CCN 676299 · Travis County, Texas

Southpark Meadows Nursing and Rehabilitation Cente

9801 S 1st Street, Austin, TX 78748

Southpark Meadows Nursing and Rehabilitation Cente is a 120-bed nonprofit nursing home in Austin, Texas, first certified for Medicare or Medicaid in 2011. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 106.2 residents a day, about 89% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $9.6 million in September 2017 (223(f) refinance or purchase), and none of them appears in HUD's active-loan file.

Facility facts

Certified beds
120
Average residents per day
106.2 (88.5% of beds)
Ownership type
Non profit - Corporation
Certification
Medicare and Medicaid
Legal business name
Smithville Hospital Authority
Certified since
Oct 14, 2011
Chain or affiliated group
Wellsential Health (67 facilities, chain average 2.7 stars)
Location
Urban, inside a hospital

Ratings and staffing

Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.

MeasureThis facilityTexas medianUS median
Overall rating2 of 5State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5
Health inspections3 of 5
Quality measures4 of 5
Staffing1 of 5
Total nurse hours per resident per day2.833.273.68
RN hours per resident per day0.270.380.58
Weekend nurse hours per resident per day2.53
Nursing staff turnover50.6%52.1%44.9%
Occupancy (residents / beds)88.5%68.6%85.7%
Fines reported by CMS1 totaling $10,998
Health deficiencies, latest standard survey7 (Dec 8, 2025)

HUD 223(f) Express Lane: the CMS part

HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Southpark Meadows Nursing and Rehabilitation Cente meets that part today: 2 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.

Who owns and operates it

These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.

NameRoleShareSince
Smithville Hospital AuthorityOrganizationDirect Ownership Interest100%02/01/2015
Regency Integrated Health Services LLCOrganizationOperational / Managerial Controln/a02/01/2015
Smithville Hospital AuthorityOrganizationOperational / Managerial Controln/a02/01/2015
Dekowski, DonovanIndividualOperational / Managerial Controln/a02/01/2015
Strong, TylerIndividualOperational / Managerial Controln/a01/21/2019

Changes of ownership

No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.

HUD Section 232 loans

HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.

EndorsedProgramOriginal amountStatusFHA number
Sep 27, 2017223(f) refinance or purchaseHUD project name: Regency - Southpark Meadows Nursing & Rehab Ctr, 120 beds. Lender at endorsement: Keybank National Association$9,573,600Ended Sep 16, 2022Prepayment11522331

Watch this facility

Get one email when the monthly CMS or HUD files show a change at Southpark Meadows Nursing and Rehabilitation Cente: a new owner, operator or lender of record, a change of ownership, a new overall star rating, or a change to its HUD loan.

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Sources and dates

Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.

SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.