Austin Wellness & Rehabilitation
11406 Rustic Rock Drive · Austin, TX · 78750 · 5123355028
120 certified beds For profit - Individual Chain: Coryell County Memorial Hospital Authority
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $131,055 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$131,055 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.74 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
65% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.74 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.64 | 0.55–0.75 |
| Weekend hours / resident-day | 2.36 | ≈ weekday level |
| Nursing turnover / year | 65% | median 45% |
| Fines (3-yr window) | 3 · $166,205 |
Inspection citations (62 in the current record)
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Potential for harm · D March 20, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 21, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 21, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 10, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 10, 2026 · found via complaint
Ensure 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.
Corrected February 6, 2026 · Pharmacy Service
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Potential for harm · D December 2, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 24, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 8, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 9, 2025 · Infection Control
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Potential for harm · E May 5, 2025 · found via complaint
Honor 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.
Corrected May 30, 2025 · Resident Rights
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Potential for harm · E March 6, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 7, 2025 · Resident Rights
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Potential for harm · D March 6, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected March 7, 2025 · Resident Rights
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Potential for harm · E March 6, 2025
Honor 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.
Corrected March 7, 2025 · Resident Rights
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Potential for harm · D March 6, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2025
Provide activities to meet all resident's needs.
Corrected March 7, 2025 · Quality of Life and Care
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Potential for harm · D March 6, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected March 7, 2025 · Quality of Life and Care
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Potential for harm · D March 6, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 7, 2025 · Pharmacy Service
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Potential for harm · E March 6, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 7, 2025 · Nutrition and Dietary
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Potential for harm · E March 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 7, 2025 · Nutrition and Dietary
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Potential for harm · E March 6, 2025
Provide and implement an infection prevention and control program.
Corrected March 7, 2025 · Infection Control
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Potential for harm · E February 1, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 2, 2025 · Infection Control
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Potential for harm · E February 1, 2025 · found via complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected February 2, 2025 · Infection Control
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Potential for harm · D November 15, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 16, 2024 · Quality of Life and Care
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Potential for harm · E September 27, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 27, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 28, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · K September 19, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 20, 2024 · Quality of Life and Care
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Potential for harm · E September 19, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 20, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 19, 2024 | Fine | $131,055 |
| May 20, 2024 | Fine | $20,415 |
| March 25, 2024 | Fine | $14,735 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455799 · certified since March 21, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.