had not received all doses of her sleep-aide medication (Temazepam) and pain medication (Norco) as ordered, and Resident #3 had not received all doses of her pain medication (Morphine Sulfate) as ordered. This failure resulted in unnecessary discomfort and pain, psychosocial distress, and insomnia (trouble falling asleep, staying asleep, or getting good quality of sleep). Findings Included: 1. [...]
Inspectors wroteBased on interview, observation, and record review, the facility failed to ensure resident right to be free from misappropriation of resident property for one resident (Resident #4) of four reviewed for misappropriation, in that: The facility failed to prevent diversion of four fentanyl patches (a synthetic opioid-based pain reliever which is absorbed over a 72-hour period through a patch applied to the skin) prescribed to Resident #4 and stored in the medication cart by the facility. This failure could affect residents who required use of a fentanyl patch or other Schedule II medications (medications prescribed for health-related indications but with high potential for addiction) by making the medications unavailable for administration as ordered per the residents' needs; [...]
Inspectors wroteBased on interview and record review the facility failed to ensure that a resident who is incontinent of bladder receives appropriate treatment and services to prevent urinary tract infections to the extent possible for one (Resident #1) of three residents reviewed for indwelling urinary catheters, in that: The facility failed to change Resident #1's foley catheter bag or collect a specimen from him for urinalysis according to physician orders. This failure could place residents with indwelling urinary catheters at risk of sepsis, renal failure, urinary tract infections, and pain. Findings Included: [...]
Inspectors wroteBased on interview and record review the facility failed to provide an activities program directed by a qualified therapeutic professional in that The facility failed to designate a qualified professional to direct the activity program, The Facility had no qualified activities professional since 5/12/23 This failure could lead to the resident experience a decline in their psychosocial wellbeing. Interview with the OT on 6/12/23 at 10:30 am revealed therapy have opened up their group exercise sessions to all residents since the activities director left about 6 weeks ago. The nursing staff are really good about helping the residents get to the gym. Interview with CNA C on 6/12/23 at 11:00 am revealed the residents missed the scheduled activities and she encourages them to go to the gym and offers to assist them if needed. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to develop a baseline care plan within 48 hours of a resident's admission for 4 (Resident's #52, #82, #43, and #135) of 4 residents reviewed for baseline care plans. The facility failed to develop baseline care plans within the required 48-hour timeframe for Residents #52, #82, #43, and #135. This failure could place residents at risk for not receiving necessary care and services or having important care needs identified and met.
Inspectors wroteBased on observation, interviews and record reviews, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, which included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs for 3 of 4 residents (Residents #52, #82 and #135) reviewed for care plans, in that: The facility failed to develop comprehensive care plans within the required timeframe for Residents #52, #82, and #135. This failure could place residents at risk for not receiving necessary care and services or having important care needs identified and met.
6 fire safety citations on file: 1 on August 8, 2024, 5 on June 14, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| April 29, 2025 | Fine | $6,338 |
| July 21, 2024 | Fine | $13,270 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.07 | 3.39 | 3.86 |
| Registered nurses | 0.39 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.64 | 2.98 | 3.42 |
| Nurse aides | 1.75 | ||
| Licensed practical nurses | 0.93 | ||
| Nursing staff turnover (share who left in a year) | 48.5% | 55.3% | 45.8% |
| Registered nurse turnover | 50.0% | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.49 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 3.25 on weekdays and 2.64 on weekends, 19% 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 3.26 in April to June 2025 to 3.07 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 | 3.07 | 0.39 | 3.25 | 2.64 | 0.0% | 0 of 90 | 120 |
| Oct to Dec 2025 | 3.13 | 0.37 | 3.28 | 2.74 | 0.0% | 0 of 92 | 119 |
| Jul to Sep 2025 | 3.33 | 0.34 | 3.48 | 2.93 | 0.0% | 0 of 92 | 117 |
| Apr to Jun 2025 | 3.26 | 0.22 | 3.40 | 2.91 | 3.2% | 0 of 91 | 120 |
| 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. If you work here, your report helps start one.
| 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 | 20.8 | 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 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.2 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.3 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.8 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.4 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.9 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.3 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Park Manor Bee Cave's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (43.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
43.3% this home
Worse than the national rate
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. 115 eligible stays.
11.6% 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. 135 eligible stays.
6.9% 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. 49 eligible stays.
63.6% this home
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. 55 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. 82 residents counted.
1.1% 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. 82 residents counted.
84.6% this home
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. 26 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: HAMILTON COUNTY HOSPITAL DISTRICT. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Castro Pou, Graciela | Managing control - governing body | Individual | 12/27/2024 | |
| Chudleigh, Geoff | Managing control - governing body | Individual | 07/01/2022 | |
| Burnam, Soon | Corporate officer | Individual | 07/01/2022 | |
| Hooper, Grady | Corporate officer | Individual | 12/01/2015 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Sage Meadow Healthcare, Inc. | Operational/managerial control | Organization | 07/01/2022 | |
| Castro Pou, Graciela | Operational/managerial control | Individual | 12/27/2024 | |
| Chudleigh, Geoff | Operational/managerial control | Individual | 07/01/2022 | |
| Sage Meadow Healthcare, Inc. | Adp of the SNF | Organization | 10/29/2025 | |
| The Ensign Group Inc | Adp of the SNF | Organization | 04/18/2022 | |
| Castro Pou, Graciela | Adp of the SNF | Individual | 12/27/2024 | |
| Chudleigh, Geoff | Adp of the SNF | Individual | 07/01/2022 |
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.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.