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Nursing HomeMedicaid Investigative

Park Manor Bee Cave

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

14058 Bee Cave Parkway, Bldg B, Bee Cave, TX 78738140 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 84 Google reviews

5
4
3
2
1

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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (10 vs median 8.0)
  • High staff turnover (51%)
  • High RN turnover (57%)

Bottom 25% in Texas · Critically understaffed (RN) · Worst in THE ENSIGN GROUP chain · $19,608 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice for rehabilitation and physical therapy, with many families noting significant improvements under recent management. However, you should proactively verify staffing levels during evening and weekend shifts and closely monitor the security of your loved one's personal belongings, as these have been recurring points of failure in the past.

Google Reviews

Google Reviews

84 reviews on Google
Families considering Park Manor Bee Cave will find a facility that is widely praised for its beautiful, clean environment and a highly dedicated therapy and nursing team. While many recent reviews highlight a significant improvement under new management, there are serious, recurring allegations from several past reviewers regarding understaffing, medication delays, and theft of personal belongings.

Quality Themes

Tap a score for details
Food3.0Staff7.0Clean7.0Activities8.0Meds2.0MemoryN/AComms5.0ValueN/A

Strengths

  • Exceptional physical therapy and rehab services
  • Clean and beautiful facility environment
  • Compassionate and friendly nursing staff
  • Welcoming and professional administration

Concerns

  • Staffing shortages leading to delayed care (mentioned by 5 reviewers)
  • Theft of residents' personal belongings (mentioned by 3 reviewers)
  • Delays in medication administration (mentioned by 3 reviewers)
  • Inadequate hygiene/personal care (soiled linens/diapers) (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'17(4)'20(3)'22(19)'24(7)'26(9)

Distribution · 86 analyzed

5
62
4
4
3
1
2
3
1
16
17 reviews posted between Oct 16, 2025Oct 17, 2025 · 17 were 5-star
12 reviews posted between Jul 3, 2022Jul 6, 2022 · 12 were 5-star

How They Respond to Reviews

20%response rate
Generic

The owner uses highly repetitive, templated responses for negative reviews, often employing the exact same script to address different complaints. While positive reviews are occasionally personalized with the reviewer's name, negative reviews rely on a single, copy-pasted message regarding the new Executive Director.

Questions for Your Tour

  • 1We've heard wonderful things about the physical therapy and rehab services here; could you tell us more about how that program supports resident recovery?
  • 2With the administration being described as so professional and welcoming, how do you typically communicate important updates or changes to families?
  • 3What specific protocols do you have in place to ensure medications are administered accurately and on a strict schedule?
  • 4How does the nursing team manage daily personal care and linen changes to ensure every resident stays clean and comfortable?
  • 5What steps are taken to ensure all residents' personal belongings are kept secure and accounted for within their rooms?
  • 6Could you describe what a typical day looks like for residents in terms of social activities and dining experiences?

Personalized based on this facility's data


Key Review Excerpts

The pt and st area has gone above and beyond to give my daughter her best life in her circumstances....also, By upgrading her wheel chair to her specific needs and comfort....I am very confident in her care in all areas at Park Manor.

Long-term resident's family · 2026★★★★★

I have had my mom there 3yrs and have had zero issues with care, cleanliness, hospitality, staff- all have been great. Garth is truly an awesome director- who genuinely cares for the ppl and his staf

Long-term resident's family · 2025★★★★★

I chose Park Manor for recovery and rehab after major abdominal surgery. The administration, patient care staff, and therapy rehab staff and facilities were exceptional, and compassionate.

Rehab patient · 2022★★★★★
Source: 84 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.37hrs
49%
Registered nurses for medical care
Total Nursing
3.13hrs
76%
All nurses + aides combined
Staff Turnover
51%
Lower is better (< 30% = good)
RN Turnover
57%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

8

measures

Worse Than Avg

2

measures

Mixed Results

7

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.2%
Mixed vs Avgs
Here
3.2%
US
12.1%
TX
2.5%
Travis
2.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.3%
Better than Avg
Here
11.3%
US
19.5%
TX
18.4%
Travis
17.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.5%
Mixed vs Avgs
Here
21.5%
US
14.4%
TX
16.1%
Travis
22.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility15.2%
Mixed vs Avgs
Here
15.2%
US
15.3%
TX
14.9%
Travis
20.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.3%
Mixed vs Avgs
Here
10.3%
US
15.4%
TX
9.4%
Travis
11.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.5%
Better than Avg
Here
97.5%
US
93.4%
TX
96.9%
Travis
93.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility36.4%
Worse than Avg
Here
36.4%
US
79.7%
TX
88.0%
Travis
82.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility77.4%
Worse than Avg
Here
77.4%
US
81.8%
TX
89.2%
Travis
80.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Travis
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
2penalties
Above state avg (9.1)
17 complaint-triggered
$19,608 in fines

Families have filed multiple complaints triggering 15 deficiencies, indicating ongoing concerns about medication management, care planning, and respiratory care. The facility shows a pattern of repeated violations in pharmaceutical services across multiple surveys, though all issues have correction dates. While deficiencies span various care areas from resident rights to infection control, the frequency of complaint-driven citations suggests families should carefully evaluate current care quality during visits.

Feb 19, 2026Complaint
1
0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Sep 17, 2025Routine
3
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Sep 10, 2025Complaint
3
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Aug 18, 2025Complaint
1
0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Jun 2, 2025Complaint
1
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

May 28, 2025Complaint
1
0695Actual harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Federal Penalties

Fine

Apr 29, 2025

$6,338

Fine

Jul 21, 2024

$13,270

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hamilton County Hospital District

Organization Type

for profit

Management Company

SAGE MEADOW HEALTHCARE, INC

Administrator

GARTH LAND

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 82 of 84 (Worst)

Ownership & Management

Key personnel

Castro Pou, GracielaManaging Control - Governing BodyChudleigh, GeoffManaging Control - Governing BodyBurnam, SoonOfficer / DirectorHooper, GradyOfficer / DirectorKeetch, ChadOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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