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Gracy Woods II Living Center
12042 Bittern Hollow, Austin, TX 78758 (opens Google Maps) · Travis County · (512) 730-2100· 110 certified beds · avg 91 residents/day · certified since Apr 26, 2002 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: CARING HEALTHCARE GROUP (14 facilities, chain avg rating 3.0★)
4/5
Health inspection rating (on-site)
inspected Mar 20, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.07
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 16 inspection findings. Open the full record below to read every finding.
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. F-0550
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. F-0880
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. F-0881
View all 16 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 20, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0550 |
| Mar 20, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Mar 20, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0881 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| Jan 31, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Jan 31, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0550 |
| Jan 31, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Jan 31, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0919 |
| Oct 27, 2022 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Oct 27, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0695 |
| Oct 27, 2022 | E · Potential for more than minimal harm, pattern | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Oct 27, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Oct 27, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0585 |
| Oct 27, 2022 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Oct 27, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Oct 27, 2022 | B · Potential for minimal harm, pattern | 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. · F-0849 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).
All citationsSerious citations (G–L)
2022
All citations: 8
Serious citations (G–L): 0
2024
All citations: 4
Serious citations (G–L): 0
2025
All citations: 4
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 8 | 0 | E |
| 2024 | 4 | 0 | E |
| 2025 | 4 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.07
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.45
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.86
Texas average: 3.04
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.50 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Gracy Woods II Living Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 5 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Caring Healthcare Group — 14 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Gracy Woods Nursing Center — Austin, TX · overall —/5SFF
- Highland Park Care Center — Houston, TX · overall 2/5
- Las Colinas of Westover — San Antonio, TX · overall 2/5
- Marshall Manor Nursing & Rehabilitation Center — Marshall, TX · overall 4/5
- Marshall Manor West — Marshall, TX · overall 3/5
- New Hope Manor — Cedar Park, TX · overall 4/5
- Oak Brook Health Care Center — Whitehouse, TX · overall 3/5
- Rose Haven Retreat — Atlanta, TX · overall 4/5
Listed by state, then facility name — not a ranking. Showing 8 of the 13 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 46% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 41 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 | 2.9 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 | |
| Ignite Medical Resort Round Rock, LLC | 6.4 mi | Austin, TX | ★★☆☆☆ | 1/5 | |
| The Arbour at Westminster Manor | 6.8 mi | Austin, TX | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Travis, TX — 28 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Heritage Park Rehabilitation and Skilled Nursing C — Austin, TX · overall 2/5
- Longhorn Village — Austin, TX · overall 5/5
- Marbridge Villa — Manchaca, TX · overall 4/5
- Oakcrest Nursing and Rehabilitation Center — Austin, TX · overall 3/5
- Onion Creek Nursing and Rehabilitation Center — Austin, TX · overall 1/5
- Park Manor Bee Cave — Bee Cave, TX · overall 1/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 675914.
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