Georgetown Nursing and Transitional Care
4011 Williams Dr, Georgetown, TX 78628 · Williamson County · 142 certified beds · avg 101 residents/day · certified since Apr 26, 2011
Part of chain: WELLSENTIAL HEALTH (67 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 · Mar 17, 2025 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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: Mar 23, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (17)
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 |
|---|---|---|
| Jun 24, 2026 | E · Potential for harm, repeated | 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. |
| Jun 24, 2026 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| Apr 30, 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. |
| Apr 30, 2025 | E · Potential for harm, repeated | 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. |
| Apr 30, 2025 | E · Potential for harm, repeated | 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 30, 2025 | E · Potential for harm, repeated | 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. |
| Apr 30, 2025 | 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. |
| Apr 30, 2025 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Apr 30, 2025 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Apr 30, 2025 | 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. |
| Mar 17, 2025 | ▲ J · Immediate jeopardy, 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 |
| Mar 17, 2025 | D · Potential for harm, one-off | 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. · from a complaint |
| Mar 3, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Mar 3, 2025 | D · Potential for harm, one-off | The facility did not protect residents from being involuntarily separated — kept apart from other residents, kept out of their own room, or confined to their room. Isolating a resident this way is a form of mistreatment. · from a complaint |
| Feb 29, 2024 | 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. |
| Feb 29, 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. |
| Feb 29, 2024 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 3 | 0 | F |
| 2025 | 12 | 1 | J ▲ |
| 2026 | 2 | 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)
1 fine totaling $8,281.
| Date | Type | Amount / length |
|---|---|---|
| Mar 17, 2025 | Fine | $8,281 |
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) | 3.54 | 3.46 | 3.95 | top 33% in Texas; bottom 39% in the U.S. |
| Registered Nurse hours | 0.42 | 0.44 | 0.69 | top 43% in Texas; bottom 25% in the U.S. |
| Weekend total nurse staffing | 3.15 | 3.04 | 3.50 | top 31% in Texas; bottom 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.27 | 0.34 | 0.48 | bottom 44% in Texas; bottom 26% in the U.S. |
| Total nursing staff turnover (%) | 41.3 | 55.3 | 45.8 | top 24% in Texas; top 40% in the U.S. |
| RN turnover (%) | 60.0 | 54.6 | 42.9 | bottom 42% in Texas; bottom 22% 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 3.55, RN 0.42, weekend 3.16. 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: 4/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 4011 Williams Drive LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/15/2025 |
| Chaney, Dena | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2025 |
| Clapp, Barbara | Individual | ADP of the SNF | NOT APPLICABLE | 09/15/2025 |
| CSV Rhea Management Holdco, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/15/2025 |
| Dekowski, Donovan | Individual | ADP of the SNF | NOT APPLICABLE | 09/15/2025 |
| Donohue, Lorena | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/15/2025 |
| Donohue, Lorena | Individual | ADP of the SNF | NOT APPLICABLE | 09/15/2025 |
| DWD TX Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/15/2025 |
| Jack and Nancy Dwyer Workforce Development Center INC | Organization | ADP of the SNF | NOT APPLICABLE | 09/15/2025 |
| Mandelbaum, Elliot | Individual | ADP of the SNF | NOT APPLICABLE | 09/15/2025 |
| Price, Larry | Individual | Corporate Director | NOT APPLICABLE | 04/01/2017 |
| Reg Leased Opco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/15/2025 |
| Reg Operator Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/15/2025 |
| Regency Ihs Clinical Consulting, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/15/2025 |
| Regency Ihs Rehab LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/15/2025 |
| Regency Integrated Health Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/15/2025 |
| Regency Texas Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/15/2025 |
| South Limestone Hospital District | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2017 |
| South Limestone Hospital District | Organization | ADP of the SNF | NOT APPLICABLE | 09/30/2025 |
| Strong, Tyler | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/15/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see where garbage is stored and how often it's removed?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "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 |
|---|---|---|---|---|---|
| Park Place Care Center | 3.2 mi | Georgetown, TX | ★☆☆☆☆ | 1/5 | abuse |
| Bel Air at Teravista | 7.5 mi | Round Rock, TX | ★★★☆☆ | 2/5 | |
| San Gabriel Rehabilitation and Care Center | 10.3 mi | Round Rock, TX | ★☆☆☆☆ | 1/5 | abuse |
| Park Valley Inn Health Center | 11.2 mi | Round Rock, TX | ★★☆☆☆ | 1/5 | abuse |
| Hearthstone Nursing and Rehabilitation | 11.2 mi | Round Rock, TX | ★★★☆☆ | 3/5 | |
| Trinity Care Center | 11.4 mi | Round Rock, TX | ★★★☆☆ | 2/5 | |
| The Springs Healthcare and Rehabilitation | 11.5 mi | Cedar Park, TX | ★★★★☆ | 3/5 | |
| Cedar Pointe Health and Wellness Center | 11.6 mi | Cedar Park, TX | ★★★★☆ | 4/5 | |
| The Center at Parmer | 12.0 mi | Austin, TX | ★★★★★ | 4/5 | |
| Sagebrook Nursing and Rehabilitation | 12.7 mi | Cedar Park, TX | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 676280.