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Pflugerville Nursing and Rehabilitation Center

104 Rex Kerwin Court, Pflugerville, TX 78660 · Travis County · (512) 251-3915

120 certified beds, about 107 residents a day · Government - Hospital district · Medicare and Medicaid since 2010

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 676245 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 28, 2026, inspectors cited 1 health deficiency (the Texas average is 9.4, the national average 9.2).

None of its 28 health citations since February 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 2.89 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.

31.3% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Wellsential Health, an affiliated group of 67 nursing homes.

Health inspections

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

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 28 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
17D
10E
1F
Potential for minimal harm
0A
0B
0C
July 2, 2026Complaint inspection · 2 citations
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 27, 2026
    Inspectors wroteBased on interview and record review the facility failed to ensure each resident had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for one of 12 residents (Resident #1) reviewed for abuse and neglect. 1. The facility failed to prevent CMA A from mistreating Resident #1. CMA A threw a blanket on Resident #1's head and left the room without removing it from Resident #1's face who struggled to remove it herself. 2. The facility failed to ensure CMA A did not forcefully move Resident #1's jaw to administer medications while Resident #1 was not fully awake. These failures could place residents at risk for staff mistreatment.
  2. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 27, 2026
    Inspectors wroteBased on, 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 for 1 of 5 residents (Resident #1) reviewed for pharmacy services. The facility failed to ensure CMA A and CMA H accurately documented Resident #1's medications on 06/19/2026, 06/20/2026 and 06/21/2026. This failure could place residents at risk of medication error or not receiving the intended therapeutic benefit of their medication and delayed healing.
May 28, 2026Standard inspection · 1 citation
  1. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 17, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to make sure that drugs are stored in locked compartments and only authorized persons have access for 1 of 8 medication carts reviewed for pharmacy services. The facility failed to ensure one nursing medication cart was locked. This failure could place residents at risk of having unauthorized access to medications, decreased effectiveness of medication, or missing medications.
February 6, 2026Complaint inspection · 1 citation
  1. F
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) March 4, 2026
    Inspectors wroteBased on interviews and record reviews the facility failed to ensure a comprehensive care plan was developed within 7 days after completion of the comprehensive assessment and reviewed and revised by the interdisciplinary team after each assessment, including both the comprehensive and quarterly review assessments for 67 of 105 (1, 2, 3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25, 26,27,28,29,30, 31, 32, 33, 34, 35, 36, 37, 38, 39,40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67 ) residents reviewed for IDT meetings/ care plans in that:The facility failed to complete a quarterly assessment for Residents 1, 2, 3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25, 26,27,28,29,30, 31, 32, 33, 34, 35, 36, 37, 38, 39,40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, [...]
June 25, 2025Complaint inspection · 1 citation
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 6, 2025
    Inspectors wroteBased on interviews, and record review, the facility failed to ensure that all alleged violations involving abuse, neglect are reported immediately, but not later than 24 hours if the events that cause the allegation involve abuse and do not result in serious bodily injury for 1 of 3 residents (Resident #1) reviewed for abuse and neglect, in that: The facility failed to ensure that the DON reported allegations of abuse immediately, but no later than 2 hours to the ADM when Resident #1 reported she gave me a bruise to the DON on 06/12/2025. This failure could result in continued abuse or neglect of residents, injury, and/or psychosocial harm.
April 3, 2025Standard inspection · 9 citations
  1. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 6, 2025
    Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure residents were given the appropriate services to maintain activities of daily living (ADLs) for three of seven residents (Resident #67, Resident #18, and Resident #2) reviewed for ADL abilities. Resident #67 had dirty, jagged fingernails and flaky, dry skin on legs. Resident #18 had long, jagged fingernails. Resident #2 had long, jagged fingernails, chipped nail polish and unbrushed teeth. This deficient practice could place residents who required assistance at risk of or not receiving care and services to meet their needs and avoid ADL decline.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 6, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute food in accordance with professional standards for food service safety for one of one kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure Dietary [NAME] C, Dietary [NAME] D and Dietary Aide E used proper hand hygiene during food preparation. 2. The facility failed to ensure Dietary Aide E wear a hair net and Dietary Aide F wear a beard guard when standing over the oven and the food prep table. These failures could place residents who ate food from the kitchen at risk for foodborne illness.
  3. E
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 6, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to dispose of garbage and refuse properly for one of one kitchen 1. The facility failed to keep overflowing garbage away from an area where food was being prepared for resident meals. 2. The facility failed to keep garbage away from an area where clean cook ware was stored. These failures could place residents at risk for exposure of germs and diseases carried by vermin and rodents. Findings Included: Observation on 04/01/2025 at 2:30 PM revealed there was a garbage barrel with the lid off on half of the barrel. There was overflowing garbage with cans and boxes with food residue inside and outside of the cans, containers and, boxes located in the garbage barrel. The garbage barrel was located approximately three feet from the stove-oven, and less than two feet away from clean pans in the food prep area. [...]
  4. E
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 6, 2025
    Inspectors wroteBased on observation, record review and interviews, the facility failed to maintain an effective pest control program so that the facility was free of pests for one of one kitchen reviewed for pests. Cockroaches were seen in the kitchen near the garbage can located beside clean pots and pans and one located in the dining room near the large wall of cabinets. This failure could place residents at risk of infection, discomfort, and diminished quality of life.
  5. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 6, 2025
    Inspectors wroteBased on interview, observation, and record review, the facility failed, to provide an ongoing activities 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 one of five residents (Resident #15) reviewed for activities. The facility failed to provide Resident #15 in room activities during the months ofFebruary and March of 2025. This failure could place residents at risk for boredom, depression, and diminished quality of life.
  6. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 6, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure medications and biological's were stored in locked compartments for one of seven (Hall 300 medication cart) medication carts reviewed for medication storage. The facility failed to ensure Hall 300 medication cart was locked and medications were secure and not accessible to other staff, resident, or visitors. This failure could place residents at risk of having unauthorized access to medications, biological's, and needles.
  7. D
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    F802 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 6, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to employ staff with the appropriate competencies and skill sets to conduct the functions of the food and nutrition services for one of three kitchen staff (Dietary Aide E) reviewed for qualified dietary staff. Dietary Aide E had not received onboarding training with the appropriate competencies and skills to conduct the functions of the food and nutrition services department and his food handler certificate was expired. This failure placed residents at risk of not having their nutritional needs met and placed them at risk of food borne illness.
  8. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 6, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to prepare food by methods that conserve nutritive value for 1 of 1 kitchen observed. The facility failed to provide a recipe for pureeing sausage which resulted in Dietary Aide E adding an unmeasured amount of water to the puree. This failure could place residents at risk of decreased food intake, hungry, unwanted weight loss, and diminished quality of life.
  9. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 6, 2025
    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 disease and infection for 2 of 4 residents (Resident #35 and, Resident #68) reviewed for infection control: 1. The facility failed to ensure MA B sanitized the nasal spray before it was used in Resident #68's nostril and before storing it in the med cart after her use. 2. The facility failed to ensure CNA A was not using soiled gloves while handling clean items during peri care on Resident #35. These failures could place residents at-risk for infection due to improper care practices.
October 1, 2024Complaint inspection · 2 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 5, 2024
    Inspectors wroteBased on interviews and record review, the facility failed to ensure that all allegations involving abuse, neglect, or serious bodily injuries were reported immediately but not later than 24 hours after the allegation was made for one (Resident #1) of five residents reviewed for abuse and neglect. The facility failed to report to the State Agency an incident on the facility's van where the Van Driver failed to ensure Resident #1 was properly strapped in the facility's van on 09/23/2024. This deficient practice could place residents at risk of abuse and neglect.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 5, 2024
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to maintain an infection and prevention control program that included, at a minimum, a system for preventing and controlling infections for 1 (Resident #2) of 2 residents reviewed for blood glucose monitoring. RN A failed to perform hand hygiene and wear gloves while checking Resident #2's blood glucose. This failure place residents at risk of infections.
September 17, 2024Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 24, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #1) of three residents reviewed for quality of care. The facility failed to check Resident #1's glucose level or A1C for five months after he was admitted to the facility with a diagnosis of type II diabetes and was recently discontinued from Metformin and Trulicity (medications utilized to manage high blood glucose levels with individuals with type II diabetes) at the hospital. These failures could place residents at risk of not receiving necessary medical care, harm, and hospitalization.
February 16, 2024Standard inspection, Complaint inspection · 11 citations
  1. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 12, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure all resident who were unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene for 3 of 8 (Resident #210, Resident #213, and Resident #10) residents reviewed for activities of daily living. 1. The facility failed to ensure Resident #210 and Resident #213 received nail care. 2. The facility failed to ensure Resident #10 received help with eating. These failures placed residents at risk of poor hand hygiene, skin tears, infection, poor nutrition, and weight loss.
  2. E
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 12, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure all residents were free from unnecessary drugs for 1 (Residents #63) of 3 residents reviewed for unnecessary drugs. -The facility failed to implement or provide reasoning for not implementing the recommendation by the licensed pharmacist to update the diagnosis for Seroquel XR for resident #63. -The facility failed to develop policies and procedures to address the timeframes of the medication regimen review. This failure could place resident as risk of not having their pharmacy consultations reviewed or recommendations implemented.
  3. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 12, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that the medication error rate was not five percent or greater. The facility had a medication error rate of 10.71 % based on 3 errors out of 28 opportunities, which involved 2 of 4 residents (Resident #38 and Resident #44) reviewed for medication administration. 1. The facility failed to ensure MA H administered medication as ordered to Resident #38 by administering Ferrous Sulfate 325mg instead of Ferrous Fumarate 324mg. 2. The facility failed to ensure MA H administered medication as ordered to Resident #44 by administering Calcium 600mg instead of Calcium 600mg with Vitamin D3 5mcg and Aspirin 81mg chewable tablet instead of Aspirin 81mg Delayed Release tablet. [...]
  4. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 12, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable for 1 of 1 medication storage rooms reviewed for medication storage. The facility failed to date two multi-use vials of Tuberculin, Purified Protein Derivative, Diluted Aplisol (a solution used to administer Tuberculin skin tests) when opened. This failure could place residents and staff at risk of not receiving the intended effect or contaminated solution.
  5. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 12, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for sanitation. The facility failed to ensure all items were properly covered, dated and discarded when expired. The facility failed to ensure CK L washed her hands as required and sanitized dishes properly. These failures placed resident risk of foodborne illness.
  6. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 12, 2024
    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 staff (CNA I) viewed for infection control. The facility failed to ensure CNA I performed hand hygiene when changing gloves while providing catheter care. This failure could place residents at risk for infection or a decline in health.
  7. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 12, 2024
    Inspectors wroteBased on interviews and record reviews, the facility failed to ensure individuals with mental health disorders were provided an accurate Preadmission Screening and Resident Review (PASRR) Level 1 Screening for 1 of 4 residents reviewed for PASRR (Resident #94). The facility failed to ensure Resident #94 had an accurate PASRR Level 1 Screening indicating a diagnosis of mental illness on 02/26/23. This failure could place residents at risk of not receiving needed individualized care, and specialized services to meet their needs.\
  8. D
    Provide appropriate foot care.
    F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 12, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure all residents were provided foot care and treatment, in accordance with professional standards of practice, for 2 of 8 (Resident #72 and Resident #82) residents reviewed for podiatry care. The facility failed to ensure Resident #72 and Resident #82 received podiatry care. This failure placed residents at risk of untreated podiatry issues, long nails, skin tears, and infection.
  9. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 12, 2024
    Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure that the resident environment remains as free of accident hazards as is possible or prevent accidents for 2 of 2 residents (Resident #12 and #77) reviewed for accidents and hazards in that: The facility failed to ensure Resident #12 and Resident #77 had fall mats in place in accordance with physician's orders and care plans. This failure could place residents at risk for injury.
  10. D
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 12, 2024
    Inspectors wroteBased on observation, interviews, and record reviews the facility failed to ensure that licensed nurses have the specific competencies and skill sets necessary to care for residents' needs, as identified through resident assessments, and described in the plan of care for 1 of 1 resident (Resident #212 ) reviewed for nursing services. The facility failed to ensure the DON was competent in policy and procedure in PICC line removal for Resident #212. These failures could result in residents receiving inadequate nursing care and decreased quality of life.
  11. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 12, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure all residents who had not used psychotropic drugs were not given those drugs and that all residents on psychotropic drugs received a gradual dose reduction for 1 of 8 (Resident #31) residents reviewed for psychotropic drugs. The facility failed to ensure Resident #31 had a preexisting mental illness for which psychotropic drugs (Cymbalta and Zyprexia) would be warranted. The facility failed to ensure Resident #31 received a gradual dose reduction for Cymbalta (antidepressant) and Zyprexia (antipsychotic). These failures placed residents at risk of unnecessary psychotropic drug use. Finings included: [...]

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)2.893.393.86
Registered nurses0.340.430.69
All nursing staff on weekends2.472.983.42
Nurse aides1.90
Licensed practical nurses0.65
Nursing staff turnover (share who left in a year)31.3%55.3%45.8%
Registered nurse turnover28.6%54.6%42.9%
Administrators who left0

CMS expects 3.59 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

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 3.06 on weekdays and 2.47 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 2.60 in April to June 2025 to 2.89 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.890.343.062.47 0.0%0 of 90107
Oct to Dec 20252.620.312.742.33 0.0%0 of 92112
Jul to Sep 20252.760.292.882.44 0.0%0 of 92111
Apr to Jun 20252.600.322.732.29 0.0%0 of 91114
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%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.

Trains nurse aides: this home runs a state-approved CNA program (state list: HHSC Approved NATCEP Providers, as of October 6, 2026). A nursing home cannot charge aides it employs, or has offered a job, for state-approved training (42 CFR 483.152(c)). See Pflugerville N&H NATCEP on CareerFunded, our sister site for career training.

Staff pay reports

Staff pay at this home

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.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

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For Pflugerville Nursing and Rehabilitation Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
20.715.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.73.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.71.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
9.414.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.63.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.39.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
32.325.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
4.712.312.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Pflugerville Nursing and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (57.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

57.4% this home

No different from 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. 32 eligible stays.

Potentially preventable readmissions

11.5% 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. 62 eligible stays.

Infections that led to a hospital stay

6.6% 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. 29 eligible stays.

Self-care and mobility at discharge

61.9% 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. 21 residents counted.

Falls with major injury

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. 30 residents counted.

New or worsened pressure ulcers

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. 30 residents counted.

Medication list given at discharge

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. 14 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.

Owners and operators

Legal business name: DEWITT MEDICAL DISTRICT. CMS links this home to Wellsential Health, a group of 67 nursing homes averaging 2.7 stars overall.

NameRoleTypeShareSince
Regency IHS of Pflugerville LLCDirect ownership interestOrganization02/28/2015
Csv Rhea Management Holdco, LLCIndirect ownership interestOrganization02/28/2015
Dwd Tx Holdings LLCIndirect ownership interestOrganization02/28/2015
Jack and Nancy Dwyer Workforce Development Center IncIndirect ownership interestOrganization02/28/2015
Reg Bridge Opco LLCIndirect ownership interestOrganization02/28/2015
Reg Hg Opco LLCIndirect ownership interestOrganization02/28/2015
Reg Operator Holdco LLCIndirect ownership interestOrganization02/28/2015
Regency Integrated Health Services LLCIndirect ownership interestOrganization02/28/2015
Regency Texas Holdings LLCIndirect ownership interestOrganization02/28/2015
Alexander, AlmaManaging control - governing bodyIndividual05/27/2020
Baird, DanielManaging control - governing bodyIndividual04/13/2021
Carvajal, AntonioManaging control - governing bodyIndividual05/16/2024
Clapp, BarbaraManaging control - governing bodyIndividual06/01/2021
Cortese, DarenManaging control - governing bodyIndividual08/10/2021
Frels, JohnManaging control - governing bodyIndividual11/04/2014
Gibson, PatriciaManaging control - governing bodyIndividual08/01/2021
Gonzales, VeronicaManaging control - governing bodyIndividual05/16/2024
Kaufman, NicoleManaging control - governing bodyIndividual08/10/2021
Mandelbaum, ElliotManaging control - governing bodyIndividual01/01/2025
Papacek, CharlesManaging control - governing bodyIndividual10/01/1997
Sheppard, AnnaManaging control - governing bodyIndividual05/01/2019
Sheppard, CynthiaManaging control - governing bodyIndividual06/25/2013
Papacek, CharlesCorporate directorIndividual10/01/1997
Alexander, AlmaCorporate officerIndividual05/27/2020
Dewitt Medical DistrictOperational/managerial controlOrganization02/28/2015
Regency IHS of Pflugerville LLCOperational/managerial controlOrganization02/28/2015
Regency Integrated Health Services LLCOperational/managerial controlOrganization02/28/2015
Chavies, AkilOperational/managerial controlIndividual09/16/2019
Dekowski, DonovanOperational/managerial controlIndividual02/28/2015
104 Rex Kerwin Court LLCAdp of the SNFOrganization02/28/2015
Dewitt Medical DistrictAdp of the SNFOrganization04/03/2025
Regency IHS Clinical Consulting, LLCAdp of the SNFOrganization02/28/2015
Regency IHS of Pflugerville LLCAdp of the SNFOrganization04/03/2025
Regency IHS Rehab LLCAdp of the SNFOrganization02/28/2015
Regency Integrated Health Services LLCAdp of the SNFOrganization04/03/2025
Burk, AllisonAdp of the SNFIndividual01/01/2025
Chavies, AkilAdp of the SNFIndividual06/19/2019
Dekowski, DonovanAdp of the SNFIndividual02/28/2015
Felder, LatanyaAdp of the SNFIndividual01/01/2025
Gutierrez, MichaelAdp of the SNFIndividual01/01/2025

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on July 2, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on April 3, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on April 3, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on July 2, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.47 hours per resident per day, below the Texas average of 2.98.

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Common questions

What is Pflugerville Nursing and Rehabilitation Center's Medicare star rating?
CMS rates Pflugerville Nursing and Rehabilitation Center 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Pflugerville Nursing and Rehabilitation Center get at its last inspection?
1 health deficiency at the standard inspection on May 28, 2026. The Texas average is 9.4.
Has Pflugerville Nursing and Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Pflugerville Nursing and Rehabilitation Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Pflugerville Nursing and Rehabilitation Center?
CMS lists 40 owners and managers, and links the home to Wellsential Health. Legal business name: DEWITT MEDICAL DISTRICT.

Sources

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