Barton Valley Rehabilitation and Healthcare Center

Name: Barton Valley Rehabilitation and Healthcare Center
Address: 4501 Dudmar Dr, Austin, TX, 78735, US
Telephone: 5128921131

4501 Dudmar Dr, Austin, TX 78735 · Travis County · 126 certified beds · avg 99 residents/day · certified since May 8, 1996

Part of chain: NEXION HEALTH (51 facilities, chain avg rating 2.2★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.68

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (23)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 16, 2026	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Apr 16, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 16, 2026	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Apr 16, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Apr 16, 2026	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Apr 16, 2026	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Apr 16, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Apr 16, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 16, 2026	D · Potential for harm, one-off	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Jan 20, 2026	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Jan 20, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jan 2, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jan 2, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Feb 26, 2025	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Feb 26, 2025	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Feb 26, 2025	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Feb 26, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 6, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 6, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint
Mar 11, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Jan 19, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Jan 19, 2024	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 19, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 9).

Year	Citations	Worst severity that year
2024	5	E
2025	5	E
2026	13	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.68	3.46	3.95	top 26% in Texas; bottom 45% in the U.S.
Registered Nurse hours	0.35	0.44	0.69	bottom 41% in Texas; bottom 16% in the U.S.
Weekend total nurse staffing	3.17	3.04	3.50	top 30% in Texas; bottom 40% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.27	0.34	0.48	bottom 43% in Texas; bottom 25% in the U.S.
Total nursing staff turnover (%)	42.2	55.3	45.8	top 26% in Texas; top 42% in the U.S.
RN turnover (%)	54.5	54.6	42.9	bottom 49% in Texas; bottom 29% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.50, RN 0.34, weekend 3.02. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5

Who owns this facility

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
Bolt, Bretton	Individual	5% or Greater Indirect Ownership Interest	—	10/08/2020
Kirley, Francis	Individual	5% or Greater Indirect Ownership Interest	—	10/08/2020
Nexion Health Leasing, INC.	Organization	5% or Greater Indirect Ownership Interest	—	10/08/2020
Nexion Health of Ohi INC	Organization	5% or Greater Direct Ownership Interest	100%	10/08/2020
Nexion Health, INC.	Organization	5% or Greater Indirect Ownership Interest	—	10/08/2020
Fallon, John	Individual	Corporate Officer	NOT APPLICABLE	10/08/2020
Herdrich, William	Individual	Corporate Director	NOT APPLICABLE	10/08/2020
Kirley, Francis	Individual	Corporate Director	NOT APPLICABLE	10/08/2020
Kirley, Francis	Individual	Corporate Officer	NOT APPLICABLE	10/08/2020
Kirley, Francis	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2020
Lee, Brian	Individual	Corporate Officer	NOT APPLICABLE	10/08/2020
Miller, Kelsey	Individual	W-2 Managing Employee	NOT APPLICABLE	12/01/2020
Nexion Health Leasing, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2020
Nexion Health of Ohi INC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2020
Nexion Health, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2020
Reid, John	Individual	Corporate Director	NOT APPLICABLE	10/08/2020
Riner, Meera	Individual	Corporate Director	NOT APPLICABLE	10/08/2020
Riner, Meera	Individual	Corporate Officer	NOT APPLICABLE	10/08/2020
Riner, Meera	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2020

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Brush Country Nursing and Rehabilitation	2.2 mi	Austin, TX	★☆☆☆☆	1/5
Brookdale Westlake Hills	2.4 mi	Austin, TX	★★☆☆☆	2/5
West Oaks Nursing and Rehabilitation Center	4.4 mi	Austin, TX	★★☆☆☆	2/5
Southpark Meadows Nursing and Rehabilitation Cente	5.0 mi	Austin, TX	★★☆☆☆	3/5
Querencia at Barton Creek	5.2 mi	Austin, TX	★★★★★	4/5
Brodie Ranch Nursing and Rehabilitation Center	6.3 mi	Austin, TX	★★★☆☆	3/5
The Arbour at Westminster Manor	6.4 mi	Austin, TX	★★★★★	4/5
Riverside Nursing and Rehabilitation Center	6.4 mi	Austin, TX	★☆☆☆☆	2/5	abuse
Heritage Park Rehabilitation and Skilled Nursing C	6.5 mi	Austin, TX	★★☆☆☆	1/5
Onion Creek Nursing and Rehabilitation Center	6.8 mi	Austin, TX	★☆☆☆☆	2/5
Marbridge Villa	7.4 mi	Manchaca, TX	★★★★☆	4/5
Coral Rehabilitation and Nursing of Austin	8.6 mi	Austin, TX	★☆☆☆☆	1/5	abuseSFF

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 675596.

The Care File

Visit checklist — Barton Valley Rehabilitation and Healthcare Center

4501 Dudmar Dr, Austin, TX 78735 · 5128921131

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675596 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)