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The next survey window likely opens around February 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at New Hope Manor during CMS and state inspections, most recent first.
Mechanical soft diet menu items were not followed when dietary staff served whole turkey pieces instead of ground turkey for residents ordered mechanically altered foods. Several residents with impaired cognition and diagnoses including stroke, dementia, malnutrition, and dysphagia had orders for mechanical soft diets or mechanical soft meats, and the menu, recipe, and facility policy all called for ground turkey to be processed to the proper consistency. Staff interviews confirmed that meat for mechanical soft diets needed to be ground and that whole pieces could be unsafe.
A facility failed to maintain infection control practices for multiple residents. A SW entered a resident’s contact isolation room without the required gown and gloves, and a CNA performed suprapubic catheter and peri-care using the same wipe across different sites without changing gloves or performing hand hygiene at the required points. Staff were also observed moving between two residents’ rooms without sanitizing hands despite EBP signage, while records and interviews confirmed the residents had significant care needs and the facility’s policies required PPE and hand hygiene during direct care and isolation precautions.
Failure to Provide Needed Nail Care: Two residents with cognitive and physical limitations had fingernails that were observed with visible white growth and had not been trimmed. One resident with dementia, Parkinson's disease, and other diagnoses said he preferred shorter nails and had not been asked about nail care, while another resident with severely impaired cognition said he had been meaning to ask for fingernail and toenail care. Staff gave inconsistent accounts of who provided nail care and when it was done, and the DON had not seen either resident's nails that week.
A medication cart containing prescription drugs, OTC medications, and narcotics was found unlocked and unattended while the assigned RN was away responding to a resident emergency. Facility policy requires medication carts to be locked when out of staff sight, and interviews confirmed the lapse occurred when the RN forgot to secure the cart while retrieving equipment.
The facility did not coordinate assessments with the PASRR program or refer residents for necessary services, resulting in a deficiency related to regulatory compliance.
A resident with severe cognitive impairment experienced knee pain, swelling, and warmth, which was observed by an LVN. However, the NP was not notified until several hours later, delaying medical intervention. The resident was eventually sent to the hospital and diagnosed with a fractured patella.
A resident with a history of hip fracture was injured due to inadequate supervision and lack of a footrest on her wheelchair during transport, resulting in a fractured patella. The resident, who had severe cognitive impairment, experienced pain and swelling, leading to hospitalization and surgery. Staff interviews revealed a lack of clarity and training on the use of footrests, and the facility lacked a specific policy on ambulating wheelchair-dependent residents.
Mechanical Soft Diet Menu Not Followed for Ground Turkey
Penalty
Summary
The facility failed to follow the menu for residents on mechanical soft diets when dietary staff served whole pieces of turkey instead of ground turkey on 3/16/2026. The deficiency involved Resident #11, Resident #12, Resident #26, Resident #29, Resident #54, and Resident #66, all of whom had diet orders for mechanically altered foods or mechanical soft diets and care plans that directed staff to provide mechanically altered foods and monitor for signs and symptoms of aspiration. Record review showed that Resident #11 had severe cognitive impairment, diagnoses including non-traumatic brain dysfunction, hypertension, cerebral vascular accident, and depression, and a physician order for a mechanical soft diet. Resident #12 had moderately impaired cognition, diagnoses including heart failure, hypertension, cerebral vascular accident, non-Alzheimer's dementia, malnutrition, and depression, and a diet order for regular diet with mechanical soft meats. Resident #26 had severe cognitive impairment, diagnoses including non-Alzheimer's dementia, anxiety disorder, depression, chronic kidney disease, muscle weakness, and lack of coordination, and a mechanical soft diet order. Resident #29 had severe cognitive impairment, diagnoses including status post stroke, hypertension, Alzheimer's disease, malnutrition, depression, and anxiety disorder, and a mechanical soft diet order. Resident #54 had moderately impaired cognition, diagnoses including anemia, hypertension, pneumonia, multidrug-resistant organism, hyperlipidemia, arthritis, respiratory failure, and muscle weakness, and a mechanical soft diet order. Resident #66 had severe cognitive impairment, diagnoses including status-post stroke, hypertension, uncontrolled diabetes mellitus, hyperlipidemia, seizure disorder, depression, malnutrition, and non-Alzheimer's dementia, and a mechanical soft diet order. During observation of the kitchen, the service line contained a turkey dish with no ground turkey option and the meat pieces were whole. The facility's menu spreadsheet for that meal indicated that residents on a mechanical soft diet were to receive 6 ounces of ground turkey pot pie. The recipe for Ground Turkey Pot Pie directed staff to place turkey in a food processor and grind it to an appropriate consistency, and the facility's Texture Modified Policy stated that mechanical soft meat items are to be ground and served with sauce, gravy, or broth. Interviews with dietary and management staff confirmed that meat needed to be ground for mechanical soft diets, that the recipe called for ground turkey, and that whole meat pieces on a mechanical soft diet could cause choking.
Infection Control Lapses With PPE, Hand Hygiene, and Catheter Care
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program for four residents reviewed for infection control. One resident was on contact isolation for VRE in the urine and had a care plan noting ESBL in urine. During observation, a social worker entered that resident’s room and sat on the bed without wearing PPE, even though a contact precautions sign on the door indicated that a gown and gloves were required. The resident’s room also had PPE stocked in a drawer, but staff stated no PPE was required to enter the room before the contact precautions sign was observed. For another resident with an indwelling suprapubic catheter and urostomy tubing, CNA B performed peri-care and catheter care without changing gloves or performing hand hygiene after contact with the soiled dressing and before moving from one body site to another. CNA B used the same disposable wipe to cleanse the urostomy tubing from the stoma site outward, then folded the same wipe and used it again on the suprapubic catheter tubing before using a clean wipe for a third wipe. CNA B later stated she had folded the wipe and that she realized hand hygiene and a glove change should have been done after suprapubic catheter care. The resident’s record reflected diagnoses including CKD, CHF, and vascular dementia, and the care plan directed staff to monitor for signs and symptoms of infection and other catheter-related complications. During another observation, staff entered one resident’s room and then proceeded into another resident’s room without hand sanitizing, despite an enhanced barrier precautions sign posted at the room entrance. The two residents involved had significant care needs; one had a BIMS score of 12 and required assistance with ADLs, and the other had a BIMS score of 7 and required assistance with bed mobility, bathing, hygiene, toileting, dressing, grooming, and eating. Interviews with the DON and ADM confirmed that gown and gloves were required for contact precautions and that staff were trained on PPE and hand hygiene, while the facility policy required hand hygiene before and after direct resident contact, after removing gloves, and before entering and after leaving isolation precaution settings.
Failure to Provide Needed Nail Care
Penalty
Summary
The facility failed to ensure that residents who were unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene for 2 of 8 residents reviewed for nail care. Resident #84 had diagnoses including hypertension, renal insufficiency, non-Alzheimer's dementia, Parkinson's disease, and malnutrition, and his MDS reflected moderately impaired cognition and a need for supervision or touching assistance with personal hygiene. His care plan stated staff were to anticipate and ensure his needs were met. During observation, his fingernails were noted to have about 4 mm of white showing, and he stated he needed something to scratch his head but preferred his nails shorter. He also stated he had been in the facility for three or four months and no one had asked if he wanted his nails trimmed. Resident #102 had diagnoses of anxiety disorder and depression, and his MDS reflected severely impaired cognition. His care plan stated staff were to anticipate and ensure his needs were met. During observation, his fingernails were noted to have about 3 mm of white showing, and he stated he had been meaning to ask about getting his fingernails and toenails done. He said he usually did not wear them this long and pointed at his hand, adding that his toenails were worse. Staff interviews showed inconsistent practices for nail care. A CMA stated nail care was usually done in the shower because nails were softer and easier to cut, that nurses did diabetic residents' nails, and that CNAs could trim nails if residents were not diabetic. Another LVN stated non-diabetic nail care was done once a week on Sundays by aides or nurses and that a weekly nail clinic was organized as an activity. The LVN later observed Resident #102 and stated his fingernails were clean, not jagged, but probably needed to be trimmed. The DON stated CNAs trimmed and cleaned nails as needed, nurses timed nails as well, and podiatry was available for more advanced needs, but she had not seen either resident's nails that week. The facility policy stated residents unable to carry out ADLs independently would receive services necessary to maintain good grooming and personal hygiene, including grooming.
Medication Cart Left Unlocked and Unattended
Penalty
Summary
A deficiency was identified when a medication cart (MC #1) was observed unlocked and unattended on the 100-hall, containing residents' prescription drugs, over-the-counter medications, and narcotics secured in a locked box within the cart. During the observation, a resident was seen walking past the unlocked cart, and the assigned RN was not present on the hall. Interviews with the RN, DON, and ADM confirmed that facility policy requires medication carts to be locked whenever out of staff sight, and that the person assigned to the cart is responsible for ensuring it is locked. The RN stated she left the cart unlocked because she responded to a resident emergency in the dining room and forgot to lock the cart while retrieving her blood pressure cuff. The DON and ADM both acknowledged awareness of the policy and confirmed that staff and managers are expected to monitor medication cart security through observation. The facility's Medication Labeling and Storage Policy specifies that all drugs and biologicals must be stored in locked compartments when not in use. The incident was attributed to the RN's response to an emergency situation, during which the medication cart was left unsecured and unattended, contrary to facility policy.
Failure to Coordinate PASRR Assessments and Referrals
Penalty
Summary
The facility failed to coordinate assessments with the pre-admission screening and resident review (PASRR) program and did not refer residents for services as needed. This deficiency indicates that required assessments and referrals for appropriate services were not completed in accordance with regulatory requirements. No additional details about specific residents, their medical history, or their condition at the time of the deficiency are provided in the report.
Delayed Notification of Resident's Condition Change
Penalty
Summary
The facility failed to immediately inform a resident, consult with the resident's physician, and notify the resident's representative when there was a significant change in the resident's condition. Specifically, a resident experienced pain, swelling, and heat in her left knee, which was observed by an LVN at approximately 4:00 PM. However, the nurse did not notify the nurse practitioner (NP) until approximately 10:00 PM, when the resident's family was present. The resident was subsequently sent to the hospital and diagnosed with a fractured left patella. The resident, an elderly female with severe cognitive impairment, had a history of multiple fractures and required assistance with most activities of daily living. On the day of the incident, the resident complained of knee pain, and staff observed swelling and warmth in the knee. Despite these observations, the NP was not informed of the changes in the resident's condition until several hours later, delaying necessary medical intervention. Interviews with staff revealed discrepancies in the reporting and assessment of the resident's condition. One LVN noted the swelling and warmth but did not report it, believing it was normal for the resident's condition. Another LVN reported the pain to the NP earlier in the day but did not observe swelling. The NP stated that she should have been notified of the swelling earlier, as it was a significant change in the resident's condition. The facility's policy required prompt notification of such changes, which was not adhered to in this case.
Failure to Provide Adequate Supervision and Assistance Devices
Penalty
Summary
The facility failed to ensure adequate supervision and assistance devices to prevent accidents for a resident with a history of a left hip fracture. The resident was being transported in a wheelchair without a footrest, which led to her left leg getting caught on the floor, resulting in a fractured left patella. The incident occurred when LVN A was pushing the resident to a van for an appointment, and the resident's leg was not properly supported due to the absence of a footrest. The resident, who had severe cognitive impairment and required staff assistance for transfers, experienced pain and swelling in her left knee following the incident. Despite being assessed by LVN A and receiving pain medication, the resident's condition worsened, leading to her being sent to the emergency department for further evaluation. An x-ray confirmed a new acute fracture of the mid patella, and the resident subsequently underwent surgery for the injury. Interviews with staff revealed that there was a lack of clarity and training regarding the proper use of footrests during wheelchair transportation. LVN A admitted to overlooking the need for a footrest, and other staff members were unsure of the resident's requirements for a footrest. The facility did not have a specific policy on ambulating wheelchair-dependent residents, and the incident highlighted the need for better training and adherence to safety protocols to prevent similar accidents.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Cedar Park
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sagebrook Nursing And Rehabilitation | 2.2 mi | — | 0 | 0 |
| The Springs Healthcare And Rehabilitation | 2.9 mi | — | 9 | 0 |
| Cedar Pointe Health And Wellness Center | 2.9 mi | — | 6 | 0 |
| The Center At Parmer | 7 mi | — | 2 | 0 |
| Austin Wellness & Rehabilitation | 8 mi | — | 6 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.