Home›Browse›Texas›New Braunfels›Kirkwood Manor

Nursing homeFAID #12172

Kirkwood Manor

2590 LOOP 337 N, NEW BRAUNFELS, TX, 78130

(830) 620-0509

162 licensed beds

CMS rates Kirkwood Manor 2 out of 5 overall. Federal inspectors issued 69 citations across 14 inspections in the last three years, with $29,026 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Photo via Google · Cinda Pace

Address

2590 Loop 337 N

New Braunfels, TX 78130

Get directions

Map facilities in this area

All facilities in New Braunfels

Public record summary

What we can show you for free.

Bed capacity

162

CMS facility ID

455732

Care type

Nursing home

County

Comal

Facility name

Kirkwood Manor

Street address

2590 LOOP 337 N

City / state / ZIP

New Braunfels, TX 78130

Phone

(830) 620-0509

Website

ensignservices.net

About this facility — Kirkwood Manor

Kirkwood Manor is a Medicare/Medicaid-certified skilled nursing facility in New Braunfels, Texas. It is licensed for 162 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 18 senior care facilities in New Braunfels and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of The Ensign Group, a group of 347 facilities on this site.

Federal inspectors have cited Kirkwood Manor 69 times across 14 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $29,026 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

The Ensign Group

Ownership type

For profit - Corporation

Registered owners & officers

Apolinar, Adam

Officer — since 2022

Burnam, Soon

Officer — since 2021

Ensign Services Inc

Additional disclosable party — since 2019

Keetch, Chad

Officer — since 2011

Lake Island Healthcare, Inc.

Operational control · Additional disclosable party — since 2019

Lakewood Health Holdings Llc

Additional disclosable party — since 2019

Martin, Kyle

Governing body · Operational control · Additional disclosable party — since 2019

Standard Bearer Healthcare Op, Lp

Additional disclosable party — since 2019

The Ensign Group Inc

Additional disclosable party — since 2019

Yu, Haoran

Governing body · Operational control · Additional disclosable party — since 2019

Regulatory standing

Federal court records

11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1988-02-05

CMS overall rating

2 of 5 stars

Health deficiencies

14 at the last standard inspection

Federal fines

$29,026 total

Last standard inspection

2026-04-10

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$446 per day (≈ $13,560/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

52% Medicaid · 11% Medicare · 37% private/other

Occupancy

71% (fiscal year 2024)

Vs. state median

61% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

162

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Monday: 8:00 AM – 8:00 PM · Tuesday: 8:00 AM – 8:00 PM · Wednesday: 8:00 AM – 8:00 PM · Thursday: 8:00 AM – 8:00 PM · Friday: 8:00 AM – 8:00 PM · Saturday: 8:00 AM – 5:00 PM · Sunday: 8:00 AM – 5:00 PM

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.

2026-06-17Health inspectionComplaint-triggered2 citations

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-06-24

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-07-08

2026-04-10Health inspection12 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-04-13

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-05-08

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-05-08

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2026-04-13

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-05-08

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2026-05-08

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-05-08

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-05-08

F-0761

D · No harm found

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.

Corrected 2026-04-13

F-0812

D · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-05-15

F-0813

D · No harm foundFood safety

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2026-05-08

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-04-11

10 earlier / fire-safety inspections (55 citations)

2026-03-31Health inspectionComplaint-triggered1 citation

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-04-01

2025-06-04Health inspectionComplaint-triggered2 citations

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-06-05

F-0761

D · No harm foundFrom a complaint

Corrected 2025-06-05

2025-02-21Health inspection10 citations

F-0584

E · No harm found

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.

Corrected 2025-03-21

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-03-21

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-02-24

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-02-27

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-03-21

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-02-22

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-02-28

F-0761

D · No harm found

Corrected 2025-02-28

F-0813

D · No harm foundFood safety

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2025-03-21

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-03-21

2025-01-10Health inspectionComplaint-triggered1 citation

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-06-25

2024-03-24Health inspectionComplaint-triggered3 citations

F-0684

K · Immediate jeopardyFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-03-25

F-0760

E · No harm foundFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2024-03-25

F-0842

E · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-03-25

2024-01-26Health inspectionComplaint-triggered18 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-01-31

F-0565

E · No harm found

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-02-29

F-0578

D · No harm found

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-02-09

F-0584

D · No harm foundFrom a complaint

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.

Corrected 2024-02-02

F-0636

D · No harm found

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-02-16

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-02-14

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-02-29

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-02-09

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-01-31

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-02-29

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-02-16

F-0756

E · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-02-29

F-0758

D · No harm found

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.

Corrected 2024-02-16

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-02-29

F-0840

D · No harm found

Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

Corrected 2024-02-02

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-02-29

F-0944

E · No harm found

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Corrected 2024-03-08

F-0946

E · No harm found

Provide training in compliance and ethics.

Corrected 2024-03-08

2023-11-30Health inspectionComplaint-triggeredInfection control2 citations

F-0552

D · No harm foundFrom a complaint

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2023-12-22

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-12-22

2026-04-10Fire-safety inspection6 citations

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-05-08

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2026-05-15

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-05-15

K-0741

F · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2026-05-08

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-05-15

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2026-04-30

2025-02-21Fire-safety inspection6 citations

K-0345

E · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-02-20

K-0351

E · No harm found

Install an approved automatic sprinkler system.

Corrected 2025-04-18

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-13

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-03-05

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-04-18

K-0918

D · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-02-24

2024-01-26Fire-safety inspection6 citations

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-02-02

K-0351

D · No harm found

Install an approved automatic sprinkler system.

Corrected 2024-02-06

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-29

K-0711

F · No harm found

Provide a written emergency evacuation plan.

Corrected 2024-03-01

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-03-01

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-03-01

Federal penalties

2024-03-24Fine$29,026

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455732.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 94% of nursing homes in the state

State median: 33

Federal fines, 3 years

$29,026

More than 64% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.4

Higher than 65% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

42%

Higher than 27% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 10 and worse on 6. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	33.7%	15.8%	13.5%	Worse than state
Lose too much weight	4.4%	2.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.2%	0.8%	1.5%	Better than state
Have depressive symptoms	4.0%	2.3%	13.5%	Worse than state
Were physically restrained	0.4%	0.0%	0.1%	Worse than state
Experiencing one or more falls with major injury	3.4%	3.2%	3.2%	Near state average
Assessed and appropriately given the pneumococcal vaccine	99.4%	96.4%	93.7%	Near state average
Ability to walk independently worsened	24.4%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	11.4%	17.8%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	99.2%	97.0%	95.3%	Near state average
With pressure ulcers	2.3%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	22.7%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	6.3%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	2.19	2.05	1.81	Near state average
Outpatient emergency department visits per 1000 long-stay resident days	1.36	1.97	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	98.8%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	97.0%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	27.3%	25.5%	23.4%	Near state average
Had an outpatient emergency department visit	5.4%	12.2%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0755 6 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-0842 4 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0695 3 inspections. Provide safe and appropriate respiratory care for a resident when needed.
F-0761 3 inspections. 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.
K-0918 3 inspections. Have generator or other power source capable of supplying service within 10 seconds.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Resolute Health Hospital, about 5.3 miles. CMS rating 4 of 5.
Guadalupe Regional Medical Center, about 15 miles. CMS rating 2 of 5.
Christus Santa Rosa Hospital-san Marcos, about 17 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Eden Home, New Braunfels, about 2.5 miles. CMS rating 3 of 5.
Sundance Inn Health Center, New Braunfels, about 4.6 miles. CMS rating 4 of 5.
Avir At New Braunfels, New Braunfels, about 4.8 miles. CMS rating 1 of 5.
Legend Oaks Healthcare and Rehabilitation - New Braunfels, New Braunfels, about 5.8 miles. CMS rating 3 of 5.
Avir At Schertz, Schertz, about 9.7 miles. CMS rating 2 of 5.

Visitor reviews

What people say on Google.

4.5183 ratings on Google

★★★★★Melissa Huerta · 2026-06-18 · via Google
“My family had an excellent experience with the skilled nursing team at Kirkwood Manor in New Braunfels while my dad was there. The weekday, night, and weekend nurses were all compassionate, caring, very attentive, and genuinely invested in his well-being. Every staff member we encountered was highly knowledgeable and kept us informed throughout his stay, which gave our family great peace of mind. …”

★★★★★william delaney · 2026-02-04 · via Google
“Ashleigh, Kirkwood Manor’s Transportation Expert helped my Dad, Donald get to the VA clinic in New Braunfels, Tx this morning. Ashleigh has helped us get to previous appointments also! She is a wonderful, personable and caring person! Our family is very grateful and thankful for Ashleigh being there for us and our father! Thank you Ashleigh!”

★★★★★Rey Rendon · 2026-04-12 · via Google
“The service and the experience of Kirkwood was amazing that that was friendly generous, and we’re always asking if we needed any help. I would highly recommend Kirkwood to be a play for them to take care of your loved ones.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 69 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

$79 $99 Advanced

Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered