Government - Hospital district · 140 certified beds · CMS number 676373

Park Manor Bee Cave, Bee Cave, TX

CMS records 37 health deficiencies at Park Manor Bee Cave in Bee Cave, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Sep 17, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level. CMS lists 2 fines totaling $19,608 in the last three years.

Inspections and deficiencies

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

Most recent cycle (8 deficiencies)

Standard inspection Sep 17, 2025. CMS counts 8 health deficiencies and 0 fire safety deficiencies in this cycle.

Jul 1, 2026 · 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 Jul 2, 2026

Feb 19, 2026 · Complaint inspection

1 deficiency, highest D

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 Feb 20, 2026

Sep 17, 2025 · Standard inspection

3 deficiencies, highest F

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
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Sep 18, 2025

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 18, 2025

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 18, 2025

Sep 10, 2025 · Complaint inspection

3 deficiencies, highest G

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 Sep 11, 2025

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 11, 2025

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Sep 11, 2025
Previous cycle: 20 deficiencies (standard inspection Aug 8, 2024)

Standard inspection Aug 8, 2024. CMS counts 20 health deficiencies and 1 fire safety deficiency in this cycle.

Aug 18, 2025 · Complaint inspection

1 deficiency, highest D

F644 · Coordinating with PASARR screening

Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 5, 2025

Jun 2, 2025 · Complaint inspection

1 deficiency, highest D

F580 · Telling residents and families about changes

Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 17, 2025

May 28, 2025 · Complaint inspection

1 deficiency, highest H

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
H Actual harm (not immediate jeopardy), pattern
Status
Correction date Jun 12, 2025

Apr 29, 2025 · Complaint inspection

1 deficiency, highest G

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
G Actual harm (not immediate jeopardy), isolated
Status
Correction date May 14, 2025

Jan 10, 2025 · Complaint inspection

2 deficiencies, 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 Jan 11, 2025

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 Jan 11, 2025

Aug 8, 2024 · Standard inspection

14 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 Aug 9, 2024

F809 · Meal times and snacks

Requirement cited (CMS): Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 9, 2024

F806 · Allergies, preferences, and meal substitutes

Requirement cited (CMS): Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 9, 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 Aug 9, 2024

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 Aug 9, 2024

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 9, 2024

F686 · Pressure ulcer prevention and care

Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 9, 2024

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 9, 2024

F679 · Activities program

Requirement cited (CMS): Provide activities to meet all resident's needs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 9, 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 Aug 9, 2024

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 9, 2024

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 9, 2024

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 Aug 9, 2024

F557 · Respect and personal belongings

Requirement cited (CMS): Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 9, 2024
Earlier cycle: 9 deficiencies (standard inspection Jun 14, 2023)

Standard inspection Jun 14, 2023. CMS counts 9 health deficiencies and 5 fire safety deficiencies in this cycle.

Aug 2, 2024 · Complaint inspection

1 deficiency, highest D

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 9, 2024

Jul 21, 2024 · Complaint inspection

2 deficiencies, highest K

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
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Jul 22, 2024

F697 · Pain management

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

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Jul 22, 2024

Nov 16, 2023 · Complaint inspection

2 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 Dec 6, 2023

F602 · Protecting residents' money and belongings

Requirement cited (CMS): Protect each resident from the wrongful use of the resident's belongings or money.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 6, 2023

Oct 11, 2023 · Complaint inspection

1 deficiency, highest H

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
H Actual harm (not immediate jeopardy), pattern
Status
Correction date Nov 1, 2023

Jun 14, 2023 · Standard inspection

3 deficiencies, highest E

F680 · Qualified activities director

Requirement cited (CMS): Ensure the activities program is directed by a qualified professional.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 12, 2023

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 Jul 12, 2023

F655 · Baseline care plan within 48 hours

Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 12, 2023

Tags cited in more than one inspection

7 tags cited on more than one inspection date at Park Manor Bee Cave; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F755 Pharmacy services and a consultant pharmacist5Sep 17, 2025; Apr 29, 2025; Aug 8, 2024; Jul 21, 2024; Nov 16, 2023
F656 Comprehensive person-centered care plan4Jul 1, 2026; Jan 10, 2025; Aug 8, 2024; Jun 14, 2023
F695 Respiratory and oxygen care3Sep 10, 2025; May 28, 2025; Aug 8, 2024
F684 Quality of care2Sep 10, 2025; Aug 8, 2024
F690 Bladder, bowel, and catheter care2Aug 2, 2024; Oct 11, 2023
F761 Drug labeling and secure storage2Sep 17, 2025; Aug 8, 2024
F880 Infection prevention and control program2Sep 10, 2025; Aug 8, 2024

Fines and payment denials

DateTypeAmount / length
Apr 29, 2025Fine$6,338
Jul 21, 2024Fine$13,270

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.07 h (below the Texas median of 3.27 h)
RN hours per resident per day
0.39 h (about the same as the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.64 h
Nursing staff turnover
48.5% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
1 of 5
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
4 of 5

CMS figures for Park Manor Bee Cave, copied as published; Texas medians are ours.

Facility details

Address
14058 Bee Caves Parkway, Bldg B, Bee Cave, TX 78738
Phone
(512) 872-8170
County
Travis
Accepts
Medicare and Medicaid
Ownership
Government - Hospital district
Chain (CMS)
The Ensign Group
Certified beds
140
Average residents per day
120.4
In Medicare/Medicaid since
Dec 3, 2014
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Both
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 5 times)
  • How are a resident's goals and preferences written into the care plan? (F656, cited 4 times)
  • How are oxygen equipment and breathing treatments managed and checked? (F695, cited 3 times)
  • How does the home make sure doctor's orders are followed consistently across shifts? (F684, cited 2 times)

Other nursing homes in Bee Cave 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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