Starfile / Texas

KIRKWOOD MANOR

2590 LOOP 337 N, NEW BRAUNFELS, TX 78130 · CCN 455732

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$29,026

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

THE ENSIGN GROUP

Facilities in chain

329

Chain avg overall

3.20 / 5

Inspection citations (49)1 immediate jeopardy

1. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-04 · Health · corrected 2025-06-05

   Potential for more than minimal harm

2. DF0761Ensure 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.2025-06-04 · Health · corrected 2025-06-05

   Potential for more than minimal harm

3. EF0584Honor 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.2025-02-21 · Health · corrected 2025-03-21

   Potential for more than minimal harm

4. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-02-21 · Health · corrected 2025-03-21

   Potential for more than minimal harm

5. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-02-21 · Health · corrected 2025-02-24

   Potential for more than minimal harm

6. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-21 · Health · corrected 2025-02-27

   Potential for more than minimal harm

7. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-02-21 · Health · corrected 2025-03-21

   Potential for more than minimal harm

8. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-21 · Health · corrected 2025-02-22

   Potential for more than minimal harm

9. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-21 · Health · corrected 2025-02-28

   Potential for more than minimal harm

10. DF0761Ensure 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.2025-02-21 · Health · corrected 2025-02-28

    Potential for more than minimal harm

11. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2025-02-21 · Health · corrected 2025-03-21

    Potential for more than minimal harm

12. EF0880Provide and implement an infection prevention and control program.2025-02-21 · Health · corrected 2025-03-21

    Potential for more than minimal harm

13. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-10 · Health · corrected 2024-06-25

    Potential for more than minimal harm

14. KF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-24 · Health · corrected 2024-03-25

    Immediate jeopardy

15. EF0760Ensure that residents are free from significant medication errors.2024-03-24 · Health · corrected 2024-03-25

    Potential for more than minimal harm

16. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-03-24 · Health · corrected 2024-03-25

    Potential for more than minimal harm

17. DF0558Reasonably accommodate the needs and preferences of each resident.2024-01-26 · Health · corrected 2024-01-31

    Potential for more than minimal harm

18. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-01-26 · Health · corrected 2024-02-29

    Potential for more than minimal harm

19. DF0578Honor 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.2024-01-26 · Health · corrected 2024-02-09

    Potential for more than minimal harm

20. DF0584Honor 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.2024-01-26 · Health · corrected 2024-02-02

    Potential for more than minimal harm

21. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-01-26 · Health · corrected 2024-02-16

    Potential for more than minimal harm

22. DF0641Ensure each resident receives an accurate assessment.2024-01-26 · Health · corrected 2024-02-14

    Potential for more than minimal harm

23. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-26 · Health · corrected 2024-02-29

    Potential for more than minimal harm

24. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-26 · Health · corrected 2024-02-09

    Potential for more than minimal harm

25. DF0692Provide enough food/fluids to maintain a resident's health.2024-01-26 · Health · corrected 2024-01-31

    Potential for more than minimal harm

26. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-26 · Health · corrected 2024-02-29

    Potential for more than minimal harm

27. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-01-26 · Health · corrected 2024-02-16

    Potential for more than minimal harm

28. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-01-26 · Health · corrected 2024-02-29

    Potential for more than minimal harm

29. DF0758Implement 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.2024-01-26 · Health · corrected 2024-02-16

    Potential for more than minimal harm

30. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-26 · Health · corrected 2024-02-29

    Potential for more than minimal harm

31. DF0840Employ 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.2024-01-26 · Health · corrected 2024-02-02

    Potential for more than minimal harm

32. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-01-26 · Health · corrected 2024-02-29

    Potential for more than minimal harm

33. EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-01-26 · Health · corrected 2024-03-08

    Potential for more than minimal harm

34. EF0946Provide training in compliance and ethics.2024-01-26 · Health · corrected 2024-03-08

    Potential for more than minimal harm

35. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-11-30 · Health · corrected 2023-12-22

    Potential for more than minimal harm

36. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-11-30 · Health · corrected 2023-12-22

    Potential for more than minimal harm

37. DF0578Honor 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.2022-11-09 · Health · corrected 2022-11-10

    Potential for more than minimal harm

38. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2022-11-09 · Health · corrected 2022-11-10

    Potential for more than minimal harm

39. DF0641Ensure each resident receives an accurate assessment.2022-11-09 · Health · corrected 2022-11-10

    Potential for more than minimal harm

40. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-11-09 · Health · corrected 2022-11-10

    Potential for more than minimal harm

41. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-11-09 · Health · corrected 2022-11-10

    Potential for more than minimal harm

42. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-11-09 · Health · corrected 2022-11-10

    Potential for more than minimal harm

43. DF0680Ensure the activities program is directed by a qualified professional.2022-11-09 · Health · corrected 2022-11-30

    Potential for more than minimal harm

44. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-11-09 · Health · corrected 2022-11-10

    Potential for more than minimal harm

45. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-11-09 · Health · corrected 2022-11-10

    Potential for more than minimal harm

46. EF0695Provide safe and appropriate respiratory care for a resident when needed.2022-11-09 · Health · corrected 2022-11-11

    Potential for more than minimal harm

47. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2022-11-09 · Health · corrected 2022-11-11

    Potential for more than minimal harm

48. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-11-09 · Health · corrected 2022-11-11

    Potential for more than minimal harm

49. DF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2022-11-09 · Health · corrected 2022-11-10

    Potential for more than minimal harm

Ownership

Other facilities in NEW BRAUNFELS

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.