Federal inspection record · CMS data as of October 1, 2026

Barton Valley Rehabilitation and Healthcare Center

4501 Dudmar Dr, Austin, TX · (512) 892-1131

CMS overall rating

3 of 5

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Certified beds
126
Residents per day
98
Ownership
Government
Chain
Nexion Health
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 8, 1996

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Barton Valley Rehabilitation and Healthcare Center carries 53 inspection points. That is fewer than 64% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 53 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–26 pts
  • 4★ 26–51 pts
  • 3★ 51–85 pts
  • 2★ 85–145.75 pts
  • 1★ over 145.75 pts

Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

23 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 19 4 pts
E 4 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care9E
  1. E

    Provide activities to meet all resident's needs.

    April 16, 2026 · Standard · F679 · Corrected May 1, 2026

  2. D

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

    April 16, 2026 · Standard · F677 · Corrected May 1, 2026

  3. D

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

    April 16, 2026 · Standard · F689 · Corrected May 1, 2026

  4. D

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    April 16, 2026 · Standard · F693 · Corrected May 1, 2026

  5. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    April 16, 2026 · Standard · F698 · Corrected May 1, 2026

  6. D

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

    January 20, 2026 · Complaint · F689 · Corrected February 13, 2026

  7. D

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

    January 2, 2026 · Complaint · F684 · Corrected January 25, 2026

  8. D

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

    February 6, 2025 · Complaint · F689 · Corrected March 6, 2025

  9. D

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

    March 11, 2024 · Complaint · F677 · Corrected April 10, 2024

Resident Assessment and Care Planning5E
  1. D

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

    April 16, 2026 · Standard · F656 · Corrected May 1, 2026

  2. D

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

    January 2, 2026 · Complaint · F842 · Corrected January 25, 2026

  3. D

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    February 26, 2025 · Standard · F636 · Corrected March 26, 2025

  4. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    February 26, 2025 · Standard · F645 · Corrected March 26, 2025

  5. E

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

    January 19, 2024 · Standard · F657 · Corrected February 19, 2024

Resident Rights4E
  1. E

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

    February 26, 2025 · Standard · F550 · Corrected March 26, 2025

  2. D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    December 6, 2024 · Complaint · F561 · Corrected January 6, 2025

  3. E

    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.

    January 19, 2024 · Complaint · F584 · Corrected February 19, 2024

  4. D

    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.

    January 19, 2024 · Complaint · F578 · Corrected February 19, 2024

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    April 16, 2026 · Standard · F880 · Corrected May 1, 2026

  2. D

    Provide and implement an infection prevention and control program.

    February 26, 2025 · Standard · F880 · Corrected March 26, 2025

Pharmacy Service1D
  1. D

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

    April 16, 2026 · Standard · F755 · Corrected May 1, 2026

Environmental1D
  1. D

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    April 16, 2026 · Standard · F925 · Corrected May 1, 2026

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Respond appropriately to all alleged violations.

    January 20, 2026 · Complaint · F610 · Corrected February 13, 2026

Inspection history

  1. 2026-04-16

    13 health deficiencies · 5 fire-safety deficiencies

    Top issue: Quality of Life and Care (7 deficiencies)

  2. 2025-02-26

    6 health deficiencies · 1 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (2 deficiencies)

  3. 2024-01-19

    4 health deficiencies · 2 fire-safety deficiencies

    Top issue: Resident Rights (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 40 min of nursing staff time a day, 17 min of it from a registered nurse.

This home

3 h 40 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 38% of nursing staff and 50% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts worse2.22.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse2.12.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8 pts worse88.4%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.3 pts worse96.7%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts better0.6%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms1.6 pts better0.7%2.3%13.5%
Percentage of long-stay residents who lose too much weight1.5 pts better1.4%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication5.4 pts better12.4%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.3 pts better6.5%9.8%15.4%
Percentage of long-stay residents who were physically restrained0.3 pts worse0.3%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2.3 pts worse15.2%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.1 pts worse16.9%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.5 pts better0.3%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.6 pts better10.9%12.5%18.3%
Percentage of long-stay residents with pressure ulcers1.2 pts worse4.9%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine21.8 pts worse66.9%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit10.2 pts worse22.4%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better0.8%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.8 pts worse77.6%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission6.7 pts worse32.2%25.5%23.4%

·

Who owns and runs it

19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Nexion Health Of Ohi Inc5% Or Greater Direct Ownership Interest · Organization100%31 facilities
Bolt, Bretton5% Or Greater Indirect Ownership Interest · Individual0%30 facilities
Fallon, JohnCorporate Officer · Individual0%20 facilities
Herdrich, WilliamCorporate Director · Individual0%32 facilities
Kirley, Francis5% Or Greater Indirect Ownership Interest · Individual0%50 facilities
Kirley, FrancisCorporate Director · Individual0%50 facilities
Kirley, FrancisCorporate Officer · Individual0%50 facilities
Kirley, FrancisOperational/Managerial Control · Individual0%50 facilities
Lee, BrianCorporate Officer · Individual0%45 facilities
Miller, KelseyW-2 Managing Employee · Individual0%1 facilities
Nexion Health Leasing, Inc.5% Or Greater Indirect Ownership Interest · Organization0%33 facilities
Nexion Health Leasing, Inc.Operational/Managerial Control · Organization0%33 facilities
Nexion Health Of Ohi IncOperational/Managerial Control · Organization0%31 facilities
Nexion Health, Inc.5% Or Greater Indirect Ownership Interest · Organization0%33 facilities
Nexion Health, Inc.Operational/Managerial Control · Organization0%33 facilities
Reid, JohnCorporate Director · Individual0%17 facilities
Riner, MeeraCorporate Director · Individual0%46 facilities
Riner, MeeraCorporate Officer · Individual0%46 facilities
Riner, MeeraOperational/Managerial Control · Individual0%46 facilities

·

Fire safety

8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Services4E
  1. E

    Have properly installed electrical wiring and gas equipment.

    April 16, 2026 · K511 · Corrected May 15, 2026

  2. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    April 16, 2026 · K521 · Not yet marked corrected

  3. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    February 26, 2025 · K521 · Not yet marked corrected

  4. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    January 19, 2024 · K521 · Not yet marked corrected

Miscellaneous2F
  1. F

    Have simulated fire drills held at unexpected times.

    April 16, 2026 · K712 · Corrected May 15, 2026

  2. D

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

    January 19, 2024 · K741 · Corrected January 19, 2025

Smoke1F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    April 16, 2026 · K353 · Corrected May 15, 2026

Gas, Vacuum, and Electrical Systems1F
  1. F

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

    April 16, 2026 · K918 · Corrected May 15, 2026

·

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