Southpark Meadows Nursing And Rehabilitation Cente
Austin, Travis County, Texas · CCN 676299 · Non-profit (Corporation) · part of Wellsential Health (67 facilities, chain average 2.7 stars)
CMS rates Southpark Meadows Nursing And Rehabilitation Cente 2 of 5 overall as of August 2026. 120 certified beds, 106 residents a day on average. 24 citations on record from the current inspection cycles, 3 involving actual harm; 1 fine totalling $10,998.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 3 of 5 |
Staffing
| Total nurse staffing | 2.82957 hours per resident per day |
|---|---|
| Registered nurses | 0.26719 hours per resident per day |
| Weekend total | 2.53427 hours per resident per day |
| Nursing staff turnover | 50.6% (registered nurses 66.7%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-06-19 complaint survey |
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · tag F0627 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-26 |
| 2026-06-19 complaint survey |
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-26 |
| 2025-12-08 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-12-09 |
| 2025-12-08 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-09 |
| 2025-12-08 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-09 |
| 2025-12-08 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · tag F0807 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-09 |
| 2025-12-08 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-09 |
| 2025-06-13 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
H Actual harm that is not immediate jeopardy; pattern | Deficient, Provider has date of correction 2025-06-14 |
| 2025-06-13 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
H Actual harm that is not immediate jeopardy; pattern | Deficient, Provider has date of correction 2025-06-14 |
| 2025-06-06 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-20 |
| 2024-08-22 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-20 |
| 2024-08-22 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-20 |
| 2024-08-22 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-20 |
| 2024-08-22 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-20 |
| 2024-08-22 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-20 |
| 2024-08-22 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-20 |
| 2024-05-26 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
H Actual harm that is not immediate jeopardy; pattern | Deficient, Provider has date of correction 2024-06-19 |
| 2023-06-15 | Keep all essential equipment working safely. Environmental Deficiencies · tag F0908 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-07-19 |
| 2023-06-15 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-07-19 |
| 2023-06-15 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-07-19 |
| 2023-06-15 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-07-19 |
| 2023-06-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-07-19 |
| 2023-06-15 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · tag F0700 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-19 |
| 2023-06-15 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-19 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-06-06 | Fine | $10,998 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Smithville Hospital Authority Organization | 5% or greater direct ownership interest | 100% | 2015-02-01 |
| 9801 South First Street LLC Organization | adp of the snf | — | 2015-02-01 |
| Regency Ihs Clinical Consulting, LLC Organization | adp of the snf | — | 2015-02-01 |
| Regency Ihs Of Southpark Meadows, LLC Organization | adp of the snf | — | 2025-06-23 |
| Regency Ihs Rehab LLC Organization | adp of the snf | — | 2015-02-01 |
| Regency Integrated Health Services LLC Organization | adp of the snf | — | 2025-04-28 |
| Smithville Hospital Authority Organization | adp of the snf | — | 2025-06-23 |
| Regency Ihs Of Southpark Meadows, LLC Organization | direct ownership interest | — | 2015-02-01 |
| Csv Rhea Management Holdco, LLC Organization | indirect ownership interest | — | 2015-02-01 |
| Dwd Tx Holdings LLC Organization | indirect ownership interest | — | 2015-02-01 |
| Jack And Nancy Dwyer Workforce Development Center Inc. Organization | indirect ownership interest | — | 2015-02-01 |
| Reg Bridge Opco LLC Organization | indirect ownership interest | — | 2015-02-01 |
| Reg Hg Opco LLC Organization | indirect ownership interest | — | 2015-02-01 |
| Reg Operator Holdco LLC Organization | indirect ownership interest | — | 2015-02-01 |
| Regency Integrated Health Services LLC Organization | indirect ownership interest | — | 2015-02-01 |
| Regency Texas Holdings LLC Organization | indirect ownership interest | — | 2015-02-01 |
| Regency Integrated Health Services LLC Organization | operational/managerial control | — | 2015-02-01 |
| Smithville Hospital Authority Organization | operational/managerial control | — | 2015-02-01 |
| Dekowski, Donovan Individual | adp of the snf | — | 2015-02-01 |
| Flores, Raquel Individual | adp of the snf | — | 2025-01-01 |
| Gutierrez, Michael Individual | adp of the snf | — | 2015-02-01 |
| Niitzel, Kimberly Individual | adp of the snf | — | 2025-01-01 |
| Strong, Tyler Individual | adp of the snf | — | 2019-01-21 |
| Wilson, Linda Individual | corporate officer | — | 2023-07-19 |
| Baird, Daniel Individual | managing control - governing body | — | 2021-04-13 |
| Bunte, Mark Individual | managing control - governing body | — | 2020-10-27 |
| Clapp, Barbara Individual | managing control - governing body | — | 2021-06-01 |
| Cortese, Daren Individual | managing control - governing body | — | 2021-08-10 |
| Fulcher, Ann Individual | managing control - governing body | — | 2015-01-22 |
| Gibson, Patricia Individual | managing control - governing body | — | 2021-08-01 |
| Mandelbaum, Elliot Individual | managing control - governing body | — | 2025-01-01 |
| Wilson, Linda Individual | managing control - governing body | — | 2023-07-19 |
| Dekowski, Donovan Individual | operational/managerial control | — | 2015-02-01 |
| Strong, Tyler Individual | operational/managerial control | — | 2019-01-21 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Southpark Meadows Nursing And Rehabilitation Cente.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Travis County.