Texas › Caldwell County › Lockhart
Chisolm Trail Nursing and Rehabilitation Center
107 North Medina Street, Lockhart, TX 78644
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Chisolm Trail Nursing and Rehabilitation Center, in Lockhart, Texas, is certified for 96 beds under for-profit, limited liability company ownership and belongs to the Diversicare Healthcare chain.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 3, staffing 1 and quality measures 5.
Inspectors recorded 24 health deficiencies across the three most recent survey cycles (8, 10, 6 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 25.0 per 100 beds, about the same as the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $38K.
Reported nurse staffing is 2.7 hours per resident per day (0.5 RN), close to the Texas median of 3.3.
Compared with county, state and nation
| Measure | This facility | Caldwell Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 24 | 24 | 25 | 28.7 |
| Citations per 100 beds | 25.0 | 25.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.7 | 2.9 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | — | 59.5% | 52.1% | 45.8% |
| Fines listed | $37,541 | $37,541 | $16,801 | — |
County and state figures are medians across facilities (5 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 Aug 2025, 11 Jul 2024.
Severity mix: K ×1 D ×15 E ×8
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 8 Apr 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 7 May 2026 |
| 7 Aug 2025 | F0578 | 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. | E | Standard survey | 21 Sep 2025 |
| 7 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 16 Sep 2025 |
| 7 Aug 2025 | F0926 | Have policies on smoking. | E | Standard survey | 16 Sep 2025 |
| 7 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 16 Sep 2025 |
| 7 Aug 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 16 Sep 2025 |
| 7 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 16 Sep 2025 |
| 7 Aug 2025 | F0761 | 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. | D | Standard survey | 16 Sep 2025 |
| 17 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Aug 2025 |
| 5 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 6 Aug 2025 |
| 5 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 21 Jul 2025 |
| 4 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 24 Mar 2025 |
| 31 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | Complaint investigation | 2 Sep 2024 |
| 11 Jul 2024 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 12 Jul 2024 |
| 11 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 12 Jul 2024 |
| 11 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 12 Jul 2024 |
| 11 Jul 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 12 Jul 2024 |
| 11 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 12 Jul 2024 |
| 12 Apr 2024 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint investigation | 15 Apr 2024 |
| 25 May 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 25 Jun 2023 |
| 25 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 25 Jun 2023 |
| 25 May 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 25 Jun 2023 |
| 25 May 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 25 Jun 2023 |
| 25 May 2023 | F0758 | 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. | D | Standard survey | 25 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 31 Aug 2024 | Fine | $37,541 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.2% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.8% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.8% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.2% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.3% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Diversicare Chisolm, Llc. Chain: Diversicare Healthcare (44 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Diversicare Leasing LP | 5% or greater direct ownership interest | 100% | 05/04/2006 |
| Advocat Finance, LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 12/18/1996 |
| Dac Newcorp Inc | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 04/04/2022 |
| Diversicare Healthcare Services LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/10/1994 |
| Diversicare Management Services LP. | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 10/10/1996 |
| Dlc Gp LLC | General partnership interest | NOT APPLICABLE | 04/04/2022 |
| Dms Gp LLC | General partnership interest | NOT APPLICABLE | 04/04/2022 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Caldwell County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Diversicare of Luling | Luling | 60 | 3 | 4 | 1 | 13 | 21.7 | — | 8 May 2025 |
| Avir At Luling | Luling | 56 | 2 | 1 | 1 | 41 | 73.2 | $36K | 4 Feb 2026 |
| Avir At Magnoliaabuse icon | Luling | 90 | 2 | 2 | 2 | 37 | 41.1 | $51K | 5 Nov 2025 |
| Parkview Nursing and Rehabilitation Centerabuse icon | Lockhart | 108 | 2 | 2 | 2 | 17 | 15.7 | $65K | 20 Feb 2026 |
All 5 facilities in Caldwell County
Questions and answers
How many deficiencies has Chisolm Trail Nursing and Rehabilitation Center been cited for?
24 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Chisolm Trail Nursing and Rehabilitation Center been fined?
Yes. CMS lists fines totalling $38K in the period covered.
How does staffing at Chisolm Trail Nursing and Rehabilitation Center compare?
Reported total nurse staffing is 2.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Chisolm Trail Nursing and Rehabilitation Center?
It is part of the Diversicare Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Diversicare Leasing LP, Advocat Finance, LLC and Dac Newcorp Inc. Individual owners and managers are not listed on this site.
When was Chisolm Trail Nursing and Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 8 Apr 2026; the most recent standard health survey was 7 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.