PFLUGERVILLE NURSING AND REHABILITATION CENTER
104 REX KERWIN COURT, PFLUGERVILLE, TX 78660 · CCN 676245
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 110.7
- Phone
- 5122513915
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-03 | 10 | 9.1 | 9.5 | +0.9 worse |
| 2 | 2024-02-16 | 14 | 9.4 | 9.8 | +4.6 worse |
| 3 | 2022-12-04 | 5 | 8.1 | 9.3 | -3.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Nutrition and dietary | 4 |
| Pharmacy service | 1 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.76 | 28.6% |
| RN staffing (reported) | 0.29 | 25.0% |
| Total nurse staffing (adjusted) | 2.93 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- WELLSENTIAL HEALTH
- Facilities in chain
- 67
- Chain avg overall
- 2.80 / 5
Inspection citations (29)1 immediate jeopardy
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-25 · Health · corrected 2025-07-06
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-03 · Health · corrected 2025-04-06
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2025-04-03 · Health · corrected 2025-04-06
Potential for more than minimal harm
- 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.2025-04-03 · Health · corrected 2025-04-06
Potential for more than minimal harm
- DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2025-04-03 · Health · corrected 2025-04-06
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-04-03 · Health · corrected 2025-04-06
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-03 · Health · corrected 2025-04-06
Potential for more than minimal harm
- EF0814Dispose of garbage and refuse properly.2025-04-03 · Health · corrected 2025-04-06
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-04-03 · Health · corrected 2025-04-06
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-04-03 · Health · corrected 2025-04-06
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-01 · Health · corrected 2024-10-05
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-10-01 · Health · corrected 2024-10-05
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-17 · Health · corrected 2024-09-24
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-02-16 · Health · corrected 2024-03-12
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-16 · Health · corrected 2024-03-12
Potential for more than minimal harm
- DF0687Provide appropriate foot care.2024-02-16 · Health · corrected 2024-03-12
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-16 · Health · corrected 2024-03-12
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-02-16 · Health · corrected 2024-03-12
Potential for more than minimal harm
- EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-02-16 · Health · corrected 2024-03-12
Potential for more than minimal harm
- 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.2024-02-16 · Health · corrected 2024-03-12
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2024-02-16 · Health · corrected 2024-03-12
Potential for more than minimal harm
- EF0761Ensure 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.2024-02-16 · Health · corrected 2024-03-12
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-16 · Health · corrected 2024-03-12
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-02-16 · Health · corrected 2024-03-12
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-12-04 · Health · corrected 2022-12-15
Immediate jeopardy
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-12-04 · Health · corrected 2022-12-15
Potential for more than minimal harm
- EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2022-12-04 · Health · corrected 2022-12-15
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-12-04 · Health · corrected 2022-12-15
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-12-04 · Health · corrected 2022-12-15
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| DEWITT MEDICAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-02-18 |
| DEWITT MEDICAL DISTRICT | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-02-28 |
| REGENCY IHS OF PFLUGERVILLE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-02-28 |
| REGENCY INTEGRATED HEALTH SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-02-28 |
| CHAVIES, AKIL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-09-16 |
| DEKOWSKI, DONOVAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-02-28 |
| PAPACEK, CHARLES | Individual | CORPORATE DIRECTOR | — | 1997-10-01 |
| ALEXANDER, ALMA | Individual | CORPORATE OFFICER | — | 2020-05-27 |
Other facilities in PFLUGERVILLE
| Name | Overall | Beds |
|---|---|---|
| PFLUGERVILLE CARE CENTER | ★☆☆☆☆ | 111 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.