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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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.
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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.
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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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 10 health deficiencies.
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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.