Federal inspection record · CMS data as of October 1, 2026
Vista Ridge Senior Care
1917 Lohmans Crossing Rd, Lakeway, TX · (512) 261-3211
- Certified beds
- 98
- Residents per day
- 40
- Ownership
- For-Profit
- Chain
- Brookdale Senior Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 20, 2007
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
★★★★★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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Vista Ridge Senior Care carries 105.75 inspection points. That is fewer than 33% 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
23 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)
-
K
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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J
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Everything else, by area of care
Nutrition and Dietary6F
- F
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Dispose of garbage and refuse properly.
Resident Assessment and Care Planning3E
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service3F
- 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.
- F
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Rights2C
- C
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Nursing and Physician Services1B
- B
Post nurse staffing information every day.
Inspection history
2025-08-21
6 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2024-07-31
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2023-06-09
10 health deficiencies · 0 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 26 min of nursing staff time a day, 46 min of it from a registered nurse.
This home
3 h 26 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 58% of nursing staff and 50% 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
$91,420 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-14 | Fine | $74,848 |
| 2024-09-01 | Fine | $16,572 |
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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine11.7 pts worse | 84.7% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine61 pts worse | 36.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts worse | 4.1% | 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 weight2.9 pts better | 0.0% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.4 pts worse | 21.2% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.1 pts worse | 15.9% | 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 need for help with daily activities has increased21.7 pts worse | 37.5% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder3.5 pts worse | 3.8% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts worse | 2.1% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence16.3 pts worse | 28.8% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts better | 2.9% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.3 pts worse | 76.4% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.6 pts better | 7.6% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better | 1.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.1 pts worse | 67.3% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.5 pts better | 21.0% | 25.5% | 23.4% |
·
Who owns and runs it
30 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 |
|---|---|---|---|
| Brookdale Senior Living Inc | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 7 facilities |
| American Retirement Corporation | Adp Of The SNF · Organization | 0% | 9 facilities |
| Arc Lakeway SNF, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Asher, Jordan | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Brookdale Senior Living Inc | Adp Of The SNF · Organization | 0% | 7 facilities |
| Drayton, Claudia | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Fioravanti, Mark | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Freed, Victoria | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Fry, Liam | Adp Of The SNF · Individual | 0% | 3 facilities |
| Hausman, Joshua | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Ibarra, Cynthia | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kaestner, Henry | Corporate Director · Individual | 0% | 4 facilities |
| Kaestner, Henry | Corporate Officer · Individual | 0% | 4 facilities |
| Kussow, Dawn | Operational/Managerial Control · Individual | 0% | 10 facilities |
| La Marre, Kevin | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Lbmc Pc | Adp Of The SNF · Organization | 0% | 10 facilities |
| Leblanc, Jacob | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Leblanc, Jacob | Adp Of The SNF · Individual | 0% | 1 facilities |
| Leskowicz, Joanne | Corporate Officer · Individual | 0% | 1 facilities |
| Mace, Elizabeth | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Munoz, Anna | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Pando, Edward | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stengle, Nikolas | Corporate Officer · Individual | 0% | 10 facilities |
| Stengle, Nikolas | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Walters Financial Services Inc | Adp Of The SNF · Organization | 0% | 10 facilities |
| Warren, Denise | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| White, Chadwick | Managing Control - Governing Body · Individual | 0% | 11 facilities |
| White, Chadwick | Corporate Officer · Individual | 0% | 11 facilities |
| White, Chadwick | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Wielansky, Lee | Managing Control - Governing Body · Individual | 0% | 9 facilities |
·
Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Electrical1F
- F
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Gas, Vacuum, and Electrical Systems1D
- D
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
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Park Manor Bee Cave
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★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 15 min
- Fines
- $19,608
-
Longhorn Village
Austin, TX
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 56 min
- Fines
- $0
-
Querencia at Barton Creek
Austin, TX · Lifespace Communities
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 9 min
- Fines
- $13,500