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Nursing HomeMedicaid Investigative

Pflugerville Care Center

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

521 S Heatherwilde Blvd, Wells Point · Pflugerville, TX 78660111 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 56 Google reviews

5
4
3
2
1
Pflugerville Care Center Nursing Home in Pflugerville, TX — Street View
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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 (1/5 stars)
  • Above-median deficiencies (14 vs median 8.0)
  • High staff turnover (62%)
  • High RN turnover (62%)

Bottom 25% in Texas · Critically understaffed (RN) · Worst in CREATIVE SOLUTIONS IN HEALTHCARE chain · $59,449 in fines

Source: Medicare data

What this means for your family

This facility shows a strong upward trend in quality, with recent reviews highly praising the nursing and rehab teams. However, families should remain vigilant about staffing levels during weekends and evenings, as historical patterns of slow response times and lost belongings have been noted.

Google Reviews

Google Reviews

56 reviews on Google
Families often praise the facility for its compassionate nursing staff and skilled rehabilitation team, with several long-term residents thriving under their care. However, there are significant, recurring concerns regarding inconsistent staffing levels, particularly during off-hours, and historical reports of poor communication and hygiene issues.

Quality Themes

Tap a score for details
Food4.0Staff7.0Clean5.0Activities6.0MedsN/AMemoryN/AComms4.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Effective rehabilitation and physical therapy
  • Clean and well-maintained environment
  • Strong administrative support from case managers

Concerns

  • Inconsistent staffing levels and slow response times (mentioned by 3 reviewers)
  • Issues with cleanliness and unpleasant odors (mentioned by 2 reviewers)
  • Loss of personal belongings or laundry (mentioned by 2 reviewers)
  • Poor communication from administration (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(2)'19(3)'21(3)'23(13)'25(10)'26(1)

Distribution · 61 analyzed

5
33
4
7
3
0
2
2
1
19

How They Respond to Reviews

10%response rate
Generic

The owner uses highly repetitive, templated responses that follow a nearly identical script for every negative review. While they acknowledge the reviewer by name, they fail to address the specific allegations of neglect, abuse, or hygiene issues.

Questions for Your Tour

  • 1I've heard wonderful things about the compassion of your nursing staff; how do you ensure that level of attentive care is maintained during every shift?
  • 2What specific steps are being taken to ensure consistent response times from the nursing team, especially during busy periods?
  • 3How does the facility manage laundry and the tracking of personal belongings to make sure nothing gets lost?
  • 4Could you tell me more about the dining experience and what improvements are being made to the food quality and meal service?
  • 5What is the protocol for handling medical emergencies or urgent care needs during the overnight hours?
  • 6How do you maintain the cleanliness and freshness of the resident rooms and common areas?

Personalized based on this facility's data


Key Review Excerpts

I LOVE LIVING HERE---THEY ALL TREAT ME LIKE A QUEEN--TAKE VERY GOOD CARE OF ME---I WEIGHTED ONLY 90 LBS WHEN I CAME HERE AT THE END OF OCT 2024---TODAY I WEIGHT 156---THEIR FOOD IS THAT GREAT

Current resident · 2025★★★★★

Monalisa was a great case manager who helped me transfer my family member into long term care. She works efficiently and gets things and gets things done.

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

The rehab department went above and beyond in getting my mom back to the best she can be. They are so friendly. The CNA's were so attentive.

Rehab patient's family · 2019★★★★★
Source: 56 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.26hrs
34%
Registered nurses for medical care
Total Nursing
3.03hrs
74%
All nurses + aides combined
Staff Turnover
67%
Lower is better (< 30% = good)
RN Turnover
90%
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
4/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Mixed Results

4

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.1%
Better than Avg
Here
7.1%
US
15.3%
TX
14.9%
Travis
20.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
12.1%
TX
2.5%
Travis
2.6%

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 Facility10.0%
Better than Avg
Here
10.0%
US
19.5%
TX
18.4%
Travis
17.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Travis
92.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility21.8%
Worse than Avg
Here
21.8%
US
19.4%
TX
14.2%
Travis
17.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
93.4%
TX
96.9%
Travis
93.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.2%
Better than Avg
Here
90.2%
US
81.8%
TX
89.2%
Travis
79.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility86.7%
Mixed vs Avgs
Here
86.7%
US
79.7%
TX
88.0%
Travis
80.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.4%
Better than Avg
Here
1.4%
US
1.6%
TX
1.5%
Travis
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
5penalties
Above state avg (9.1)
20 complaint-triggered
$59,449 in fines

This facility shows concerning patterns with frequent family complaints triggering inspections - 23 of 51 deficiencies stem from families filing reports. Recurring issues involve treatment and care quality, safety hazards and accident prevention, and care planning. While all violations have been corrected when cited, the persistent nature of complaints about basic care standards, plus documented concerns about abuse/neglect reporting, suggests ongoing quality challenges that families should investigate thoroughly before placement.

Jan 6, 2026Complaint
1
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Nov 24, 2025Complaint
1
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

Jun 5, 2025Complaint
1
0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Apr 17, 2025Complaint
1
0622Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Mar 19, 2025Routine
10
0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Jan 28, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Fine

Dec 31, 2024

$17,091

Fine

Dec 31, 2024

$17,091

Fine

May 29, 2024

$418

Fine

Apr 18, 2024

$12,222

Fine

Aug 21, 2023

$12,627

Ownership & Operations

Who Operates This Facility

Owner / Operator

Guadalupe County Hospital Board

Organization Type

for profit

Management Company

521 SOUTH HEATHERWILDE BOULEVARD MANAGEMENT LLC

Administrator

BRYAN BANKHEAD

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 133 of 148 (Worst)

Ownership & Management

Owners

Guadalupe County Hospital Board

Owner · Organization

100%

Key personnel

Colvin, JimManaging Control - Governing BodyGann, KodyManaging Control - Governing BodyHumphrey, RonaldManaging Control - Governing BodyLee, JamesManaging Control - Governing BodyMajor, DoloresManaging Control - Governing Body
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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