Pflugerville Nursing and Rehabilitation Center

Name: Pflugerville Nursing and Rehabilitation Center
Address: 104 REX KERWIN COURT, Pflugerville, TX, 78660, US
Telephone: 5122513915

104 Rex Kerwin Court, Pflugerville, TX 78660 · Travis County · 120 certified beds · avg 107 residents/day · certified since Mar 18, 2010

Part of chain: WELLSENTIAL HEALTH (67 facilities, chain avg rating 2.7★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.09

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: 5/5

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 (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
Jul 2, 2026	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
Jul 2, 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. · from a complaint
May 28, 2026	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.
Feb 6, 2026	F · Potential for harm, facility-wide	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. · from a complaint
Jun 25, 2025	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. · from a complaint
Apr 3, 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 3, 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 3, 2025	E · Potential for harm, repeated	The facility did not dispose of garbage and refuse properly.
Apr 3, 2025	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Apr 3, 2025	D · Potential for harm, one-off	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 3, 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.
Apr 3, 2025	D · Potential for harm, one-off	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
Apr 3, 2025	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Apr 3, 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.
Oct 1, 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. · from a complaint
Oct 1, 2024	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
Sep 17, 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. · from a complaint
Feb 16, 2024	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. · from a complaint
Feb 16, 2024	E · Potential for harm, repeated	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.
Feb 16, 2024	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint
Feb 16, 2024	E · Potential for harm, repeated	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.
Feb 16, 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.
Feb 16, 2024	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.
Feb 16, 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.
Feb 16, 2024	D · Potential for harm, one-off	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · from a complaint
Feb 16, 2024	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
Feb 16, 2024	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
Feb 16, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (9 → 1).

Year	Citations	Worst severity that year
2024	14	E
2025	10	E
2026	4	F

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)	3.09	3.46	3.95	bottom 29% in Texas; bottom 17% in the U.S.
Registered Nurse hours	0.36	0.44	0.69	bottom 43% in Texas; bottom 17% in the U.S.
Weekend total nurse staffing	2.64	3.04	3.50	bottom 24% in Texas; bottom 14% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.22	0.34	0.48	bottom 29% in Texas; bottom 16% in the U.S.
Total nursing staff turnover (%)	31.3	55.3	45.8	top 7% in Texas; top 17% in the U.S.
RN turnover (%)	28.6	54.6	42.9	top 15% in Texas; top 26% 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 2.89, RN 0.34, weekend 2.47. 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: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Who owns this facility

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
CSV Rhea Management Holdco, LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/28/2015
DWD TX Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/28/2015
Jack and Nancy Dwyer Workforce Development Center INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/28/2015
Reg Bridge Opco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/28/2015
Reg HG Opco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/28/2015
Reg Operator Holdco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/28/2015
Regency Ihs of Pflugerville LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	02/28/2015
Regency Integrated Health Services LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/28/2015
Regency Texas Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/28/2015
104 Rex Kerwin Court LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/28/2015
Alexander, Alma	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/27/2020
Alexander, Alma	Individual	Corporate Officer	NOT APPLICABLE	05/27/2020
Baird, Daniel	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/13/2021
Burk, Allison	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Carvajal, Antonio	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/16/2024
Chavies, Akil	Individual	Operational/Managerial Control	NOT APPLICABLE	09/16/2019
Chavies, Akil	Individual	ADP of the SNF	NOT APPLICABLE	06/19/2019
Clapp, Barbara	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/01/2021
Cortese, Daren	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/10/2021
Dekowski, Donovan	Individual	Operational/Managerial Control	NOT APPLICABLE	02/28/2015

Questions to ask on your visit

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

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"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?"
"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
Five Points of Pflugerville	1.1 mi	Pflugerville, TX	★☆☆☆☆	1/5
Avir at Park Bend	5.0 mi	Austin, TX	★★★☆☆	3/5
Gracy Woods II Living Center	5.1 mi	Austin, TX	★★★★☆	4/5
Gracy Woods Nursing Center	5.2 mi	Austin, TX		—/5	SFF
Trinity Care Center	5.2 mi	Round Rock, TX	★★★☆☆	2/5
Falcon Ridge Rehabilitation	5.6 mi	Hutto, TX	★★☆☆☆	3/5
Legend Oaks Healthcare and Rehabilitation - North	5.6 mi	Austin, TX	★☆☆☆☆	1/5	abuse
San Gabriel Rehabilitation and Care Center	6.2 mi	Round Rock, TX	★☆☆☆☆	1/5	abuse
Ignite Medical Resort Round Rock, LLC	6.7 mi	Austin, TX	★★☆☆☆	1/5
Hearthstone Nursing and Rehabilitation	6.8 mi	Round Rock, TX	★★★☆☆	3/5
Windsor Nursing and Rehabilitation Center of Duval	7.0 mi	Austin, TX	★★★☆☆	2/5
Park Valley Inn Health Center	7.2 mi	Round Rock, TX	★★☆☆☆	1/5	abuse

Compare this facility with the 3 closest →

All facilities in Pflugerville →

Facility data as of CMS processing date 2026-08-01. CCN 676245.

The Care File

Visit checklist — Pflugerville Nursing and Rehabilitation Center

104 Rex Kerwin Court, Pflugerville, TX 78660 · 5122513915

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

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "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?"
☐ "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 676245 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)