Austin, TX

Coral Rehabilitation and Nursing of Austin

1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $376,390 in total fines with 41 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

6909 Burnet Ln, Austin, TX

(512) 452-5719

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

157

Certified beds

Average residents

78

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1990-01-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.33

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.72

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.88

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

2.93

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.05

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.52

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.24

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.37

CMS adjusted RN staffing hours

Adjusted total hours

3.23

CMS adjusted total nurse staffing hours

Case-mix index

1.24

Higher values indicate more complex resident acuity

RN turnover

71%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

51%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,899

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

14.81

Composite VBP score used to determine payment impact.

Payment multiplier

0.9814

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

1.21

Performance 58.73% · Measure score 1.21 · Achievement 1.21 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

1.75

Baseline 3.39 hours · Performance 3.58 hours · Measure score 1.75 · Achievement 1.75 · Improvement 0.29

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.76%
10.72%
About the same
No Different than the National Rate · Eligible stays 31 · Observed rate 16.13% · Lower 95% interval 7.51%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 1.17
1.02
0.1 pts worse
Drug regimen review with follow-up 45.45%
95.27%
49.8 pts worse
Numerator 10 · Denominator 22
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 22
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened 4.55%
2.29%
2.3 pts worse
Numerator 1 · Denominator 22 · Adjusted rate 3.85%
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 17 · 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 106
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 6 · 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 2.0
2.1
0.1 pts better
1.9
0.1 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.1 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.6
2.1
0.5 pts better
1.8
0.2 pts better
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.5 · Expected 1.6 · 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 100.0%
97.9%
2.1 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
3.3%
3.3 pts better
3.3%
3.3 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 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 1.4% · Q4 3.1% · 4Q avg 1.1%
Percentage of long-stay residents who lose too much weight 0.4%
3.3%
2.9 pts better
5.4%
5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.2%
18.9%
1.7 pts better
19.6%
2.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 21.1% · Q3 18.7% · Q4 13.2% · 4Q avg 17.2%
Percentage of long-stay residents who received an antipsychotic medication 13.6%
10.8%
2.8 pts worse
16.7%
3.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 5.4% · Q3 15.1% · Q4 13.3% · 4Q avg 13.6% · 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 30.6%
15.4%
15.2 pts worse
16.3%
14.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 42.2% · Q3 42.0% · Q4 34.0% · 4Q avg 30.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 28.7%
16.1%
12.6 pts worse
14.9%
13.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 34.3% · Q3 36.6% · Q4 36.7% · 4Q avg 28.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.7%
0.5%
0.2 pts worse
1.0%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
0.8%
0.8 pts better
1.7%
1.7 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 new or worsened bowel or bladder incontinence 14.0%
15.0%
1 pts better
19.8%
5.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 0.0% · Q3 6.3% · Q4 31.2% · 4Q avg 14.0%
Percentage of long-stay residents with pressure ulcers 4.4%
4.2%
0.2 pts worse
5.1%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 3.9% · Q3 3.9% · Q4 5.1% · 4Q avg 4.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.7%
89.7%
9 pts better
81.7%
17 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.7% · Q3 97.3% · Q4 100.0% · 4Q avg 98.7%
Percentage of short-stay residents who newly received an antipsychotic medication 1.3%
1.5%
0.2 pts better
1.6%
0.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 0.0% · Q3 0.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
88.0%
12 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-30 · Fire 2025-09-30

41 health deficiencies

Top issue: Quality of Life and Care (12 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-08-13 · Fire 2024-08-13

32 health deficiencies

Top issue: Resident Rights (11 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-06-29 · Fire 2023-06-29

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

4 fire-safety deficiencies

Top issue: Services (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-30

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-11-26

F · Potential for more than minimal harm 2025-09-30

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-11-26

F · Potential for more than minimal harm 2025-09-30

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-11-26

F · Potential for more than minimal harm 2025-09-30

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-11-26

F · Potential for more than minimal harm 2025-09-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-11-26

E · Potential for more than minimal harm 2025-09-30

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-11-26

E · Potential for more than minimal harm 2025-09-30

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-11-26

C · Minimal harm 2025-09-30

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Not marked corrected

C · Minimal harm 2025-09-30

K521 · Services Deficiencies

Fire Safety

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

Not marked corrected

F · Potential for more than minimal harm 2024-08-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-09-12

C · Minimal harm 2024-08-13

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Not marked corrected

C · Minimal harm 2024-08-13

K521 · Services Deficiencies

Fire Safety

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

Not marked corrected

E · Potential for more than minimal harm 2023-06-29

K111 · Construction Deficiencies

Fire Safety

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Corrected 2024-03-28

D · Potential for more than minimal harm 2023-06-29

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-03-28

C · Minimal harm 2023-06-29

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-03-28

C · Minimal harm 2023-06-29

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-03-28

Inspection history

Recent health citations

J · Immediate jeopardy 2025-12-10

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 2026-01-12

D · Potential for more than minimal harm 2025-12-10

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-01-12

D · Potential for more than minimal harm 2025-12-10

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 2026-01-12

J · Immediate jeopardy 2025-09-30

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-10-15

J · Immediate jeopardy 2025-09-30

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 2025-10-15

J · Immediate jeopardy 2025-09-30

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 2025-10-15

J · Immediate jeopardy 2025-09-30

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2025-10-15

F · Potential for more than minimal harm 2025-09-30

F925 · Environmental Deficiencies

Health

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

Corrected 2025-10-15

E · Potential for more than minimal harm 2025-09-30

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-10-15

E · Potential for more than minimal harm 2025-09-30

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 2025-10-15

E · Potential for more than minimal harm 2025-09-30

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 2025-10-15

E · Potential for more than minimal harm 2025-09-30

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 2025-10-15

D · Potential for more than minimal harm 2025-09-30

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 2025-10-15

D · Potential for more than minimal harm 2025-09-30

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 2025-10-15

D · Potential for more than minimal harm 2025-09-30

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 2025-10-15

D · Potential for more than minimal harm 2025-09-30

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-15

D · Potential for more than minimal harm 2025-09-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-15

J · Immediate jeopardy 2025-09-21

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-10-21

J · Immediate jeopardy 2025-09-21

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 2025-10-21

D · Potential for more than minimal harm 2025-09-21

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 2025-10-21

K · Immediate jeopardy 2025-09-05

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-10-05

K · Immediate jeopardy 2025-09-05

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-05

K · Immediate jeopardy 2025-09-05

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2025-10-05

D · Potential for more than minimal harm 2025-09-05

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-10-05

D · Potential for more than minimal harm 2025-09-05

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 2025-10-05

D · Potential for more than minimal harm 2025-09-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-05

E · Potential for more than minimal harm 2025-08-15

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-08-30

E · Potential for more than minimal harm 2025-07-23

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 2025-07-25

E · Potential for more than minimal harm 2025-06-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-10

E · Potential for more than minimal harm 2025-06-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-10

D · Potential for more than minimal harm 2025-06-05

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 2025-07-10

K · Immediate jeopardy 2025-05-21

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-06-25

K · Immediate jeopardy 2025-05-21

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-25

E · Potential for more than minimal harm 2025-05-21

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 2025-06-25

K · Immediate jeopardy 2025-05-10

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2025-06-14

D · Potential for more than minimal harm 2025-05-10

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 2025-06-14

E · Potential for more than minimal harm 2025-04-11

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-05-16

E · Potential for more than minimal harm 2025-04-11

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 2025-05-16

E · Potential for more than minimal harm 2025-04-11

F790 · Quality of Life and Care Deficiencies

Health

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-04-11

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 2025-05-16

D · Potential for more than minimal harm 2025-03-12

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 2025-04-16

E · Potential for more than minimal harm 2025-02-25

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 2025-04-01

D · Potential for more than minimal harm 2025-02-25

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2025-04-01

E · Potential for more than minimal harm 2025-01-03

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 2025-01-31

E · Potential for more than minimal harm 2025-01-03

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 2025-01-31

D · Potential for more than minimal harm 2025-01-03

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 2025-01-31

D · Potential for more than minimal harm 2025-01-03

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 2025-01-31

E · Potential for more than minimal harm 2024-12-05

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-15

D · Potential for more than minimal harm 2024-12-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-15

D · Potential for more than minimal harm 2024-11-08

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-12-20

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

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2024-10-23

J · Immediate jeopardy 2024-08-13

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-09-12

J · Immediate jeopardy 2024-08-13

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-09-12

E · Potential for more than minimal harm 2024-08-13

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-09-12

E · Potential for more than minimal harm 2024-08-13

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 2024-09-12

E · Potential for more than minimal harm 2024-08-13

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 2024-09-12

E · Potential for more than minimal harm 2024-08-13

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 2024-09-12

D · Potential for more than minimal harm 2024-08-13

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 2024-09-12

D · Potential for more than minimal harm 2024-08-13

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-09-12

D · Potential for more than minimal harm 2024-08-13

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-09-12

D · Potential for more than minimal harm 2024-08-13

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 2024-09-12

D · Potential for more than minimal harm 2024-08-13

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-09-12

D · Potential for more than minimal harm 2024-08-13

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-09-12

D · Potential for more than minimal harm 2024-08-13

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-09-12

D · Potential for more than minimal harm 2024-08-13

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 2024-09-12

D · Potential for more than minimal harm 2024-08-13

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 2024-09-12

D · Potential for more than minimal harm 2024-08-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-12

D · Potential for more than minimal harm 2024-06-28

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-07-24

D · Potential for more than minimal harm 2024-06-28

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-07-24

D · Potential for more than minimal harm 2024-06-28

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 2024-07-24

D · Potential for more than minimal harm 2024-06-14

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 2024-07-11

D · Potential for more than minimal harm 2024-03-20

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 2024-04-12

C · Minimal harm 2024-03-20

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 2024-04-12

K · Immediate jeopardy 2023-10-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-10-25

K · Immediate jeopardy 2023-10-24

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-10-25

J · Immediate jeopardy 2023-06-29

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 2023-07-29

E · Potential for more than minimal harm 2023-06-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-07-29

E · Potential for more than minimal harm 2023-06-29

F925 · Environmental Deficiencies

Health

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

Corrected 2023-07-29

D · Potential for more than minimal harm 2023-06-29

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 2023-07-29

E · Potential for more than minimal harm 2023-03-14

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 2023-04-28

Penalties and ownership

What sits behind the stars

$25,500 2025-12-10

Fine

Fine · fine $25,500

Fine

$0 2025-12-10

Payment Denial

Payment Denial · denial start 2026-01-07 · 5 days

5 day denial

$176,825 2025-08-15

Fine

Fine · fine $176,825

Fine

$0 2025-08-15

Payment Denial

Payment Denial · denial start 2025-10-09 · 12 days

12 day denial

$101,013 2025-02-25

Fine

Fine · fine $101,013

Fine

$0 2025-02-25

Payment Denial

Payment Denial · denial start 2025-05-25 · 46 days

46 day denial

$0 2024-11-08

Payment Denial

Payment Denial · denial start 2024-12-25 · 37 days

37 day denial

$23,366 2024-08-13

Fine

Fine · fine $23,366

Fine

$36,886 2023-10-24

Fine

Fine · fine $36,886

Fine

$12,800 2023-06-29

Fine

Fine · fine $12,800

Fine

Ownership

Chambers County Public Hospital District No. 1

5% Or Greater Direct Ownership Interest · Organization

100% 19 facilities 2024-06-01
6909 Burnett Management LLC

Operational/Managerial Control · Organization

0% 1 facilities 2024-06-01
Efroymson, David

Operational/Managerial Control · Individual

0% 4 facilities 2024-06-01
Marks, Benjamin

W-2 Managing Employee · Individual

0% 1 facilities 2024-06-01
Marpu, Prasanna

Contracted Managing Employee · Individual

0% 1 facilities 2024-06-01
Newton, Elizabeth

Corporate Director · Individual

0% 20 facilities 2024-06-01

Nearby options

Other facilities in reach

#1

The Arbour At Westminster Manor

Austin, TX

5-star overall rating with 4-star inspections with $29,085 in total fines with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
4 / 5
Staffing
4 / 5
Fines
$29,085
#2

Juniper Village At Spicewood Summit

Austin, TX

2-star overall rating with 3-star inspections with $99,713 in total fines with 5 recent health deficiencies

Overall
2 / 5
Health
3 / 5
Staffing
1 / 5
Fines
$99,713
#3

Sedona Trace Health And Wellness Center

Austin, TX

4-star overall rating with 4-star inspections with $11,168 in total fines with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
1 / 5
Fines
$11,168

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