Juniper Village At Spicewood Summit
4401 SPICEWOOD SPRINGS RD, Austin, TX, 78759
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Partnership
- Certified beds
- 46 · avg 24 residents/day
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $99,713 total
State licensing & capacity
- License number
- 147166
- Service type
- Medicare Only
- Licensed capacity
- 46 beds
- Bed type breakdown
- 46 Medicare-only
- Current license effective
- January 18, 2023
- Current license expires
- April 5, 2026
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Sh Opco Spicewood Springs Llc (Limited Liability Company (LLC))
- Operator / manager
- Juniper Management Llc
- Administrator
- Michael Heath
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (8 on record)
- Juniper Management, Llc
Operational/managerial Control · since 2021
- Rebecca Folta-may
W-2 Managing Employee · since 2020
- Alexander b Washburn
Corporate Officer · since 2018
- Alan w Spragins
Corporate Officer · since 2018
- cp Opco Ventures vi Llc
5% or Greater Indirect Ownership Interest · 100% · since 2017
- Shp Reit i Llc
5% or Greater Indirect Ownership Interest · 100% · since 2017
+ 2 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 12)
- E0814·May 7, 2025
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
- E0812·May 7, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0806·May 7, 2025
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.
- D0755·May 7, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0584·May 7, 2025
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D0880·May 7, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0689·May 7, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0812·Mar 13, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Federal penalties
By year
- 20231 fine · $100K
Most recent events
- Oct 4, 2023Fine · $100K
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Juniper Village at Spicewood Summit is a 46-bed Medicare-only nursing home in Austin (Travis County), managed by Juniper Management LLC. CMS rates it 2 stars overall — staffing is rated 1 star, the lowest tier, covering about 38% of Texas nursing homes. One fine of $99,713 has been issued. The facility is operating at roughly 53% of licensed capacity, with about 24 residents currently.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives approximately 226 minutes of nursing care per day, about 15 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — sicker or less mobile on average — so those staffing hours stretch thinner than the raw minutes suggest.
One CMS fine of $99,713 has been issued against this facility. The state median fine across fined Texas nursing homes is roughly $20,700, and about 30% of Texas facilities have no fines at all; this single fine is nearly five times the state median.
One administrator has turned over in the past year. That level of leadership change can affect how consistently care policies are followed day to day.
The facility is operating at approximately 53% of its 46 licensed beds, with about 24 residents on a given day. For a facility of this size, that occupancy level is low.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
With a 1-star staffing rating and 226 minutes of nursing care per resident per day, ask how many nurses and aides are on duty during overnight and weekend shifts specifically.
Background on the $99,713 fine
CMS issued one fine totaling $99,713 — ask what deficiency prompted it and what corrective steps have been taken since.
Recent administrator transition
One administrator left in the past year; ask how long the current administrator has been in place and who is accountable for day-to-day care decisions.
Why occupancy is low
With roughly 24 of 46 beds occupied, ask whether the low census reflects recent admissions policy, staffing constraints, or another operational factor.
Resident Council activity
The facility has a Resident Council but no Family Council; ask how often the Resident Council meets and how family members can raise concerns.
Medicare-only admissions criteria
All 46 beds are Medicare-certified and none are Medicaid-certified; ask what happens to a resident whose Medicare benefit runs out and what options exist at that point.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.