Total health inspections
7
Texas average 7.4
Last Health inspection on Feb 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Country Oaks at Hamilton Creek
Nursing Home · Texas, TX
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Country Oaks at Hamilton Creek
Nursing Home · Texas, TX
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Country Oaks at Hamilton Creek accepts Medicare, Medicaid, and private pay.
Country Oaks at Hamilton Creek is a licensed assisted living community in Burnet, Texas, providing personal care. With a Type B license in Burnet County, this community is managed by Country Oaks Burnet LLC. The community also features 60 licensed beds, with 51 private suites created for ease of use and comfort.
This community maintains an impressively high regulatory status, with a total of two findings recorded, both of which pertained to Life Safety Code standards for fire sprinkler systems. These issues were reported to have been addressed a few months after their citation, and no clinical health infractions or administrative penalties were documented. With a final count of just two citations in contrast to the Texas state average of six, the community shows a steady compliance history.
Specific feature lists are not available. However, the community presents itself as a friendly and resident-centered home appropriate for older adults who prefer a more peaceful and community-focused way of life away from large cities.
Country Oaks at Hamilton Creek is a good option for older adults looking for assisted living in a cozy and affordable Texas Hill Country environment. The community’s spotless enforcement history and low number of findings are important factors for those who value regulatory consistency alongside cost-effective support
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 76th out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 76th out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 54m per day
Rank #76 / 289Nurse hours — State benchmarkedThis home is ranked 76th out of 289 homes in Texas. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 289 Texas SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Texas avg
+3%
Standout metric
Weekend Total Nursing is +5% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 7m per day | ▲ 5% State avg: 2h 58m per day · National avg: 3h 25m per day |
Capacity and availability
This home usually has availability
Occupancy rate
53.6%
Rank #229 / 297Occupancy rate — State benchmarkedThis home is ranked 229th out of 297 homes in Texas. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 297. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
215 days
60-bed community Rank #585 / 987Bed count — State benchmarkedThis home is ranked 585th out of 987 homes in Texas. Shows this facility's certified or reported bed count compared to other Texas SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 68 / 100 Rank #158 / 1392Walk Score — State benchmarkedThis home is ranked 158th out of 1392 homes in Texas. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Texas SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
Facility TypeType B
StatusLicensed
CountyBurnet
Country Oaks at Hamilton Creek is legally operated by Country Oaks Burnet Llc.
Owner NameCountry Oaks Burnet LLC
No Alzheimer's certification
Specific ProgramsResident Services, Care Services
Inspection History
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Overall vs. TX average
0 Worse
No metrics in this bucket.
1 At Avg
Metrics at Texas average:
• Inspections with citations (at TX avg) 2 Better Metrics better than Texas average:
• Total citations (67% below)
• Life safety citations (67% below)
• Inspections with citations (at TX avg) 2 Better Metrics better than Texas average:
• Total citations (67% below)
• Life safety citations (67% below)
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 2 | 6 | This facility has 67% fewer total citations than a typical Texas nursing home (2 vs. TX avg 6).↓ 67% better |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 2 | 6 | This facility has 67% fewer life safety citations than a typical Texas nursing home (2 vs. TX avg 6).↓ 67% better |
Inspections
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 1 | 1 | This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
COUNTRY OAKS AT HAMILTON CREEK underwent a comprehensive inspection on April 09, 2024, resulting in two state standard violations. Both deficiencies were categorized under Life Safety Code, with no Health Code citations listed. The facility was previously cited for failing to comply with Chapter 19 of NFPA 101 and for not providing the required sprinkler system to meet NFPA 13 standards on July 23, 2019. These issues were corrected by September 25, 2019. No enforcement actions were found in relation to these inspections or the most recent one.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
11
Rank #32 / 292Health citations — State benchmarkedThis home is ranked 32nd out of 292 homes in Texas. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 292 TX SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Texas average 25.9
Citations per inspection
1.57
Rank #7 / 292Citations per inspection — State benchmarkedThis home is ranked 7th out of 292 homes in Texas. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 292 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
5 of 11 citations resulted from standard inspections; and 6 of 11 resulted from complaint investigations.
Breakdown of citation severity (last 4 years)
Critical health citations
0
100% better than Texas averageTexas average: 2
Serious health citations
0
100% better than Texas averageTexas average: 0.4
Citations history (last 4 years)
Nutrition moderate citation
Feb 19, 2025
Corrected
Quality of Care moderate citation
Feb 19, 2025
Corrected
Care Planning moderate citation
Feb 19, 2025
Corrected
Quality of Care moderate citation
Sep 13, 2024
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
54
Employees
41
Contractors
13
Staff to resident ratio
0.90:1
39% worse than Texas average
Avg staff/day
23
Average shift
9 hours
11% better than Texas average
Total staff hours (quarter)
19,139
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
2
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
22
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
12.5%
2,383 contractor hours this quarter
Physical Therapy Aide: 3
Speech Language Pathologist: 3
Physical Therapy Assistant: 2
Respiratory Therapy Technician: 2
Qualified Social Worker: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 22 | 0 | 22 | 9,079 | 92 | 100% | 10.1 |
| Licensed Practical Nurse | 9 | 0 | 9 | 4,296 | 92 | 100% | 9.5 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,159 | 91 | 99% | 12.1 |
| Physical Therapy Aide | 0 | 3 | 3 | 994 | 68 | 74% | 8 |
| Speech Language Pathologist | 0 | 3 | 3 | 973 | 70 | 76% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Registered Nurse | 2 | 0 | 2 | 457 | 61 | 66% | 7.1 |
| Dietitian | 1 | 0 | 1 | 332 | 37 | 40% | 9 |
| Mental Health Service Worker | 1 | 0 | 1 | 295 | 45 | 49% | 6.6 |
| RN Director of Nursing | 1 | 0 | 1 | 154 | 23 | 25% | 6.7 |
| Qualified Social Worker | 0 | 1 | 1 | 140 | 63 | 68% | 2.2 |
| Physical Therapy Assistant | 0 | 2 | 2 | 132 | 34 | 37% | 3.8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 83 | 26 | 28% | 3.2 |
| Medical Director | 0 | 1 | 1 | 45 | 9 | 10% | 5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 16 | 3 | 3% | 5.3 |
22 Certified Nursing Assistant
% of Days
100%
9 Licensed Practical Nurse
% of Days
100%
3 Medication Aide/Technician
% of Days
99%
3 Physical Therapy Aide
% of Days
74%
3 Speech Language Pathologist
% of Days
76%
1 Nurse Practitioner
% of Days
70%
1 Administrator
% of Days
64%
2 Registered Nurse
% of Days
66%
1 Dietitian
% of Days
40%
1 Mental Health Service Worker
% of Days
49%
1 RN Director of Nursing
% of Days
25%
1 Qualified Social Worker
% of Days
68%
2 Physical Therapy Assistant
% of Days
37%
2 Respiratory Therapy Technician
% of Days
28%
1 Medical Director
% of Days
10%
1 Occupational Therapy Assistant
% of Days
3%
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.3
66% worse than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.0
62% worse than Texas averageTexas average: 16.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
27.5%
Percent of long-stay residents whose need for help with daily activities has increased
27.5%
70% worse than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
27.9%
Percent of long-stay residents whose ability to move independently worsened
27.9%
72% worse than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.5%
44% worse than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
7.5%
Percent of long-stay residents experiencing one or more falls with major injury
7.5%
133% worse than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.0%
Percent of long-stay high risk residents with pressure ulcers
3.0%
33% better than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.5%
Percent of long-stay residents who lose too much weight
5.5%
58% worse than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.0%
Percent of long-stay residents who have depressive symptoms
1.0%
64% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
4.7%
Percent of long-stay residents who received an antipsychotic medication
4.7%
40% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
In line with Texas averageTexas average: 97.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.3%
Percent of short-stay residents who newly received an antipsychotic medication
3.3%
130% worse than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.3%
In line with Texas averageTexas average: 88.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
37% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
20% of new residents, often for short stays.
Typical stay
6 - 7 months
Medicaid
43% of new residents, often for long-term daily care.
Typical stay
10 - 11 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
60
Medicare
6
10% of residents
Medicaid
36
60% of residents
Private pay or other
18
30% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Country Oaks at Hamilton Creek based on CMS SNF Cost Reports.
Occupancy Rate
53.6%
↑ 6.6pp vs 2022
Net Income
$516.5K
↑ ~$443.7K vs 2022
Total Payroll
$2.7M
↑ ~$180.3K vs 2022
Profit Margin
11.2%
↑ 9.5pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$5.0M
Profit
$516.5K
Privately-owned community
Operated by a business corporation.
Home revenue
$5.0M Rank #271 / 297Revenue — State benchmarkedThis home is ranked 271st out of 297 homes in Texas. Shows this facility's annual revenue compared to the Texas SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$516.5K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #273 / 297Payroll — State benchmarkedThis home is ranked 273rd out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #273 / 297Payroll — State benchmarkedThis home is ranked 273rd out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.4M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Country Oaks at Hamilton Creek
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Estimated distance in miles from Burnet's city center to Country Oaks at Hamilton Creek's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in Texas
Country Oaks at Hamilton Creek is located in BURNET, Texas.
Here are the financial assistance programs available to residents in Texas.
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The information below is reported by the Texas Health and Human Services Commission.
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Frequently Asked Questions about Country Oaks at Hamilton Creek
Who is the owner of Country Oaks at Hamilton Creek?
The legal owner and operator of Country Oaks at Hamilton Creek is Country Oaks Burnet Llc.
Is Country Oaks at Hamilton Creek in a walkable area?
Country Oaks at Hamilton Creek has a walk score of 68. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
How many beds does Country Oaks at Hamilton Creek have?
Country Oaks at Hamilton Creek has 60 beds.
Has Country Oaks at Hamilton Creek had any recent deficiencies or citations?
Country Oaks at Hamilton Creek has had 2 recently reported deficiencies.
Are there photos of Country Oaks at Hamilton Creek?
Yes — there are 4 photos of Country Oaks at Hamilton Creek in the photo gallery on this page.
What is the address of Country Oaks at Hamilton Creek?
Country Oaks at Hamilton Creek is located at 407 W JACKSON ST.
What is the phone number of Country Oaks at Hamilton Creek?
(512) 756-4724 will put you in contact with the team at Country Oaks at Hamilton Creek.
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