GoodStanding

Nursing home report

Kirkwood Manor

New Braunfels, TX · Medicare-certified · 162 beds

In good standing
For-profitChain member
2 of 5 overall

Kirkwood Manor in New Braunfels has a 2-star overall rating, with 2-star health inspection and staffing scores and a 3-star quality rating. Reported nurse staffing is 3.27 hours per resident day versus the 4.1-hour federal benchmark, and there were $0 fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.2693 hrs/resident/day

Quality measures

Last inspection: March 31, 2026Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2693.

Staffing detail

Registered nurses
0.46
Licensed practical nurses
0.77
Nurse aides
2.04
Weekend nursing
2.89

Hours per resident per day.

Total staff turnover: 49%
Registered nurse turnover: 50%

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

6.2%5.2%Improving

Residents with a fall causing major injury

2.5%3.5%Worsening

Residents with pressure ulcers (bedsores)

3.5%2.5%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

1.8%2%No change

Residents who were physically restrained

0.8%0%Improving

Residents needing more help with daily activities

26.4%38.5%Worsening

Residents whose ability to walk got worse

7.1%30.2%Worsening

Long-stay residents on antianxiety or sleep medication

14.2%9.6%Improving

Short-stay residents newly given an antipsychotic

6.4%0%Improving

Residents with a long-term catheter

0.7%0%Improving

Residents with new or worsening incontinence

23.2%23.8%Worsening

Residents with depressive symptoms

5.8%4.3%Improving

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

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

97.2%

Short-stay residents given the pneumonia vaccine

100%98.2%Worsening

What the inspectors found

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: K

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2024 — 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 residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited February 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: E

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited March 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 842 — 42 CFR §483.70 — S/S: E

Recent history

  1. STAFFING

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

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $29,026 in total fines.

  • Federal fine

    Mar 24, 2024

    $29,026

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
Occupancy
134 residents on an average day (83% of 162 beds)
Resident voice
Resident council
Medicare history
Certified for 38 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.