Austin, TX

Austin Wellness & Rehabilitation

1-star overall rating with 1-star inspections with $166,205 in total fines with 16 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

11406 Rustic Rock Drive, Austin, TX

(512) 335-5028

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Coryell County Memorial Hospital Authority

Operator or chain grouping

Approved since

1989-03-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

8 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.62

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.46

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.71

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

2.79

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.08

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.51

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.47

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.77

CMS adjusted RN staffing hours

Adjusted total hours

3.46

CMS adjusted total nurse staffing hours

Case-mix index

1.10

Higher values indicate more complex resident acuity

RN turnover

64%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

71%

Annual nurse turnover · state 52% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.23%	10.72% 1.5 pts better	No Different than the National Rate · Eligible stays 39 · Observed rate 0% · Lower 95% interval 5.57%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.93	1.02 0.1 pts better
Drug regimen review with follow-up	97.06%	95.27% 1.8 pts better	Numerator 33 · Denominator 34
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 34
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	5.88%	2.29% 3.6 pts worse	Numerator 2 · Denominator 34 · Adjusted rate 5.61%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 101
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 92
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.5	2.1 0.6 pts better	1.9 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.6 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.4	2.1 0.3 pts worse	1.8 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.5 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.1% 2.9 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	92.6%	97.9% 5.3 pts worse	95.5% 2.9 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 92.6%
Percentage of long-stay residents experiencing one or more falls with major injury	2.5%	3.3% 0.8 pts better	3.3% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.8% · Q3 1.4% · Q4 1.3% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.1%	2.7% 1.6 pts better	11.4% 10.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.6% · 4Q avg 1.1%
Percentage of long-stay residents who lose too much weight	3.8%	3.3% 0.5 pts worse	5.4% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 1.5% · Q3 3.1% · Q4 3.2% · 4Q avg 3.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.2%	18.9% 3.7 pts better	19.6% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 13.0% · Q3 18.2% · Q4 13.8% · 4Q avg 15.2%
Percentage of long-stay residents who received an antipsychotic medication	13.5%	10.8% 2.7 pts worse	16.7% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 10.4% · Q3 13.6% · Q4 13.9% · 4Q avg 13.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	27.2%	15.4% 11.8 pts worse	16.3% 10.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 24.5% · Q3 14.8% · Q4 42.8% · 4Q avg 27.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	31.6%	16.1% 15.5 pts worse	14.9% 16.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 35.4% · Q3 23.0% · Q4 49.2% · 4Q avg 31.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.3%	0.8% 0.5 pts worse	1.7% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.3% · Q3 1.4% · Q4 1.3% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.6%	15.0% 12.6 pts worse	19.8% 7.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 37.0% · Q2 24.4% · Q3 31.6% · Q4 16.8% · 4Q avg 27.6%
Percentage of long-stay residents with pressure ulcers	5.0%	4.2% 0.8 pts worse	5.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 10.0% · Q3 2.7% · Q4 3.9% · 4Q avg 5.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.3%	89.7% 8.6 pts better	81.7% 16.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 91.2% · 4Q avg 98.3%
Percentage of short-stay residents who had an outpatient emergency department visit	7.6%	12.0% 4.4 pts better	12.0% 4.4 pts better	Short Stay · 20240701-20250630 · Adjusted 7.6% · Observed 8.3% · Expected 12.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	4.8%	1.5% 3.3 pts worse	1.6% 3.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 4.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	94.3%	88.0% 6.3 pts better	79.7% 14.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 94.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	14.2%	25.9% 11.7 pts better	23.9% 9.7 pts better	Short Stay · 20240701-20250630 · Adjusted 14.2% · Observed 12.5% · Expected 21.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-06 · Fire 2025-03-06

16 health deficiencies

Top issue: Resident Rights (4 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2024-01-12 · Fire 2024-01-12

34 health deficiencies

Top issue: Resident Assessment and Care Planning (8 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-11-11 · Fire 2022-11-11

10 health deficiencies

Top issue: Resident Rights (5 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-06

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2025-05-06

F · Potential for more than minimal harm 2025-03-06

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-05-02

F · Potential for more than minimal harm 2025-03-06

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-05-06

C · Minimal harm 2025-03-06

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-05-02

E · Potential for more than minimal harm 2024-01-12

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2024-02-09

E · Potential for more than minimal harm 2024-01-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-09

E · Potential for more than minimal harm 2024-01-12

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-02-09

F · Potential for more than minimal harm 2022-11-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-05-22

E · Potential for more than minimal harm 2022-11-11

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-05-22

E · Potential for more than minimal harm 2022-11-11

K900 · Miscellaneous Deficiencies

Fire Safety

Meet Health Care Facilities Code mechanical requirements.

Corrected 2023-05-22

D · Potential for more than minimal harm 2022-11-11

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-05-23

D · Potential for more than minimal harm 2022-11-11

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-05-22

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-10

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-02-06

D · Potential for more than minimal harm 2026-01-10

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2026-02-06

D · Potential for more than minimal harm 2025-12-02

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-12-03

E · Potential for more than minimal harm 2025-11-24

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-11-25

E · Potential for more than minimal harm 2025-08-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-08-09

E · Potential for more than minimal harm 2025-05-05

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-05-30

E · Potential for more than minimal harm 2025-03-06

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-03-06

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-03-06

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-03-06

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-03-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-03-06

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-03-06

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-03-06

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-03-06

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-03-06

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-02-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-02

E · Potential for more than minimal harm 2025-02-01

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2025-02-02

D · Potential for more than minimal harm 2024-11-15

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-11-16

E · Potential for more than minimal harm 2024-09-27

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-09-28

D · Potential for more than minimal harm 2024-09-27

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-09-28

K · Immediate jeopardy 2024-09-19

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-09-20

E · Potential for more than minimal harm 2024-09-19

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-09-19

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-07-15

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-07-16

E · Potential for more than minimal harm 2024-07-02

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-08-04

E · Potential for more than minimal harm 2024-07-02

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-08-04

J · Immediate jeopardy 2024-06-04

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-06-05

J · Immediate jeopardy 2024-06-04

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-06-05

E · Potential for more than minimal harm 2024-05-23

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-05-20

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-06-24

E · Potential for more than minimal harm 2024-04-07

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-04-08

D · Potential for more than minimal harm 2024-04-07

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-04-08

J · Immediate jeopardy 2024-03-27

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-03-28

E · Potential for more than minimal harm 2024-02-22

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-02-23

E · Potential for more than minimal harm 2024-01-12

F941 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Corrected 2024-02-09

E · Potential for more than minimal harm 2024-01-12

F942 · Resident Rights Deficiencies

Health

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Corrected 2024-02-09

E · Potential for more than minimal harm 2024-01-12

F944 · Administration Deficiencies

Health

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Corrected 2024-02-09

E · Potential for more than minimal harm 2024-01-12

F945 · Infection Control Deficiencies

Health

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Corrected 2024-02-09

E · Potential for more than minimal harm 2024-01-12

F946 · Administration Deficiencies

Health

Provide training in compliance and ethics.

Corrected 2024-02-09

E · Potential for more than minimal harm 2024-01-12

F949 · Administration Deficiencies

Health

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Corrected 2024-02-09