10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Austin, TX
5-star overall rating with 4-star inspections with 10 recent health deficiencies
13800 N Fm 620 Rd Sb, Austin, TX
(737) 236-6400
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
80
Certified beds
Average residents
73
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Veritas Management Group
Operator or chain grouping
Approved since
2020-03-23
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
15 facilities
Chain averages 4 overall / 4 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.65
Registered nurse staffing · state 0.44 · national 0.68
LPN hours / resident day
1.68
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
2.17
Nurse aide staffing · state 2.01 · national 2.35
Total nurse hours
4.50
All reported nurse hours · state 3.40 · national 3.89
Licensed hours
2.33
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
4.11
Weekend nurse staffing · state 2.99 · national 3.43
Weekend RN hours
0.56
Weekend registered nurse coverage · state 0.34 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.58
CMS adjusted RN staffing hours
Adjusted total hours
4.03
CMS adjusted total nurse staffing hours
Case-mix index
1.53
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 52% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Program rank
2,288
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
50.45
Composite VBP score used to determine payment impact.
Payment multiplier
1.0046
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
7.97
Baseline 25.91% · Performance 18.39% · Measure score 7.97 · Achievement 6.56 · Improvement 7.97
Healthcare-associated infections
6.67
Baseline 10.46% · Performance 6.54% · Measure score 6.67 · Achievement 4.32 · Improvement 6.67
Total nurse turnover
3
Baseline 80.00% · Performance 60.71% · Measure score 3 · Achievement 0.73 · Improvement 3
Adjusted total nurse staffing
2.55
Baseline 4.06 hours · Performance 3.80 hours · Measure score 2.55 · Achievement 2.55 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.13% |
10.72%
1.6 pts better
|
No Different than the National Rate · Eligible stays 410 · Observed rate 7.8% · Lower 95% interval 6.88% |
| Discharge to community | 67.81% |
50.57%
17.2 pts better
|
Better than the National Rate · Eligible stays 395 · Observed rate 63.54% · Lower 95% interval 61.35% |
| Medicare spending per beneficiary | 1.23 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 78.75% |
95.27%
16.5 pts worse
|
Numerator 252 · Denominator 320 |
| Falls with major injury | 0.31% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 320 |
| Discharge self-care score | 59.72% |
53.69%
6 pts better
|
Numerator 129 · Denominator 216 |
| Discharge mobility score | 32.41% |
50.94%
18.5 pts worse
|
Numerator 70 · Denominator 216 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 320 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.54% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 283 · Observed rate 5.65% · Lower 95% interval 4.25% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 124 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 125 · Denominator 125 |
| Discharge function score | 43.52% |
56.45%
12.9 pts worse
|
Numerator 94 · Denominator 216 |
| Transfer of health information to provider | 98.84% |
95.95%
2.9 pts better
|
Numerator 171 · Denominator 173 |
| Transfer of health information to patient | 94.93% |
96.28%
1.3 pts worse
|
Numerator 131 · Denominator 138 |
| Resident COVID-19 vaccinations up to date | 2.5% |
25.2%
22.7 pts worse
|
Numerator 4 · Denominator 160 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% |
89.7%
7.8 pts better
|
81.7%
15.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.1% · Q2 97.8% · Q3 98.7% · Q4 97.4% · 4Q avg 97.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.8% |
12.0%
2.2 pts better
|
12.0%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.8% · Observed 10.0% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.5%
1.3 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.3% · Q2 0.3% · Q3 0.3% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.3% |
88.0%
1.7 pts worse
|
79.7%
6.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.9% |
25.9%
9 pts better
|
23.9%
7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.9% · Observed 19.0% · Expected 26.9% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Administration (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-10-04
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-10-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-10-05
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-11-25
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-11-25
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-07-16
Health
Respond appropriately to all alleged violations.
Corrected 2025-07-16
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-07-14
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-11-24
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-11-24
Health
Provide activities to meet all resident's needs.
Corrected 2024-11-24
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-24
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-24
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 2024-03-08
Health
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2023-09-25
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-09-25
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-09-25
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-25
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-06-18
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 2022-06-18
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-06-18
Penalties and ownership
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Nearby options
Austin, TX
2-star overall rating with 1-star inspections with $84,696 in total fines with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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Round Rock, TX
3-star overall rating with 3-star inspections with $152,617 in total fines with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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