SNF

Brookdale Lakeway SNF

CCN: 676131 · Lakeway, TX 78734 · Travis County

ℹ CCRC

Overview

Address
1917 Lohmans Crossing Rd, Lakeway, TX 78734
Phone
5122613211
Certified beds
98
Avg daily residents
47 (48% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
2007-03-20
Setting
Urban
2 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 4/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 3/5
Short-Stay Quality Measures ★★★★★ 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 4.29 3.65 4.53 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.89 0.64 0.94 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.28 0.81 1.35 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.12 2.20 2.24 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 2.17 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.17 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.94
hrs / resident / day
RN (weekend)
0.52
hrs / resident / day
Total nurse (adjusted, weekend)
4.16
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
48.3%
annual
RN turnover
58.3%
annual
Administrators departed
New facility — insufficient data.

Resident acuity

Nursing Case-Mix Index
1.29
higher acuity than avg
Case-Mix Index Ratio
0.94
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-08-21 6 6 0 40 1 40
Cycle 2/3 (prior) 2024-07-31 9 5 4 303 1 303
Total weighted health score
105.8
lower is better

Deficiencies (23)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

3 A/B/C No actual harm — minor
17 D/E/F Actual harm — potential for minor
3 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0575 Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. C 2025-08-21 2025-08-29
0577 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. C 2025-08-21 2025-08-29
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2025-08-21 2025-08-29
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-08-21 2025-08-29
0813 Have a policy regarding use and storage of foods brought to residents by family and other visitors. F 2025-08-21 2025-08-29
0880 Provide and implement an infection prevention and control program. E 2025-08-21 2025-08-29
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. K 2025-01-14 2025-02-11
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2024-10-07 2024-10-12
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2024-09-01 2024-09-05
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. J 2024-09-01 2024-09-05
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2024-07-31 2024-08-08
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2024-07-31 2024-08-08
0732 Post nurse staffing information every day. B 2024-07-31 2024-08-08
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2024-07-31 2024-08-08
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-07-31 2024-08-08
0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. D 2023-06-09 2023-07-01
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2023-06-09 2023-07-01
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2023-06-09 2023-07-01
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F 2023-06-09 2023-07-01
0761 Ensure 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. F 2023-06-09 2023-07-01
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2023-06-09 2023-07-01
0814 Dispose of garbage and refuse properly. D 2023-06-09 2023-07-01
0880 Provide and implement an infection prevention and control program. E 2023-06-09 2023-07-01

Penalties (2)

Fines issued
2
last 3 years
Total fines
$91,420
Date Type Fine amount
2024-09-01 Fine $16,572
2025-01-14 Fine $74,848

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Operating performance

Operating Margin
-13.2%
Total Margin
-12.6%
Occupancy Rate
69.8%
Cost per Resident Day
$86

Revenue & costs

Net Patient Revenue
$10.2M
Total Costs
$2.1M
Net Income
-$1.3M

Balance sheet

Total Assets
-$14.1M
Total Liabilities
$596K
Fund Balance
-$14.7M

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: BROOKDALE SENIOR LIVING

Chain ID
93
Facilities in chain
14
Legal business name
ARC LAKEWAY SNF, LLC
Chain-average star ratings (for peer context)
Overall
2.9
Health
2.6
Staffing
3.2
QM
4.1

Owner / manager organizations (2)

Organization Role Association
AMERICAN RETIREMENT CORPORATION 5% OR GREATER DIRECT OWNERSHIP INTEREST since 12/23/2008
BROOKDALE SENIOR LIVING INC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/23/2008

Owner / manager individuals (15)

Name Role Association
KUSSOW, DAWN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/30/2025
WHITE, CHADWICK 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/30/2025
IBARRA, CYNTHIA OPERATIONAL/MANAGERIAL CONTROL since 07/22/2025
KUSSOW, DAWN OPERATIONAL/MANAGERIAL CONTROL since 07/23/2024
LA MARRE, KEVIN OPERATIONAL/MANAGERIAL CONTROL since 04/05/2024
LEBLANC, JACOB OPERATIONAL/MANAGERIAL CONTROL since 07/22/2025
MUNOZ, ANNA OPERATIONAL/MANAGERIAL CONTROL since 04/05/2024
PANDO, EDWARD OPERATIONAL/MANAGERIAL CONTROL since 07/22/2025
STENGLE, NIKOLAS OPERATIONAL/MANAGERIAL CONTROL since 11/08/2025
WHITE, CHADWICK OPERATIONAL/MANAGERIAL CONTROL since 03/09/2018
KAESTNER, HENRY CORPORATE DIRECTOR since 03/01/2022
KAESTNER, HENRY CORPORATE OFFICER since 03/01/2022
LESKOWICZ, JOANNE CORPORATE OFFICER since 04/01/2016
STENGLE, NIKOLAS CORPORATE OFFICER since 11/08/2025
WHITE, CHADWICK CORPORATE OFFICER since 03/09/2018

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
Yes
Hospital-based
No
Resident / family council
Both
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 111 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $86 metrics.cost_per_resident_day
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicare Day Share (%) 22.1% metrics.medicare_day_share
Cost Report Net Income ($) $-1,291,374 metrics.net_income
Cost Report Net Patient Revenue ($) $10,180,925 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 69.8% metrics.occupancy_rate
Cost Report Operating Margin (%) -13.2% metrics.operating_margin
Cost Report Total Assets ($) $-14,136,373 metrics.total_assets
Cost Report Total Costs ($) $2,135,892 metrics.total_costs
Cost Report Total Fund Balances ($) $-14,732,430 metrics.fund_balance
Cost Report Total Liabilities ($) $596,057 metrics.total_liabilities
Cost Report Total Margin (%) -12.6% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.35194 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.24003 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.93729 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.52926 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.16094 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote 26 Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 46.7 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.81067 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.20322 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.63899 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.65288 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.21963 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.6 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.9 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.1 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.2 Chain Average Staffing Rating
Provider Information Chain ID 93 Chain ID
Provider Information Chain Name BROOKDALE SENIOR LIVING Chain Name
Provider Information City/Town Lakeway City/Town
Provider Information CMS Certification Number (CCN) 676131 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community Y Continuing Care Retirement Community
Provider Information County/Parish Travis County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 2007-03-20 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 30.3485 Latitude
Provider Information Legal Business Name ARC LAKEWAY SNF, LLC Legal Business Name
Provider Information Location 1917 Lohmans Crossing Rd,Lakeway,TX,78734 Location
Provider Information Long-Stay QM Rating 3 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -97.977 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home — Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 98 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 14 Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.29405 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.93932 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 1917 Lohmans Crossing Rd Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Brookdale Lakeway SNF Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 940 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 40 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 6 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-08-21 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 40 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 6 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 5 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-07-31 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 303 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 4 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 303 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 9 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.51964 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 58.3 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 2.16587 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.27909 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.11933 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.16999 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.88678 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.28520 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State TX State
Provider Information Telephone Number 5122613211 Telephone Number
Provider Information Total Amount of Fines in Dollars 91420.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.93672 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 48.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 105.750 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Both With a Resident and Family Council
Provider Information ZIP Code 78734 ZIP Code