Kirkwood Manor
2590 Loop 337 N · New Braunfels, TX · 78130 · 8306200509
162 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.27 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.46 | 0.55–0.75 |
| Weekend hours / resident-day | 2.89 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 1 · $29,026 |
Inspection citations (50 in the current record)
-
Potential for harm · D March 31, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 1, 2026 · Pharmacy Service
-
Potential for harm · D June 4, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 5, 2025 · Pharmacy Service
-
Potential for harm · D June 4, 2025 · found via complaint
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 June 5, 2025 · Pharmacy Service
-
Potential for harm · E February 21, 2025
Honor 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.
Corrected March 21, 2025 · Resident Rights
-
Potential for harm · D February 21, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 21, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D February 21, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 24, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D February 21, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 27, 2025 · Quality of Life and Care
-
Potential for harm · D February 21, 2025
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 21, 2025 · Quality of Life and Care
-
Potential for harm · D February 21, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 22, 2025 · Quality of Life and Care
-
Potential for harm · D February 21, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 28, 2025 · Pharmacy Service
-
Potential for harm · D February 21, 2025
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 February 28, 2025 · Pharmacy Service
-
Potential for harm · D February 21, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected March 21, 2025 · Nutrition and Dietary
-
Potential for harm · E February 21, 2025
Provide and implement an infection prevention and control program.
Corrected March 21, 2025 · Infection Control
-
Potential for harm · D January 10, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 25, 2024 · Pharmacy Service
-
Immediate jeopardy · K March 24, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 25, 2024 · Quality of Life and Care
-
Potential for harm · E March 24, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected March 25, 2024 · Pharmacy Service
-
Potential for harm · E March 24, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 25, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D January 26, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected January 31, 2024 · Resident Rights
-
Potential for harm · E January 26, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected February 29, 2024 · Resident Rights
-
Potential for harm · D January 26, 2024
Honor 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.
Corrected February 9, 2024 · Resident Rights
-
Potential for harm · D January 26, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected February 16, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D January 26, 2024
Ensure each resident receives an accurate assessment.
Corrected February 14, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E January 26, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 29, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D January 26, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 9, 2024 · Quality of Life and Care
-
Potential for harm · D January 26, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected January 31, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 24, 2024 | Fine | $29,026 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455732 · certified since February 5, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.