B+
82/100

Sagebrook Nursing and Rehabilitation Inspection Report, Violations & Safety Grade (Cedar Park, Texas)

901 Discovery Blvd, Cedar Park, Texas 78613

Phone: 5122599993

CMS Overall:4/5

Overview & Bed Count

Certified Beds
124
Avg Residents/Day
90.2
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Williamson
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing2/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityTexas AvgDifference
RN Hours per Resident per Day0.480.44+0.04
Total Nurse Hours per Resident per Day3.173.42-0.24
CMS Staffing Rating2/51.9/5-
Nursing Staff Turnover46.3%50.8%-

Health Citation History

30 health citations on record

DateCategoryDescriptionSeverity
2026-07-16Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.E – Moderate Harm Potential
2026-07-16Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.E – Moderate Harm Potential
2026-07-16Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2026-07-16Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2026-07-16Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2026-07-16Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D – Moderate Harm Potential
2026-07-16Resident 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
2026-07-16Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2026-07-16Pharmacy 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.D – Moderate Harm Potential
2026-07-16Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.C – Minimal Harm Potential
2026-07-16Nursing and Physician Services DeficienciesPost nurse staffing information every day.C – Minimal Harm Potential
2026-07-06Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2026-07-06Resident 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
2025-05-14Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E – Moderate Harm Potential
2025-05-14Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-12-19Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2024-12-19Quality 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
2024-11-21Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2024-10-09Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2024-06-06Resident 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
2024-03-28Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E – Moderate Harm Potential
2024-03-28Resident Rights DeficienciesHonor the resident's right to manage his or her financial affairs.E – Moderate Harm Potential
2024-03-28Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.E – Moderate Harm Potential
2024-03-28Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.E – Moderate Harm Potential
2024-03-28Resident 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.E – Moderate Harm Potential
2024-03-28Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2024-03-28Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-03-28Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2024-03-28Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-03-28Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D – Moderate Harm Potential

Fire Safety Citation History

3 fire safety citations on record

DateCategoryDescriptionSeverity
2025-05-14Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.D – Moderate Harm Potential
2024-03-28Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2024-03-28Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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