Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Longhorn Village during CMS and state inspections, most recent first.
Resident council rights were not honored when a resident group meeting was observed with the Activities Director present, despite residents not inviting staff to attend. Residents said council did not meet regularly, they were not told in advance when or where meetings would occur, and they did not know they could meet without staff present. The white board and activity calendar did not list resident council, and multiple staff, including the DON, SW, ADM, and AD, were unaware of the meeting schedule or location.
A resident with dementia, insomnia, and hospice services had a hole in the wall next to her recliner and a bathroom toilet that ran continuously and made loud noise. She said staff knew about both issues, but the toilet had not been repaired and the wall damage remained. Staff interviews and record review showed no related grievances, event logs, or work orders for the room issues.
Kitchen staff failed to consistently label and date food items, remove expired products, and keep chemicals out of the food prep area. Surveyors found expired lemon juice, unlabeled shredded cheese and sauce, garlic past its use-by date, and beef base with conflicting dates, along with cleaning chemicals stored under the flat-top griddle. Staff and leadership stated that labeling, dating, daily checks, and proper chemical storage were expected, and that training on these practices occurred annually.
Inaccurate Documentation of Ordered Wound Treatment: A resident with multiple diagnoses and a cognitively intact BIMS had an order for daily cleansing of a right forehead scab with NS and application of petroleum jelly. The MAR documented the treatment as given, but the RN stated she did not actually clean the scab or apply the ointment, and the resident reported the treatment was not being provided and the scab was itchy and uncomfortable. The DON said petroleum jelly was not available and the ADM was unaware staff had documented treatment that was not performed.
A resident with multiple diagnoses, including fracture history, weakness, falls, and cognitive communication deficit, had an order for daily cleansing of a right forehead scab with NS and application of petroleum jelly. The MAR showed treatment documentation for several days, but the resident reported the scab was not being treated, was itchy and uncomfortable, and later became oozing and sticky. An RN stated she documented treatment but did not actually cleanse or apply the petroleum jelly, and the DON said petroleum jelly was not available and staff were expected to follow physician orders.
A resident’s routine iron pill was found on the hallway floor outside her room after medication administration, and staff could not explain how it got there. The resident had multiple diagnoses including dysphagia, gait and mobility issues, and cognitive communication deficit, though her BIMS was 14/15. Staff and the DON stated residents were supposed to be supervised during med pass, but the resident said staff did not stay with her the entire time.
Hand hygiene and infection control were not followed during resident care and meal service. An RN completed an Accu-Check for a resident with Type 2 DM, then left the room with contaminated gloves, touched the doorknob, cart, and computer, and did not sanitize the resident’s table after removing supplies. A CNA and a DA were also observed not sanitizing hands between resident tray passes, with the DA handling soup bowls by the inside top edge.
Survey Results Not Readily Accessible to Residents: Residents stated they did not know where the facility's survey results were kept, and an observation at the front entrance showed the results were not posted in a prominent, readily accessible place or marked with a notice. The Receptionist did not know where the binder was, while the DCS later found it tucked behind the Receptionist's desk. RN H, CNAs, the DON, SW, ADM, and AD all gave inconsistent responses about where the survey results were located, and the resident rights record required the results to be available for review and posted.
A facility failed to report an allegation of abuse involving a resident to the administrator and the state agency. The incident involved a resident with severe cognitive impairment who was alleged to have been pinched and handled roughly by a CNA. The family reported the incident to the DON, who conducted an investigation but did not find evidence of abuse. However, the incident was not documented in the resident's progress notes, and the grievance was not reported to the state agency, violating the facility's abuse prevention policy.
A resident with severe cognitive impairment and multiple medical conditions was allegedly pinched and handled roughly by a CNA. The facility failed to thoroughly investigate the incident, did not suspend the CNA, and did not report the allegation to the state. The incident was not documented in the resident's progress notes, and key staff were not informed in a timely manner, placing residents at risk for continued abuse.
The facility employed an individual with a misdemeanor conviction barring employment, due to a misunderstanding of eligibility criteria. Despite initial background checks revealing the conviction, the individual was employed for several months. The HR department later received training to prevent such oversights.
The facility failed to ensure proper hand hygiene practices during meal service, as observed with three staff members who did not wash their hands or use hand sanitizer when serving residents. Server A and Server B were seen exiting the dining room and kitchen without performing hand hygiene, while the Dietary Manager also neglected hand hygiene protocols. Interviews confirmed non-compliance with the facility's hand hygiene policies, increasing the risk of infection transmission.
Resident Council Meetings Not Held Privately or on a Regular Basis
Penalty
Summary
The facility failed to ensure residents had the right to organize and participate in resident groups for 32 of 32 residents reviewed for resident rights. Survey findings showed resident council did not meet on a regular basis, residents were not given a private space for council meetings, residents were not made aware of upcoming meetings in a timely manner, and the resident council met with invited staff present. On 05/13/26, surveyors observed six residents in the private dining room during what the Activities Director identified as a resident council meeting. She handed each resident a typed paper and stated resident council met once a month and that she arranged the meetings. When asked to leave so residents could meet without staff present, she stated she stayed because she did not want to leave residents unsupervised in case they fell or needed something. The six residents indicated they had not invited the Activities Director to attend and did not want her present during the meeting. During a group interview, residents stated resident council did not meet on a regular basis and that they would like to meet once a month. They said they did not know they had a resident council before the day prior to the observed meeting, did not know who the designated staff person was for assisting resident council, and were not informed in advance of where or when meetings were held. They also said they did not know they could meet without staff present if they desired. Observations of the facility white dry erase board and May 2026 activities calendar did not list resident council. Staff interviews showed RN H, CNA J, CNA D, the DON, SW, ADM, and AD were not aware of how often or where resident council met, and several stated the Activities Director arranged the meetings and used the board or calendar to inform residents, although those postings did not include resident council.
Unsafe Room Conditions and Running Toilet
Penalty
Summary
The facility failed to ensure a resident’s room and bathroom provided a safe, clean, comfortable, and homelike environment. Resident #4 was a female with diagnoses including senile degeneration of the brain, dementia, insomnia, and hospice services. Her record reflected moderate cognitive impairment, and her care plan included nonpharmacological interventions such as providing a quiet environment. During observation and interview, Resident #4’s room was found to have a hole in the wall next to her recliner. Her bathroom toilet was also observed to run continuously and make an unwanted, loud noise. Resident #4 stated the hole had previously been bigger and that staff were aware of it, but it had not been fully repaired. She also stated the toilet had been running because the cap was stuck, that staff knew about the noise, and that maintenance had not looked at or repaired it. Resident #4 reported that the running toilet bothered her and kept her from sleeping at night, leaving her irritated and tired. Staff interviews reflected that physical environment concerns were expected to be reported through nursing, management, or work orders to maintenance, but multiple staff members stated they had not received concerns about holes in walls or toilets making unwanted noise. The DON stated she was not aware of longstanding work orders related to these issues before the observation, and record review showed no grievances, event logs, or work orders related to Resident #4’s room issues.
Kitchen Food Storage and Chemical Placement Deficiency
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen. During a kitchen observation on 5/12/2026 at 9:15 AM, surveyors found lemon juice with an expiration date of 4/12/2026, shredded cheese in a Ziplock bag with no open or use-by date, a clear container with an unknown sauce with no open or use-by date, chopped garlic with an open date of 4/30/2026 and a use-by date of 5/7/2026, and beef base with an open date of 4/30/2026 and a use-by date of 7/30/2026 despite a printed manufacture use-by-date of 2/4/2026. A later observation in the kitchen cooking area on 5/12/2026 at 11:35 AM found cleaning chemicals stored under the flat-top griddle in the food preparation area. Interviews with DA E, DA G, CK A, CK B, the DM, and the ADM showed that staff expected all kitchen staff to label and date food items, check for out-of-date items daily, and store chemicals outside the food prep area. Staff also stated that they were responsible for removing expired or improperly labeled items, and several staff reported annual in-service training on labeling, dating, and infection control. The facility’s Poisonous and Toxic Materials policy stated that poisonous and toxic materials will be stored on shelves used for no other purpose when not in use. The Food Receiving and Storage policy stated that all foods stored in the refrigerator or freezer will be covered, labeled, and dated with a use-by date. The observations and interviews showed that these expectations were not consistently followed in the kitchen.
Inaccurate Documentation of Ordered Wound Treatment
Penalty
Summary
The facility failed to maintain complete and accurate medical records for one resident, including documentation of treatment provided for a right forehead scab. The resident had diagnoses including right neck femur fracture, muscle weakness, difficulty walking, repeated falls, cognitive communication deficit, age-related physical debility, need for assistance with personal care, history of falling, and chronic pain syndrome. Her admission MDS reflected a 14/15 BIMS, indicating she was cognitively intact, and her care plan did not include notes related to applying petroleum jelly to the scab. The resident had an active order requiring staff to cleanse the right forehead scab with normal saline and apply petroleum jelly every day shift for eschar. The MAR showed documentation that the treatment was provided daily from 05/05/26 through 05/11/26, but there was no entry documented on 05/12/26 at 12:12 p.m. During observation and interviews, the resident stated staff were not providing the ordered treatment, that the scab was itchy and uncomfortable, and that her hair was getting stuck in it because ointment was not being applied. She also stated she learned from staff that they did not have the treatment available when she reported the scab was bothering her. RN H stated she documented treatment in the electronic MAR but also said she did not clean the scab with normal saline or apply petroleum jelly and that the order was not every day. The DON stated treatment nurses were expected to administer treatment orders and that she learned there was no petroleum jelly supply available for the resident, but the supply coordinator had not been informed. The ADM stated she was not aware staff documented that they provided the resident's treatment when it was not actually provided. Facility policy required all services provided to be documented in the medical record and required accurate medical records to be maintained.
Failure to Follow Ordered Treatment for Forehead Scab
Penalty
Summary
The facility failed to ensure that a resident received treatment in accordance with the physician’s order and the resident’s care needs for a right forehead scab. The resident was admitted with diagnoses including right neck femur fracture, muscle weakness, difficulty walking, repeated falls, cognitive communication deficit, age-related physical debility, need for assistance with personal care, history of falling, and chronic pain syndrome. Her admission MDS reflected a BIMS score of 14/15, indicating she was cognitively intact. The resident’s order summary showed an active order starting 05/05/26 for staff to cleanse the right forehead scab with normal saline and apply petroleum jelly every day shift for eschar. The MAR documented that staff cleaned the scab and applied petroleum jelly from 05/05/26 through 05/11/26, but there was no entry documented on 05/12/26 at 12:12 p.m. During observation and interview on 05/12/26, the resident had a scab on the upper right side of her forehead and stated the physician wanted petroleum jelly applied so it would soften and heal naturally. She also stated staff were supposed to monitor and keep it lubricated, and that she had learned the treatment should be improving. The resident stated staff were not providing the treatment and that the scab was itchy, uncomfortable, and causing her hair to stick to it. On 05/13/26, she reported the scab was oozing and sticky and said staff told her they did not have the treatment available when she reported the problem. During interview, the RN stated she documented treatment in the eMAR but did not clean with normal saline or apply petroleum jelly, and said the order was not every day. The DON stated treatment nurses were expected to follow physician orders, that staff should notify the supply coordinator when treatment supplies were unavailable, and that she learned petroleum jelly was not available for the resident. The facility policy stated orders for medications and treatments would be consistent with principles of safe and effective order writing.
Medication Found on Hallway Floor During Administration
Penalty
Summary
The facility failed to ensure drugs and biologicals were stored in locked compartments under proper temperature controls for 1 resident reviewed for medication storage. During observation on 05/12/26, a circular red pill was found on the hallway floor in front of a resident’s closed room door. The resident had been admitted with diagnoses including permanent atrial fibrillation, muscle weakness, dysphagia, unsteadiness on feet, abnormalities of gait and mobility, lack of coordination, cognitive communication deficit, and need for personal care assistance. Her admission MDS reflected a 14/15 BIMS, indicating she was cognitively intact, and her care plan contained no notes related to how to administer her medications. The resident’s MAR showed routine medications were administered by a medication aide on 05/12/26. RN H, the medication aide, the DON, and the ADM all stated that staff were expected to supervise residents during medication administration. The medication aide said she supervised and ensured the resident swallowed her medication, but the resident later stated staff did not stay the entire time when administering her medications. The DON identified the pill found on the floor as a routine iron medication, and the facility’s medication administration policy stated medications are to be administered in a safe and timely manner and as prescribed.
Hand Hygiene and Infection Control Lapses During Resident Care and Meal Service
Penalty
Summary
The facility failed to provide a safe and sanitary environment to prevent the development and transmission of communicable diseases and infections for 6 of 10 residents reviewed for infection control. During observation of Resident #40’s Accu-Check, RN H completed the blood glucose check for a resident with Type 2 DM and intact cognition, then did not remove contaminated gloves or wash/sanitize hands before leaving the room. RN H touched the doorknob, nursing cart, and nursing computer while documenting the Accu-Check results and while sanitizing the glucometer. RN H also did not sanitize the resident’s table after removing the Accu-Check supplies. During interview, RN H stated she had received hand hygiene and infection control in-service training and acknowledged that not washing hands and changing gloves according to facility policy could lead to cross contamination and infection control issues. CNA C stated she did not sanitize her hands between passing residents’ lunch trays, although she knew she was supposed to do so. Observation also showed DA F passing out food to residents during lunch without sanitizing hands between trays and handling soup bowls by the top inside part of the bowl. The DON and ADM stated that hand hygiene training is provided and that hands need to be washed or sanitized between glove changes, before exiting a resident’s room, and between passing meal trays.
Survey Results Not Readily Accessible to Residents
Penalty
Summary
The facility failed to ensure residents had the right to examine the results of the most recent survey of the facility conducted by Federal or State surveyors and any plan of correction in effect. During a group interview with six confidential residents, the residents stated they did not know where the survey results were available to read. During an observation and interview at the front entrance, the survey results were not posted in a prominent and readily accessible place, and there was no posting indicating where the survey results were located. When the surveyor asked the Receptionist where the survey results were, she said she did not know and asked the Administrator. The DCS later stated the survey results were at the Receptionist's desk at the front entrance, and the binder containing the survey results was tucked behind the desk. RN H, CNA J, and CNA D each stated they did not know where the survey inspection results were. The DON, SW, ADM, and AD all acknowledged the survey results were available at the front entrance or in the Administrator's office, and that staff should know where to find them. The record review of the facility's Federal Nursing Home Resident Rights stated residents have the right to examine survey results and that the facility must make them available in a readily accessible place and post a notice of their availability.
Failure to Report Alleged Abuse Incident
Penalty
Summary
The facility failed to report an allegation of abuse involving a resident to the administrator and the State Survey Agency. The incident involved a resident who was alleged to have been pinched and handled roughly by a CNA. The resident's family reported the incident to the Director of Nursing (DON), but the allegation was not communicated to the administrator or the state agency as required by the facility's abuse prevention policy. The resident involved was an elderly female with severe cognitive impairment and multiple medical conditions, including metabolic encephalopathy, heart failure, hypertension, dysphagia, and pneumonia. The family of the resident reported the incident to the DON, who conducted an investigation but did not find evidence of abuse. The investigation included interviews and a skin assessment, which reportedly showed no injuries. However, the incident was not documented in the resident's progress notes, and the grievance was not reported to the state agency. Interviews with facility staff revealed a lack of communication and documentation regarding the incident. The administrator and the director were not informed of the allegation until much later, and the facility's policy requiring immediate reporting of abuse allegations was not followed. The failure to report the incident to the state agency and the administrator could have placed residents at risk for continued or repeated abuse.
Failure to Investigate and Report Alleged Abuse
Penalty
Summary
The facility failed to thoroughly investigate an allegation of abuse involving a resident who was reportedly pinched and handled roughly by a CNA. The incident was reported by the resident's family, but there was no evidence that the facility conducted a comprehensive investigation or took immediate action to prevent further potential abuse. The CNA was not suspended, and the incident was not reported to the state as required by the facility's abuse prevention policy. The resident involved was an elderly female with severe cognitive impairment and multiple medical conditions, including metabolic encephalopathy, heart failure, hypertension, dysphagia, and pneumonia. Despite the family's report of the incident, there were no documented injury assessments, trauma assessments, or notifications to the nurse practitioner, physician, or family in the resident's progress notes. The facility's grievance log indicated that the resident was removed from the CNA's care, but no further action was documented. Interviews with facility staff revealed a lack of communication and documentation regarding the incident. The DON stated that a skin assessment was conducted, but it was not documented in the electronic medical record. The administrator and director were not informed of the incident until much later, and the facility's policy on reporting and investigating abuse was not followed. The failure to report and investigate the allegation of abuse placed residents at risk for continued abuse and potential harm.
Failure to Prevent Employment of Disqualified Individual
Penalty
Summary
The facility failed to ensure they did not employ an individual who was found guilty of a criminal offense barring employment by a court of law. Specifically, MA A, one of the employees, was hired despite having a misdemeanor conviction that barred her from working in a nursing facility. The initial criminal history check conducted on 04/18/24 revealed this conviction, but MA A was still employed from 04/24/24 through 07/12/24. This oversight was identified as a deficiency, as it could place residents at risk for possible abuse, neglect, or exploitation. The hiring process at the facility involved forwarding completed applications to department managers for consideration and interview. If a manager decided to hire, the HR department was notified, and background checks were conducted. These checks included the Nurse Aide Registry, the Employee Misconduct Registry, and criminal background checks. In the case of MA A, the HR department saw the conviction on her record but mistakenly believed that because it was a misdemeanor, she was eligible for employment. This misunderstanding led to her employment despite the barring offense. Interviews with HR staff revealed that they were trained on barrable offenses and background checks. However, the HR Director admitted to a misunderstanding regarding the eligibility of individuals with misdemeanor convictions. The facility's policy stated that they would not knowingly employ individuals with convictions for resident abuse, neglect, or misappropriation of property. Despite this policy, the deficiency occurred due to a lack of understanding and proper review of the barrable offenses list, which was later addressed through training and audits.
Inadequate Hand Hygiene Practices During Meal Service
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the actions of three staff members: Server A, Server B, and the Dietary Manager (DM). During lunch service, these staff members did not perform hand hygiene when serving residents, which increased the risk of infection transmission. Observations revealed that Server A and Server B exited the dining room and kitchen without washing their hands or using hand sanitizer. Server A was seen wearing gloves while serving residents and touching various surfaces, such as door handles, without changing gloves or performing hand hygiene. The DM also failed to perform hand hygiene when entering and exiting the kitchen while serving food. Interviews with the staff confirmed a lack of adherence to the facility's hand hygiene policies. Server A acknowledged the requirement to perform hand hygiene when entering and exiting the kitchen but did not provide a reason for her non-compliance. Server B admitted to not washing his hands due to being busy, and the DM confirmed that staff were not following the correct procedures for hand hygiene and glove usage. The facility's policies, reviewed during the investigation, emphasized the importance of hand hygiene in preventing infection spread, yet these were not followed by the staff involved.
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Illustrative
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Nursing homes near Austin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Park Manor Bee Cave | 2.6 mi | ★★★★★ | 2 | 0 |
| Vista Ridge Senior Care | 3.9 mi | ★★★★★ | 0 | 0 |
| Querencia At Barton Creek | 4.9 mi | ★★★★★ | 3 | 0 |
| Stonebridge Health Rehab | 8.9 mi | ★★★★★ | 6 | 0 |
| Sage Park Austin | 9.2 mi | ★★★★★ | 0 | 0 |
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