Kirkwood Manor
2590 LOOP 337 N, New Braunfels, TX, 78130
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 - Corporation · Chain: The Ensign Group
- Certified beds
- 162 · avg 123 residents/day
- Total nursing staff turnover
- 48.6% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 55.6% — 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 · $29,026 total
- Infection control citations
- 2
State licensing & capacity
- License number
- 144411
- Service type
- Medicare/medicaid
- Licensed capacity
- 162 beds
- Bed type breakdown
- 162 Medicaid/Medicare
- Current license effective
- February 28, 2025
- Current license expires
- February 28, 2028
- Initial license date
- April 30, 1991
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Lake Island Healthcare Llc
- Administrator
- Kyle Martin
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 (12 on record)
- Lake Island Healthcare, Inc.
Adp of The Snf · since 2025
- Adam Apolinar
Corporate Officer · since 2022
- Soon Burnam
Corporate Officer · since 2021
- Haoran yu
Managing Control - Governing Body · since 2019
- Kyle Martin
Adp of The Snf · since 2019
- Lakewood Health Holdings Llc
Adp of The Snf · since 2019
+ 6 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 49)
- D0761·Jun 4, 2025Complaint
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.
- D0755·Jun 4, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0813·Feb 21, 2025
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- D0761·Feb 21, 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.
- D0755·Feb 21, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0695·Feb 21, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0690·Feb 21, 2025
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0689·Feb 21, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal penalties
By year
- 20241 fine · $29K
Most recent events
- Mar 24, 2024Fine · $29K
Fire-safety citations
14 Life-Safety-Code citations on file. Most recent: Feb 21, 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
Kirkwood Manor is a 162-bed nursing home in New Braunfels, Texas, all beds certified for Medicare and Medicaid. CMS rates it 2 stars overall, with a 2-star health inspection rating and a 3-star staffing rating. The facility has received one CMS fine totaling $29,026. It is managed by Lake Island Healthcare and affiliated with The Ensign Group.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars — a tier shared by about 19% of Texas nursing homes. Each resident receives roughly 209 minutes of nursing care per day, about 32 minutes less than the daily average at a 4-star-staffing facility in Texas. Of that, 28 minutes are covered by a registered nurse.
One CMS fine totaling $29,026 has been issued. About 30% of Texas nursing homes have received no fines; this facility's single fine sits above the state median of $20,699.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Basis for the 2-star inspection rating
Ask which deficiencies drove the 2-star health inspection score and what corrective steps have been completed since the last survey.
Details behind the $29,026 fine
Ask what the fine cited specifically and whether the cited practice or condition has since been resolved.
Registered nurse coverage on evenings and weekends
With RN time averaging 28 minutes per resident per day, ask how RN coverage is scheduled on nights and weekends when staffing is typically thinner.
Role of the management company
The facility is licensed under Uvalde County Hospital Authority but operated by Lake Island Healthcare — ask who sets staffing levels and handles day-to-day clinical decisions.
Current wait for a bed
With 122.9 residents on average against 162 licensed beds, ask whether beds are currently available or whether a waitlist applies.
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.