Deer Creek Nursing and Rehabilitation
Wimberley, Texas · CCN 455917
33 surveys since 2011, 8 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 131
- Surveys
- 33
- Harm or worse
- 8
- Immediate jeopardy
- 6
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 122
- Ownership
- For profit - Corporation
- Chain
- EDURO HEALTHCARE
- County
- Hays
- Medicare-certified since
- 1991
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 2
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.
Last survey on record
Jul 3, 2026
129 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 2.69 | 3.25 |
| Registered-nurse hours per resident day | 0.51 | — |
| Annual nurse turnover | 56.1% | 54.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $75,581 across 4 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J25.6% | K25.6% | L— |
| Actual harm | G25.6% | H— | I— |
| No harm, potential for more than minimal | D1438.9% | E1336.1% | F38.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6845×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F8124×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5652×
Honor the resident's right to organize and participate in resident/family groups in the facility.
- F5802×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
In the surveyor’s words
From the most serious findings on record at Deer Creek Nursing and Rehabilitation, in the surveyor’s own words.
- Immediate jeopardy, patternF580Aug 1, 2025
Based on interview and record review, the facility failed to immediately consult with the resident's physician when there was a significant change for one (Resident #1) of four residents reviewed for notification of changes. The facility failed to notify the NP when Resident #1's diabetic pump malfunctioned in July of 2025. Resident #1's blood sugar readings were sporadically out of range which led her to experience increased dizziness, nausea, and sweatiness. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 07/30/25 PM and a template was provided. […]
- Immediate jeopardy, patternF684Aug 1, 2025
Based on interview and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #1) of four residents reviewed for quality of care. The facility failed to: - Notify Resident #1's NP when her diabetic insulin pump malfunctioned in July of 2025. - Ensure nursing staff were trained on Resident #1's insulin pump.- Ensure nursing staff were aware of how much insulin Resident #1 was receiving and not relying on her for blood sugar readings.- Ensure there were parameters in place on when to notify Resident #1's NP when her readings were abnormal.These failures resulted in an identification of an Immediate Jeopardy (IJ) on… […]
- Immediate jeopardy, isolatedF580May 5, 2025
Based on observation, interview and record review, the facility failed to immediately consult with the resident's physician when there was a significant change for one (Resident #1) of four residents reviewed for notification of changes. The facility failed to ensure the NP was notified on 02/10/25 when there was reported swelling and tenderness to Resident #1's incision sites. On 02/11/25 one of the incisions dehisced requiring hospitalization where he was diagnosed with an infection to the surgical site requiring antibiotics. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 05/02/25 at 4:44 PM. […]
- Immediate jeopardy, isolatedF684May 5, 2025
Based on observation, interview, and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #1) of four residents reviewed for quality of care. The facility failed to ensure Resident #1's surgical sites were determined to be healed by the NP or MD. On 02/10/25 there was reported swelling to the incisions and on 02/11/25 one of the incisions dehisced requiring hospitalization where he was diagnosed with an infection to the surgical site requiring antibiotics. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 05/02/25 at 4:44 PM. […]
- Immediate jeopardy, isolatedF689Jan 3, 2021
Based on observations, interviews, and record review, the facility failed to provide adequate supervision and assistive devices for one out of of ten residents (Resident #1) reviewed for wandering and elopement, in that: - The facility failed to ensure that a newly admitted resident (Resident #1) with a known history of wandering and exit-seeking behaviors was supervised closely enough to be free from risk of harm from outside elements. Resident #1 eloped from the facility for a minimum of an hour and 15 minutes. - The facility failed to ensure wander guard functioning for at least one resident (Resident #1). These failures resulted in an identification of an Immediate Jeopardy (IJ) on 12/30/2020 at 4:40 PM. […]
Read 25 findings in full →The most serious and the most recent: 25 of 131 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 20, 2026Standard7 findings
- Jul 3, 2026Complaint1 finding
- Dec 22, 2025Complaint1 finding
- Dec 1, 2025Complaint2 findings
- Sep 29, 2025Complaint1 finding · 1 harm
- Aug 1, 2025Complaint2 findings · 2 harm
- Jun 26, 2025Standard10 findings
- Jun 11, 2025Complaint2 findings
Show the 25 earlier surveys
- May 5, 2025Complaint2 findings · 2 harm
- Dec 4, 2024Complaint1 finding
- Jun 25, 2024Complaint2 findings
- Apr 25, 2024Standard9 findings
- Sep 27, 2023Complaint1 finding · 1 harm
- Feb 28, 2023Standard2 findings
- Dec 5, 2022Complaint2 findings
- Feb 24, 2022Complaint1 finding
- Nov 16, 2021Standard9 findings
- Aug 13, 2021Complaint1 finding
- Jan 3, 2021Complaint1 finding · 1 harm
- Sep 21, 2020Infection control4 findings
- Dec 18, 2019Standard7 findings
- Oct 4, 2019Complaint1 finding
- Jan 17, 2019Complaint2 findings
- Dec 21, 2018Standard14 findings
- Jun 22, 2018Complaint2 findings
- Dec 15, 2017Standard6 findings
- Nov 9, 2016Standard5 findings
- Oct 16, 2015Standard8 findings
- Sep 11, 2014Standard12 findings
- Sep 18, 2013—7 findings
- Oct 8, 2012—2 findings
- Jul 26, 2012—2 findings
- Jun 15, 2011—2 findings · 1 harm
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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