The Springs Healthcare and Rehabilitation

Name: The Springs Healthcare and Rehabilitation
Address: 1500 Cottonwood Creek Trail, Cedar Park, TX, 78613, US
Telephone: 5122594259

1500 Cottonwood Creek Trail, Cedar Park, TX 78613 · Williamson County · 120 certified beds · avg 110 residents/day · certified since Nov 19, 2012

Part of chain: ML HEALTHCARE (6 facilities, chain avg rating 2.3★)

3/5

Health inspection rating (on-site)

Serious findings on record

$21,258

Fines, last 3 years

2.75

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · 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 · Oct 12, 2023 · F-0635 · triggered by a complaint

The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted.

Why it matters: Without admission orders, a new resident may miss critical medications or treatments during their first days.

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: Nov 8, 2023 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Jun 6, 2026 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jun 19, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (24)

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 6, 2026	▲ G · Actual 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
Apr 21, 2026	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 21, 2026	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Apr 21, 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.
Apr 21, 2026	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Apr 21, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 21, 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.
Apr 21, 2026	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.
Jan 13, 2026	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
Dec 8, 2025	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Feb 6, 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.
Feb 6, 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.
Dec 11, 2024	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
Aug 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
Jan 5, 2024	F · Potential for harm, facility-wide	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.
Jan 5, 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.
Jan 5, 2024	E · Potential for harm, repeated	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.
Jan 5, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jan 5, 2024	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Jan 5, 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.
Jan 5, 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.
Jan 5, 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.
Jan 5, 2024	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.
Oct 12, 2023	▲ J · Immediate jeopardy, one-off	The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 7).

Year	Citations	Serious (G–L)	Worst severity that year
2023	1	1	J ▲
2024	11	0	F
2025	3	0	E
2026	9	1	G ▲

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)

2 fines totaling $21,258.

Date	Type	Amount / length
Jun 6, 2026	Fine	$13,065
Oct 12, 2023	Fine	$8,193

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)	2.75	3.46	3.95	bottom 9% in Texas; bottom 7% in the U.S.
Registered Nurse hours	0.33	0.44	0.69	bottom 37% in Texas; bottom 13% in the U.S.
Weekend total nurse staffing	2.49	3.04	3.50	bottom 15% in Texas; bottom 9% 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 (%)	38.4	55.3	45.8	top 17% in Texas; top 32% in the U.S.
RN turnover (%)	33.3	54.6	42.9	top 20% in Texas; top 33% 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 3.12, RN 0.38, weekend 2.83. 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: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Frio Hospital District	Organization	5% or Greater Direct Ownership Interest	—	04/01/2019
Krol, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2019
Krol, Michael	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2019
Langsdale, Troy	Individual	5% or Greater Mortgage Interest	NOT APPLICABLE	04/01/2019
Langsdale, Troy	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2019
Langsdale, Troy	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2019
Miller, Laura	Individual	5% or Greater Mortgage Interest	NOT APPLICABLE	04/01/2019
Miller, Laura	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2019
Miller, Laura	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2019
ML Real Estate-Cedar Park, LLC	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	04/01/2019
ML Real Estate-Cedar Park, LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2019
Ml-Cedar Park, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2019
Ml-Cedar Park, LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/26/2025
Ruff, Michael	Individual	Corporate Officer	NOT APPLICABLE	09/01/2021
Sondgeroth, Shannon	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2019

Questions to ask on your visit

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

"When a new resident arrives, how do you make sure the doctor's orders for their care and medications are in place from day one?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"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
Cedar Pointe Health and Wellness Center	0.2 mi	Cedar Park, TX	★★★★☆	4/5
Sagebrook Nursing and Rehabilitation	1.2 mi	Cedar Park, TX	★★★★☆	4/5
New Hope Manor	2.9 mi	Cedar Park, TX	★★★★☆	3/5
The Center at Parmer	4.5 mi	Austin, TX	★★★★★	4/5
Park Valley Inn Health Center	5.5 mi	Round Rock, TX	★★☆☆☆	1/5	abuse
Ignite Medical Resort Round Rock, LLC	5.7 mi	Austin, TX	★★☆☆☆	1/5
Hearthstone Nursing and Rehabilitation	6.0 mi	Round Rock, TX	★★★☆☆	3/5
Austin Wellness & Rehabilitation	7.3 mi	Austin, TX	★☆☆☆☆	1/5
Trinity Care Center	8.5 mi	Round Rock, TX	★★★☆☆	2/5
Bel Air at Teravista	8.5 mi	Round Rock, TX	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Cedar Park →

Facility data as of CMS processing date 2026-08-01. CCN 676327.

The Care File

Visit checklist — The Springs Healthcare and Rehabilitation

1500 Cottonwood Creek Trail, Cedar Park, TX 78613 · 5122594259

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $21,258

Most serious findings on record:

▲ Oct 12, 2023 (F-0635, Immediate jeopardy, one-off): The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted.
▲ Jun 6, 2026 (F-0689, Actual 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.

Questions for the administrator:

☐ "When a new resident arrives, how do you make sure the doctor's orders for their care and medications are in place from day one?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "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 676327 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)