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Nursing home report

Heartland Health Care Center

Registered name: Austin Wellness & Rehabilitation

Austin, TX · Medicare-certified · 120 beds

Needs attention
Abuse citationFor-profitChain member
Data as of September 1, 2026
1 of 5 overall

Heartland Health Care Center in Austin, TX has a 1-star overall rating, with 1 star for health inspections and 2 stars for staffing and quality measures. It also has a recent abuse citation, $140,211 in fines over the last 24 months, and reported nurse staffing of 2.63 hours per resident per day versus the federal benchmark of 4.1.

Facility ratings

Health inspections

Staffing

2.6297 hrs/resident/day

Quality measures

Last inspection: July 20, 2026Penalties, last 24 months: $140,211recent abuse citation

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.6297.

Staffing detail

Registered nurses
0.57
Licensed practical nurses
0.48
Nurse aides
1.58
Weekend nursing
2.40

Hours per resident per day.

Total staff turnover: 61%
Registered nurse turnover: 60%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

15.4%29.7%Worsening

Residents with a fall causing major injury

1.4%1.2%No change

Residents with pressure ulcers (bedsores)

2.7%2%Improving

Residents with a urinary tract infection

1.4%1.2%No change

Residents who lost too much weight

3.1%1.5%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

23%27.3%Worsening

Residents whose ability to walk got worse

14.8%6.4%Improving

Long-stay residents on antianxiety or sleep medication

18.2%23.5%Worsening

Short-stay residents newly given an antipsychotic

—10%—

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

31.6%16.6%Improving

Residents with depressive symptoms

0%5.6%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

—92.6%—

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

—94.3%—

Short-stay residents given the pneumonia vaccine

100%97.6%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: K

The nursing home failed to protect residents from abuse and neglect by others. Cited July 2026 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: J

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited June 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to ensure its staff were properly licensed, certified, or registered as required by state law. Cited May 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 839 — 42 CFR §483.70 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. PENALTY

    A federal fine of $9,156 was recorded.

  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  5. INSPECTION

    Health inspection found 12 health deficiencies.

    See what inspectors found
  6. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  7. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  8. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  9. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  10. PENALTY

    A federal fine of $131,055 was recorded.

  11. PENALTY

    A federal fine of $20,415 was recorded.

Penalties & enforcement

On record with Medicare: 4 fines · $175,361 in total fines.

  • Federal fine

    Jul 20, 2026

    $9,156
  • Federal fine

    Sep 19, 2024

    $131,055
  • Federal fine

    May 20, 2024

    $20,415
  • Federal fine

    Mar 25, 2024

    $14,735

Operator & ownership

Recent ownership change · Aug 16, 2018

Now operated by Austin Wellness & Rehabilitation, previously Heartland Health Care Center.

Ownership
For profit - Corporation
Chain
Part of CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY · 9 homes · 2.8 stars avg
Occupancy
88.9 residents on an average day (74% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 37 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.