Georgetown Nursing And Transitional Care
4011 WILLIAMS DR, Georgetown, TX, 78628
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
- Non profit - Corporation
- Certified beds
- 142 · avg 75 residents/day
- Total nursing staff turnover
- 41.7% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 60% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,281 total
State licensing & capacity
- License number
- 147779
- Service type
- Medicare/medicaid
- Licensed capacity
- 142 beds
- Bed type breakdown
- 17 Medicare-only · 125 Medicaid/Medicare
- Current license effective
- September 30, 2025
- Current license expires
- April 1, 2026
- Initial license date
- April 26, 2011
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- South Limestone Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Wellsential Of Georgetown Llc
- Administrator
- Tyler W Strong
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 67 facilities. Chain-wide average overall rating 2.8 / 5.
Disclosed owners (20 on record)
- South Limestone Hospital District
Adp of The Snf · since 2025
- 4011 Williams Drive Llc
Adp of The Snf · since 2025
- Barbara b Clapp
Adp of The Snf · since 2025
- Csv Rhea Management Holdco, Llc
Adp of The Snf · since 2025
- Donovan r Dekowski
Adp of The Snf · since 2025
- Dwd tx Holdings Llc
Adp of The Snf · since 2025
+ 14 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 16)
- E0880·Apr 30, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Apr 30, 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·Apr 30, 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.
- D0688·Apr 30, 2025
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- E0677·Apr 30, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0604·Apr 30, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- E0558·Apr 30, 2025
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- E0550·Apr 30, 2025
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Federal penalties
By year
- 20251 fine · $8,281
Most recent events
- Mar 17, 2025Fine · $8,281
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Apr 30, 2025. 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
Georgetown Nursing And Transitional Care is a 142-bed Medicare/Medicaid nursing home in Georgetown, Texas, licensed to South Limestone Hospital District and managed by Wellsential of Georgetown LLC. CMS rates it 2 stars overall, with a 2-star health inspection rating and a 4-star short-stay quality rating. About 75 residents occupy the facility on any given day — roughly 53% of licensed capacity. One CMS fine of $8,281 is on record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 3 stars. Each resident receives about 228 minutes of nursing care per day — roughly 13 minutes less than at a 4-star-staffing facility in Texas. About 19% of Texas nursing homes share this staffing rating.
About 4 in 10 nursing staff left in the past year. Texas's 25th-percentile cutoff for total turnover sits at 42% — this facility's 41.7% rate falls just below that line, meaning turnover is lower than roughly three-quarters of nursing homes in Texas. The registered-nurse turnover figure is 60%, which matches the state's 75th-percentile threshold — higher than the overall staff picture suggests.
One CMS fine totaling $8,281 is on record. The state median fine total among facilities that have been fined is $20,699; about 30% of Texas nursing homes have no fines at all.
The facility is operating at roughly 53% of its 142 licensed beds, with about 75 residents on a given day. Other signals in this record — moderate staffing, elevated RN turnover — warrant direct questions about what is driving that occupancy level.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reason for low occupancy
The facility runs at about 53% of its 142 licensed beds — ask directly why census is this low and whether any service lines have been reduced.
Registered nurse coverage and departures
RN turnover is 60%, matching the state's 75th percentile — ask how many registered nurses are on the floor each shift and how long current RNs have been in their roles.
Management company's role day to day
South Limestone Hospital District holds the license while Wellsential of Georgetown LLC manages operations — ask who makes staffing and care-policy decisions and who a family contacts when concerns arise.
Health inspection findings
CMS rates health inspections 2 stars — ask to see the most recent inspection report and what corrective steps have been completed for cited deficiencies.
Resident council activity
A Resident Council meets here but no Family Council exists — ask how families are notified of concerns raised in resident council meetings and how they can raise issues of their own.
Admission volume and waitlist
With more than 60 beds unfilled on average, ask whether the facility is actively admitting and what the typical wait time is for a Medicare-covered short-stay bed.
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.