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WEST OAKS NURSING AND REHABILITATION CENTER Inspection Report, Violations & Safety Grade (AUSTIN, Texas)

3200 W. SLAUGHTER LANE, AUSTIN, Texas 78748

Phone: 5122820141

CMS Overall:2/5

Overview & Bed Count

Certified Beds
125
Avg Residents/Day
112.8
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
County
Travis
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health2/5
Staffing2/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityTexas AvgDifference
RN Hours per Resident per Day0.430.44-0.01
Total Nurse Hours per Resident per Day3.113.42-0.31
CMS Staffing Rating2/51.9/5-
Nursing Staff Turnover34.1%50.8%-

Health Citation History

30 health citations on record

DateCategoryDescriptionSeverity
2026-02-25Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E – Moderate Harm Potential
2026-02-25Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.E – Moderate Harm Potential
2026-02-25Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2026-02-25Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2026-02-25Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2026-02-25Resident Assessment and Care Planning DeficienciesDevelop 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
2026-02-25Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2025-12-11Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-02-11Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.K – Immediate Jeopardy
2024-11-26Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.E – Moderate Harm Potential
2024-11-26Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2024-11-26Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2024-11-26Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2024-11-26Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-11-26Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-05-13Resident Assessment and Care Planning DeficienciesDevelop 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
2024-04-10Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.H – Actual Harm
2024-04-10Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.H – Actual Harm
2024-04-10Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2024-03-28Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2024-03-28Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2023-11-13Resident Assessment and Care Planning DeficienciesEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.E – Moderate Harm Potential
2023-09-03Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2023-09-03Administration DeficienciesConduct 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.F – Moderate Harm Potential
2023-09-03Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E – Moderate Harm Potential
2023-09-03Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E – Moderate Harm Potential
2023-09-03Administration DeficienciesHire a qualified full-time social worker in a facility with more than 120 beds.E – Moderate Harm Potential
2023-09-03Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2023-09-03Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2023-09-03Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential

Fire Safety Citation History

13 fire safety citations on record

DateCategoryDescriptionSeverity
2026-02-25Emergency Preparedness DeficienciesEstablish policies and procedures including evacuation.F – Moderate Harm Potential
2026-02-25Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2026-02-25Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2026-02-25Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential
2026-02-25Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2024-11-26Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-11-26Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2024-11-26Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2024-11-26Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.D – Moderate Harm Potential
2023-09-03Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2023-09-03Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.E – Moderate Harm Potential
2023-09-03Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2023-09-03Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.E – Moderate Harm Potential

Total Penalties & Fines

$39,527
Total Fine Amount (CMS)
2
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2025-02-11Fine$26,683-
2024-03-28Fine$12,844-

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