Estates at Shavano Park
4366 Lockhill Selma · Shavano Park, TX · 78249 · 2107619261
112 certified beds For profit - Limited Liability company
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 3.15 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (32 in the current record)
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Potential for harm · D March 13, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 17, 2026 · Resident Rights
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Potential for harm · D March 13, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected March 17, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 13, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 13, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 13, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 17, 2026 · Quality of Life and Care
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Potential for harm · D March 13, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 14, 2026 · Quality of Life and Care
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Potential for harm · E March 13, 2026
Ensure that residents are free from significant medication errors.
Corrected March 14, 2026 · Pharmacy Service
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Potential for harm · E March 13, 2026
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.
Corrected March 17, 2026 · Pharmacy Service
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Potential for harm · E March 13, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 16, 2026 · Nutrition and Dietary
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Potential for harm · D March 13, 2026
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected March 16, 2026 · Nutrition and Dietary
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Potential for harm · D March 13, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 14, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 13, 2026
Provide and implement an infection prevention and control program.
Corrected March 14, 2026 · Infection Control
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Potential for harm · D December 3, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected December 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 3, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 4, 2025 · Quality of Life and Care
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Potential for harm · D November 25, 2025 · found via complaint
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.
Corrected November 26, 2025 · Nursing and Physician Services
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Potential for harm · D November 25, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 26, 2025 · Infection Control
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Potential for harm · D September 29, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected October 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 29, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 18, 2025 · Quality of Life and Care
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Potential for harm · D December 6, 2024
Ensure each resident receives an accurate assessment.
Corrected December 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · E December 6, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 7, 2024 · Quality of Life and Care
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Potential for harm · D December 6, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected December 7, 2024 · Pharmacy Service
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Potential for harm · D December 6, 2024
Ensure that residents are free from significant medication errors.
Corrected December 7, 2024 · Pharmacy Service
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Potential for harm · D December 6, 2024
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected December 7, 2024 · Nutrition and Dietary
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No harm found · B December 6, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 7, 2024 · Resident Rights
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Potential for harm · D October 26, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 15, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 745001 · certified since July 16, 2021. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.