Texas › Comal County › New Braunfels
Kirkwood Manor
2590 Loop 337 N, New Braunfels, TX 78130
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 162 beds, Kirkwood Manor serves New Braunfels in Comal County, Texas and has taken Medicare and Medicaid residents since 1988.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 2 and quality measures 3.
Inspectors recorded 51 health deficiencies across the three most recent survey cycles (15, 13, 23 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 31.5 per 100 beds, more than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $29K.
Reported nurse staffing is 3.2 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 42.3%.
Compared with county, state and nation
| Measure | This facility | Comal Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 51 | 47 | 25 | 28.7 |
| Citations per 100 beds | 31.5 | 31.5 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 42.3% | 49.5% | 52.1% | 45.8% |
| Fines listed | $29,026 | $29,026 | $16,801 | — |
County and state figures are medians across facilities (6 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Apr 2026, 21 Feb 2025.
Severity mix: K ×1 D ×38 E ×11 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 17 Jun 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 24 Jun 2026 |
| 17 Jun 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 8 Jul 2026 |
| 10 Apr 2026 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 8 May 2026 |
| 10 Apr 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 13 Apr 2026 |
| 10 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 8 May 2026 |
| 10 Apr 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 13 Apr 2026 |
| 10 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 8 May 2026 |
| 10 Apr 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 8 May 2026 |
| 10 Apr 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 8 May 2026 |
| 10 Apr 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 8 May 2026 |
| 10 Apr 2026 | F0761 | 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. | D | Standard survey | 13 Apr 2026 |
| 10 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 15 May 2026 |
| 10 Apr 2026 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 8 May 2026 |
| 10 Apr 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 11 Apr 2026 |
| 31 Mar 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 1 Apr 2026 |
| 4 Jun 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 5 Jun 2025 |
| 4 Jun 2025 | F0761 | 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. | D | Complaint investigation | 5 Jun 2025 |
| 21 Feb 2025 | F0584 | 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. | E | Standard survey | 21 Mar 2025 |
| 21 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 21 Mar 2025 |
| 21 Feb 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 21 Mar 2025 |
| 21 Feb 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 24 Feb 2025 |
| 21 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 27 Feb 2025 |
| 21 Feb 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 21 Mar 2025 |
| 21 Feb 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 22 Feb 2025 |
| 21 Feb 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 28 Feb 2025 |
| 21 Feb 2025 | F0761 | 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. | D | Standard survey | 28 Feb 2025 |
| 21 Feb 2025 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 21 Mar 2025 |
| 10 Jan 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 25 Jun 2024 |
| 24 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Complaint investigation | 25 Mar 2024 |
| 24 Mar 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 25 Mar 2024 |
| 24 Mar 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 25 Mar 2024 |
| 26 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Feb 2024 |
| 26 Jan 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 29 Feb 2024 |
| 26 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 29 Feb 2024 |
| 26 Jan 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 16 Feb 2024 |
| 26 Jan 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 29 Feb 2024 |
| 26 Jan 2024 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Standard survey | 8 Mar 2024 |
| 26 Jan 2024 | F0946 | Provide training in compliance and ethics. | E | Standard survey | 8 Mar 2024 |
| 26 Jan 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 31 Jan 2024 |
| 26 Jan 2024 | F0578 | 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. | D | Standard survey | 9 Feb 2024 |
| 26 Jan 2024 | F0584 | 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. | D | Complaint investigation | 2 Feb 2024 |
| 26 Jan 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 16 Feb 2024 |
| 26 Jan 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 14 Feb 2024 |
| 26 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 9 Feb 2024 |
| 26 Jan 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 31 Jan 2024 |
| 26 Jan 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 29 Feb 2024 |
| 26 Jan 2024 | F0758 | Implement 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. | D | Standard survey | 16 Feb 2024 |
| 26 Jan 2024 | F0840 | Employ 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. | D | Standard survey | 2 Feb 2024 |
| 26 Jan 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 29 Feb 2024 |
| 30 Nov 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 22 Dec 2023 |
| 30 Nov 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 22 Dec 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 24 Mar 2024 | Fine | $29,026 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 42.3%, RNs 35.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 39.7% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 33.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.6% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Uvalde County Hospital Authority. Chain: The Ensign Group (342 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Lake Island Healthcare, Inc. | Operational/managerial control | NOT APPLICABLE | 11/01/2019 |
| Ensign Services Inc | Adp of the snf | NOT APPLICABLE | 08/14/2019 |
| Lake Island Healthcare, Inc. | Adp of the snf | NOT APPLICABLE | 10/13/2025 |
| Lakewood Health Holdings LLC | Adp of the snf | NOT APPLICABLE | 11/01/2019 |
| Standard Bearer Healthcare Op, LP | Adp of the snf | NOT APPLICABLE | 11/01/2019 |
| The Ensign Group Inc | Adp of the snf | NOT APPLICABLE | 11/01/2019 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Comal County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Eden Home | New Braunfels | 122 | 3 | 3 | 4 | 28 | 23.0 | $45K | 1 May 2026 |
| Legend Oaks Healthcare and Rehabilitation - New Br | New Braunfels | 126 | 3 | 3 | 2 | 38 | 30.2 | — | 20 May 2026 |
| Sundance Inn Health Centerabuse icon | New Braunfels | 128 | 2 | 2 | 2 | 27 | 21.1 | $6K | 30 Apr 2026 |
| The Heights of Bulverde | Spring Branch | 124 | 2 | 2 | 2 | 47 | 37.9 | — | 1 Apr 2026 |
| Avir At New Braunfelsabuse icon | New Braunfels | 154 | 1 | 1 | 2 | 53 | 34.4 | $164K | 23 May 2026 |
All 6 facilities in Comal County
Questions and answers
How many deficiencies has Kirkwood Manor been cited for?
51 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Kirkwood Manor been fined?
Yes. CMS lists fines totalling $29K in the period covered.
How does staffing at Kirkwood Manor compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Kirkwood Manor?
It is part of the The Ensign Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Lake Island Healthcare, Inc.. Individual owners and managers are not listed on this site.
When was Kirkwood Manor last inspected?
The most recent survey or investigation in the CMS record is dated 17 Jun 2026; the most recent standard health survey was 10 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.