GoodStanding

Nursing home report

Park Manor Bee Cave

Bee Cave, TX · Medicare-certified · 140 beds

Needs attention
Government-runChain member
Data as of July 1, 2026
1 of 5 overall

Park Manor Bee Cave has a 1 out of 5 overall rating, with a 1-star health inspection rating and 2-star staffing rating; reported staffing is below the federal benchmark (3.07 vs 4.1 hours per resident per day). It also has a recent federal penalty and $19,608 in fines in the last 24 months, while its quality measures rating is 4 stars.

Facility ratings

Health inspections

Staffing

3.0743 hrs/resident/day

Quality measures

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 3.0743.

Staffing detail

Registered nurses
0.39
Licensed practical nurses
0.93
Nurse aides
1.75
Weekend nursing
2.64

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

11.3%13.3%Worsening

Residents with a fall causing major injury

2.8%5.2%Worsening

Residents with pressure ulcers (bedsores)

5.2%0.8%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

4.3%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

17.1%22.2%Worsening

Residents whose ability to walk got worse

6.2%20.1%Worsening

Long-stay residents on antianxiety or sleep medication

8.2%13.9%Worsening

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

9.5%11.4%Worsening

Residents with depressive symptoms

1%11.2%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

94.1%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

36.4%

Short-stay residents given the pneumonia vaccine

73.1%98.7%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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

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 3 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $6,338 was recorded.

  6. 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

Recent ownership change · May 1, 2019

Now operated by Hamilton County Hospital District, previously Hmg Bee Cave LLC.

Ownership
Government - Hospital district
Chain
Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
Occupancy
120.4 residents on an average day (86% 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.