CareSentinel

Federal Nursing-Home Survey Record

Kirkwood Manor

CCN 455732 · 2590 Loop 337 N, New Braunfels, TX, 78130 · Operated within the THE ENSIGN GROUP chain

Does Kirkwood Manor have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Kirkwood Manor (CCN 455732), in New Braunfels, TX, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 13 deficiencies; the most serious carries scope/severity E. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $29,026 in civil money penalties on file against the facility. This page restates the federal record and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with federal regulators; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

The Federal Record

CMS has $29,026 in civil money penalties on file against this facility.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$29,026

CMS has $29,026 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 2  ·  CMS state average: 2.7

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2026-03-31
CURRENT CYCLE
F755S/S D

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

2025-06-04
CURRENT CYCLE
F755S/S D

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

2025-06-04
CURRENT CYCLE
F761S/S D

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.

2025-02-21
CURRENT CYCLE
F584S/S E

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.

2025-02-21
CURRENT CYCLE
F880S/S E

Provide and implement an infection prevention and control program.

2025-02-21
CURRENT CYCLE
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2025-02-21
CURRENT CYCLE
F813S/S D

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

2025-02-21
CURRENT CYCLE
F761S/S D

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.

2025-02-21
CURRENT CYCLE
F755S/S D

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

2025-02-21
CURRENT CYCLE
F645S/S D

PASARR screening for Mental disorders or Intellectual Disabilities

2025-02-21
CURRENT CYCLE
F689S/S D

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

2025-02-21
CURRENT CYCLE
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2025-02-21
CURRENT CYCLE
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2025-01-10
HISTORICAL
F755S/S D

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

2024-03-24
HISTORICAL
F684S/S K

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

2024-03-24
HISTORICAL
F760S/S E

Ensure that residents are free from significant medication errors.

2024-03-24
HISTORICAL
F842S/S E

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2024-01-26
HISTORICAL
F812S/S F

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

2024-01-26
HISTORICAL
F944S/S E

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

2024-01-26
HISTORICAL
F565S/S E

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

2024-01-26
HISTORICAL
F946S/S E

Provide training in compliance and ethics.

2024-01-26
HISTORICAL
F656S/S E

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

2024-01-26
HISTORICAL
F756S/S E

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2024-01-26
HISTORICAL
F755S/S E

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

2024-01-26
HISTORICAL
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2024-01-26
HISTORICAL
F840S/S D

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.

2024-01-26
HISTORICAL
F636S/S D

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

2024-01-26
HISTORICAL
F584S/S D

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.

2024-01-26
HISTORICAL
F758S/S D

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.

2024-01-26
HISTORICAL
F578S/S D

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.

2024-01-26
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2024-01-26
HISTORICAL
F689S/S D

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

2024-01-26
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2024-01-26
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2024-01-26
HISTORICAL
F692S/S D

Provide enough food/fluids to maintain a resident's health.

2023-11-30
HISTORICAL
F609S/S D

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

2023-11-30
HISTORICAL
F552S/S D

Ensure that residents are fully informed and understand their health status, care and treatments.

2022-11-09
HISTORICAL
F656S/S E

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

2022-11-09
HISTORICAL
F689S/S E

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

2022-11-09
HISTORICAL
F695S/S E

Provide safe and appropriate respiratory care for a resident when needed.

2022-11-09
HISTORICAL
F842S/S E

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2022-11-09
HISTORICAL
F640S/S D

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

2022-11-09
HISTORICAL
F700S/S D

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

2022-11-09
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2022-11-09
HISTORICAL
F655S/S D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2022-11-09
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2022-11-09
HISTORICAL
F684S/S D

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

2022-11-09
HISTORICAL
F909S/S D

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

2022-11-09
HISTORICAL
F680S/S D

Ensure the activities program is directed by a qualified professional.

2022-11-09
HISTORICAL
F578S/S D

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.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at Kirkwood Manor?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…