Federal inspection record · CMS data as of October 1, 2026
Southpark Meadows Nursing And Rehabilitation Cente
9801 S 1st Street, Austin, TX · (512) 292-3071
- Certified beds
- 120
- Residents per day
- 106
- Ownership
- Non-Profit
- Chain
- Wellsential Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 14, 2011
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Southpark Meadows Nursing And Rehabilitation Cente carries 62.5 inspection points. That is fewer than 57% of Texas's 1,166 rated homes.
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
24 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (3)
-
H
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
H
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
H
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Everything else, by area of care
Resident Assessment and Care Planning6E
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Rights5E
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Reasonably accommodate the needs and preferences of each resident.
- E
Keep residents' personal and medical records private and confidential.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pharmacy Service3E
- 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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
Quality of Life and Care3E
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Nutrition and Dietary2E
- D
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Environmental1F
- F
Keep all essential equipment working safely.
Inspection history
2025-12-08
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2024-08-22
9 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2023-06-15
8 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 52 min of nursing staff time a day, 19 min of it from a registered nurse.
This home
2 h 52 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 57% of registered nurses left in the past year, along with 1 administrator.
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
$10,998 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-06-06 | Fine | $10,998 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.1 pts better | 0.9 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts better | 0.6 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.5 pts worse | 88.9% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.7 pts worse | 95.3% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts better | 1.2% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts better | 1.4% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.7 pts worse | 18.5% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.4 pts better | 6.4% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1 pts better | 11.9% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.9 pts worse | 26.7% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3 pts worse | 15.5% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.3 pts worse | 5.0% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.1 pts better | 91.8% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.2 pts better | 12.0% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 1.1% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.3 pts worse | 83.1% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.1 pts worse | 27.6% | 25.5% | 23.4% |
·
Who owns and runs it
34 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Smithville Hospital Authority | 5% Or Greater Direct Ownership Interest · Organization | 100% | 5 facilities |
| 9801 South First Street LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Baird, Daniel | Managing Control - Governing Body · Individual | 0% | 58 facilities |
| Bunte, Mark | Managing Control - Governing Body · Individual | 0% | 5 facilities |
| Clapp, Barbara | Managing Control - Governing Body · Individual | 0% | 69 facilities |
| Cortese, Daren | Managing Control - Governing Body · Individual | 0% | 58 facilities |
| Csv Rhea Management Holdco, LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Dekowski, Donovan | Operational/Managerial Control · Individual | 0% | 69 facilities |
| Dekowski, Donovan | Adp Of The SNF · Individual | 0% | 69 facilities |
| Dwd Tx Holdings LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Flores, Raquel | Adp Of The SNF · Individual | 0% | 1 facilities |
| Fulcher, Ann | Managing Control - Governing Body · Individual | 0% | 5 facilities |
| Gibson, Patricia | Managing Control - Governing Body · Individual | 0% | 57 facilities |
| Gutierrez, Michael | Adp Of The SNF · Individual | 0% | 4 facilities |
| Jack And Nancy Dwyer Workforce Development Center Inc | Indirect Ownership Interest · Organization | 0% | 68 facilities |
| Mandelbaum, Elliot | Managing Control - Governing Body · Individual | 0% | 61 facilities |
| Niitzel, Kimberly | Adp Of The SNF · Individual | 0% | 1 facilities |
| Reg Bridge Opco LLC | Indirect Ownership Interest · Organization | 0% | 19 facilities |
| Reg Hg Opco LLC | Indirect Ownership Interest · Organization | 0% | 39 facilities |
| Reg Operator Holdco LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Regency Ihs Clinical Consulting, LLC | Adp Of The SNF · Organization | 0% | 70 facilities |
| Regency Ihs Of Southpark Meadows, LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Regency Ihs Of Southpark Meadows, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Regency Ihs Rehab LLC | Adp Of The SNF · Organization | 0% | 68 facilities |
| Regency Integrated Health Services LLC | Indirect Ownership Interest · Organization | 0% | 70 facilities |
| Regency Integrated Health Services LLC | Operational/Managerial Control · Organization | 0% | 70 facilities |
| Regency Integrated Health Services LLC | Adp Of The SNF · Organization | 0% | 70 facilities |
| Regency Texas Holdings LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Smithville Hospital Authority | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Smithville Hospital Authority | Adp Of The SNF · Organization | 0% | 5 facilities |
| Strong, Tyler | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Strong, Tyler | Adp Of The SNF · Individual | 0% | 2 facilities |
| Wilson, Linda | Managing Control - Governing Body · Individual | 0% | 7 facilities |
| Wilson, Linda | Corporate Officer · Individual | 0% | 7 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Smoke2E
- E
Provide properly protected cooking facilities.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Emergency Preparedness1F
- F
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous1E
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
-
Onion Creek Nursing and Rehabilitation Center
Austin, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 13 min
- Fines
- $51,337
-
Brodie Ranch Nursing And Rehabilitation Center
Austin, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 30 min
- Fines
- $51,477
-
West Oaks Nursing And Rehabilitation Center
Austin, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 6 min
- Fines
- $39,527