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

The Springs Healthcare and Rehabilitation

1500 Cottonwood Creek Trail, Cedar Park, TX · (512) 259-4259

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
120
Residents per day
111
Ownership
For-Profit
Chain
Ml Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
November 19, 2012

1

How this home got 4 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

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

The Springs Healthcare and Rehabilitation carries 69.5 inspection points. That is fewer than 52% 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 · 69.5 pts · 3★

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.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 11 4 pts
E 9 8 pts
F 2 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 (2)

  1. G

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

    June 6, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected June 19, 2026

  2. J

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    October 12, 2023 · Complaint inspection · Resident Assessment and Care Planning · F635 · Corrected November 8, 2023

Everything else, by area of care

Pharmacy Service5F
  1. E

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

    April 21, 2026 · Standard · F755 · Corrected May 18, 2026

  2. D

    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.

    April 21, 2026 · Standard · F761 · Corrected May 18, 2026

  3. D

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

    December 11, 2024 · Complaint · F755 · Corrected December 12, 2024

  4. F

    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.

    January 5, 2024 · Standard · F761 · Corrected February 5, 2024

  5. D

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

    January 5, 2024 · Standard · F755 · Corrected February 5, 2024

Quality of Life and Care4E
  1. E

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

    April 21, 2026 · Standard · F677 · Corrected May 18, 2026

  2. D

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

    January 13, 2026 · Complaint · F689 · Corrected February 6, 2026

  3. E

    Provide activities to meet all resident's needs.

    January 5, 2024 · Standard · F679 · Corrected February 5, 2024

  4. D

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

    January 5, 2024 · Standard · F689 · Corrected February 5, 2024

Resident Rights4E
  1. D

    Keep residents' personal and medical records private and confidential.

    April 21, 2026 · Standard · F583 · Corrected May 18, 2026

  2. D

    Keep residents' personal and medical records private and confidential.

    December 8, 2025 · Complaint · F583 · Corrected December 29, 2025

  3. E

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

    February 6, 2025 · Standard · F550 · Corrected February 6, 2025

  4. D

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    January 5, 2024 · Standard · F578 · Corrected February 5, 2024

Nutrition and Dietary3F
  1. E

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

    April 21, 2026 · Standard · F812 · Corrected May 18, 2026

  2. E

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

    February 6, 2025 · Standard · F812 · Corrected February 6, 2025

  3. F

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

    January 5, 2024 · Standard · F812 · Corrected February 5, 2024

Resident Assessment and Care Planning3E
  1. D

    Ensure each resident receives an accurate assessment.

    April 21, 2026 · Standard · F641 · Corrected May 18, 2026

  2. E

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    January 5, 2024 · Standard · F636 · Corrected February 5, 2024

  3. E

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

    January 5, 2024 · Standard · F656 · Corrected February 5, 2024

Infection Control3E
  1. D

    Provide and implement an infection prevention and control program.

    April 21, 2026 · Standard · F880 · Corrected May 18, 2026

  2. D

    Provide and implement an infection prevention and control program.

    August 1, 2024 · Complaint · F880 · Corrected August 3, 2024

  3. E

    Provide and implement an infection prevention and control program.

    January 5, 2024 · Standard · F880 · Corrected February 5, 2024

Inspection history

  1. 2026-04-21

    10 health deficiencies · 0 fire-safety deficiencies

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

  2. 2025-02-06

    3 health deficiencies · 4 fire-safety deficiencies

    Top issue: Nutrition and Dietary (1 deficiency)

  3. 2024-01-05

    11 health deficiencies · 0 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 4 min of nursing staff time a day, 21 min of it from a registered nurse.

This home

3 h 4 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 41% of nursing staff and 30% of registered nurses left in the past year.

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

$13,065 in federal fines on record over the past three years.

DatePenaltyAmount
2026-06-06Fine$13,065

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 daysAbout the same2.02.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better1.02.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.9 pts better98.3%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.9 pts better98.9%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts better2.6%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms2 pts better0.3%2.3%13.5%
Percentage of long-stay residents who lose too much weightAbout the same2.9%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.8 pts better11.0%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.6 pts better6.2%9.8%15.4%
Percentage of long-stay residents who were physically restrained1.2 pts worse1.2%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened7.6 pts better5.3%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased11.4 pts better4.4%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 infection0.2 pts better0.6%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.4 pts worse15.9%12.5%18.3%
Percentage of long-stay residents with pressure ulcers2.3 pts better1.4%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.8 pts worse83.9%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.1 pts better10.1%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better0.9%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.7 pts worse80.7%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.6 pts worse26.1%25.5%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Frio Hospital District5% Or Greater Direct Ownership Interest · Organization0%22 facilities
Krol, MichaelOperational/Managerial Control · Individual0%9 facilities
Krol, MichaelAdp Of The SNF · Individual0%9 facilities
Langsdale, Troy5% Or Greater Mortgage Interest · Individual0%4 facilities
Langsdale, TroyOperational/Managerial Control · Individual0%4 facilities
Langsdale, TroyAdp Of The SNF · Individual0%4 facilities
Miller, Laura5% Or Greater Mortgage Interest · Individual0%4 facilities
Miller, LauraOperational/Managerial Control · Individual0%4 facilities
Miller, LauraAdp Of The SNF · Individual0%4 facilities
Ml Real Estate-Cedar Park, LLC5% Or Greater Mortgage Interest · Organization0%1 facilities
Ml Real Estate-Cedar Park, LLCAdp Of The SNF · Organization0%1 facilities
Ml-Cedar Park, LLCOperational/Managerial Control · Organization0%1 facilities
Ml-Cedar Park, LLCAdp Of The SNF · Organization0%1 facilities
Ruff, MichaelCorporate Officer · Individual0%23 facilities
Sondgeroth, ShannonAdp Of The SNF · Individual0%1 facilities

·

Fire safety

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

Smoke3F
  1. F

    Install an approved automatic sprinkler system.

    February 6, 2025 · K351 · Corrected April 25, 2025

  2. F

    Properly install and monitor supervisory attachments on automatic sprinkler systems.

    February 6, 2025 · K352 · Corrected April 25, 2025

  3. F

    Inspect, test, and maintain automatic sprinkler systems.

    February 6, 2025 · K353 · Corrected April 25, 2025

Services1F
  1. F

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

    February 6, 2025 · K521 · Corrected April 25, 2025

·

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