Park Manor Bee Cave is rated 2 out of 5 stars overall, with a 1-star health inspection rating and 2-star staffing rating, while quality measures are 5 stars. It reported 3.13 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has had $19,608 in fines in the last 24 months plus a recent federal penalty.
Last inspection: February 19, 2026Penalties, last 24 months: $19,608recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1259.
Staffing detail
Registered nurses
0.37
Licensed practical nurses
1.00
Nurse aides
1.76
Weekend nursing
2.74
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 57%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
10.3%Worsening
Residents with a fall causing major injury
3.2%Worsening
Residents with pressure ulcers (bedsores)
3.9%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
2.4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
21.5%Worsening
Residents whose ability to walk got worse
15.2%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
11.3%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
17.5%Improving
Residents with depressive symptoms
3.2%Steady
Long-stay residents given the seasonal flu vaccine
94.1%Steady
Long-stay residents given the pneumonia vaccine
97.5%Improving
Short-stay residents given the seasonal flu vaccine
36.4%Steady
Short-stay residents given the pneumonia vaccine
77.4%Improving
What the inspectors found
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited July 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: K
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited July 2024 — limited pattern, immediate jeopardy to residents.
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F-Tag 697 — 42 CFR §483.25(k) — S/S: K
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited May 2025 — limited pattern, actual harm.
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F-Tag 695 — 42 CFR §483.25(i) — S/S: H
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited October 2023 — limited pattern, actual harm.
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F-Tag 690 — 42 CFR §483.25(e) — S/S: H
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2025 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
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 3 health deficiencies.
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INSPECTION
Health inspection found 3 health deficiencies.
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PENALTY
A federal fine of $6,338 was recorded.
PENALTY
A federal fine of $13,270 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $19,608 in total fines.
Federal fine
Apr 29, 2025
$6,338
Federal fine
Jul 21, 2024
$13,270
Operator & ownership
Ownership
Government - Hospital district
Chain
Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
Occupancy
118.6 residents on an average day (85% of 140 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 11 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.