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

Park Valley Inn Health Center

17751 Park Valley Drive, Round Rock, TX · (512) 218-6000

  • Cited for abuse (CMS abuse icon)

CMS overall rating

2 of 5

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Certified beds
128
Residents per day
103
Ownership
For-Profit
Chain
Cantex Continuing Care
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 11, 2019

1

How this home got 2 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

    +1 star

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

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Texas homes

Park Valley Inn Health Center carries 226.5 inspection points. That is fewer than 7% 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 · 226.5 pts · 1★

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

41 health citations on record since 2023. 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 2 50 pts
K 2 100 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 25 4 pts
E 8 8 pts
F 4 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.

Harm and immediate-jeopardy citations (4)

  1. K

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

    June 29, 2026 · Complaint inspection · Quality of Life and Care · F684 · Corrected June 30, 2026

  2. K

    Provide and implement an infection prevention and control program.

    January 18, 2025 · Standard inspection · Infection Control · F880 · Corrected January 23, 2025

  3. J

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

    January 18, 2025 · Standard inspection · Quality of Life and Care · F689 · Corrected January 23, 2025

  4. J

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

    December 10, 2024 · Complaint inspection · Quality of Life and Care · F684 · Corrected December 5, 2024

Everything else, by area of care

Quality of Life and Care8E
  1. E

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

    June 29, 2026 · Complaint · F697 · Corrected June 30, 2026

  2. D

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

    June 8, 2026 · Complaint · F677 · Corrected June 22, 2026

  3. D

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

    May 19, 2026 · Complaint · F684 · Corrected June 2, 2026

  4. D

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

    May 19, 2026 · Complaint · F689 · Corrected June 2, 2026

  5. E

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

    March 11, 2026 · Standard · F677 · Corrected March 26, 2026

  6. D

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

    January 18, 2025 · Standard · F692 · Corrected January 23, 2025

  7. D

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

    November 6, 2024 · Complaint · F695 · Corrected December 3, 2024

  8. D

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

    December 13, 2023 · Standard · F689 · Corrected January 8, 2024

Freedom from Abuse, Neglect, and Exploitation7D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    June 29, 2026 · Complaint · F609 · Corrected June 30, 2026

  2. D

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

    November 18, 2025 · Complaint · F600 · Corrected October 14, 2025

  3. D

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

    January 18, 2025 · Standard · F604 · Corrected January 23, 2025

  4. D

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

    January 18, 2025 · Standard · F607 · Corrected January 23, 2025

  5. D

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

    November 6, 2024 · Complaint · F600 · Corrected December 3, 2024

  6. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    December 13, 2023 · Standard · F609 · Corrected January 8, 2024

  7. D

    Respond appropriately to all alleged violations.

    December 13, 2023 · Standard · F610 · Corrected January 8, 2024

Resident Rights6E
  1. D

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

    February 17, 2026 · Complaint · F580 · Corrected February 18, 2026

  2. D

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

    December 1, 2025 · Complaint · F550 · Corrected September 10, 2025

  3. E

    Reasonably accommodate the needs and preferences of each resident.

    January 18, 2025 · Standard · F558 · Corrected January 23, 2025

  4. D

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

    January 18, 2025 · Standard · F550 · Corrected January 23, 2025

  5. D

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    June 24, 2024 · Complaint · F553 · Corrected July 20, 2024

  6. D

    Reasonably accommodate the needs and preferences of each resident.

    December 13, 2023 · Standard · F558 · Corrected January 8, 2024

Resident Assessment and Care Planning4E
  1. D

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

    June 29, 2026 · Complaint · F657 · Corrected June 30, 2026

  2. D

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

    August 9, 2025 · Complaint · F656 · Corrected August 12, 2025

  3. E

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

    June 4, 2025 · Complaint · F656 · Corrected June 6, 2025

  4. 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 18, 2025 · Standard · F657 · Corrected January 23, 2025

Pharmacy Service3E
  1. E

    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.

    July 21, 2026 · Complaint · F761 · Corrected July 22, 2026

  2. D

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

    March 11, 2026 · Standard · F755 · Corrected March 26, 2026

  3. D

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

    January 18, 2025 · Standard · F755 · Corrected January 23, 2025

Nutrition and Dietary3F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 18, 2025 · Standard · F812 · Corrected January 23, 2025

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    December 13, 2023 · Standard · F812 · Corrected January 8, 2024

  3. D

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    December 13, 2023 · Standard · F806 · Corrected January 8, 2024

Administration2E
  1. E

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    June 29, 2026 · Complaint · F835 · Corrected June 30, 2026

  2. D

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    June 24, 2024 · Complaint · F849 · Corrected July 20, 2024

Infection Control2F
  1. D

    Provide and implement an infection prevention and control program.

    March 11, 2026 · Standard · F880 · Corrected March 26, 2026

  2. F

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    February 7, 2024 · Complaint · F882 · Corrected February 28, 2024

Environmental1E
  1. E

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    March 11, 2026 · Standard · F919 · Corrected March 26, 2026

Nursing and Physician Services1F
  1. F

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    December 13, 2023 · Standard · F727 · Corrected January 2, 2024

Inspection history

  1. 2026-03-11

    16 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

  2. 2025-01-18

    15 health deficiencies · 1 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  3. 2023-12-13

    10 health deficiencies · 1 fire-safety deficiencies

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

4

Nursing time per resident, per day

Each resident here gets about 3 h 22 min of nursing staff time a day, 23 min of it from a registered nurse.

This home

3 h 22 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 50% of nursing staff and 71% of registered nurses left in the past year, along with 2 administrators.

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

5

Fines and payment denials

$136,782 in federal fines on record over the past three years.

DatePenaltyAmount
2026-05-19Fine$39,750
2025-01-18Fine$88,205
2024-12-10Fine$8,827

6

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 days1.1 pts better0.92.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts better0.62.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better100.0%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2 pts better99.0%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts worse4.3%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms2.3 pts better0.0%2.3%13.5%
Percentage of long-stay residents who lose too much weight0.4 pts better2.5%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication9.8 pts worse27.6%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication2.1 pts better7.7%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened4.9 pts better8.0%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts better14.1%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 infection0.8 pts better0.0%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4 pts better8.5%12.5%18.3%
Percentage of long-stay residents with pressure ulcers0.1 pts better3.6%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.9 pts better96.6%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.1 pts better12.1%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better1.2%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.5 pts better94.9%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.3 pts worse27.8%25.5%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Asogwa, AmyAdp Of The SNF · Individual0%1 facilities
First Park Valley Capital Funding LLCAdp Of The SNF · Organization0%1 facilities
Hamilton County Hospital DistrictOperational/Managerial Control · Organization0%7 facilities
Hooper, GradyCorporate Officer · Individual0%61 facilities
Hooper, GradyOperational/Managerial Control · Individual0%61 facilities
Lopez, RicardoOperational/Managerial Control · Individual0%1 facilities
Lopez, RicardoAdp Of The SNF · Individual0%1 facilities
Park Valley Health Care Center Ltd. Co.Operational/Managerial Control · Organization0%1 facilities
Park Valley Health Care Center Ltd. Co.Adp Of The SNF · Organization0%1 facilities
Stephen Duck, Cpa PcAdp Of The SNF · Organization0%10 facilities
Syed, AsifOperational/Managerial Control · Individual0%6 facilities
Syed, AsifAdp Of The SNF · Individual0%6 facilities

·

Fire safety

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

Services1F
  1. F

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

    January 18, 2025 · K521 · Corrected March 18, 2025

Smoke1D
  1. D

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    December 13, 2023 · K374 · Corrected January 8, 2024

·

Other homes nearby

  1. Hearthstone Nursing And Rehabilitation

    Round Rock, TX · Caraday Healthcare

    Worst citation, 3 yrs
    K
    Nursing / resident / day
    2 h 58 min
    Fines
    $25,626
  2. The Center At Parmer

    Austin, TX · Veritas Management Group

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    4 h 39 min
    Fines
    $0
  3. Ignite Medical Resort Round Rock, LLC

    Austin, TX · Ignite Medical Resorts

    Worst citation, 3 yrs
    J
    Nursing / resident / day
    3 h 49 min
    Fines
    $63,733