Sedona Trace Health and Wellness Center
8324 Cameron Rd, Austin, TX 78754 · Travis County · 119 certified beds · avg 113 residents/day · certified since Nov 20, 2018
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · 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 · Jun 14, 2024 · F-0919
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.
Why it matters: A resident who falls or needs help in a bathroom without a working call button may be stranded and unable to summon aid.
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: Jun 15, 2024 (Deficient, Provider has date of correction)
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 |
|---|---|---|
| May 12, 2026 | D · Potential for harm, one-off | The facility did not allow a resident's chosen representative — often a family member or someone with power of attorney — to exercise the resident's rights on their behalf. When a resident can't speak for themselves, their representative steps into that role. · from a complaint |
| May 12, 2026 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Jul 24, 2025 | 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. |
| Jun 16, 2025 | 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 |
| Jun 24, 2024 | D · Potential for harm, one-off | The facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed. · from a complaint |
| Jun 14, 2024 | ▲ J · Immediate jeopardy, 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. |
| Jun 14, 2024 | 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. |
| Jun 14, 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. |
| Jun 14, 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. |
| Jun 14, 2024 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Jun 14, 2024 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jun 14, 2024 | D · Potential for harm, one-off | 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. |
| May 11, 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. |
| May 11, 2023 | 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. |
| May 11, 2023 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| May 11, 2023 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2024 | 8 | 1 | J ▲ |
| 2025 | 2 | 0 | D |
| 2026 | 2 | 0 | D |
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 $11,168.
| Date | Type | Amount / length |
|---|---|---|
| Jun 14, 2024 | Fine | $11,168 |
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) | 3.22 | 3.46 | 3.95 | bottom 42% in Texas; bottom 23% 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 | 2.75 | 3.04 | 3.50 | bottom 34% in Texas; bottom 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.34 | 0.48 | bottom 39% in Texas; bottom 22% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 55.3 | 45.8 | — |
| RN turnover (%) | 0.0 | 54.6 | 42.9 | — |
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 3.04, RN 0.42, weekend 2.59. Staffing rating: 1/5.
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
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Guadalupe County Hospital Board | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/01/2021 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2021 |
| Caretrust GP LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2021 |
| Caretrust Reit INC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2021 |
| Ctr Partnership LP | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2021 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 06/18/2021 |
| Gann, Kody | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2021 |
| Hurley, Rachael | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/01/2021 |
| Hurley, Rachael | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2021 |
| Hurley, Rachael | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2021 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Mustang Ridge Healthcare, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2021 |
| Mustang Ridge Healthcare, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 09/30/2025 |
| Rathi, Anil | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/14/2024 |
| Rathi, Anil | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/14/2024 |
| Rathi, Anil | Individual | ADP of the SNF | NOT APPLICABLE | 01/14/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "How do you involve a resident's representative in care decisions, and how quickly are they consulted?"
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "If my family member is hospitalized, what is your bed-hold policy and what guarantees their right to return?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Legend Oaks Healthcare and Rehabilitation - North | 2.3 mi | Austin, TX | ★☆☆☆☆ | 1/5 | abuse |
| Coral Rehabilitation and Nursing of Austin | 3.3 mi | Austin, TX | ★☆☆☆☆ | 1/5 | abuseSFF |
| Oakcrest Nursing and Rehabilitation Center | 3.8 mi | Austin, TX | ★★★☆☆ | 2/5 | |
| Heritage Park Rehabilitation and Skilled Nursing C | 4.3 mi | Austin, TX | ★★☆☆☆ | 1/5 | |
| Gracy Woods II Living Center | 4.4 mi | Austin, TX | ★★★★☆ | 4/5 | |
| Gracy Woods Nursing Center | 4.5 mi | Austin, TX | —/5 | SFF | |
| The Arbour at Westminster Manor | 4.6 mi | Austin, TX | ★★★★★ | 4/5 | |
| Avir at Park Bend | 4.9 mi | Austin, TX | ★★★☆☆ | 3/5 | |
| Sage Park Austin | 5.1 mi | Austin, TX | ★★★☆☆ | 3/5 | |
| Windsor Nursing and Rehabilitation Center of Duval | 6.5 mi | Austin, TX | ★★★☆☆ | 2/5 | |
| Pflugerville Nursing and Rehabilitation Center | 7.9 mi | Pflugerville, TX | ★★★★★ | 4/5 | |
| Riverside Nursing and Rehabilitation Center | 8.1 mi | Austin, TX | ★☆☆☆☆ | 2/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 676459.