The nursing home failed to ensure residents were free from significant medication errors. Cited February 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: K
Nursing home report
WEST OAKS NURSING AND REHABILITATION CENTER
AUSTIN, TX · Medicare-certified · 125 beds
Needs attention
Government-runChain member
2 of 5 overall
West Oaks Nursing and Rehabilitation Center in Austin has a 2-star overall rating, with 2-star health inspection and staffing scores, though quality measures are 4 stars. It has recent federal penalties and $26,683 in fines over the last 24 months, and reported staffing is 3.13 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.1335 hrs/resident/day
Quality measures
Last inspection: February 25, 2026Penalties, last 24 months: $26,683recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1335.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 0.63
- Nurse aides
- 2.02
- Weekend nursing
- 2.64
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 29%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.3%Worsening
Residents with a fall causing major injury
3.6%Worsening
Residents with pressure ulcers (bedsores)
3.2%Improving
Residents with a urinary tract infection
0.5%Steady
Residents who lost too much weight
4.6%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
37.9%Worsening
Residents whose ability to walk got worse
40.8%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
12.5%Worsening
Short-stay residents newly given an antipsychotic
1%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
19.5%Worsening
Residents with depressive symptoms
1.3%Steady
Long-stay residents given the seasonal flu vaccine
99.1%Steady
Long-stay residents given the pneumonia vaccine
99.2%Worsening
Short-stay residents given the seasonal flu vaccine
88.9%Steady
Short-stay residents given the pneumonia vaccine
89.5%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited April 2024 — limited pattern, actual harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: H
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited April 2024 — limited pattern, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: H
The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited September 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 838 — 42 CFR §483.70 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $26,683 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $39,527 in total fines.
- $26,683
Federal fine
Feb 11, 2025
- $12,844
Federal fine
Mar 28, 2024
Operator & ownership
- Ownership
- Government - Hospital district
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 109.5 residents on an average day (88% of 125 beds)
- Medicare history
- Certified for 20 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.