West Oaks Nursing and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 91 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
Above average in Texas · Below recommended RN staffing · $39,527 in fines
What this means for your family
This facility is highly regarded for its rehabilitative therapy and the genuine kindness of its nursing staff. However, because there have been documented instances of serious medication errors and concerns regarding staffing levels, families should specifically ask about their medication double-check protocols and how they manage patient ratios during night and weekend shifts.
Google Reviews
Google Reviews
91 reviews on Google“Families can expect a highly compassionate nursing and rehabilitation team, with many reviewers praising the physical therapy and the kindness of the nursing staff. While the facility is frequently described as clean and welcoming, there are serious, isolated reports of medication errors and staffing shortages that families should investigate.”
Quality Themes
Strengths
- Compassionate and professional nursing staff
- Effective and skilled rehabilitation/therapy team
- Clean and well-maintained environment
- Welcoming and friendly atmosphere
Concerns
- Staffing shortages and high patient-to-staff ratios (mentioned by 2 reviewers)
- Medication management errors (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 92 analyzed
How They Respond to Reviews
The owner uses highly repetitive, templated responses for the vast majority of 5-star reviews, often using the exact same phrasing regardless of the review content. While they attempt to personalize negative reviews with empathy and a call to action, the overall pattern is heavily reliant on copy-paste templates.
Questions for Your Tour
- 1We've heard wonderful things about the compassion of your nursing team; how do you ensure that level of care remains consistent during busy shifts?
- 2Could you walk us through the specific protocols your team uses to ensure medication is administered accurately and on schedule?
- 3What steps is the facility taking to maintain the high standards of cleanliness and maintenance that people often praise about West Oaks?
- 4In the event of a medical emergency during the night, what is the immediate process for notifying the family and providing care?
- 5What kind of daily activities or social programs do you have planned to help residents stay engaged and connected with one another?
- 6How does the rehabilitation and therapy team work with residents to help them reach their specific physical recovery goals?
Personalized based on this facility's data
Key Review Excerpts
“Deanne, occupational therapist, was amazing. She worked with me to get me back to standing and walking and using the restroom. Thank you!”
“Please do not send your loved one to West Oaks. My dad was transferred there after a hospital stay and due to their poor admission process (none at all) and their lack of review of my dad’s medications, he was given 4x the amount of insulin needed. This put him into a diabetic coma and sent him back to the hospital within 30 hours of being at West Oaks.”
“The facility was clean, did not smell at all, did not have a nursing home or rehab vibe. The person at the front desk was helpful and friendly. The staff were all so kind and upbeat.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
11
measures
4
measures
2
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed 12 complaints against this facility, triggering multiple inspections and revealing recurring problems with accident prevention and safety hazards, medication management, and resident care planning. The facility shows a persistent pattern of deficiencies across surveys from 2022-2025, with the same safety issues appearing repeatedly despite corrections. While all violations have correction dates, the ongoing complaints and repeated citations in core care areas suggest systemic challenges that families should carefully consider.
Feb 25, 2026Routine12
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Dec 11, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 11, 2025Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nov 26, 2024Routine10
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
May 13, 2024Complaint1
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.
Apr 10, 2024Complaint3
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Federal Penalties
Fine
Feb 11, 2025
$26,683
Fine
Mar 28, 2024
$12,844
Ownership & Operations
Who Operates This Facility
Hamilton County Hospital District
for profit
AMERICAN ROBIN HEALTHCARE, INC
ADAM CARNES
Chain Affiliation
The Ensign Group
338 facilities nationwide
Chain avg rating: 2.9/5 · Rank 44 of 84
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
91 reviews from families & visitors
Official Website
Visit westoaksrehab.com
Medicare data downloads
Original nursing home datasets
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