For profit - Limited Liability company · 112 certified beds · CMS number 745001

Estates at Shavano Park, Shavano Park, TX

CMS records 32 health deficiencies at Estates at Shavano Park in Shavano Park, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Mar 13, 2026. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

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

Most recent cycle (18 deficiencies)

Standard inspection Mar 13, 2026. CMS counts 18 health deficiencies and 2 fire safety deficiencies in this cycle.

Mar 13, 2026 · Standard inspection

12 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 14, 2026

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 Mar 14, 2026

F813 · Food brought in by visitors

Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 16, 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 16, 2026

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 Mar 17, 2026

F760 · No significant medication errors

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

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 14, 2026

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 Mar 14, 2026

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 Mar 17, 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 Mar 16, 2026

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 Mar 16, 2026

F605 · Limits on psychotropic drugs and chemical restraints

Requirement cited (CMS): Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 17, 2026

F554 · Taking one's own medications

Requirement cited (CMS): Allow residents to self-administer drugs if determined clinically appropriate.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 17, 2026

Dec 3, 2025 · Complaint inspection

2 deficiencies, highest D

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 Dec 4, 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 Dec 4, 2025

Nov 25, 2025 · Complaint inspection

2 deficiencies, highest D

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 Nov 26, 2025

F726 · Competent nurses and nurse aides

Requirement cited (CMS): Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 26, 2025

Sep 29, 2025 · Complaint inspection

2 deficiencies, highest D

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 Oct 18, 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 Oct 18, 2025
Previous cycle: 6 deficiencies (standard inspection Dec 6, 2024)

Standard inspection Dec 6, 2024. CMS counts 6 health deficiencies and 4 fire safety deficiencies in this cycle.

Dec 6, 2024 · Standard inspection

6 deficiencies, highest E

F810 · Adaptive eating equipment and help

Requirement cited (CMS): Provide special eating equipment and utensils for residents who need them and appropriate assistance.

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

F760 · No significant medication errors

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

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

F759 · Medication error rate under 5 percent

Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.

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

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 Dec 7, 2024

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 Dec 30, 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
B No actual harm, potential for minimal harm, pattern
Status
Correction date Dec 7, 2024
Earlier cycle: 8 deficiencies (standard inspection Oct 26, 2023)

Standard inspection Oct 26, 2023. CMS counts 8 health deficiencies and 0 fire safety deficiencies in this cycle.

Oct 26, 2023 · Standard inspection

8 deficiencies, highest E

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 Nov 16, 2023

F808 · Physician-ordered therapeutic diets

Requirement cited (CMS): Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Nov 16, 2023

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 Nov 16, 2023

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 Nov 17, 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 Nov 16, 2023

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 Nov 14, 2023

F607 · Abuse prevention policies

Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Nov 14, 2023

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 Nov 15, 2023

Tags cited in more than one inspection

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

TagInspectionsDates
F641 Accurate resident assessments4Dec 3, 2025; Sep 29, 2025; Dec 6, 2024; Oct 26, 2023
F695 Respiratory and oxygen care3Mar 13, 2026; Dec 3, 2025; Sep 29, 2025
F550 Dignity and the right to exercise rights2Dec 6, 2024; Oct 26, 2023
F690 Bladder, bowel, and catheter care2Mar 13, 2026; Dec 6, 2024
F760 No significant medication errors2Mar 13, 2026; Dec 6, 2024
F761 Drug labeling and secure storage2Mar 13, 2026; Oct 26, 2023
F812 Food safety and sanitation2Mar 13, 2026; Oct 26, 2023
F880 Infection prevention and control program2Mar 13, 2026; Nov 25, 2025

Fines and payment denials

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.67 h (above the Texas median of 3.27 h)
RN hours per resident per day
0.21 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
3.23 h
Nursing staff turnover
63.4% (Texas median 52.1%)
Administrators who left
1
CMS overall rating
3 of 5
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measure rating
2 of 5

CMS figures for Estates at Shavano Park, copied as published; Texas medians are ours.

Facility details

Address
4366 Lockhill Selma, Shavano Park, TX 78249
Phone
(210) 761-9261
County
Bexar
Accepts
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Chain (CMS)
Not part of a chain in CMS data
Certified beds
112
Average residents per day
71.3
In Medicare/Medicaid since
Jul 16, 2021
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How does the home check that resident assessments match what staff actually observe? (F641, cited 4 times)
  • How are oxygen equipment and breathing treatments managed and checked? (F695, cited 3 times)
  • How do staff learn about and respect each resident's personal routines and choices? (F550, cited 2 times)
  • How does the home support residents who need help with toileting or incontinence? (F690, cited 2 times)

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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