Government - Hospital district · 125 certified beds · CMS number 676095

West Oaks Nursing and Rehabilitation Center, Austin, TX

CMS records 30 health deficiencies at West Oaks Nursing and Rehabilitation Center in Austin, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Feb 25, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $39,527 in the last three years.

Inspections and deficiencies

CMS findings for West Oaks Nursing and Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and West Oaks Nursing and Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (8 deficiencies)

Standard inspection Feb 25, 2026. CMS counts 8 health deficiencies and 5 fire safety deficiencies in this cycle.

Feb 25, 2026 · Standard inspection

7 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 2, 2026

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 2, 2026

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 2, 2026

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 26, 2026

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 26, 2026

F565 · Resident and family councils

Requirement cited (CMS): Honor the resident's right to organize and participate in resident/family groups in the facility.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 26, 2026

F550 · Dignity and the right to exercise rights

Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 2, 2026

Dec 11, 2025 · Complaint inspection

1 deficiency, highest D

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 15, 2025
Previous cycle: 7 deficiencies (standard inspection Nov 26, 2024)

Standard inspection Nov 26, 2024. CMS counts 7 health deficiencies and 4 fire safety deficiencies in this cycle.

Feb 11, 2025 · Complaint inspection

1 deficiency, highest K

F760 · No significant medication errors

Requirement cited (CMS): Ensure that residents are free from significant medication errors.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Feb 12, 2025

Nov 26, 2024 · Standard inspection

6 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 21, 2024

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 23, 2024

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 21, 2024

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 21, 2024

F583 · Personal privacy and confidential records

Requirement cited (CMS): Keep residents' personal and medical records private and confidential.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 21, 2024

F550 · Dignity and the right to exercise rights

Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 21, 2024
Earlier cycle: 15 deficiencies (standard inspection Sep 3, 2023)

Standard inspection Sep 3, 2023. CMS counts 15 health deficiencies and 4 fire safety deficiencies in this cycle.

May 13, 2024 · Complaint inspection

1 deficiency, highest D

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 22, 2024

Apr 10, 2024 · Complaint inspection

3 deficiencies, highest H

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
H Actual harm (not immediate jeopardy), pattern
Status
Correction date May 7, 2024

F697 · Pain management

Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.

Severity
H Actual harm (not immediate jeopardy), pattern
Status
Correction date May 7, 2024

F550 · Dignity and the right to exercise rights

Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 7, 2024

Mar 28, 2024 · Complaint inspection

2 deficiencies, highest J

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection), Mar 27, 2024

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 1, 2024

Nov 13, 2023 · Complaint inspection

1 deficiency, highest E

F661 · Discharge summary

Requirement cited (CMS): Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 26, 2023

Sep 3, 2023 · Standard inspection

8 deficiencies, highest J

F850 · Full-time social worker in larger homes

Requirement cited (CMS): Hire a qualified full-time social worker in a facility with more than 120 beds.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 3, 2023

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 3, 2023

F838 · Facility-wide assessment of needs

Requirement cited (CMS): Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Oct 3, 2023

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 3, 2023

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Correction date Oct 3, 2023

F657 · Care plan timing and team review

Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 3, 2023

F645 · Pre-admission screening for mental disorder or intellectual disability

Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 3, 2023

F558 · Accommodating individual needs and preferences

Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 3, 2023

Tags cited in more than one inspection

6 tags cited on more than one inspection date at West Oaks Nursing and Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F689 Accident prevention and supervision4Dec 11, 2025; Nov 26, 2024; Mar 28, 2024 (PNC); Sep 3, 2023
F550 Dignity and the right to exercise rights3Feb 25, 2026; Nov 26, 2024; Apr 10, 2024
F656 Comprehensive person-centered care plan2Feb 25, 2026; May 13, 2024
F755 Pharmacy services and a consultant pharmacist2Feb 25, 2026; Apr 10, 2024
F812 Food safety and sanitation2Feb 25, 2026; Nov 26, 2024
F880 Infection prevention and control program2Feb 25, 2026; Nov 26, 2024

Fines and payment denials

DateTypeAmount / length
Feb 11, 2025Fine$26,683
Mar 28, 2024Fine$12,844

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.20 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.45 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.70 h
Nursing staff turnover
34.1% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
2 of 5
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
4 of 5

CMS figures for West Oaks Nursing and Rehabilitation Center, copied as published; Texas medians are ours.

Facility details

Address
3200 W. Slaughter Lane, Austin, TX 78748
Phone
(512) 282-0141
County
Travis
Accepts
Medicare and Medicaid
Ownership
Government - Hospital district
Chain (CMS)
The Ensign Group
Certified beds
125
Average residents per day
106.5
In Medicare/Medicaid since
Mar 31, 2006
Inside a hospital
Yes
Continuing care retirement community
No
Resident and family council
None
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 4 times)
  • How do staff learn about and respect each resident's personal routines and choices? (F550, cited 3 times)
  • How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
  • How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 2 times)

Other nursing homes in Austin and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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