Vista Ridge Senior Care
A nursing home in Lakeway, Texas 78734
1917 Lohmans Crossing Rd, Lakeway, Texas 78734. (512) 261-3211.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 6 health citations at the latest inspection cycle Texas average: 9.6
- 3.43 nurse hours per resident per day Texas average: 3.42
- 2 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
6 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Aug 21, 2025.
Most serious in three years: immediate jeopardy to health or safety (K), at a complaint inspection on Jan 14, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
15 citations in 5 months of the last 36. Last cited Aug 2025. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 15 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 4 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 21, 2025: standard inspection6 citations
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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Provide and implement an infection prevention and control program.
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Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
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Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.
Jan 14, 2025: complaint inspection1 citation
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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.
Oct 7, 2024: complaint inspection1 citation
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Sep 1, 2024: complaint inspection2 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Jul 31, 2024: standard inspection5 citations
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Post nurse staffing information every day.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Mar 20, 2007.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 98 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 2 fines in the last three years, $91,420 in all.
- No Medicare payment denials in the last three years.
- 4 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jan 14, 2025 | Fine | $74,848 |
| Sep 1, 2024 | Fine | $16,572 |
Who does the caring?
3.43 nurse hours per resident per day
The Texas average is 3.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Texas average |
|---|---|---|
| Nurse hours per resident per day | 3.43 | 3.42 |
| Of which registered nurses | 0.76 | 0.44 |
| At weekends | 2.97 | 2.99 |
| Nursing staff turnover | 58.2% | 50.8% |
| Registered nurse turnover | 50% | 49.8% |
| Administrators who left | 2 | Not given |
Who owns it?
- American Retirement Corporation owns 100% directly since Dec 23, 2008.
- 33 owners or officers are people: A person CMS lists without a name (owns a share directly, 5.34%); A person CMS lists without a name (owns a share directly, 5.34%); Chadwick C White (owns 5% or more through other companies, 0.13%); Dawn Kussow (owns 5% or more through other companies, 0.05%); Jacob Leblanc (runs it (operational or managerial control)); Jacob Leblanc (additional disclosable party (controls, leases property to, or provides services to the home)); Mark Fioravanti (on the governing body (managing control)); Claudia Drayton (on the governing body (managing control)); Liam Fry (additional disclosable party (controls, leases property to, or provides services to the home)); Kevin W La Marre (runs it (operational or managerial control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Joanne K Leskowicz (corporate officer); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Chadwick C White (corporate officer); Chadwick C White (runs it (operational or managerial control)); Chadwick C White (on the governing body (managing control)); Elizabeth Mace (on the governing body (managing control)); Edward Pando (runs it (operational or managerial control)); Henry Todd Kaestner (corporate officer, 0%); Henry Todd Kaestner (corporate director, 0%); Lee Wielansky (on the governing body (managing control)); Denise W Warren (on the governing body (managing control)); Jordan R Asher (on the governing body (managing control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Anna F.c. Munoz (runs it (operational or managerial control)); Nikolas W Stengle (corporate officer); Nikolas W Stengle (runs it (operational or managerial control)); Cynthia Ibarra (runs it (operational or managerial control)); Victoria Freed (on the governing body (managing control)); Dawn Kussow (runs it (operational or managerial control)); Joshua Hausman (on the governing body (managing control)).
- Part of Brookdale Senior Living (12 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Brookdale Senior Living Inc. | Owns 5% or more through other companies | 100% | Dec 23, 2008 |
| American Retirement Corporation | Owns 5% or more directly | 100% | Dec 23, 2008 |
| Brookdale Senior Living Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 23, 2008 | |
| Arc Lakeway SNF, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 23, 2008 | |
| Lbmc PC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2024 | |
| Walters Financial Services Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2024 | |
| American Retirement Corporation | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 23, 2008 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (Texas average 3.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 13.4 miles, this one had the 6th most health citations at the latest inspection cycle (6; the middle value was 5.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Vista Ridge Senior Care This nursing home | 6 | |
| Park Manor Bee Cave | 3.1 | 5 |
| Longhorn Village | 3.9 | 8 |
| Querencia at Barton Creek | 7.7 | 2 |
| Stonebridge Health Rehab | 8.5 | 3 |
| Brush Country Nursing and Rehabilitation | 11.8 | 24 |
| Brookdale Westlake Hills | 12.6 | 8 |
| Barton Valley Rehabilitation and Healthcare Center | 12.9 | 13 |
| Avir at Dripping Springs | 12.9 | 1 |
| Austin Wellness & Rehabilitation | 13.0 | 20 |
| Sage Park Austin | 13.1 | 5 |
| The Arbour at Westminster Manor | 13.4 | 2 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.