Eden Home
631 Lakeview Blvd, New Braunfels, TX 78130 · Comal County · 122 certified beds · avg 97 residents/day · certified since Jan 10, 1986
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · May 22, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 20, 2025 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Jun 27, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 20, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (28)
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 |
|---|---|---|
| May 1, 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. · from a complaint |
| Mar 20, 2026 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 20, 2026 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Mar 20, 2026 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Mar 20, 2026 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Mar 20, 2026 | 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. |
| Mar 20, 2026 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Mar 20, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 20, 2026 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Mar 20, 2026 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 20, 2026 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| Mar 20, 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. |
| Mar 20, 2026 | D · Potential for harm, one-off | The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. |
| Mar 20, 2026 | B · Minimal risk, repeated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Dec 12, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| May 22, 2025 | ▲ J · Immediate jeopardy, 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 13, 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. |
| Dec 13, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Dec 13, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Dec 13, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint |
| Dec 13, 2024 | 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. |
| Nov 15, 2024 | D · Potential for harm, one-off | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. · from a complaint |
| Jun 27, 2024 | ▲ J · Immediate jeopardy, 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 |
| Jun 7, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Nov 17, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 17, 2023 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Nov 17, 2023 | D · Potential for harm, one-off | 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. |
| Nov 3, 2023 | E · Potential for harm, repeated | 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. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 13).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | F |
| 2024 | 8 | 1 | J ▲ |
| 2025 | 2 | 1 | J ▲ |
| 2026 | 14 | 0 | 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)
2 fines totaling $45,130, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| May 22, 2025 | Fine | $22,925 |
| Jun 27, 2024 | Fine | $22,205 |
| Jun 27, 2024 | Payment Denial | 19 days from Aug 1, 2024 |
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) | 4.13 | 3.46 | 3.95 | top 12% in Texas; top 35% in the U.S. |
| Registered Nurse hours | 0.58 | 0.44 | 0.69 | top 17% in Texas; bottom 49% in the U.S. |
| Weekend total nurse staffing | 3.60 | 3.04 | 3.50 | top 14% in Texas; top 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.45 | 0.34 | 0.48 | top 19% in Texas; top 40% in the U.S. |
| Total nursing staff turnover (%) | 38.8 | 55.3 | 45.8 | top 18% in Texas; top 33% in the U.S. |
| RN turnover (%) | 23.1 | 54.6 | 42.9 | top 11% in Texas; top 18% 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 3.98, RN 0.56, weekend 3.47. Staffing rating: 4/5.
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: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Guadalupe County Hospital Board | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/01/2021 |
| Calderon, Guido | Individual | ADP of the SNF | NOT APPLICABLE | 06/04/2026 |
| Carpenter, Wendy | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/04/2026 |
| Eden Home INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2021 |
| Eden Home INC | Organization | ADP of the SNF | NOT APPLICABLE | 05/28/2026 |
| Gann, Kody | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2021 |
| Guadalupe County Hospital Board | Organization | Trustee of the SNF | NOT APPLICABLE | 05/01/2021 |
| Huber, Suzanne | Individual | ADP of the SNF | NOT APPLICABLE | 09/23/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "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 |
|---|---|---|---|---|---|
| Sundance Inn Health Center | 2.2 mi | New Braunfels, TX | ★★☆☆☆ | 2/5 | abuse |
| Kirkwood Manor | 2.5 mi | New Braunfels, TX | ★★☆☆☆ | 2/5 | |
| Avir at New Braunfels | 2.9 mi | New Braunfels, TX | ★☆☆☆☆ | 1/5 | abuse |
| Legend Oaks Healthcare and Rehabilitation - New Br | 3.9 mi | New Braunfels, TX | ★★★☆☆ | 3/5 | |
| Avir at Schertz | 12.2 mi | Schertz, TX | ★★☆☆☆ | 1/5 | abuse |
| Silver Tree Nursing and Rehabilitation Center | 13.3 mi | Schertz, TX | ★★☆☆☆ | 2/5 | |
| Cypress Healthcare and Rehabilitation Center | 13.7 mi | San Marcos, TX | ★☆☆☆☆ | 1/5 | |
| Hays Nursing and Rehabilitation Center | 14.3 mi | San Marcos, TX | ★★★☆☆ | 3/5 | |
| Avir at Walnut Springs | 14.3 mi | Seguin, TX | ★★★★☆ | 4/5 | |
| Trucare Living Centers - Selma | 15.0 mi | Selma, TX | ★★☆☆☆ | 3/5 | |
| Avir at Seguin | 15.3 mi | Seguin, TX | ★☆☆☆☆ | 2/5 | abuse |
| Guadalupe Valley Nursing and Rehabilitation Center | 15.5 mi | Seguin, TX | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 455618.