Gracy Woods II Living Center

Name: Gracy Woods II Living Center
Address: 12042 BITTERN HOLLOW, Austin, TX, 78758, US
Telephone: 5127302100

12042 Bittern Hollow, Austin, TX 78758 · Travis County · 110 certified beds · avg 91 residents/day · certified since Apr 26, 2002

Part of chain: CARING HEALTHCARE GROUP (14 facilities, chain avg rating 3.0★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.07

Nurse hours/resident/day (adjusted)

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.

All citations in the current public record (16)

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
Mar 20, 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.
Mar 20, 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.
Mar 20, 2025	E · Potential for harm, repeated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Mar 20, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jan 31, 2024	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.
Jan 31, 2024	D · Potential for harm, one-off	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. · from a complaint
Jan 31, 2024	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.
Jan 31, 2024	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Oct 27, 2022	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.
Oct 27, 2022	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.
Oct 27, 2022	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Oct 27, 2022	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.
Oct 27, 2022	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Oct 27, 2022	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.
Oct 27, 2022	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.
Oct 27, 2022	B · Minimal risk, repeated	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).

Year	Citations	Worst severity that year
2022	8	E
2024	4	E
2025	4	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)	3.07	3.46	3.95	bottom 27% in Texas; bottom 16% in the U.S.
Registered Nurse hours	0.45	0.44	0.69	top 34% in Texas; bottom 30% in the U.S.
Weekend total nurse staffing	2.86	3.04	3.50	bottom 44% in Texas; bottom 24% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.34	0.34	0.48	top 37% in Texas; bottom 40% in the U.S.
Total nursing staff turnover (%)	45.5	55.3	45.8	top 35% in Texas; bottom 49% in the U.S.
RN turnover (%)	55.6	54.6	42.9	bottom 48% in Texas; bottom 28% 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 0.52, weekend 3.26. 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: 4/5 · short-stay residents: 4/5

Who owns this facility

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
Byrom, David	Individual	W-2 Managing Employee	NOT APPLICABLE	04/01/2017
Byrom, David	Individual	Corporate Director	NOT APPLICABLE	04/01/2017
Coryell County Memorial Hospital Authority	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2017
Gracy Woods Healthcare LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2017
Shapiro, Menachem	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2017

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 you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
"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
Gracy Woods Nursing Center	0.2 mi	Austin, TX		—/5	SFF
Avir at Park Bend	0.5 mi	Austin, TX	★★★☆☆	3/5
Windsor Nursing and Rehabilitation Center of Duval	2.8 mi	Austin, TX	★★★☆☆	2/5
Legend Oaks Healthcare and Rehabilitation - North	2.9 mi	Austin, TX	★☆☆☆☆	1/5	abuse
Sage Park Austin	4.1 mi	Austin, TX	★★★☆☆	3/5
Sedona Trace Health and Wellness Center	4.4 mi	Austin, TX	★★★☆☆	4/5
Coral Rehabilitation and Nursing of Austin	4.5 mi	Austin, TX	★☆☆☆☆	1/5	abuseSFF
Pflugerville Nursing and Rehabilitation Center	5.1 mi	Pflugerville, TX	★★★★★	4/5
Austin Wellness & Rehabilitation	5.3 mi	Austin, TX	★☆☆☆☆	1/5
Five Points of Pflugerville	5.5 mi	Pflugerville, TX	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Austin →

Facility data as of CMS processing date 2026-08-01. CCN 675914.

The Care File

Visit checklist — Gracy Woods II Living Center

12042 Bittern Hollow, Austin, TX 78758 · 5127302100

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
☐ "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?"

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 675914 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)