healthcarefacts

Nursing home in Shavano Park, Texas

Estates at Shavano Park

Medicare and Medicaid

4366 LOCKHILL SELMA, Shavano Park, TX 78249
(210) 761-9261

CMS star ratings

CMS gives this nursing home an overall star rating of 3 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.

Overall rating

  • This nursing home3
  • Texas average2.7 (1,165 rated)
  • U.S. average3.0 (14,565 rated)

Health inspections

  • This nursing home3
  • Texas average2.8 (1,165 rated)
  • U.S. average2.8 (14,565 rated)

Staffing

  • This nursing home2
  • Texas average1.9 (1,163 rated)
  • U.S. average2.9 (14,494 rated)

Quality measures

  • This nursing home2
  • Texas average3.7 (1,162 rated)
  • U.S. average3.6 (14,495 rated)

Health inspections

Most recent standard health inspection (rating cycle 1): Mar 13, 2026. CMS counts 18 health deficiencies in rating cycle 1.

  • This nursing home18
  • Texas average9.4 (1,171 with data)
  • U.S. average9.2 (14,652 with data)

Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.

Deficiencies since Sep 30, 2023

Inspectors cited 32 health deficiencies on 6 inspection dates since Sep 30, 2023. By level of harm: 31 potential for harm, 1 minimal harm potential.

  • 0 Immediate jeopardy to resident health or safety
  • 0 Actual harm
  • 31 No actual harm, potential for more than minimal harm
  • 1 No actual harm, potential for minimal harm
The 10 most recent of 32 health deficiencies since Sep 30, 2023
DateTagDeficiencyScope and severityInspection typeStatus
Mar 13, 2026F0760Ensure that residents are free from significant medication errors.Pharmacy Service DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Mar 14, 2026
Mar 13, 2026F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Pharmacy Service DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Mar 17, 2026
Mar 13, 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Mar 16, 2026
Mar 13, 2026F0880Provide and implement an infection prevention and control program.Infection Control DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Mar 14, 2026
Mar 13, 2026F0554Allow residents to self-administer drugs if determined clinically appropriate.Resident Rights DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Mar 17, 2026
Mar 13, 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Freedom from Abuse, Neglect, and Exploitation DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Mar 17, 2026
Mar 13, 2026F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedResident Assessment and Care Planning DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Mar 16, 2026
Mar 13, 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Mar 16, 2026
Mar 13, 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of Life and Care DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Mar 17, 2026
Mar 13, 2026F0695Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Mar 14, 2026
Show the other 22 deficiencies
Older health deficiencies since Sep 30, 2023
DateTagDeficiencyScope and severityInspection typeStatus
Mar 13, 2026F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Nutrition and Dietary DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Mar 16, 2026
Mar 13, 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Mar 14, 2026
Dec 3, 2025F0641Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Dec 4, 2025
Dec 3, 2025F0695Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Dec 4, 2025
Nov 25, 2025F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Nursing and Physician Services DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Nov 26, 2025
Nov 25, 2025F0880Provide and implement an infection prevention and control program.Infection Control DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Nov 26, 2025
Sep 29, 2025F0641Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Oct 18, 2025
Sep 29, 2025F0695Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Oct 18, 2025
Dec 6, 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of Life and Care DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Dec 7, 2024
Dec 6, 2024F0641Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Dec 30, 2024
Dec 6, 2024F0759Ensure medication error rates are not 5 percent or greater.Pharmacy Service DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Dec 7, 2024
Dec 6, 2024F0760Ensure that residents are free from significant medication errors.Pharmacy Service DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Dec 7, 2024
Dec 6, 2024F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.Nutrition and Dietary DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Dec 7, 2024
Dec 6, 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights DeficienciesB Minimal harm potential, patternStandardDeficient, Provider has date of correction Dec 7, 2024
Oct 26, 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Freedom from Abuse, Neglect, and Exploitation DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Nov 14, 2023
Oct 26, 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Resident Assessment and Care Planning DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Nov 16, 2023
Oct 26, 2023F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.Nutrition and Dietary DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Nov 16, 2023
Oct 26, 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Nov 16, 2023
Oct 26, 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Nov 15, 2023
Oct 26, 2023F0641Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Nov 14, 2023
Oct 26, 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Nov 17, 2023
Oct 26, 2023F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Pharmacy Service DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Nov 16, 2023

Staffing

Total nurse staffing

Reported hours per resident per day.

  • This nursing home3.67 hours
  • Texas average3.39 hours (1,148 with data)
  • U.S. average3.86 hours (14,351 with data)

Registered nurse staffing

Reported hours per resident per day.

  • This nursing home0.21 hours
  • Texas average0.43 hours (1,148 with data)
  • U.S. average0.69 hours (14,351 with data)

Nursing staff turnover

Share of nursing staff who left during the year, as reported to CMS.

  • This nursing home63.4%
  • Texas average55.3% (1,051 with data)
  • U.S. average45.8% (13,538 with data)

Penalties

CMS lists 0 penalties for this nursing home: 0 fines totaling $0, and 0 payment denials. CMS counts penalties from the last 3 years.

Facility details

Certified beds112
Average residents per day71.3
OwnershipFor profit - Limited Liability company
Provider typeMedicare and Medicaid
Inside a hospitalNo
Continuing care retirement communityNo
Resident and family councilResident
Automatic sprinklers in all required areasYes
ChainNot part of a chain in the CMS file
Legal business nameGO OPERATIONS 3 LLC
First approved for Medicare and MedicaidJul 16, 2021
CountyBexar
CMS certification number745001