Brittany Kelley
WIMBERLEY — Residents were ushered out of Symphony of Wimberley Assisted Living and Memory Care June 30, 2025, following concerns of resident wellbeing and safety. Now, the documents that uncover the reasons the local facility had its license revoked have been released.
Before Texas Health and Human Services’ (HHSC) involvement, a series of complaints were submitted over the course of several months. The first was dated Feb. 16 and detailed a visit that a family member experienced. In it, the complainant stated that their family member fell out of her chair, resulting in a small cut and hematoma on the back of her head. Pressing the call button, the family member expected staff members to respond, but was, instead, left alone. After inquiring about the lack of response to both the owner and a staff member, it was discovered that the call button did not actually alert anyone. Instead, a noise played in the kitchen to inform staff. If no one was around, then the call went unanswered.
Additionally, the reporter found out that their family member had missed two doses of her medicine, which staff revealed was being “borrow[ed]” from another resident, since they ran out.
A second complaint was submitted a month later and stated that they removed their family member from the facility, due to lack of staffing, no response to call buttons and poor food quality. The complainant also stated that there was an unauthorized withdrawal from their family member’s bank account for $1,500, following his leave.
Submitted in early June, another detailed that, “This facility is a nightmare. The owner has no medical training … No nurses, no doctors, they frequently lose medications, claim they go missing and have no medical recording system. They have no process to receive [HIPPA] compliant emails, they do not answer their phone and the staff frequently practice outside of their scope. I’m begging for someone to look deeper into this.”
Following these reports was one from a Symphony of Wimberley personnel member. They described the unfit environment by disclosing that the facility had an unpaid water bill, was without gas for a week — resulting in employees filling up buckets with hot water for bed baths for residents — was supplying food, such as Pizza Hut and macaroni and cheese for dinner, failing to update medicines within the computer system and more.
Investigations into these complaints were conducted throughout the second half of June and yielded concerning results, according to documents provided by HHSC. Not only was there confirmation of a lack of staff, which were not being paid, but failure to administer medicine, provide resident service plans and have emergency preparedness response protocols. Overall, the investigation stated that there were “several immediate threats” found within Symphony of Wimberley, causing “neglect.”
During a June 20 interview with owner Tim Reese, he told investigators that he was “behind on bills for the facility,” which included electricity, water and internet. Furthermore, employees were going unpaid, though “the staff are loyal and that they will keep working and that staff will eventually get paid.” Still, several staff members spoken to by HHSC failed to receive their June 15 paycheck.
Alongside these investigations, a formal observation was completed by HHSC from June 12-30. This resulted in residents being discharged from the facility, due to Symphony of Wimberley owners failing to resolve immediate threats.
The results established that the assisted living facility had failed to meet requirements for eight codes.
One of which was night shift staffing. According to HHSC, night staff members were not immediately available and awake for three of the four observed overnight shifts.
One caretaker explained that she was unaware of this requirement, as she was planning on sleeping after working nearly 24 hours.
Another staff member could be called to come help, if needed, she continued, since she was the only employee in the facility.
Reese stated that he believed having one staff member overnight was okay, since there were no residents that required a two-person transfer, though he acknowledged that there had been no recent evaluations or confirmations of each resident’s transfer capability.
Despite this claim, caretakers stated that there were two residents that needed multiple people for a transfer. A staff member also revealed to HHSC that she was unable to change a resident, since it required two people for the task.
This admission is relevant, as, eight days prior, HHSC observed this same resident in bed with her head under the blanket, omitting a “foul odor” of “urine and feces.”
Another failure was admission policies and disclosure statements, due to the requirement that the facility must not admit or retain a resident whose needs cannot be met by the facility or who cannot secure the necessary services from an outside resource.
The resident in question did not have a service plan to review, according to the report, though an interview with her revealed that she recently visited the hospital and had a catheter that was past its change date, in addition to it being bent.
“When asked if anyone monitored her for signs and symptoms of worsening [condition] she stated no,” read the findings.
Reese was uninformed of this hospital visit, as he shared that she is not “an actual resident” and only lives on the premises. He was also unaware of her medications and who handled them.
After the attempt to view the resident’s service plans, further review divulged that service plans were unavailable for any of the nine residents, putting them “at risk for serious injury, harm, hospitalization and death.”
A staff member stated that executive director Kelly Geiger was in charge of creating these documents, as the computer was inaccessible. Because of this, staff attended to residents with information spread by word of mouth. This was corroborated by another employee.
An interview occurred June 12 with Geiger, who said that she did not have any of the resident medical records, including service plans, and she “couldn’t print anything.” When asked to email the documents, she replied, “I don’t know how to work my computer like that.”
When Reese later found the documents and provided them to HHSC, it was noted that two service plans were still incomplete, while the others hadn’t been updated since — at the earliest — 2024, with some dating back to 2022.
Finally, the owners failed to conduct required fire drills. According to the report, facility staff had not been formally trained in the case of a fire, nor was there documentation of a fire drill performed since 2021. Reese’s information was limited, as he stated that the staff was “probably” trained on emergency evacuation, but he was not sure.
The lack of fire drill training was magnified, as a Plan of Removal was unavailable. This was identified as an immediate threat June 20. HHSC attempted to obtain this procedure several times and was told by Geiger on June 26 that she had “people working on that right now.”
Despite this declaration, three days prior, Geiger asked HHSC to remove the residents, since she heard it was going to: “The faster the better.”
An effort to have a meeting with both Geiger and Reese was sent June 27. Because this situation put “residents at risk for serious injury or harm up to and including death if staff are unprepared to evacuate in the event of fire or other cause for evacuation,” all residents were discharged June 30.
Other codes Symphony of Wimberley failed to meet are listed as follows:
Staffing-safe evacuation
Coordination of care — medicine
Rights of residents
Emergency preparedness and response
Preceding the removal, HHSC ordered an emergency suspension of license and closure June 25, due to the facility being in violation of Texas Health and Safety code, thus creating “an immediate threat to the health and safety of residents.”
Symphony of Wimberley had the opportunity to appeal the emergency order and submit a plan of correction. This would include information on how the facility will: accomplish corrective action, identify other residents with the potential to be affected and monitor its corrective actions, as well as the measures the facility planned to put in place and when.
Investigative documents did not show an appeal or plan presented to HHSC. Therefore, a letter informing Symphony of Wimberley of the proposal for revocation of its license was sent Sept. 9.
"Our top priority is protecting the health, safety and well-being of people served by the facilities and providers we regulate. HHSC's final notice revoking the Symphony of Wimberley's facility license was effective Nov. 2, 2025," confirmed Thomas Vazquez, HHSC assistant press officer.
