Bee Cave, TX

Park Manor Bee Cave

1-star overall rating with 1-star inspections with $19,608 in total fines with 10 recent health deficiencies

14058 Bee Caves Parkway, Bldg B, Bee Cave, TX

(512) 872-8170

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

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

140

Certified beds

Average residents

117

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

The Ensign Group

Operator or chain grouping

Approved since

2014-12-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

329 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

0.34

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

1.06

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.93

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.33

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.40

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.93

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.12

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.16

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.38

CMS adjusted RN staffing hours

Adjusted total hours

3.75

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

57%

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

8,715

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

Performance score

25.88

Composite VBP score used to determine payment impact.

Payment multiplier

0.9840

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.28

Baseline 20.47% · Performance 18.98% · Measure score 5.28 · Achievement 5.28 · Improvement 3.83

Healthcare-associated infections

3.05

Baseline 5.83% · Performance 6.92% · Measure score 3.05 · Achievement 3.05 · Improvement 0

Total nurse turnover

Performance 72.22% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

2.02

Baseline 3.68 hours · Performance 3.65 hours · Measure score 2.02 · Achievement 2.02 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.63%	10.72% 0.9 pts worse	No Different than the National Rate · Eligible stays 135 · Observed rate 12.59% · Lower 95% interval 8.28%
Discharge to community	43.29%	50.57% 7.3 pts worse	Worse than the National Rate · Eligible stays 115 · Observed rate 36.52% · Lower 95% interval 33.07%
Medicare spending per beneficiary	0.88	1.02 0.1 pts better
Drug regimen review with follow-up	93.55%	95.27% 1.7 pts worse	Numerator 58 · Denominator 62
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 62
Discharge self-care score	42.86%	53.69% 10.8 pts worse	Numerator 18 · Denominator 42
Discharge mobility score	42.86%	50.94% 8.1 pts worse	Numerator 18 · Denominator 42
Pressure ulcers or injuries, new or worsened	1.61%	2.29% 0.7 pts better	Numerator 1 · Denominator 62 · Adjusted rate 1.52%
Healthcare-associated infections requiring hospitalization	6.92%	7.12% 0.2 pts better	No Different than the National Rate · Eligible stays 49 · Observed rate 6.12% · Lower 95% interval 3.82%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 132
Staff flu vaccination coverage	38.3%	42% 3.7 pts worse	Numerator 72 · Denominator 188
Discharge function score	50%	56.45% 6.5 pts worse	Numerator 21 · Denominator 42
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	0%	25.2% 25.2 pts worse	Numerator 0 · Denominator 39

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.4	2.1 0.7 pts better	1.9 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.9	2.1 1.2 pts better	1.8 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	93.4%	97.1% 3.7 pts worse	93.4% About the same	Long Stay · 2024Q4-2025Q3 · Q1 82.4% · Q2 89.4% · Q3 100.0% · Q4 100.0% · 4Q avg 93.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	94.1%	97.9% 3.8 pts worse	95.5% 1.4 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 94.1%
Percentage of long-stay residents experiencing one or more falls with major injury	2.3%	3.3% 1 pts better	3.3% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.1% · Q3 2.8% · Q4 2.9% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.6%	2.7% 0.1 pts better	11.4% 8.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 6.2% · Q3 1.0% · Q4 1.1% · 4Q avg 2.6%
Percentage of long-stay residents who lose too much weight	2.6%	3.3% 0.7 pts better	5.4% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 4.3% · Q4 4.3% · 4Q avg 2.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	11.3%	18.9% 7.6 pts better	19.6% 8.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 16.9% · Q3 8.2% · Q4 7.2% · 4Q avg 11.3%
Percentage of long-stay residents who received an antipsychotic medication	9.2%	10.8% 1.6 pts better	16.7% 7.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 6.1% · Q3 10.8% · Q4 11.7% · 4Q avg 9.2% · 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	18.3%	15.4% 2.9 pts worse	16.3% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 49.0% · Q3 6.2% · Q4 4.9% · 4Q avg 18.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.6%	16.1% 1.5 pts worse	14.9% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 26.8% · Q3 17.1% · Q4 9.0% · 4Q avg 17.6% · 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	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	18.8%	15.0% 3.8 pts worse	19.8% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 21.9% · Q3 9.5% · Q4 23.2% · 4Q avg 18.8%
Percentage of long-stay residents with pressure ulcers	4.6%	4.2% 0.4 pts worse	5.1% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 5.1% · Q3 5.2% · Q4 4.3% · 4Q avg 4.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	63.4%	89.7% 26.3 pts worse	81.7% 18.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 33.7% · Q2 48.3% · Q3 73.1% · Q4 93.9% · 4Q avg 63.4%
Percentage of short-stay residents who had an outpatient emergency department visit	10.6%	12.0% 1.4 pts better	12.0% 1.4 pts better	Short Stay · 20240701-20250630 · Adjusted 10.6% · Observed 10.5% · Expected 11.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	36.4%	88.0% 51.6 pts worse	79.7% 43.3 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 36.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	22.1%	25.9% 3.8 pts better	23.9% 1.8 pts better	Short Stay · 20240701-20250630 · Adjusted 22.1% · Observed 21.1% · Expected 22.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-17 · Fire 2025-09-17

10 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

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

19 health deficiencies

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

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2023-06-14 · Fire 2023-06-14

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

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

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-02-07

F · Potential for more than minimal harm 2023-06-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-31

F · Potential for more than minimal harm 2023-06-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-05-21

E · Potential for more than minimal harm 2023-06-14

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-04-17

D · Potential for more than minimal harm 2023-06-14

K241 · Egress Deficiencies

Fire Safety

Have correct number of accessible exits for each story.

Corrected 2024-04-17

C · Minimal harm 2023-06-14

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-04-30

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-09-17

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 2025-09-18

E · Potential for more than minimal harm 2025-09-17

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 2025-09-18

D · Potential for more than minimal harm 2025-09-17

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 2025-09-18

G · Actual harm 2025-09-10

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-11

E · Potential for more than minimal harm 2025-09-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-11

D · Potential for more than minimal harm 2025-09-10

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-11

D · Potential for more than minimal harm 2025-08-18

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 2025-09-05

D · Potential for more than minimal harm 2025-06-02

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 2025-06-17

H · Actual harm 2025-05-28

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-12

G · Actual harm 2025-04-29

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 2025-05-14

D · Potential for more than minimal harm 2025-01-10

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-01-11

D · Potential for more than minimal harm 2025-01-10

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 2025-01-11

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

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2024-08-09

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

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-08-09

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

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 2024-08-09

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

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-09

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

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-08-09

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

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2024-08-09