Gracy Woods Nursing Center
Gracy Woods Nursing Center in Austin, TX — inspection on June 4, 2026.
Found 6 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 06/04/26 at 12:35 p.m., LVN B, the nurse in charge of Hall 500 where Resident #25 resides, stated that the oxygen cylinder, concentrator, and laundry basket in Resident #25's room were for Reisdent#25's roommate for using in emergency situations. LVN B explained that organizing these items within the room was necessary to ensure they were readily available, given that Resident #25's roommate was in hospice care.
She said that the equipment was the property of the facility and should have been placed in the designated area for Resident #25's roommate. LVN B stated that the setup in Resident #25's area was done solely by the facility staff and that there was no pressure from Resident #25's roommate or her family for storing them in Resident #25's space.
She stated that this situation was a violation of Resident #25's right to have her permitted space, as the items belonging to her roommate cluttered the area. LVN B stated that the staff had not taken steps to remove the items because neither Resident #25 nor her family had made any complaints or observed of having any inconvenience due to them.
During an interview on 06/04/26 at 4:10 p.m., the DON stated that it was the right of each residents to have their allotted space in their room available for their personal needs.
She said that storing items that did not belong to Resident #25 diminished the usable space designated for her.
The DON said that she was not aware of this situation, as neither Resident #25 nor staff had brought it to her attention.
She stated she would make alternative arrangements to store her roommate's equipment elsewhere safely to ensure Resident #25 can fully utilize her space.
Review of the facility policy Resident Rights revised in December 2016 reflected: Employees shall treat all residents with kindness, respect and dignity.Federal and state laws guarantee certain basic rights to all residents of this facility .
These rights include the residents' right to:a dignified existence;be treated with respect, kindness, and dignity;Exercise his or her rights without interference, coercion, discrimination or reprisal from the facility;ae.
Retain and use personal possessions to the maximum extent that space and safety permits.
675918 06/04/2026
Gracy Woods Nursing Center 12021 Metric Blvd Austin, TX 78758
Findings included: Review of the survey event database utilized by HHSC to track surveys reflected the facility was a special focus facility, indicating there would be two full recertification surveys every calendar year. It also reflected the most recent full recertification survey was 12/31/2025.
Observation on 06/02/2026 at 10:45 AM revealed a white binder on the shelf behind the reception desk, in a placement reachable to passersby, including those in wheelchairs, with the title Survey Inspection Results on the jacket.
Within the book were surveys dating back to 2022, and the most recent was dated 07/31/2025.
Observation on 06/03/2026 at 1:13 PM revealed the survey results binder was still lacking the survey results from 12/31/2025.
During a confidential group interview, five anonymous residents stated they did not know how to view the results of previous surveys.
Three of them stated they would like to view the results of the most recent survey.
During an interview on 06/04/2026 at 4:00 PM, the ADM stated she had worked through a survey readiness checklist on 05/11/2026 and the results were not there on that day, so she printed them and put them in the book.
She stated she could not say what happened, but someone must have removed the results from 12/31/2025.
She stated she was responsible for ensuring the most recent survey results were posted for the public, and her habit was to place the results right after survey.She stated a potential negative impact of the most recent results not being available was if a resident wanted to see outcomes or previous history, they would not be able to access it.
She stated she knew some residents were able to look up results online.
Review of facility policy dated 12/2016 and titled Resident Rights reflected the following: Policy StatementEmployees shall treat all residents with kindness, respect, and dignity.Policy Interpretation and Implementation1.
Federal and state laws guarantee certain basic rights to all residents of this facility.
These rights include the residents right to: w. examine survey results.
with soap and water.
Rinse the area well and towel dry.
Pour water down the commode.
Flush the
resident with a sheet, exposing only the perineal area.
Record review of the facility's document titled,
shall treat all residents with kindness, respect, and dignity.1.
Federal and state laws guarantee certain basic rights to all residents of this facility.
These rights include the resident's right to: a. a dignified existence. b. be treated with respect, kindness, and dignity.
675918 06/04/2026
Gracy Woods Nursing Center 12021 Metric Blvd Austin, TX 78758
requested nor had any staff offered trimming toenails. Resident #67 stated staff did a skin
had worked in all halls, including Hall 500.
She said that she did not notice any residents with
she would report it to the nurse in charge rather than trimming them herself, as in some disease conditions might not be safe to handle without clinical expertise.
She added however, that she would clean the nails if they were dirty and then report the issue to the nurse.
During an interview conducted on 06/04/26 at 2:50 pm, CNA G stated that he had been working at the facility for three months and had noticed overgrown nails on Residents #45 and #88 about a week ago. He stated that he was unaware of the toenails of Resident #67 . CNA G said that he informed the charge nurse at that time about the overgrown nails; the charge nurse was a different individual than LVN B. He stated he would trim the nails if the nurse assessed the resident and determined it was safe to do so. CNA G said it was not safe to trim complex nail growth or nails of residents with conditions such as diabetes unless performed by someone properly trained. CNA G also stated that trimming nails in a timely manner was important to prevent the spread of infectious diseases transmitted through debris accumulated in the nail beds.
During an interview on 06/04/26 at 12:35 PM, LVN B stated that she was the nurse in charge of Hall 500, where Resident #45, Resident #88, and Resident #67 reside. LVN B said she had offered to clip Resident #45's nails approximately one week ago; however, he declined the offer.
She said that she would encourage him again to have his nails trimmed. LVN B stated she did not know why the nails of Resident #88 had not been trimmed.
She also said, Resident #67 was capable of trimming his own nails and was unaware of the long toenails of Resident #67. LVN B stated she preferred a podiatrist to perform this task, considering that Resident #67 was diabetic and required the expertise of a podiatrist.
She stated that regular nail trimming was important for the residents to prevent injuries and infections.
During an interview on 06/04/26 at 4:10 PM, the DON stated that there was no reason for Resident #45, Resident #88, and Resident #67's nails not to have been cut.
She explained that at the facility, nurses were responsible for nail trimming, and CNAs were tasked with informing the nurse in charge of any residents with overgrown fingernails.
She further stated that if a resident declines the service, the nurse should approach the resident two more times.
If the resident still refuses, the nurse must report this to the DON, and the IDT would intervene.
The DON stated that the facility maintains a file for documenting nail trimmings, and the ADON routinely audits this file.
The DON said she would be investigating why the nails of Residents #45, #88, and #67 were not trimmed in a timely manner.
She said that overgrown nails were an infection control concern, as the nail bed can harbor germs that cause infectious diseases.
Additionally, she noted that long nails can cause scratches and injuries, which could have more serious consequences for residents with diabetes, peripheral vascular disease, or those taking blood thinners.
Record review of the facility policy Fingernails/Toenails, care of revised in February 2018 reflected : Purpose: The purposes of this procedure are to clean the nailbed, to keep nails trimmed and to prevent infections.General Guidelines:Nail care included daily cleaning and regular trimming.Proper nail care can aid in the prevention of skin problems around nail bed.Unless otherwise permitted, do not trim the nails of diabetic residents or residents with circulatory impairments.Trimmed and smooth nails prevent the resident from accidentally scratching and injuring his or her skin.Reporting:1.Notify the supervisor if the resident refuses the care.2.
Report on other information in accordance with the facility policy and professional standard of practice.
675918 06/04/2026
Gracy Woods Nursing Center 12021 Metric Blvd Austin, TX 78758
During an
Foley bag below resident's bladders at all the time because the urine inside of the Foley bag could go back to the resident's bladder and put resident at risk for infection.
During an interview on 06/04/2026 at 4:25 p.m. with ADM she stated she had been working in the facility for 2 years.
She stated that she used to be a CNA and she was familiar with providing incontinent care to residents.
She stated her expectation was that staff kept residents' Foley bags below residents' bladders to prevent back flow of urine and potentially causing residents to get infections, UTIs and being hospitalized .
Record review of the facility's document titled, Catheter Care, Urinary policy dated 2001 and revised on 09/2014 revealed: The purpose of this procedure is to prevent catheter-associated urinary tract infections.
Maintaining Unobstructed Urine Flow: 1.
Check the resident frequently to be sure he or she is not lying on the catheter and to keep the catheter and tubing free of kinks. 2.
Unless specifically ordered, do not apply a clamp to the catheter. 3.
The urinary drainage bag must be held or positioned lower than the bladder at all times to prevent the urine in the tubing and drainage bag from flowing back into the urinary bladder.
675918 06/04/2026
Gracy Woods Nursing Center 12021 Metric Blvd Austin, TX 78758
possible.Be courteous in answering the resident's call.
675918 06/04/2026
Gracy Woods Nursing Center 12021 Metric Blvd Austin, TX 78758
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.