01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-07-24 | 3 | 2025-07-24 | 1 |
| Cycle 2 | 2024-06-14 | 8 | 2024-06-14 | 8 |
| Cycle 3 | 2023-05-11 | 5 | 2023-05-11 | 0 |
CMS CCN 6764592026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Sedona Trace Health And Wellness Center
8324 Cameron Rd · Austin, TX 78754 · Travis County
Certified beds119CMS provider file
Recent citation rows25current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
25 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-12 · HEALTHF0551Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Correction field: Deficient, Provider has date of correction · 2026-05-13 · complaint2026-05-12 · HEALTHF0627Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Correction field: Deficient, Provider has date of correction · 2026-05-13 · complaint2025-07-24 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-07-252025-07-24 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-10-142025-06-16 · HEALTHF0644Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2025-07-15 · complaint2024-06-24 · HEALTHF0626Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Correction field: Deficient, Provider has date of correction · 2024-07-16 · complaint2024-06-14 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Correction field: Deficient, Provider has date of correction · 2024-06-152024-06-14 · HEALTHF0636Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Correction field: Deficient, Provider has date of correction · 2024-07-112024-06-14 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2024-06-152024-06-14 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-06-152024-06-14 · HEALTHF0695Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-06-152024-06-14 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-07-092024-06-14 · HEALTHF0919Severity J · isolated immediate jeopardy
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Correction field: Deficient, Provider has date of correction · 2024-06-152024-06-14 · FIREK0211Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-02-262024-06-14 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-02-212024-06-14 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-02-202024-06-14 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-04-012024-06-14 · FIREK0355Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2025-02-192024-06-14 · FIREK0511Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2025-02-272024-06-14 · FIREK0918Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-03-102024-06-14 · FIREK0922Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use and maintenance of medical gas equipment.
Correction field: Deficient, Provider has date of correction · 2025-04-302023-05-11 · HEALTHF0577Severity C · widespread; potential for minimal harm
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Correction field: Deficient, Provider has date of correction · 2023-06-022023-05-11 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2023-06-022023-05-11 · HEALTHF0806Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2023-06-0203 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-06-14 | Fine | $11,168 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- GUADALUPE COUNTY HOSPITAL BOARDOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 08/01/2021
- HURLEY, RACHAELIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/01/2021
- RATHI, ANILIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/14/2024
- BURNAM, SOONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/01/2021
- GANN, KODYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/01/2021
- KEETCH, CHADIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2011
- MUSTANG RIDGE HEALTHCARE, INC.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/01/2021
- HURLEY, RACHAELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/01/2021
- RATHI, ANILIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/14/2024
- CARETRUST GP LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 08/01/2021
- CARETRUST REIT INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 08/01/2021
- CTR PARTNERSHIP LPOrganization · ADP OF THE SNFNOT APPLICABLE · since 08/01/2021
- ENSIGN SERVICES INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/18/2021
- MUSTANG RIDGE HEALTHCARE, INC.Organization · ADP OF THE SNFNOT APPLICABLE · since 09/30/2025
- HURLEY, RACHAELIndividual · ADP OF THE SNFNOT APPLICABLE · since 08/01/2021
- RATHI, ANILIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/14/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.04per resident day
RN hours0.42per resident day
Weekend nurse hours2.59per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS
Open the Austin ledger →Other published facilities nearby
Austin Wellness & Rehabilitation120 beds · CMS overall 1/574 citation rowsAvir At Park Bend124 beds · CMS overall 3/529 citation rowsBrookdale Westlake Hills90 beds · CMS overall 2/543 citation rowsBarton Valley Rehabilitation And Healthcare Center126 beds · CMS overall 3/531 citation rowsBrodie Ranch Nursing And Rehabilitation Center120 beds · CMS overall 3/532 citation rowsBrush Country Nursing And Rehabilitation118 beds · CMS overall 1/553 citation rowsCoral Rehabilitation And Nursing Of Austin157 beds · CMS overall 1/5113 citation rowsGracy Woods Ii Living Center110 beds · CMS overall 4/519 citation rows