Wurzbach Nursing and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 41 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.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (24 vs median 8.0)
- High staff turnover (64%)
- High RN turnover (71%)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in CARADAY HEALTHCARE chain · $34,945 in fines
What this means for your family
This facility is an excellent choice for families seeking high-quality nursing care and a dedicated memory care team that actively listens to family feedback. However, while recent trends are very positive, you should verify their current protocols for resident wandering and ensure that social engagement remains a priority during all scheduled activities.
Google Reviews
Google Reviews
41 reviews on Google“Families considering Wurzbach Nursing and Rehabilitation will find a facility highly praised for its compassionate nursing staff and significant improvements in the dementia and memory care units. While many reviewers highlight exceptional person-centered care and recent upgrades in resident engagement, there is a critical concern regarding a past incident of resident wandering and a specific complaint regarding lack of engagement during recent events.”
Quality Themes
Strengths
- Compassionate and attentive nursing and CNA staff
- Strong improvements in dementia and memory care engagement
- Effective clinical management of hydration and medical needs
- Professional and helpful admissions and administration process
Concerns
- Resident wandering/safety breach
- Lack of staff engagement during scheduled social events
Rating Trends
Tap a year to see what changed
Distribution · 43 analyzed
How They Respond to Reviews
The owner provides personalized responses that frequently use the reviewer's name and acknowledge specific staff members mentioned. While most responses are warm and appreciative, some use repetitive templates for positive feedback.
Questions for Your Tour
- 1We noticed the administration is very responsive to feedback; how does the leadership team involve families in the care planning process?
- 2What specific safety measures and monitoring are in place to prevent wandering for residents in the memory care unit?
- 3Can you tell us more about the recent improvements in engagement and activities for residents with dementia?
- 4How does the clinical team manage daily medical needs, such as hydration and medication, to ensure everyone stays healthy?
- 5What is the protocol for handling medical emergencies or urgent clinical needs during the overnight hours?
- 6How do the CNAs and nursing staff ensure that residents are actively participating and engaged during scheduled social events?
Personalized based on this facility's data
Key Review Excerpts
“The gentleman handling the hydration system is doing an excellent job; my aunt used to get frequent UTI;s but this new focus has clearly made a massive difference for her health.”
“The decorations, the beautiful setup, and even a live Banda playing made the entire event unforgettable. Watching my grandmother sing along to her favorite songs absolutely melted my heart.”
“So we had my mother in law in this place that is supposed to be good and guess she was able to break out of the home with two locked doors and was found 4 miles away... I find this very very unprofessional and negligent”
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
5
measures
11
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents whose walking got worse
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
Wurzbach Nursing and Rehabilitation has an extensive pattern of federal deficiencies, with families filing 21 complaints over 64 total violations. Recurring problems include accident hazards and inadequate supervision, medication management errors, and infection control failures. The facility has struggled with protecting residents from abuse and neglect, with repeated violations for failing to properly investigate and report incidents to authorities.
Jun 13, 2025Routine22
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
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
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
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.
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Resident Rights Deficiencies
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Administration Deficiencies
Provide training in compliance and ethics.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
May 16, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Mar 9, 2025Complaint4
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Dec 6, 2024Complaint1
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.
Sep 26, 2024Complaint2
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.
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.
Sep 12, 2024Complaint1
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.
Federal Penalties
Fine
Mar 9, 2025
$10,361
Fine
Dec 1, 2023
$9,315
Fine
Oct 26, 2023
$15,269
Ownership & Operations
Who Operates This Facility
Caraday Wurzbach LLC
for profit
CARADAY MANAGEMENT LLC
JOSE RUIZ
Chain Affiliation
Caraday Healthcare
9 facilities nationwide
Chain avg rating: 2.6/5 · Rank 7 of 9 (Worst)
Ownership & Management
Owners
Caraday Healthcare, LLC
Owner · Organization
Cara Capital LLC
Owner (parent company) · Organization
Caraday Holdings LLC
Owner (parent company) · Organization
Daybach Investments, Lp
Owner (parent company) · Organization
E&r Cunningham Investments Lp
Owner (parent company) · Organization
Tala Investments, LLC
Owner (parent company) · Organization
Ysmlc Holdings, LLC
Owner (parent company) · Organization
Choi, Maryann
Owner (parent company)
Choi, Robert
Owner (parent company)
O'donoghue-Stallard, Maire
Owner (parent company)
Stallard, Thomas
Owner (parent company)
Wood, Stephen
Owner (parent company)
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
41 reviews from families & visitors
Official Website
Visit caradayhealth.com
Medicare data downloads
Original nursing home datasets
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