Westminster receives a 3-star CMS overall rating (7.4% above Texas average) supported by exceptional staffing: 4-star rating reflects 5 hours 9 minutes of adjusted nursing care per resident per day, ranking 18th of 289 Texas facilities and 42% above state average. Weekend staffing reaches 4 hours 20 minutes per resident daily. The facility maintains 15 registered nurses, 21 licensed practical nurses, and 81 certified nursing aides. Staff-to-resident ratio 2.03:1 is 37% better than the Texas average. Quality measures receive a 4-star rating (33.2% above state average). Health inspection earns 3 stars (27.6% below state average). One September 2024 penalty of $29,000 represents the sole enforcement action in three years; 64% lower than state average.
Located at 4232 Jackson Ave in Austin’s Military Heights neighborhood (3.5 miles from city center), Westminster is an 85-bed voluntary non-profit nursing home operated by Charles Borst. Occupancy reaches 72.4% (8.9% above Texas average). Current census 78 comprises 88.5% private-pay and 11.5% Medicare residents. The facility serves primarily Medicare short-stay rehabilitation (62% of admissions, typical 23-day stay) and private-pay long-term residents (38%, typical one year).
Walk score 26. Minimum age 62; pets allowed; smoke-free.
2023 gross revenue totaled $10.7 million with net income $2.7 million (25.6% profit margin). Total payroll reached $21.9 million (38.4% of revenue), below the typical 51–63% for well-run Texas facilities. The facility ranks #3 in Texas by revenue and #3 by total payroll. Staffing includes 158 total (100 employees, 58 contractors).
Long-stay quality shows functional preservation strengths: functional decline 12.4% (23% better than state); need for help with ADLs 13.0% (19% better); pressure ulcers 2.9% (35% better); depressive symptoms 0.0%. Notable deficits include urinary tract infection 1.8% (127% worse than state); weight loss 5.6% (61% worse); antipsychotic use 15.0% (91% worse).
Westminster provides nursing home, independent living, assisted living, memory care, skilled nursing, and respite care with 24-hour nursing staff, physical/speech/occupational therapy services, and amenities including dining, beauty services, transportation, housekeeping, fitness center, swimming pool, walking paths, outdoor patio, community room, and 24-hour emergency maintenance.
Westminster operates with strong staffing above state benchmarks and bifurcated clinical quality, exceptional functional outcomes offset by elevated infection and medication use rates, serving primarily Medicare short-stay rehabilitation admissions.
