Kirkwood Manor
Nursing home · 2590 LOOP 337 N, New Braunfels, TX 78130 · Comal County
Prices
Texas HHSC publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Nursing · MEDICARE/MEDICAID · certified
- Capacity
- 162
- State license
- 005243
- Medicare CCN
- 455732
- Licensed entity
- UVALDE COUNTY HOSPITAL AUTHORITY
- Chain
- THE ENSIGN GROUP
- Ownership
- For profit - Corporation
- Phone
- (830) 620-0509
- Nurse staffing
- 3.17 hours per resident per day; 42.3% nursing staff turnover
- Medicare ratings
- Inspections 2★ · Staffing 2★ · Quality 3★
- Official record
- Texas HHSC provider search (TULIP)
- Official record
- Medicare Care Compare
Penalties
- Mar 24, 2024 — Fine ($29,026)
Inspection findings
-
Jun 17, 2026 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jun 24, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Jul 8, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Apr 10, 2026 Health · 18 findings
-
Not serious
Scope/severity D
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Apr 13, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected May 8, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 8, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0657 Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Apr 13, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 8, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
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 May 8, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 8, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 8, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0761 Pharmacy Service Deficiencies
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 Apr 13, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 15, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0813 Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected May 8, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Apr 11, 2026 · CMS health inspection
-
Not serious
Scope/severity E
K0211 Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected May 8, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0222 Egress Deficiencies
Add 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.
Corrected May 15, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected May 15, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected May 8, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected May 15, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0920 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Corrected Apr 30, 2026 · CMS fire safety
-
Not serious
Scope/severity D
-
Mar 31, 2026 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Apr 1, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jun 4, 2025 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Jun 5, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0761 Pharmacy Service Deficiencies
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 Jun 5, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Feb 21, 2025 Health · 16 findings
-
Not serious
Scope/severity E
F0584 Resident Rights Deficiencies
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 Mar 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0645 Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected Mar 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0657 Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Feb 24, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Feb 27, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
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 Mar 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Feb 22, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Feb 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0761 Pharmacy Service Deficiencies
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 Feb 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0813 Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected Mar 21, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Mar 21, 2025 · CMS health inspection
-
Not serious
Scope/severity E
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Feb 20, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0351 Smoke Deficiencies
Install an approved automatic sprinkler system.
Corrected Apr 18, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Mar 13, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0355 Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected Mar 5, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Apr 18, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Feb 24, 2025 · CMS fire safety
-
Not serious
Scope/severity E
-
Jan 10, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Jun 25, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Mar 24, 2024 Health · 3 findings
-
Serious
Scope/severity K
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Mar 25, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Mar 25, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Mar 25, 2024 · CMS health inspection
-
Serious
Scope/severity K
Complaint
-
Jan 26, 2024 Health · 24 findings
-
Not serious
Scope/severity D
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Jan 31, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0565 Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected Feb 29, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0578 Resident Rights Deficiencies
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 Feb 9, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0584 Resident Rights Deficiencies
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 Feb 2, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0636 Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected Feb 16, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Feb 14, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Feb 29, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Feb 9, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected Jan 31, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Feb 29, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Feb 16, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0756 Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Feb 29, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0758 Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected Feb 16, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Feb 29, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0840 Administration Deficiencies
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Corrected Feb 2, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Feb 29, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0944 Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected Mar 8, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0946 Administration Deficiencies
Provide training in compliance and ethics.
Corrected Mar 8, 2024 · CMS health inspection
-
Not serious
Scope/severity D
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Feb 2, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0351 Smoke Deficiencies
Install an approved automatic sprinkler system.
Corrected Feb 6, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Jan 29, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0711 Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Corrected Mar 1, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Mar 1, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0920 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Corrected Mar 1, 2024 · CMS fire safety
-
Not serious
Scope/severity D
-
Nov 30, 2023 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0552 Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected Dec 22, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Dec 22, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
Owners and managers (as published by CMS)
- APOLINAR, ADAM — corporate officer, NOT APPLICABLE, since 07/01/2022
- BURNAM, SOON — corporate officer, NOT APPLICABLE, since 12/20/2021
- KEETCH, CHAD — corporate officer, NOT APPLICABLE, since 03/01/2011
- MARTIN, KYLE — operational/managerial control, NOT APPLICABLE, since 11/01/2019
- MARTIN, KYLE — managing control - governing body, NOT APPLICABLE, since 11/01/2019
- MARTIN, KYLE — adp of the snf, NOT APPLICABLE, since 11/01/2019
- YU, HAORAN — adp of the snf, NOT APPLICABLE, since 11/01/2019
- YU, HAORAN — managing control - governing body, NOT APPLICABLE, since 11/01/2019
- YU, HAORAN — operational/managerial control, NOT APPLICABLE, since 11/01/2019
- ENSIGN SERVICES INC — adp of the snf, NOT APPLICABLE, since 08/14/2019
- LAKE ISLAND HEALTHCARE, INC. — adp of the snf, NOT APPLICABLE, since 10/13/2025
- LAKE ISLAND HEALTHCARE, INC. — operational/managerial control, NOT APPLICABLE, since 11/01/2019
- LAKEWOOD HEALTH HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 11/01/2019
- STANDARD BEARER HEALTHCARE OP, LP — adp of the snf, NOT APPLICABLE, since 11/01/2019
- THE ENSIGN GROUP INC — adp of the snf, NOT APPLICABLE, since 11/01/2019
Sources: Texas Health and Human Services Commission, Long-term Care Regulation (directory and closures) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.