Lakeway, TX

Brookdale Lakeway SNF

2-star overall rating with 2-star inspections with $91,420 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1917 Lohmans Crossing Rd, Lakeway, TX

(512) 261-3211

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

98

Certified beds

Average residents

47

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Brookdale Senior Living

Operator or chain grouping

Approved since

2007-03-20

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.89

Registered nurse staffing

LPN hours / resident day

1.28

Licensed practical nurse staffing

Aide hours / resident day

2.12

Nurse aide staffing

Weekend hours

3.94

Weekend nurse staffing

RN turnover

58%

Annual RN turnover

Total nurse turnover

48%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.5%
97.1%
1.6 pts worse
93.4%
2.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.0%
97.9%
0.9 pts worse
95.5%
1.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.5%
3.3%
1.2 pts worse
3.3%
1.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
2.7%
2.7 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 7.5%
3.3%
4.2 pts worse
5.4%
2.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.7%
18.9%
4.2 pts better
19.6%
4.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 14.3%
10.8%
3.5 pts worse
16.7%
2.4 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 9.6%
15.4%
5.8 pts better
16.3%
6.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 20.0%
16.1%
3.9 pts worse
14.9%
5.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.4%
0.5%
2.9 pts worse
1.0%
2.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.9%
0.8%
0.1 pts worse
1.7%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 24.9%
15.0%
9.9 pts worse
19.8%
5.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.2%
4.2%
1 pts better
5.1%
1.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 77.7%
89.7%
12 pts worse
81.7%
4 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 10.8%
12.0%
1.2 pts better
12.0%
1.2 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.4%
1.5%
1.1 pts better
1.6%
1.2 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 73.4%
88.0%
14.6 pts worse
79.7%
6.3 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.8%
25.9%
7.1 pts better
23.9%
5.1 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-21 · Fire 2025-08-21

6 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

2 fire-safety deficiencies

Top issue: Electrical (1 deficiency)

Cycle 2 Health 2024-07-31 · Fire 2024-07-31

9 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-06-09 · Fire 2023-06-09

8 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-21

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2025-12-09

D · Potential for more than minimal harm 2025-08-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-12-09

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-08-21

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2025-08-29

E · Potential for more than minimal harm 2025-08-21

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-08-29

E · Potential for more than minimal harm 2025-08-21

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 2025-08-29

E · Potential for more than minimal harm 2025-08-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-08-29

C · Minimal harm 2025-08-21

F575 · Resident Rights Deficiencies

Health

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Corrected 2025-08-29

C · Minimal harm 2025-08-21

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2025-08-29

K · Immediate jeopardy 2025-01-14

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 2025-02-11

D · Potential for more than minimal harm 2024-10-07

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 2024-10-12

J · Immediate jeopardy 2024-09-01

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-09-05

J · Immediate jeopardy 2024-09-01

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-09-05

E · Potential for more than minimal harm 2024-07-31

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 2024-08-08

E · Potential for more than minimal harm 2024-07-31

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 2024-08-08

D · Potential for more than minimal harm 2024-07-31

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-08-08

D · Potential for more than minimal harm 2024-07-31

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-08-08

B · Minimal harm 2024-07-31

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-08-08

F · Potential for more than minimal harm 2023-06-09

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 2023-07-01

F · Potential for more than minimal harm 2023-06-09

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 2023-07-01

F · Potential for more than minimal harm 2023-06-09

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 2023-07-01

E · Potential for more than minimal harm 2023-06-09

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 2023-07-01

E · Potential for more than minimal harm 2023-06-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-07-01

D · Potential for more than minimal harm 2023-06-09

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-07-01

D · Potential for more than minimal harm 2023-06-09

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-07-01

D · Potential for more than minimal harm 2023-06-09

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-07-01

Penalties and ownership

What sits behind the stars

$74,848 2025-01-14

Fine

Fine · fine $74,848

Fine

$16,572 2024-09-01

Fine

Fine · fine $16,572

Fine

Ownership

American Retirement Corporation

5% Or Greater Direct Ownership Interest · Organization

100% 4 facilities 2008-12-23
Brookdale Senior Living Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 9 facilities 2008-12-23
Ibarra, Cynthia

Operational/Managerial Control · Individual

0% 1 facilities 2025-07-22
Kaestner, Henry

Corporate Director · Individual

0% 5 facilities 2022-03-01
Kaestner, Henry

Corporate Officer · Individual

0% 5 facilities 2022-03-01
Kussow, Dawn

5% Or Greater Indirect Ownership Interest · Individual

0% 13 facilities 2025-04-30
Kussow, Dawn

Operational/Managerial Control · Individual

0% 13 facilities 2024-07-23
La Marre, Kevin

Operational/Managerial Control · Individual

0% 14 facilities 2024-04-05
Leblanc, Jacob

Operational/Managerial Control · Individual

0% 1 facilities 2025-07-22
Leskowicz, Joanne

Corporate Officer · Individual

0% 3 facilities 2016-04-01
Munoz, Anna

Operational/Managerial Control · Individual

0% 14 facilities 2024-04-05
Pando, Edward

Operational/Managerial Control · Individual

0% 1 facilities 2025-07-22
Stengle, Nikolas

Operational/Managerial Control · Individual

0% 12 facilities 2025-11-08
Stengle, Nikolas

Corporate Officer · Individual

0% 12 facilities 2025-11-08
White, Chadwick

5% Or Greater Indirect Ownership Interest · Individual

0% 14 facilities 2025-04-30
White, Chadwick

Operational/Managerial Control · Individual

0% 14 facilities 2018-03-09
White, Chadwick

Corporate Officer · Individual

0% 14 facilities 2018-03-09

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Overall
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Staffing
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#3

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Staffing
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Fines
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