2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Situated in The Wesleyan Senior Living Community in Georgetown, TX, The Wesleyan Skilled Nursing provides compassionate care and comprehensive support for seniors requiring specialized attention. This facility prides itself as more than just a healthcare provider, but also a nurturing environment where residents receive expert care while enjoying a rich and engaging lifestyle. The presence of master-level dieticians, IV/antibiotic therapy, diabetic care, and specialized wound care underscores the facility’s commitment to holistic well-being. In-house Board Certified Internal Medicine Physicians and Nurse Practitioners, coupled with low resident to staff ratios, guarantee personalized and attentive medical care.
Residents at The Wesleyan Skilled Nursing experience unparalleled comfort and attention. From three chef-prepared meals daily to daily life enrichment activities, the facility ensures a vibrant atmosphere where residents thrive emotionally and socially. The facility also goes above and beyond, offering transportation to medical appointments, transition guidance within The Wesleyan Continuum of Care, and a range of recreational amenities, including inviting gathering rooms, an on-site chapel, computer stations with free Wi-Fi, and even a full-service beauty salon and barbershop. With a dedicated rehabilitation gym on-site, this skilled nursing facility ensures residents receive comprehensive care in an environment designed for both healing and comfort.
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 62nd out of 296 homes in Texas for nurse hours. 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.
| 23m per day | ▼ 12% 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.
| 56m per day | ■ Avg 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.
| 2h 20m per day | ▲ 16% State avg: 2h 1m per day · National avg: 2h 21m 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 14m per day | ▲ 8% 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.
| 4m per day | ▼ 9% 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.
| 18m per day | ▼ 15% State avg: 21m per day · National avg: 29m per day |
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.
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.
| 17 | 6 | This facility has 183% more total citations than a typical Texas assisted living residence (17 vs. TX avg 6).↑ 183% worse |
|
Citations per year
Average citations per year since 2022.
| 4.3 | 1.5 | This facility has 187% more citations per year than a typical Texas assisted living residence (4.3 vs. TX avg 1.5).↑ 187% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Texas average 7.4
Last Health inspection on Apr 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.
12 of 16 citations resulted from standard inspections; and 4 of 16 resulted from complaint investigations.
50% better than 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.
12% more staff per resident than Texas average
0% compared with Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 11 RN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursAssists with medical care and medications.
All 18 LPN Staff are full-time employees. No contractors work on this role.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursHelps with daily care and mobility.
All 57 CNA Staff are full-time employees. No contractors work on this role.
57
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,767 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 57 | 0 | 57 | 15,520 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 18 | 0 | 18 | 6,272 | 92 | 100% | 8.1 |
| Medication Aide/Technician | 11 | 0 | 11 | 4,324 | 92 | 100% | 9.1 |
| Registered Nurse | 11 | 0 | 11 | 2,527 | 92 | 100% | 8.7 |
| RN Director of Nursing | 3 | 0 | 3 | 1,668 | 80 | 87% | 8.4 |
| Physical Therapy Aide | 0 | 3 | 3 | 990 | 69 | 75% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 657 | 68 | 74% | 9.7 |
| Administrator | 1 | 0 | 1 | 528 | 63 | 68% | 8.4 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 516 | 76 | 83% | 6.5 |
| Dietitian | 1 | 0 | 1 | 504 | 72 | 78% | 7 |
| Mental Health Service Worker | 1 | 0 | 1 | 502 | 67 | 73% | 7.5 |
| Speech Language Pathologist | 0 | 2 | 2 | 481 | 60 | 65% | 7.8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 465 | 69 | 75% | 6.7 |
| Other Dietary Services Staff | 1 | 0 | 1 | 192 | 26 | 28% | 7.4 |
| Qualified Social Worker | 1 | 3 | 4 | 188 | 40 | 43% | 4.4 |
| Occupational Therapy Aide | 0 | 2 | 2 | 92 | 14 | 15% | 6.5 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 73 | 8 | 9% | 9.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 39 | 6 | 7% | 6.5 |
Includes penalties issued in 2025
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)
90% lower 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
Mar 17, 2025 · $8K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 17, 2025Last 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.
13.8
60% worse than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.2
44% 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
21.9%
36% worse than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
34.0%
110% worse than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.6%
13% better than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
1.3%
60% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
8.2%
84% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.9%
8% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
3.5%
In line with Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.5%
83% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
11.3%
44% worse than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.2%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.64
23% better than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.56
73% better than Texas averageTexas average: 2.07
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
90.8%
In line with Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.2%
86% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.0%
In line with Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
16.6%
36% better than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.4%
13% better than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
47.1%
12% worse than Texas averageTexas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
53.4%
6% better 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.
42% of new residents, usually for short-term rehab.
57% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
74Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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 The Wesleyan at Scenic from 2011–2024, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 05/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #86 / 304Payroll — State benchmarkedThis home is ranked 86th out of 304 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.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #50 / 304Payroll % — State benchmarkedThis home is ranked 50th out of 304 homes in Texas. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 51–63% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (57% of admissions), and a typical private pay stay runs around 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.3 miles from city center
Estimated distance in miles from Georgetown's city center to The Wesleyan at Scenic's address, calculated via Google Maps.
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The Wesleyan at Scenic is located in Georgetown, Texas.
Here are the financial assistance programs available to residents in Texas.
The Wesleyan at Scenic is in the Williams Drive neighborhood of Georgetown.
The Wesleyan at Scenic has a walk score of 17. Car-dependent. Most errands require a car, with limited nearby walkable options.
The Wesleyan at Scenic's occupancy is 59.0%.
The Wesleyan at Scenic is registered as a non-profit in TX.
Yes — there are 5 photos of The Wesleyan at Scenic in the photo gallery on this page.
The Wesleyan at Scenic is located at 4011 Williams Dr, Georgetown, TX 78628.
(972) 524-5221 will put you in contact with the team at The Wesleyan at Scenic.
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