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Nursing home report

Kirkwood Manor Nursing & Rehab Center

Registered name: Kirkwood Manor

New Braunfels, TX · Medicare-certified · 162 beds

In good standing
For-profitChain member
Data as of July 1, 2026
2 of 5 overall

Kirkwood Manor Nursing & Rehab Center in New Braunfels has a 2-out-of-5 overall rating, with 2-star health inspection and staffing ratings and 3-star quality measures. Reported nurse staffing is 3.17 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months; recent inspection citations included treatment/care, food handling, and resident assessment issues.

Facility ratings

Health inspections

Staffing

3.1732 hrs/resident/day

Quality measures

Last inspection: April 10, 2026Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1732.

Staffing detail

Registered nurses
0.44
Licensed practical nurses
0.78
Nurse aides
1.96
Weekend nursing
2.78

Hours per resident per day.

Total staff turnover: 42%
Registered nurse turnover: 36%

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

6.1%6.1%No change

Residents with a fall causing major injury

4.2%4.1%No change

Residents with pressure ulcers (bedsores)

4.7%2.6%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

4.5%7.8%Worsening

Residents who were physically restrained

0.8%0%Improving

Residents needing more help with daily activities

43.2%40.6%Improving

Residents whose ability to walk got worse

47%20.2%Improving

Long-stay residents on antianxiety or sleep medication

11.4%13%Worsening

Short-stay residents newly given an antipsychotic

4.4%0%Improving

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

25.9%31%Worsening

Residents with depressive symptoms

7.6%4.4%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%98.4%Worsening

Short-stay residents given the seasonal flu vaccine

97.2%

Short-stay residents given the pneumonia vaccine

100%98.5%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 nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited April 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 641 — 42 CFR §483.20(g) — S/S: E

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

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 12 health deficiencies.

    See what inspectors found
  3. STAFFING

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

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  6. 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 · 346 homes · 3.2 stars avg
Occupancy
138.2 residents on an average day (85% 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.