Gracy Woods Nursing Center

12021 Metric Blvd · Austin, TX · 78758 · 5122283300

118 certified beds For profit - Limited Liability company Chain: Caring Healthcare Group Hospital-based

Why this verdict

  • On the federal Special Focus list of the most persistently poor performers.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $50,815 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

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Red flags

Special Focus Facility

CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.

1 immediate-jeopardy citation 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.

2 abuse-related citations at the actual-harm level

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

$50,815 in federal fines in the last 24 months

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

RN staffing in the bottom 10% nationally

0.18 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 12
Serious harm & abuse 20% 30
Staffing 20% 54
Federal penalties 15% 19
Trend 10% 92
Context 5% 0

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated

Total nurse hours / resident-day3.933.48 min · 4.1 strong
RN hours / resident-day0.180.55–0.75
Weekend hours / resident-day3.31≈ weekday level
Nursing turnover / year54%median 45%
Fines (3-yr window)4 · $222,188

Inspection citations (56 in the current record)

  • Potential for harm · D March 3, 2026 · found via complaint

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

    Corrected March 9, 2026 · Resident Rights

  • Potential for harm · D March 3, 2026 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected March 9, 2026 · Infection Control

  • Potential for harm · D December 31, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected January 5, 2026 · Resident Rights

  • Potential for harm · D December 31, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 5, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E December 31, 2025

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

    Corrected January 5, 2026 · Nutrition and Dietary

  • Potential for harm · D 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

  • Potential for harm · E November 24, 2025 · found via complaint

    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

    Corrected November 28, 2025 · Nursing and Physician Services

  • Immediate jeopardy · J September 13, 2025 · found via complaint

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

    Corrected September 15, 2025 · Quality of Life and Care

  • Potential for harm · E July 31, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected August 1, 2025 · Resident Rights

  • Potential for harm · E July 31, 2025

    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 August 1, 2025 · Resident Rights

  • Potential for harm · E July 31, 2025

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

    Corrected August 1, 2025 · Pharmacy Service

  • Potential for harm · F July 31, 2025

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

    Corrected August 1, 2025 · Nutrition and Dietary

  • Potential for harm · E July 31, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 1, 2025 · Infection Control

  • Potential for harm · E July 9, 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 July 10, 2025 · Pharmacy Service

  • Potential for harm · E February 28, 2025

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Corrected March 3, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E February 28, 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 March 3, 2025 · Resident Rights

  • Potential for harm · D February 28, 2025 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected March 3, 2025 · Resident Rights

  • Potential for harm · D February 28, 2025 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected March 3, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 28, 2025 · found via complaint

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

    Corrected March 3, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E February 28, 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 March 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 28, 2025 · found via complaint

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

    Corrected March 3, 2025 · Quality of Life and Care

  • Potential for harm · D February 28, 2025 · found via complaint

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected March 3, 2025 · Quality of Life and Care

  • Potential for harm · D February 28, 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 March 3, 2025 · Pharmacy Service

  • Potential for harm · E February 28, 2025 · 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 March 3, 2025 · Pharmacy Service

  • Potential for harm · E February 28, 2025 · found via complaint

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Corrected March 3, 2025 · Nutrition and Dietary

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

Federal penalties

DateTypeAmount / length
September 13, 2025Fine$50,815
May 16, 2024Fine$98,956
January 26, 2024Fine$50,253
August 24, 2023Fine$22,164

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 675918 · certified since June 17, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.