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Data / Nursing homes / Texas / Kirkwood Manor

Kirkwood Manor, New Braunfels, TX: 2 star rating, fined $29,026 across 1 fine

Kirkwood Manor in New Braunfels, TX is run by Uvalde County Hospital Authority, with no owner listed in the CMS ownership file, is rated 2 of 5 stars by Medicare, and was fined $29,026 across 1 fine in the three years to October 1, 2026. CMS lists 51 health citations from inspections in that time, the latest survey on June 17, 2026, and 1 of them found actual harm or immediate jeopardy.

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Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
2590 Loop 337 N, New Braunfels, TX 78130
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measure rating
4 of 5
Certified beds
162
Residents per day
136 on average
Ownership type
For profit, corporation
Legal business name
Uvalde County Hospital Authority
Chain
The Ensign Group, 347 facilities
Fines
$29,026 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
51, of which 1 with actual harm or immediate jeopardy
Latest survey
June 17, 2026
CMS Certification Number
455732
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
March 24, 2024Fine$29,026Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 17, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 8, 2026data.cms.gov
June 17, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 24, 2026data.cms.gov
April 10, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 11, 2026data.cms.gov
April 10, 2026F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 8, 2026data.cms.gov
April 10, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
April 10, 2026F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 13, 2026data.cms.gov
April 10, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 8, 2026data.cms.gov
April 10, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 8, 2026data.cms.gov
April 10, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 8, 2026data.cms.gov
April 10, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 8, 2026data.cms.gov
April 10, 2026F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 13, 2026data.cms.gov
April 10, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 8, 2026data.cms.gov
April 10, 2026F641Ensure each resident receives an accurate assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 8, 2026data.cms.gov
April 10, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 13, 2026data.cms.gov
March 31, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 1, 2026data.cms.gov
June 4, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2025data.cms.gov
June 4, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2025data.cms.gov
February 21, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 21, 2025F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 21, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
February 21, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
February 21, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 22, 2025data.cms.gov
February 21, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 21, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 27, 2025data.cms.gov
February 21, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 24, 2025data.cms.gov
February 21, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 21, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
January 10, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceJune 25, 2024data.cms.gov
March 24, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.K: pattern, immediate jeopardyCorrectedMarch 25, 2024data.cms.gov
March 24, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 25, 2024data.cms.gov
March 24, 2024F760Ensure that residents are free from significant medication errors.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 25, 2024data.cms.gov
January 26, 2024F946Provide training in compliance and ethics.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
January 26, 2024F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
January 26, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 29, 2024data.cms.gov
January 26, 2024F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 2, 2024data.cms.gov
January 26, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 29, 2024data.cms.gov
January 26, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 26, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 29, 2024data.cms.gov
January 26, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 26, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 29, 2024data.cms.gov
January 26, 2024F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 31, 2024data.cms.gov
January 26, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 9, 2024data.cms.gov
January 26, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 29, 2024data.cms.gov
January 26, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 26, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 26, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 2, 2024data.cms.gov
January 26, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 9, 2024data.cms.gov
January 26, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 29, 2024data.cms.gov
January 26, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 31, 2024data.cms.gov
November 30, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2023data.cms.gov
November 30, 2023F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 9 individual or personal trusts (4 managers, 3 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Lake Island Healthcare, Inc.Operational or managerial controlNot listedNovember 1, 2019data.cms.gov
Ensign Services IncAdditional disclosable partyNot listedAugust 14, 2019data.cms.gov
Lake Island Healthcare, Inc.Additional disclosable partyNot listedOctober 13, 2025data.cms.gov
Lakewood Health Holdings LLCAdditional disclosable partyNot listedNovember 1, 2019data.cms.gov
Standard Bearer Healthcare OP, LPAdditional disclosable partyNot listedNovember 1, 2019data.cms.gov
The Ensign Group IncAdditional disclosable partyNot listedNovember 1, 2019data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.