THE ARBOUR AT WESTMINSTER MANOR Inspection Report, Violations & Safety Grade (AUSTIN, Texas)

4200 JACKSON AVE, AUSTIN, Texas 78731

Phone: 5124544711

CMS Overall:5/5

Overview & Bed Count

Certified Beds

Avg Residents/Day

80.6

Ownership

Non profit - Corporation

Provider Type

Medicare

County

Travis

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

Overall5/5

Health5/5

Staffing5/5

Quality5/5

Metric	This Facility	Texas Avg	Difference
RN Hours per Resident per Day	0.67	0.44	+0.23
Total Nurse Hours per Resident per Day	4.96	3.42	+1.54
CMS Staffing Rating	5/5	1.9/5	-
Nursing Staff Turnover	31.9%	50.8%	-

8 health citations on record

Date	Category	Description	Severity
2025-12-03	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2025-12-03	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D – Moderate Harm Potential
2024-09-25	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D – Moderate Harm Potential
2024-09-25	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D – Moderate Harm Potential
2024-09-25	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential
2023-07-21	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential
2023-07-21	Resident Assessment and Care Planning Deficiencies	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.	D – Moderate Harm Potential
2023-07-21	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D – Moderate Harm Potential

6 fire safety citations on record

Date	Category	Description	Severity
2025-12-03	Smoke Deficiencies	Provide properly protected cooking facilities.	F – Moderate Harm Potential
2025-12-03	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	F – Moderate Harm Potential
2023-07-21	Miscellaneous Deficiencies	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	F – Moderate Harm Potential
2023-07-21	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper medical gas storage and administration areas.	E – Moderate Harm Potential
2023-07-21	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	D – Moderate Harm Potential
2023-07-21	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	D – Moderate Harm Potential

$18,905

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2024-09-25	Fine	$18,905	-

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Our family advisors can help you find vetted, top-rated facilities in the AUSTIN area at no cost.

Advisor service is free for families. We may receive referral compensation.