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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.
Juniper Village at Spicewood Summit is a senior living community in the Northwest Hills area of Austin, Texas, that provides independent living, assisted living, Wellspring Memory Care, short-term rehabilitation, and long-term professional nursing. Operating with a Texas Type B license since February 2021, the community has been managed by Juniper Communities, a top-tier national provider.
The community has a 109-bed capacity, consisting of 94 assisted living residents and 46 Medicare-certified nursing beds. Currently, the nursing section maintains a population of roughly 24 residents, representing a 50% occupancy rate, which is lower than the typical Texas average. The financial structure relies on Medicare and private funds, as Medicaid is not accepted for nursing care. While the community currently faces an operating deficit, its payroll investment remains at 53.5% of revenue, which is consistent with the standards for a properly staffed medical environment.
From a regulatory standpoint, two different agencies monitor this community, with the Texas HHSC overseeing the assisted living and nursing licenses, while federal authorities manage the Medicare-certified wing. The community has recorded two technical findings regarding the sprinkler system and fire marshal checks, both of which were resolved. The total number of state citations is 67% lower than the Texas average, reflecting a favorable safety record. One administrative penalty was recorded in early 2025, amounting to $5250.
Caregiver presence is the most significant attribute of this community. Total adjusted nursing time is 4 hours and 44 minutes per resident daily, ranking it 31st out of 237 Texas nursing locations and 25% above the state mean. The professional nursing oversight is particularly remarkable, with registered nurse hours more than double the Texas average on both weekdays and weekends. Physical therapy time also exceeds state norms by 75%. While assistant nursing hours are slightly below the state benchmark, the overall weekend staffing remains 33% higher than most communities in Texas, earning it a federal staffing sub-rating far above the state average.
Medical support within the nursing wing includes post-acute recovery through a partnership with Powerback Rehabilitation and long-term care for complex chronic conditions. Wound management, oxygen therapy, and specialized nutrition, with professional nurses on duty 24 hours a day, are also available. Through the Connect4Life program, a medical concierge coordinates primary care and pharmacy services on-site. In the assisted living section, the team aids with daily tasks and is prepared to support younger residents or those with moderate cognitive changes. The award-winning Wellspring Memory Care also utilizes therapeutic settings and specialized training, while the Catalyst program ensures social engagement across multiple wellness categories. Freshly-prepared dining, a beauty salon, communal gardens, and a library are also provided.
Juniper Village at Spicewood Summit is an ideal option for families in Northwest Austin seeking a campus where a wide range of care, including independent living to high-level nursing are provided without the need to relocate. The exceptional staffing levels with a registered nurse presence serve as a major advantage in the Austin market.
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.
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.
This home is ranked 34th 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 55m per day | ▲ 112% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 0m per day | ▲ 5% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 51m per day | ▼ 8% State avg: 2h 1m per day · National avg: 2h 20m per day |
|
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 59m per day | ▲ 33% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 7m per day | ▲ 75% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 47m per day | ▲ 135% State avg: 20m per day · National avg: 28m per day |
Lower than the Texas average: 63.5%Juniper Village at Spicewood Summit is legally operated by S-h Opco Spicewood Springs Llc.
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.
Enforcement actions are formal penalties or interventions imposed by Texas regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.
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.
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 |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Juniper Village at Spicewood Summit underwent a comprehensive inspection on November 28, 2023, resulting in two state standard violations. Both deficiencies were related to Life Safety Code requirements, specifically concerning the facility's sprinkler system and annual fire marshal inspections. The same issues had been cited during an earlier inspection on January 21, 2021, with correction dates ranging from February 15, 2021, to no later than that date. No Health Code deficiencies were listed among the violations. As a result of these findings, no enforcement actions were taken against the facility.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTexas average 7.4
Last Health inspection on May 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
8 of 12 citations resulted from standard inspections; and 4 of 12 resulted from complaint investigations.
In line with Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
62% better than Texas average
9% worse than Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,964 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 17 | 0 | 17 | 5,606 | 92 | 100% | 7.4 |
| Registered Nurse | 10 | 0 | 10 | 2,701 | 92 | 100% | 9.8 |
| Licensed Practical Nurse | 4 | 0 | 4 | 1,912 | 90 | 98% | 8.7 |
| Medication Aide/Technician | 1 | 0 | 1 | 564 | 64 | 70% | 8.8 |
| RN Director of Nursing | 1 | 0 | 1 | 545 | 66 | 72% | 8.3 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dietitian | 1 | 0 | 1 | 508 | 64 | 70% | 7.9 |
| Speech Language Pathologist | 0 | 2 | 2 | 487 | 61 | 66% | 7.5 |
| Other Dietary Services Staff | 1 | 0 | 1 | 455 | 61 | 66% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 416 | 52 | 57% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 399 | 62 | 67% | 6.3 |
| Physical Therapy Assistant | 0 | 2 | 2 | 385 | 64 | 70% | 5.9 |
| Qualified Social Worker | 0 | 3 | 3 | 383 | 66 | 72% | 5.5 |
| Occupational Therapy Aide | 0 | 2 | 2 | 86 | 16 | 17% | 5.4 |
| Diagnostic X-ray Services Staff | 0 | 2 | 2 | 85 | 22 | 24% | 2.6 |
| Physical Therapy Aide | 0 | 1 | 1 | 66 | 16 | 17% | 4.1 |
| Medical Director | 0 | 2 | 2 | 51 | 32 | 35% | 1.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 22 | 35 | 38% | 0.6 |
Includes penalties issued in 2023
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 (Data as of Jan 2026)
24% higher than Texas averageTexas average: $80K
60% fewer fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Oct 4, 2023 · $100K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 4, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.7
48% worse than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.9
18% worse than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
29.3%
81% worse than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.5%
46% better than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
12.7%
295% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
8.9%
100% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
8.7%
985% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
19.2%
570% worse than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
1.8%
77% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
20.0%
79% worse than Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
30.0%
69% worse than Texas averageTexas average: 97.9%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
10.8%
88% worse than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
19.6%
78% worse than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
33.9%
31% worse than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.4%
22% better than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
1.3%
62% worse than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
56.5%
5% better than Texas averageTexas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
43.3%
14% worse than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
43% of new residents, usually for short-term rehab.
57% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
23Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Juniper Village at Spicewood Summit based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #211 / 297Payroll — State benchmarkedThis home is ranked 211th 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
9.3 miles from city center
Estimated distance in miles from Austin's city center to Juniper Village at Spicewood Summit's address, calculated via Google Maps.
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Juniper Village at Spicewood Summit is located in AUSTIN, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
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| Juniper Village at Spicewood Summit |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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The legal owner and operator of Juniper Village at Spicewood Summit is S-H Opco Spicewood Springs Llc.
Juniper Village at Spicewood Summit has a walk score of 73. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Juniper Village at Spicewood Summit's occupancy is 50%.
Juniper Village at Spicewood Summit has 109 beds.
Juniper Village at Spicewood Summit has had 2 recently reported deficiencies.
Yes — there are 2 photos of Juniper Village at Spicewood Summit in the photo gallery on this page.
Juniper Village at Spicewood Summit is located at 4401 SPICEWOOD SPRINGS RD.
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