Sedona Trace Health and Wellness Center — nursing home in Austin, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 119 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 110.8 CMS, MDS-derived
CMS Certification Number: 676459
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Nov 20, 2018
Ownership type: For profit - Corporation
Operator (legal business name): Guadalupe County Hospital Board
CMS chain: The Ensign Group 347 facilities
Phone: (737) 241-0800
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

10

latest May 12, 2026

Citations

25

16 health · 9 fire

Harm or worse

1

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D15	E4	F4
Minimal	A·	B·	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$11,168

Payment denials

0

Latest

Jun 14, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 676459
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 119
First approved: Nov 20, 2018
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
May 12, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Jul 24, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Jul 24, 2025	Health	Health Standard	1	Potential harm	—	Open →
Jun 16, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Jun 24, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Jun 14, 2024	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Jun 14, 2024	Health	Health Standard	7	Immediate jeopardy	—	Open →
Nov 8, 2023	Health	Infection Control	0	No citations	—	Open →
May 11, 2023	Fire safety	Fire Safety Standard	0	No citations	—	Open →
May 11, 2023	Health	Health Standard	4	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Jun 14, 2024	Civil money penalty (fine)	$11,168	—	676459\|Fine\|112989

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D15	E4	F4
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 12, 2026	F-0551	Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 13, 2026	Complaint
May 12, 2026	F-0627	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 13, 2026	Complaint
Jul 24, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 14, 2025
Jul 24, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 25, 2025
Jun 16, 2025	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 15, 2025	Complaint
Jun 24, 2024	F-0626	Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 16, 2024	Complaint
Jun 14, 2024	F-0919	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety	J · Immediate jeopardy Isolated	Corrected Jun 15, 2024
Jun 14, 2024	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 26, 2025
Jun 14, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 21, 2025
Jun 14, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 20, 2025
Jun 14, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 1, 2025
Jun 14, 2024	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 19, 2025
Jun 14, 2024	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 27, 2025
Jun 14, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 10, 2025
Jun 14, 2024	K-0922	Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 30, 2025
Jun 14, 2024	F-0578	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 15, 2024
Jun 14, 2024	F-0636	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 11, 2024
Jun 14, 2024	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 15, 2024
Jun 14, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 15, 2024
Jun 14, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 15, 2024
Jun 14, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jul 9, 2024
May 11, 2023	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 2, 2023
May 11, 2023	F-0806	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jun 2, 2023
May 11, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jun 2, 2023
May 11, 2023	F-0577	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect	C · Minimal Widespread	Corrected Jun 2, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.09

State avg 3.42US avg 3.90

Registered nurse (RN)0.48

State avg 0.44US avg 0.69

Licensed practical nurse0.61

State avg 0.94US avg 0.86

Nurse aide2.01

State avg 2.03US avg 2.35

Weekend total nurse2.68

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.21 (case-mix index 1.35).

Staff turnover

Total nursing staff turnoverNot reported

State avg 50.8%US avg 45.3%

Registered nurse turnoverNot reported

State avg 49.8%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jul 24, 2025
Cycle 1 health score: 12
Total weighted score: 31.5
Infection-control citations: 0

Operating entity

Guadalupe County Hospital Board

CMS legal business name of the certified provider. Operates 27 facilities.

VerifiedLinked by exact legal name

CMS chain

The Ensign Group

347 facilities in 17 states. CMS chain ID 507.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.3

Ownership disclosures

Disclosures

16

Organizations

6

Individuals

9

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Guadalupe County Hospital Board	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Aug 1, 2021

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Guadalupe County Hospital Board	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Aug 1, 2021
Rachael Hurley	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Aug 1, 2021
Anil Rathi	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 14, 2024
Mustang Ridge Healthcare, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2021
Rachael Hurley	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2021
Anil Rathi	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 14, 2024
Soon Burnam	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 1, 2021
Kody Gann	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 1, 2021
Chad Keetch	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2011
Caretrust Gp LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Aug 1, 2021
Caretrust Reit Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Aug 1, 2021
Ctr Partnership LP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Aug 1, 2021
Ensign Services Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 18, 2021
Mustang Ridge Healthcare, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 30, 2025
Rachael Hurley	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 1, 2021
Anil Rathi	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 14, 2024

Other facilities operated by Guadalupe County Hospital Board

All 26 →

Facility	Beds	Last inspection	Citations (window)	Fines
Morningside Manor 602 Babcock Rd, San Antonio, TX 78201 CCN 455523	147	Apr 11, 2026	37	$5,000
Eden Home 631 Lakeview Blvd, New Braunfels, TX 78130 CCN 455618	122	May 1, 2026	432 IJ	$45k
Avir at Bay City 700 12th St, Bay City, TX 77414 CCN 455643	120	Feb 26, 2026	341 IJ	$14k
Avir at Longview 301 Hollybrook Dr., Longview, TX 75605 CCN 455678	115	Aug 13, 2026	654 IJ3 harm	$263k
Arbor View Nursing & Rehabilitation 1213 Water St, Kerrville, TX 78028 CCN 455724	179	Sep 4, 2026	1095 IJ1 harm22 open	$155k
Northeast Rehabilitation and Healthcare Center 603 Corinne Drive, San Antonio, TX 78218 CCN 455754	120	Jul 9, 2026	651 IJ1 harm	$16k
Hays Nursing and Rehabilitation Center 1900 Medical Parkway, San Marcos, TX 78666 CCN 455960	116	Mar 5, 2026	312 IJ	$8,226
Parklane West Healthcare Center 2 Towers Park Lane, San Antonio, TX 78209 CCN 675509	124	Jul 17, 2026	91	—

Same chain in Texas

All 346 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Richland Hills Rehabilitation and Healthcare Cente 3109 Kings Ct, Fort Worth, TX 76118 CCN 455576	92	May 28, 2026	401 harm	$8,190
Grand Terrace Rehabilitation and Healthcare 812 W. Houston Ave., Mcallen, TX 78501 CCN 455586	93	Jun 17, 2026	16	—
Alta Vista Rehabilitation and Healthcare 510 Paredes Line Rd, Brownsville, TX 78521 CCN 455625	100	May 1, 2026	281 IJ	—
Wellington Rehabilitation and Healthcare 1802 S 31st, Temple, TX 76504 CCN 455637	124	Aug 6, 2026	404 IJ	$32k
Golden Palms Rehabilitation and Retirement 2101 Treasure Hills Boulevard, Harlingen, TX 78550 CCN 455672	60	May 13, 2026	271 IJ1 harm	$16k
Park Village Healthcare and Rehabilitation 207 E Parkerville Rd, Desoto, TX 75115 CCN 455727Abuse icon	150	Aug 25, 2026	636 IJ2 harm2 open	$221k
Kirkwood Manor 2590 Loop 337 N, New Braunfels, TX 78130 CCN 455732	162	Jun 17, 2026	691 IJ	$29k
Timberwood Nursing and Rehabilitation Center 4001 Hwy 59 North, Livingston, TX 77351 CCN 455745	120	Jan 14, 2026	181 IJ	$8,021

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 8324 Cameron Rd., Austin, TX 78754
ZIP: 78754
County: Travis County FIPS 48453
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Legend Oaks Healthcare and Rehabilitation - North 11020 Dessau Rd, Austin, TX 78754 CCN 676238	3.6 km	124		Apr 23, 2026	242 IJ	$28k
Coral Rehabilitation and Nursing of Austin 6909 Burnet Ln, Austin, TX 78757 CCN 455862SFFAbuse icon	5.3 km	157	Not rated	Jul 22, 2026	11418 IJ2 open	$308k
Oakcrest Nursing and Rehabilitation Center 9808 Crofford Ln, Austin, TX 78724 CCN 676291	6.1 km	67		Mar 12, 2026	333 IJ	$32k
Heritage Park Rehabilitation and Skilled Nursing C 2806 Real St, Austin, TX 78722 CCN 455599	7 km	197		Feb 20, 2026	523 IJ2 harm1 open	$56k
Gracy Woods II Living Center 12042 Bittern Hollow, Austin, TX 78758 CCN 675914	7.1 km	110		Jun 5, 2026	10	—
Gracy Woods Nursing Center 12021 Metric Blvd., Austin, TX 78758 CCN 675918	7.2 km	118		Jun 4, 2026	658 IJ	$182k
The Arbour at Westminster Manor 4200 Jackson Ave, Austin, TX 78731 CCN 676099	7.5 km	90		Dec 3, 2025	14	$19k
Avir at Park Bend 2122 Park Bend Dr., Austin, TX 78758 CCN 675862Abuse icon	7.9 km	124		Jul 22, 2026	251 harm	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	676459	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	676459	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 676459

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction