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C
Below Standard

KIRKWOOD MANOR

2590 LOOP 337 N · NEW BRAUNFELS, TX 78130

8306200509 · For profit - Corporation

162 beds122.9 residents190 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

KIRKWOOD MANOR receives an overall staffing grade of C (Below Standard). With 3.4796 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4678 HPRD, below the recommended 0.75. It is 0.42 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.76% compared to weekdays. The facility has low agency staff usage (0.09% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4796 HPRD — needs 0.00 more hours per resident per day.
⚠️RN staffing (0.4678 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.09%) — mostly permanent, familiar staff
Total Nurse HPRD
3.4796hrs/resident/day▼ 0.42
CMS benchmark: 3.48
RN HPRD
0.4678hrs/resident/day▼ 0.22
Recommended: 0.75
Weekend Drop-off
16.76%
3.6527 weekday → 3.0403 weekend
Agency Staff
0.09%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6713hrs/resident/day
Direct care aides
LPN HPRD
0.8804hrs/resident/day
Licensed practical nurses
Consistency
0.322std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Comal County Average-0.12 HPRD
3.60
03.48 HPRD
vs. Texas State Average+0.08 HPRD
3.40
03.48 HPRD
vs. National Average-0.42 HPRD
3.90
03.48 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
KIRKWOOD MANOR ★
NEW BRAUNFELS · This facility
—
C
3.47960.4678★★☆☆☆
Eden Home
New Braunfels
2.5 mi
B
4.41020.6408★★★☆☆
Avir at New Braunfels
New Braunfels
4.8 mi
F
3.39780.2148★☆☆☆☆
GUADALUPE VALLEY NURSING AND REHABILITATION CENTER
SEGUIN
15.4 mi
D
3.14160.3345★★☆☆☆
SAN ANTONIO WELLNESS & REHABILITATION
SAN ANTONIO
16.5 mi
D
3.32270.3492★★☆☆☆
WINDCREST NURSING AND REHABILITATION
WINDCREST
18.7 mi
D
2.91180.2834★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
49
Total Deficiencies
$29,026
Fines Assessed
Jun 4, 2025Health
2 deficiencies cited
▼
Feb 21, 2025Health
10 deficiencies cited
▼
Jan 10, 2025Health
1 deficiency cited
▼
Mar 24, 2024Health
3 deficiencies cited· Includes actual harm
▼
Jan 26, 2024Health
18 deficiencies cited
▼
Nov 30, 2023Health
2 deficiencies cited
▼
Nov 9, 2022Health
13 deficiencies cited
▼

Penalty History

Mar 24, 2024Fine
$29,026
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.