Nursing homes › Texas › Kirkwood Manor
2590 Loop 337 N, New Braunfels, TX 78130 · 8306200509 · 162 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 3.17 (Texas median: 3.27). RN hours: 0.44. Weekend total: 2.78. Nursing staff turnover: 42%.
All-time on record: 49 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-10 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2026-05-08 |
| 2026-04-10 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2026-04-13 |
| 2026-04-10 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2026-05-08 |
| 2026-04-10 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2026-04-13 |
| 2026-04-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-05-08 |
| 2026-04-10 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2026-05-08 |
| 2026-04-10 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-05-08 |
| 2026-04-10 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2026-05-08 |
| 2026-04-10 | 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. | D | Health | corrected 2026-04-13 |
| 2026-04-10 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2026-05-15 |
| 2026-04-10 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Health | corrected 2026-05-08 |
| 2026-04-10 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2026-04-11 |
| 2026-03-31 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-04-01 |
| 2025-06-04 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-06-05 |
| 2025-06-04 | 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. | D | complaint | corrected 2025-06-05 |
| 2025-02-21 | 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. | E | Health | corrected 2025-03-21 |
| 2025-02-21 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-03-21 |
| 2025-02-21 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2025-03-21 |
| 2025-02-21 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-02-24 |
| 2025-02-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-02-27 |
| 2025-02-21 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2025-03-21 |
| 2025-02-21 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-02-22 |
| 2025-02-21 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-02-28 |
| 2025-02-21 | 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. | D | Health | corrected 2025-02-28 |
| 2025-02-21 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Health | corrected 2025-03-21 |
| 2025-01-10 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-06-25 |
| 2024-03-24 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | complaint | corrected 2024-03-25 |
| 2024-03-24 | Ensure that residents are free from significant medication errors. | E | complaint | corrected 2024-03-25 |
| 2024-03-24 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2024-03-25 |
| 2024-01-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-02-29 |
| 2024-01-26 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Health | corrected 2024-02-29 |
| 2024-01-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-02-29 |
| 2024-01-26 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2024-02-16 |
| 2024-01-26 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2024-02-29 |
| 2024-01-26 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Health | corrected 2024-03-08 |
| 2024-01-26 | Provide training in compliance and ethics. | E | Health | corrected 2024-03-08 |
| 2024-01-26 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2024-01-31 |
| 2024-01-26 | 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. | D | Health | corrected 2024-02-09 |
| 2024-01-26 | 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. | D | complaint | corrected 2024-02-02 |
| 2024-01-26 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Health | corrected 2024-02-16 |
| Date | Type | Amount |
|---|---|---|
| 2024-03-24 | Fine | $29,026 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MARTIN, KYLE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 11/01/2019 |
| YU, HAORAN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 11/01/2019 |
| APOLINAR, ADAM | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2022 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 12/20/2021 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| LAKE ISLAND HEALTHCARE, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 11/01/2019 |
| MARTIN, KYLE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2019 |
| YU, HAORAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2019 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455732. Corrections: data@carerecords.org.