Shavano Park, TX

Estates At Shavano Park

3-star overall rating with 4-star inspections with 12 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

4366 Lockhill Selma, Shavano Park, TX

(210) 761-9261

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

112

Certified beds

Average residents

61

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2021-07-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.26

Registered nurse staffing

LPN hours / resident day

1.24

Licensed practical nurse staffing

Aide hours / resident day

2.31

Nurse aide staffing

Weekend hours

3.33

Weekend nurse staffing

RN turnover

57%

Annual RN turnover

Total nurse turnover

61%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.5
2.1
0.4 pts worse
1.9
0.6 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.0
2.1
0.1 pts better
1.8
0.2 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 81.0%
97.1%
16.1 pts worse
93.4%
12.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 89.3%
97.9%
8.6 pts worse
95.5%
6.2 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.5%
3.3%
0.2 pts worse
3.3%
0.2 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 3.2%
3.3%
0.1 pts better
5.4%
2.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.7%
18.9%
4.8 pts worse
19.6%
4.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 4.2%
10.8%
6.6 pts better
16.7%
12.5 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 26.6%
15.4%
11.2 pts worse
16.3%
10.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 26.9%
16.1%
10.8 pts worse
14.9%
12 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.6%
0.5%
2.1 pts worse
1.0%
1.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.7%
0.8%
2.9 pts worse
1.7%
2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 19.2%
15.0%
4.2 pts worse
19.8%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 6.0%
4.2%
1.8 pts worse
5.1%
0.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 24.2%
89.7%
65.5 pts worse
81.7%
57.5 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 10.4%
12.0%
1.6 pts better
12.0%
1.6 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.5%
1.5%
About the same
1.6%
0.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 27.7%
88.0%
60.3 pts worse
79.7%
52 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.2%
25.9%
4.7 pts better
23.9%
2.7 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-06 · Fire 2024-12-06

12 health deficiencies

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

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-10-26 · Fire 2023-10-26

8 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-09-09 · Fire 2022-09-09

4 health deficiencies

Top issue: Quality of Life and Care (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 2024-12-06

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-12-04

E · Potential for more than minimal harm 2024-12-06

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-12-04

D · Potential for more than minimal harm 2024-12-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-04

D · Potential for more than minimal harm 2024-12-06

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-12-04

Inspection history

Recent health citations

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

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-12-04

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

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-12-04

D · Potential for more than minimal harm 2025-11-25

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 2025-11-26

D · Potential for more than minimal harm 2025-11-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-11-26

D · Potential for more than minimal harm 2025-09-29

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-10-18

D · Potential for more than minimal harm 2025-09-29

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-18

E · Potential for more than minimal harm 2024-12-06

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 2024-12-07

D · Potential for more than minimal harm 2024-12-06

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-12-06

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-12-07

D · Potential for more than minimal harm 2024-12-06

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-12-07

D · Potential for more than minimal harm 2024-12-06

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2024-12-07

B · Minimal harm 2024-12-06

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 2024-12-07

E · Potential for more than minimal harm 2023-10-26

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-11-14

E · Potential for more than minimal harm 2023-10-26

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 2023-11-16

E · Potential for more than minimal harm 2023-10-26

F808 · Nutrition and Dietary Deficiencies

Health

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2023-11-16

E · Potential for more than minimal harm 2023-10-26

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 2023-11-16

D · Potential for more than minimal harm 2023-10-26

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 2023-11-15

D · Potential for more than minimal harm 2023-10-26

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-11-14

D · Potential for more than minimal harm 2023-10-26

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 2023-11-17

D · Potential for more than minimal harm 2023-10-26

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 2023-11-16

D · Potential for more than minimal harm 2022-09-09

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-10-08

D · Potential for more than minimal harm 2022-09-09

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 2022-10-08

D · Potential for more than minimal harm 2022-09-09

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 2022-10-08

D · Potential for more than minimal harm 2022-09-09

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-10-08

Penalties and ownership

What sits behind the stars

Ownership

Dkp Investments, LLC

5% Or Greater Direct Ownership Interest · Organization

67% 10 facilities 2021-07-16
Prince, Danny

5% Or Greater Indirect Ownership Interest · Individual

67% 12 facilities 2021-07-16
Slm Investments LLC

5% Or Greater Direct Ownership Interest · Organization

33% 5 facilities 2021-07-16
Golden, Lauren

5% Or Greater Indirect Ownership Interest · Individual

17% 8 facilities 2021-07-16
Golden, Shawn

5% Or Greater Indirect Ownership Interest · Individual

17% 5 facilities 2021-07-16
Aziz, Wesam

Operational/Managerial Control · Individual

0% 4 facilities 2021-07-16
Dkp Investments, LLC

5% Or Greater Mortgage Interest · Organization

0% 10 facilities 2021-07-16
Go Properties 3, LLC

5% Or Greater Mortgage Interest · Organization

0% 1 facilities 2021-07-16
Golden, Lauren

Operational/Managerial Control · Individual

0% 8 facilities 2021-07-16
Golden, Lauren

5% Or Greater Mortgage Interest · Individual

0% 8 facilities 2021-07-16
Golden, Shawn

5% Or Greater Mortgage Interest · Individual

0% 5 facilities 2021-07-16
Prince & Luffey LLC

Operational/Managerial Control · Organization

0% 1 facilities 2023-06-01
Prince, Danny

5% Or Greater Mortgage Interest · Individual

0% 12 facilities 2021-07-16
Slm Investments LLC

5% Or Greater Mortgage Interest · Organization

0% 5 facilities 2021-07-16
Wiederholt, Brandon

Operational/Managerial Control · Individual

0% 1 facilities 2021-07-16

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Health
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Staffing
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Fines
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#3

The Heights At Medical Center

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1-star overall rating with 2-star inspections with $22,052 in total fines with 9 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
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Health
2 / 5
Staffing
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Fines
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