Deficiency Index

Hillside Medical Lodge

Gatesville, Texas · CCN 675201

21 surveys since 2010. The first finding at harm level was recorded in 2019.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
46
Surveys
21
Harm or worse
3
Immediate jeopardy
2
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file16/21

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
128
Ownership
For profit - Corporation
Chain
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
County
Coryell
Medicare-certified since
1993

CMS ratings

Overall
3
Health inspection
4
Staffing
1
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 209 for-profit facilities with 128 or more beds in Texas.

Last survey on record

Dec 11, 2025

333 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.103.26
Registered-nurse hours per resident day0.28—
Annual nurse turnover46.7%55.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD969.2%E430.8%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 13 of the 46 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6562×

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

  • F8122×

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

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

  • F5831×

    Keep residents' personal and medical records private and confidential.

  • F6411×

    Ensure each resident receives an accurate assessment.

In the surveyor’s words

From the most serious findings on record at Hillside Medical Lodge, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF678Mar 24, 2023

    Based on observation, interview, and record review, the facility failed to ensure personnel provided basic life support, which included CPR, to a Resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders and the Resident's advance directives for 1 of 6 Residents (Resident #1) reviewed for cardio-pulmonary resuscitation. LVN A failed to initiate life-saving measures (CPR) Cardiopulmonary Resuscitation when Resident #1, who had a code status of full code (meaning the person wants all resuscitation procedures provided if their heart stops beating and/or they stop breathing), was found unresponsive and expired. An Immediate Jeopardy (IJ) situation was identified on [DATE] at 1:34 p.m. […]

  • Actual harm, isolatedF697Feb 25, 2023

    Based on record review and interview, the facility failed to ensure pain management was provided to residents who required such services, consistent with professional standard of practice for one (Resident #1) of three residents reviewed for pain. The facility failed to ensure Resident #1 received a different medication when the ibuprofen was not effective for resident's pain. This failure placed residents of unnecessary pain and the risk of uncontrolled pain and diminished quality of life. Findings included: Record review of Resident #1's undated face sheet reflected he was a 40 -year-old male admitted to the facility on [DATE]. […]

  • No harm, potential for more than minimal, patternF641Dec 11, 2025

    Based on interviews, and record review, the facility failed to ensure assessments accurately reflected the resident's status for three (Residents #16, #28, and #91) of eight residents reviewed for accuracy of assessments. 1. The facility failed to ensure Resident Residents #16's Comprehensive MDS assessment dated [DATE] accurately reflected that the resident was on a CPAP (continuous positive airway pressure: machine used to deliver pressurized air through a mask to keep airways open). 2. The facility failed to ensure Resident Residents #28's Comprehensive MDS assessment dated [DATE] accurately reflected that the resident was on a BiPAP (bilevel positive airway pressure: normalizes breathing by delivering pressurized air into the upper airway leading into the lungs). 3. […]

  • No harm, potential for more than minimal, patternF695Dec 11, 2025

    Based on observations, interviews, and record review the facility failed to ensure that residents, who needed respiratory care, were provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for three (Residents #28, #46, and #91) of twelve residents reviewed for respiratory care. 1. The facility failed to ensure Resident #28's mask for BiPAP (bilevel positive airway pressure: normalizes breathing by delivering pressurized air into the upper airway leading into the lungs) was properly stored when not in use on 12/09/2025. 2. The facility failed to ensure Resident #46's breathing mask was properly stored when not in use on 12/09/2025. 3. […]

  • No harm, potential for more than minimal, patternF802Aug 13, 2024

    Based on observations, interviews, and record review , the facility failed to provide sufficient support personnel with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service for 5 (Dietary A, Dietary B, Dietary C, Dietary D, and Dietary E) of 9 dietary staff. The facility did not ensure 5 (Dietary A, Dietary B, Dietary C, Dietary D, and Dietary E) of 9 dietary staff had a current food handler's certificate from the date of hire until August 13, 2024 . This failure could place all residents who consumed food prepared from the kitchen at risk of foodborne illness. […]

Read 21 findings in full →The most serious and the most recent: 21 of 46 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 11, 2025Standard8 findings
  • Jan 28, 2025Complaint1 finding
  • Aug 13, 2024Standard2 findings
  • Sep 18, 2023Complaint1 finding
  • Jul 11, 2023Standard1 finding
  • Mar 24, 2023Complaint1 finding · 1 harm
  • Feb 25, 2023Complaint3 findings · 1 harm
  • Nov 6, 2022Complaint1 finding
Show the 13 earlier surveys
  • Jun 20, 2022Complaint1 finding
  • May 3, 2022Standard5 findings
  • Apr 24, 2019Standard1 finding
  • Feb 8, 2019Complaint1 finding · 1 harm
  • May 10, 2018Standard1 finding
  • Apr 5, 2017Standard2 findings
  • Mar 4, 2016Standard1 finding
  • Oct 8, 2015Complaint2 findings
  • Feb 4, 2015Standard1 finding
  • Jan 30, 2014—2 findings
  • Mar 7, 2013—6 findings
  • Feb 17, 2012—3 findings
  • Dec 29, 2010—2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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