The Arbour at Westminster Manor
4200 Jackson Ave, Austin, TX 78731 · Travis County · (512) 454-4711
90 certified beds, about 81 residents a day · Non profit - Corporation · Medicare since 2006
CMS high performing icon Part of a continuing care retirement community Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676099 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 3, 2025, inspectors cited 2 health deficiencies (the Texas average is 9.4, the national average 9.2).
None of its 8 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists 1 fine totaling $18,905 in the last three years; the largest was $18,905, and the latest is dated September 25, 2024.
Nurses and nurse aides worked 4.96 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.
40.4% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Life Care Services, an affiliated group of 43 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.
307/23
309/24
212/25
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 8 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
2E
0F
Potential for minimal harm
0A
0B
0C
December 3, 2025Standard inspection · 2 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interviews, and record review 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 kitchen sanitation. The facility failed to seal the food in the freezer. The facility failed to ensure that items were labeled and dated in the freezer. These failures could place residents at risk for consuming contaminated food and developing foodborne illnesses. An observation made on 12/01/2025 at 9:00 AM, of the walk-in freezer revealed food boxes stored on top of crates, unlabeled unidentified food items, and there was food opened in a bag that was not sealed, and the food was exposed to the air. An observation made on 12/01/2025 at 1:30 PM, revealed a variety of packaged food was still on the crate inside the walk-in freezer. [...]
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and record review the facility failed to ensure assessments accurately reflected the resident's status for 1 of 6 residents (Resident #25) reviewed for accuracy of assessments. The facility failed to ensure Resident #25's MDS assessments date 10/01/2025 reflected his contractures on both his hands. This failure could place residents at risk of inadequate care due to an inaccurate MDS assessment.
September 25, 2024Standard inspection, Complaint inspection · 3 citations
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents had the right to receive services in the facility with reasonable accommodation of the resident's needs and preferences for 1 of 8 residents (Resident #59) reviewed for accommodation of needs. The facility failed to ensure Resident #59's call light button was within her reach to call for nursing assistance. This failure placed residents at risk of having their needs gone unmet.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure the resident had the right to be free from abuse for one resident (Resident #44) of six residents reviewed for freedom from abuse. The facility failed to protect Resident #44 from an aggressive family member with suspected history of abuse. On 08/03/2024 at about 6:30pm, during the dinner, the family member shouted at Resident #44 and forcefully fed her against her will by putting the spoon with food in her mouth, as witnessed by staff members. This failure placed the residents at risk for mental and physical harm.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interviews and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the residents that 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 2 of 10 Residents (Resident #43 and Resident #44) reviewed for care plans. Resident #43 The facility failed to ensure: 1. Resident #43's legs were elevated while sitting or sleeping. 2. Resident #43 wore her compression stockings. 2. Resident #43's door remained open, except when receiving care. Resident #44 The facility failed to develop a comprehensive care plan that included interventions to ensure safety of Resident # 44 from the visitor's aggressive, physical, and verbal behaviors. [...]
July 21, 2023Standard inspection · 3 citations
- E Provide and implement an infection prevention and control program.
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 1 of 2 wings (East wing) on the second floor of the facility reviewed for infection control, in that: Laundry staff C did not sanitize her hands between residents' room. This deficient practice could place residents at-risk for infection due to improper care practices.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on interview and record review, the facility failed conduct initially and periodically a comprehensive, accurate, standardized reproducible assessment of each resident's functional capacity within 14 days calendar days after admission, excluding readmissions in which there is no significant change in the resident's physical or mental condition for 1 of 16 resident (Resident #61) reviewed for Comprehensive Assessments and timing. The facility failed to ensure an MDS Assessment for Resident #61 was completed within 14 days after admission. This failure could place residents at risk for improper or incorrect care and services necessary for their physical, mental, and psychosocial well-being.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and record review, the facility failed to complete an assessment which accurately reflected the resident's status for 1 of 18 (Resident #33) residents reviewed, in that: Resident #33's quarterly MDS assessment inaccurately documented 2 administrations of insulin which did not occur. This failure could result in inadequate care due to an inaccurate assessment of his medication administrations.
Fire safety inspections
6 fire safety citations on file: 2 on December 3, 2025, 4 on July 21, 2023.
Every fire safety citation6 citations
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Have proper medical gas storage and administration areas.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| September 25, 2024 | Fine | $18,905 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
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) | 4.96 | 3.39 | 3.86 |
| Registered nurses | 0.60 | 0.43 | 0.69 |
| All nursing staff on weekends | 4.46 | 2.98 | 3.42 |
| Nurse aides | 3.43 | ||
| Licensed practical nurses | 0.94 | ||
| Nursing staff turnover (share who left in a year) | 40.4% | 55.3% | 45.8% |
| Registered nurse turnover | 54.5% | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.40 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 5.17 on weekdays and 4.46 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.81 in April to June 2025 to 4.96 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 | 4.96 | 0.60 | 5.17 | 4.46 | 4.0% | 0 of 90 | 81 |
| Oct to Dec 2025 | 5.00 | 0.62 | 5.19 | 4.51 | 2.9% | 0 of 92 | 80 |
| Jul to Sep 2025 | 4.97 | 0.58 | 5.16 | 4.48 | 6.6% | 0 of 92 | 80 |
| Apr to Jun 2025 | 4.81 | 0.57 | 4.99 | 4.34 | 2.6% | 0 of 91 | 80 |
| 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.
Quality measures
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 | 8.2 | 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 | 1.7 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.3 | 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 | 4.0 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.3 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.2 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.7 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.0 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.3 | 2.1 | 1.8 |
Owners and operators
Legal business name: WESTMINSTER MANOR. CMS links this home to Life Care Services, a group of 43 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Westminster Manor | 5% or greater direct ownership interest | Organization | 100% | 09/06/1973 |
| Albright, Alexandra | Corporate director | Individual | 05/28/2020 | |
| Ashley, Olin | Corporate director | Individual | 02/19/2015 | |
| Boykin, Cue | Corporate director | Individual | 01/01/2026 | |
| Cripe, Julie | Corporate director | Individual | 01/01/2026 | |
| Day, Michael | Corporate director | Individual | 01/01/2024 | |
| Dinitto, Diana | Corporate director | Individual | 07/01/2015 | |
| Hilgers, Paul | Corporate director | Individual | 01/16/2014 | |
| Luevano, Richard | Corporate director | Individual | 05/28/2020 | |
| McEwan, Charles | Corporate director | Individual | 01/01/2026 | |
| McGhee, John | Corporate director | Individual | 01/01/2025 | |
| Miller, Anna | Corporate director | Individual | 01/01/2022 | |
| Redding, David | Corporate director | Individual | 01/01/2017 | |
| Scurlock, Stephen | Corporate director | Individual | 04/30/2020 | |
| Sherman, Lynn | Corporate director | Individual | 01/01/2026 | |
| Williams, Diane | Corporate director | Individual | 01/01/2019 | |
| Woodrick, James | Corporate director | Individual | 01/01/2022 | |
| Woodworth, James | Corporate director | Individual | 01/16/2014 | |
| Redding, David | Corporate officer | Individual | 12/01/2023 | |
| Williams, Diane | Corporate officer | Individual | 01/01/2025 | |
| Life Care Services LLC | Operational/managerial control | Organization | 10/01/1980 | |
| Borst, Charles | Operational/managerial control | Individual | 05/25/2009 | |
| Haley, Cassie | Operational/managerial control | Individual | 07/22/2019 | |
| Krol, Michael | Operational/managerial control | Individual | 03/20/2023 | |
| Loyd, Sarah | Operational/managerial control | Individual | 10/24/2006 | |
| Life Care Services LLC | Adp of the SNF | Organization | 07/03/2025 | |
| Haley, Cassie | Adp of the SNF | Individual | 04/10/2025 | |
| Krol, Michael | Adp of the SNF | Individual | 04/07/2025 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on December 3, 2025: "Ensure each resident receives an accurate assessment."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on December 3, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on September 25, 2024: "Reasonably accommodate the needs and preferences of each resident."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on September 25, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
Other nursing homes nearby
- Coral Rehabilitation and Nursing of Austin Austin, 2.3 mi · not rated · 89 citations
- Heritage Park Rehabilitation and Skilled Nursing C Austin, 3.5 mi · 2 of 5 stars · 49 citations
- Sage Park Austin Austin, 3.9 mi · 3 of 5 stars · 12 citations
- Brookdale Westlake Hills Austin, 4 mi · 2 of 5 stars · 30 citations
- Sedona Trace Health and Wellness Center Austin, 4.6 mi · 3 of 5 stars · 16 citations
- Barton Valley Rehabilitation and Healthcare Center Austin, 6.4 mi · 3 of 5 stars · 23 citations
- Legend Oaks Healthcare and Rehabilitation - North Austin, 6.4 mi · 1 of 5 stars · 24 citations
- Gracy Woods Nursing Center Austin, 6.7 mi · 1 of 5 stars · 61 citations
Texas contacts for a concern about a nursing home
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Texas Office of the State Long-Term Care Ombudsman, 800-252-2412. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is The Arbour at Westminster Manor's Medicare star rating?
- CMS rates The Arbour at Westminster Manor 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Arbour at Westminster Manor get at its last inspection?
- 2 health deficiencies at the standard inspection on December 3, 2025. The Texas average is 9.4.
- Has The Arbour at Westminster Manor been fined?
- Yes. CMS lists 1 fine totaling $18,905 in the last three years.
- Does The Arbour at Westminster Manor accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns The Arbour at Westminster Manor?
- CMS lists 28 owners and managers, and links the home to Life Care Services. Legal business name: WESTMINSTER MANOR.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.