Park Manor Bee Cave
14058 BEE CAVE PARKWAY, BLDG B, Bee Cave, TX, 78738
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
- Government - Hospital district · Chain: The Ensign Group
- Certified beds
- 140 · avg 117 residents/day
- Total nursing staff turnover
- 50.6% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 57.1% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- 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)
- 2 fines · $19,608 total
State licensing & capacity
- License number
- 307248
- Service type
- Medicare/medicaid
- Licensed capacity
- 140 beds
- Bed type breakdown
- 31 Medicare-only · 109 Medicaid/Medicare
- Current license effective
- May 1, 2025
- Current license expires
- May 1, 2028
- Initial license date
- December 3, 2014
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Sage Meadow Healthcare, Inc
- Administrator
- Garth Land
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (8 on record)
- Sage Meadow Healthcare, Inc.
Adp of The Snf · since 2025
- Graciela v Castro Pou
Managing Control - Governing Body · since 2024
- Geoff Chudleigh
Managing Control - Governing Body · since 2022
- Soon Burnam
Corporate Officer · since 2022
- The Ensign Group Inc
Adp of The Snf · since 2022
- Hamilton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2019
+ 2 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, 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 35)
- F0812·Sep 17, 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.
- D0761·Sep 17, 2025
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.
- E0755·Sep 17, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0880·Sep 10, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0695·Sep 10, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- G0684·Sep 10, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0644·Aug 18, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D0580·Jun 2, 2025Complaint
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
By year
- 20251 fine · $6,338
- 20241 fine · $13K
Most recent events
- Apr 29, 2025Fine · $6,338
- Jul 21, 2024Fine · $13K
Largest single fine on record: $13K.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Aug 8, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Park Manor Bee Cave is a 140-bed nursing home in Bee Cave (Travis County) managed by Sage Meadow Healthcare, Inc under a Hospital District license. CMS rates it 1 star overall and 1 star on health inspections, with a 2-star staffing rating. Quality-of-care measures score higher — 4 stars overall and 5 stars for long-stay residents. The facility is operating at roughly 84% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars — residents receive about 200 minutes of nursing care per day, roughly 41 minutes less than at a 4-star-staffing facility in Texas. RN coverage is 20 minutes per resident per day, compared to 37 minutes at the 4-star threshold in Texas. Texas facilities at this staffing level make up about 32% of nursing homes in the state.
One administrator has turned over in the past year — elevated by CareWitness's state-relative measure. Consistent administrative leadership shapes staffing decisions, vendor relationships, and day-to-day operations, so turnover at that level can produce ripple effects residents experience directly.
Two CMS fines totaling $19,608 have been issued. That total sits just below the Texas median of $20,699 among fined facilities, and about 30% of Texas nursing homes have received no fines at all.
Despite the low overall and inspection ratings, quality-of-care measures tell a different story: 4 stars overall on those measures, 5 stars for long-stay residents, and 3 stars for short-stay residents. Long-stay quality measures track outcomes like pressure wounds, falls with injury, and decline in mobility for residents living here permanently.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Behind the 1-star inspection rating
Ask which deficiencies drove the 1-star health inspection score and what specific corrective steps have been completed since the last survey.
How staffing levels are maintained
With 200 minutes of daily nursing care per resident — 41 minutes below the Texas 4-star threshold — ask how the facility fills open shifts and whether agency staff are regularly used.
Administrator transition and continuity
One administrator left in the past year; ask who is currently in the role, how long they have been in place, and how leadership changes were communicated to residents and families.
What produced the two fines
Two CMS fines totaling $19,608 have been assessed; ask what citations triggered each fine and what policy changes followed.
Sustaining the long-stay quality scores
Long-stay quality measures rate 5 stars — ask which specific programs or care protocols the facility credits for that outcome and how they are maintained given current staffing levels.
Sage Meadow's role day to day
The facility is licensed under a Hospital District but managed by Sage Meadow Healthcare; ask who sets staffing budgets, hires the administrator, and holds accountability for care decisions.
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.