Kirkwood Manor

CCN 455732 · UVALDE COUNTY HOSPITAL AUTHORITY · For profit - Corporation · THE ENSIGN GROUP chain · 162 certified beds · Comal · TX


Kirkwood Manor is a 162-bed nursing home in New Braunfels, Texas. CMS has certified it for Medicare and Medicaid since 1988-02-05. It averages 138.2 residents a day.

What harm was found in the violations cited at Kirkwood Manor?

CMS lists 51 health-inspection deficiencies for Kirkwood Manor, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-06-17.

Survey dateTagDeficiencySeverity
2026-06-17F0684, F0842Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2026-04-10F0641Ensure each resident receives an accurate assessment.E
2026-04-10F0550, F0656, F0657, F0689, F0690, F0695, F0755, F0761, F0812, F0813, F0842Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2026-03-31F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-06-04F0755, F0761Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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
2025-02-21F0584, F0880Honor 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. / Provide and implement an infection prevention and control program.E
2025-02-21F0645, F0657, F0689, F0690, F0695, F0755, F0761, F0813PASARR screening for Mental disorders or Intellectual Disabilities / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Have a policy regarding use and storage of foods brought to residents by family and other visitors.D
2025-01-10F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-03-24F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.K
2024-03-24F0760, F0842Ensure that residents are free from significant medication errors. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2024-01-26F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-01-26F0565, F0656, F0755, F0756, F0944, F0946Honor the resident's right to organize and participate in resident/family groups in the facility. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Provide training in compliance and ethics.E
2024-01-26F0558, F0578, F0584, F0636, F0641, F0689, F0692, F0695, F0758, F0840, F0842Reasonably accommodate the needs and preferences of each resident. / 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. / 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. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure each resident receives an accurate assessment. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-11-30F0552, F0609Ensure that residents are fully informed and understand their health status, care and treatments. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D

Why was Kirkwood Manor fined?

DateTypeAmount
2024-03-24Fine$29,026

How is Kirkwood Manor staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.173233.38539
Total nursing staff turnover (%)42.355.3
Average number of residents per day138.275.8

Who owns Kirkwood Manor, and what chain is it in?

Kirkwood Manor is registered with CMS as For profit - Corporation, operates under the legal business name UVALDE COUNTY HOSPITAL AUTHORITY and belongs to the THE ENSIGN GROUP chain.

RoleOwnerAssociation date
MANAGING CONTROL - GOVERNING BODYMARTIN, KYLE, YU, HAORANsince 11/01/2019
CORPORATE OFFICERAPOLINAR, ADAM, BURNAM, SOON, KEETCH, CHADsince 03/01/2011
OPERATIONAL/MANAGERIAL CONTROLLAKE ISLAND HEALTHCARE, INC., MARTIN, KYLE, YU, HAORANsince 11/01/2019
ADP OF THE SNFENSIGN SERVICES INC, LAKE ISLAND HEALTHCARE, INC., LAKEWOOD HEALTH HOLDINGS LLC, STANDARD BEARER HEALTHCARE OP, LP, THE ENSIGN GROUP INC, MARTIN, KYLE, YU, HAORANsince 08/14/2019

Were you or a family member harmed at Kirkwood Manor?