West Oaks Nursing and Rehabilitation Center

3200 W. Slaughter Lane · Austin, TX · 78748 · 5122820141

125 certified beds Government - Hospital district Chain: The Ensign Group Hospital-based

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results have improved across recent cycles.

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Red flags

3 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 40
Serious harm & abuse 20% 70
Staffing 20% 58
Federal penalties 15% 55
Trend 10% 90
Context 5% 100

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: 4 of 5

Total nurse hours / resident-day3.133.48 min · 4.1 strong
RN hours / resident-day0.480.55–0.75
Weekend hours / resident-day2.64≈ weekday level
Nursing turnover / year40%median 45%
Fines (3-yr window)2 · $39,527

Inspection citations (32 in the current record)

  • Potential for harm · E February 25, 2026

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected March 2, 2026 · Resident Rights

  • Potential for harm · E February 25, 2026

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected February 26, 2026 · Resident Rights

  • Potential for harm · D February 25, 2026

    Ensure each resident receives an accurate assessment.

    Corrected February 26, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 25, 2026

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 26, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 25, 2026

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected March 2, 2026 · Pharmacy Service

  • Potential for harm · E February 25, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 2, 2026 · Nutrition and Dietary

  • Potential for harm · E February 25, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 2, 2026 · Infection Control

  • Potential for harm · D December 11, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 15, 2025 · Quality of Life and Care

  • Immediate jeopardy · K February 11, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected February 12, 2025 · Pharmacy Service

  • Potential for harm · D November 26, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 21, 2024 · Resident Rights

  • Potential for harm · E November 26, 2024

    Keep residents' personal and medical records private and confidential.

    Corrected December 21, 2024 · Resident Rights

  • Potential for harm · D November 26, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 21, 2024 · Quality of Life and Care

  • Potential for harm · E November 26, 2024

    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 December 21, 2024 · Pharmacy Service

  • Potential for harm · E November 26, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 23, 2024 · Nutrition and Dietary

  • Potential for harm · D November 26, 2024

    Provide and implement an infection prevention and control program.

    Corrected December 21, 2024 · Infection Control

  • Potential for harm · D May 13, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 22, 2024 · Resident Assessment and Care Planning

  • Actual harm · H April 10, 2024 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected May 7, 2024 · Quality of Life and Care

  • Actual harm · H April 10, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected May 7, 2024 · Pharmacy Service

  • Potential for harm · D April 10, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 7, 2024 · Resident Rights

  • Immediate jeopardy · J March 28, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 27, 2024 · Quality of Life and Care

  • Potential for harm · D March 28, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 1, 2024 · Quality of Life and Care

  • Potential for harm · E November 13, 2023 · found via complaint

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected December 26, 2023 · Resident Assessment and Care Planning

  • Immediate jeopardy · J September 3, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 3, 2023 · Quality of Life and Care

  • Potential for harm · D September 3, 2023

    Reasonably accommodate the needs and preferences of each resident.

    Corrected October 3, 2023 · Resident Rights

  • Potential for harm · D September 3, 2023

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected October 3, 2023 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
February 11, 2025Fine$26,683
March 28, 2024Fine$12,844

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676095 · certified since March 31, 2006. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.