Deer Creek Nursing and Rehabilitation

555 Ranch Rd 3237 · Wimberley, TX · 78676 · 5128475540

122 certified beds For profit - Corporation Chain: Eduro Healthcare

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $50,051 in fines in the last 24 months.
  • Inspection results are getting worse cycle over cycle, not better.

Red flags

2 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$50,051 in federal fines in the last 24 months

3 fines — CMS fines are reserved for verified, serious non-compliance.

Total nurse staffing below 3.0 hours per resident-day

2.80 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 16
Serious harm & abuse 20% 6
Staffing 20% 50
Federal penalties 15% 29
Trend 10% 43
Context 5% 100

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: 4 of 5

Total nurse hours / resident-day2.803.48 min · 4.1 strong
RN hours / resident-day0.490.55–0.75
Weekend hours / resident-day2.50≈ weekday level
Nursing turnover / year56%median 45%
Fines (3-yr window)4 · $75,581

Inspection citations (35 in the current record)

  • Potential for harm · D December 22, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected January 22, 2026 · Pharmacy Service

  • Potential for harm · D December 1, 2025 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected December 30, 2025 · Nutrition and Dietary

  • Potential for harm · E December 1, 2025 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 30, 2025 · Nutrition and Dietary

  • Actual harm · G September 29, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 30, 2025 · Quality of Life and Care

  • Immediate jeopardy · K August 1, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected August 20, 2025 · Resident Rights

  • Immediate jeopardy · K August 1, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected August 20, 2025 · Quality of Life and Care

  • Potential for harm · E June 26, 2025

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected July 21, 2025 · Resident Rights

  • Potential for harm · E June 26, 2025

    Honor the resident's right to manage his or her financial affairs.

    Corrected July 21, 2025 · Resident Rights

  • Potential for harm · D June 26, 2025

    Provide activities to meet all resident's needs.

    Corrected July 21, 2025 · Quality of Life and Care

  • Potential for harm · D June 26, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected July 21, 2025 · Quality of Life and Care

  • Potential for harm · D June 26, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected July 21, 2025 · Pharmacy Service

  • Potential for harm · E June 26, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected July 21, 2025 · Nutrition and Dietary

  • Potential for harm · E June 26, 2025

    Ensure 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.

    Corrected July 21, 2025 · Nutrition and Dietary

  • Potential for harm · F June 26, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 21, 2025 · Nutrition and Dietary

  • Potential for harm · E June 26, 2025

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected July 21, 2025 · Environmental

  • Potential for harm · E June 26, 2025

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected July 21, 2025 · Environmental

  • Potential for harm · E June 11, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected July 3, 2025 · Quality of Life and Care

  • Potential for harm · E June 11, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected July 3, 2025 · Quality of Life and Care

  • Immediate jeopardy · J May 5, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected May 6, 2025 · Resident Rights

  • Immediate jeopardy · J May 5, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 6, 2025 · Quality of Life and Care

  • Potential for harm · D December 4, 2024 · 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 December 23, 2024 · Pharmacy Service

  • Potential for harm · D June 25, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected July 19, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E June 25, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected July 19, 2024 · Quality of Life and Care

  • Potential for harm · D April 25, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 20, 2024 · Resident Rights

  • Potential for harm · D April 25, 2024

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected May 20, 2024 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
September 29, 2025Fine$12,438
July 23, 2025Fine$17,131
May 5, 2025Fine$20,482
September 27, 2023Fine$25,530

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 455917 · certified since February 7, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.