5/5
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.
5/5
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.
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.
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 18th 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.
|
37m per day | ▲ 45% State avg: 25m 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.
|
55m per day | ▼ 3% 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.
|
3h 28m per day | ▲ 71% 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.
|
4h 30m per day | ▲ 50% State avg: 3h 0m per day · National avg: 3h 27m 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.
|
5m per day | ▲ 20% 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.
|
32m per day | ▲ 59% State avg: 20m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
37% 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.
15 total: 11 full-time employees and 4 contractors.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Assists with medical care and medications.
21 total: 14 full-time employees and 7 contractors.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Helps with daily care and mobility.
81 total: 62 full-time employees and 19 contractors.
81
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,707 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 62 | 19 | 81 | 25,440 | 92 | 100% | 8.7 |
| Licensed Practical Nurse | 14 | 7 | 21 | 5,372 | 92 | 100% | 8.3 |
| Registered Nurse | 11 | 4 | 15 | 3,009 | 92 | 100% | 8.2 |
| RN Director of Nursing | 3 | 0 | 3 | 1,400 | 90 | 98% | 8.6 |
| Qualified Social Worker | 0 | 3 | 3 | 1,083 | 81 | 88% | 5.4 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 1,024 | 64 | 70% | 8 |
| Physical Therapy Assistant | 0 | 5 | 5 | 852 | 78 | 85% | 5.5 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 590 | 79 | 86% | 3.6 |
| Speech Language Pathologist | 0 | 3 | 3 | 559 | 73 | 79% | 4.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 534 | 67 | 73% | 7.1 |
| Dietitian | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 424 | 53 | 58% | 8 |
| Physical Therapy Aide | 0 | 3 | 3 | 285 | 45 | 49% | 5.9 |
| Administrator | 1 | 0 | 1 | 232 | 29 | 32% | 8 |
| Feeding Assistant | 1 | 0 | 1 | 166 | 21 | 23% | 7.9 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 95 | 15 | 16% | 6.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 87 | 38 | 41% | 2.3 |
| Medical Director | 0 | 1 | 1 | 47 | 22 | 24% | 2.1 |
| Occupational Therapy Assistant | 0 | 4 | 4 | 47 | 43 | 47% | 1 |
Includes penalties issued in 2024
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)
64% lower than Texas average
Texas average: $80K
60% fewer fines than Texas average
Texas 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 average
Texas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Sep 25, 2024 · $29K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 25, 2024
Last 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.
8.2
5% better than Texas average
Texas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.4
23% better than Texas average
Texas average: 16.0
Percent of long-stay residents whose need for help with daily activities has increased
13.0%
19% better than Texas average
Texas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
15.8%
In line with Texas average
Texas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.3%
47% better than Texas average
Texas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.5%
10% worse than Texas average
Texas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
2.9%
35% better than Texas average
Texas average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.8%
127% worse than Texas average
Texas average: 0.8%
Percent of long-stay residents who lose too much weight
5.6%
61% worse than Texas average
Texas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas average
Texas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
15.0%
91% worse than Texas average
Texas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas average
Texas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.7%
In line with Texas average
Texas average: 97.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.5%
In line with Texas average
Texas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas average
Texas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.2%
9% worse than Texas average
Texas average: 88.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
62% of new residents, usually for short-term rehab.
38% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
78
Residents 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 Westminster from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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 #3 / 304Payroll — State benchmarkedThis home is ranked 3rd 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 #247 / 304Payroll % — State benchmarkedThis home is ranked 247th 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).
Pets Allowed
Housing Options: Studio / 1 Bed
Building Type: Mid-rise
Beauty Services
Transportation Services
Housekeeping Services
Social and Recreational Activities
Exercise Programs
Swimming Pool
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (62% of admissions), and a typical Medicare stay runs around 23 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.5 miles from city center
Estimated distance in miles from Austin's city center to Westminster's address, calculated via Google Maps.
Add your location
|
|
|
|
|
|
|
|
|
|---|---|---|---|---|---|---|---|
| Westminster |
IL
NH
|
Austin (Military Heights) | - |
90
Facility
90
TX AVG
80
Rank
#419 / 988
| - |
26
Facility
26
TX AVG
41
Rank
#1005 / 1391
| Studio / 1 Bed |
| Brookdale Westlake Hills |
IL
AL
NH
|
Austin (Treemont) | - |
90
Facility
90
TX AVG
80
Rank
#419 / 988
| A- |
45
Facility
45
TX AVG
41
Rank
#628 / 1391
| Suite / 1 Bed / 2 Bed |
| Brush Country Nursing and Rehabilitation |
IL
AL
NH
|
Austin (Oak Hill) | - |
118
Facility
118
TX AVG
80
Rank
#263 / 988
| B- |
61
Facility
61
TX AVG
41
Rank
#269 / 1391
| Private / Semi-Private Rooms |
| Longhorn Village |
IL
AL
MC
NH
|
Austin (Steiner Ranch Neighborhood Association) | - |
60
Facility
60
TX AVG
80
Rank
#583 / 988
| - |
20
Facility
20
TX AVG
41
Rank
#1094 / 1391
| - |
| Querencia at Barton Creek |
IL
AL
MC
NC
NH
|
Austin | - |
42
Facility
42
TX AVG
80
Rank
#735 / 988
| - |
8
Facility
8
TX AVG
41
Rank
#1259 / 1391
| - |
Westminster is located in Austin, Texas.
Here are the financial assistance programs available to residents in Texas.
Westminster is in the Military Heights neighborhood.
Westminster has a walk score of 26. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Westminster's occupancy is 72.4%.
Westminster is registered as a non-profit.
Yes — there are 8 photos of Westminster in the photo gallery on this page.
Westminster is located at 4232 Jackson Ave, Austin, TX 78731.
(512) 607-7714 will put you in contact with the team at Westminster.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
