Elder Care Record

Texas › Burleson County › Caldwell

Copperas Hollow Nursing & Rehabilitation Center

345 Country Club Dr, Caldwell, TX 77836

CCN 676227 · For-profit, corporation · 90 certified beds · chain Creative Solutions In Healthcare

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Certified for 90 beds, Copperas Hollow Nursing & Rehabilitation Center serves Caldwell in Burleson County, Texas and has taken Medicare and Medicaid residents since 2009.

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 (4, 9, 11 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 26.7 per 100 beds, about the same as the state median of 22.5.

CMS lists 2 penalties in the period covered: fines totalling $50K.

Reported nurse staffing is 3.3 hours per resident per day (0.3 RN), close to the Texas median of 3.3.

24health deficiencies, 3 survey cycles2 at actual harm or worse
$50Kfines listed by CMS2 penalties in period
3.3nurse hours per resident per daystate median 3.3
50%occupancy (residents ÷ beds)45 residents a day

Compared with county, state and nation

MeasureThis facilityBurleson Co. medianTexas medianUS average
Overall star rating3333.0
Health citations, 3 cycles24342528.7
Citations per 100 beds26.730.422.526.8
Total nurse hours per resident day3.33.33.33.9
RN hours per resident day0.30.30.40.7
Nursing staff turnover—94.3%52.1%45.8%
Fines listed$49,901$49,901$16,801—

County and state figures are medians across facilities (2 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)4
Cycle 29
Cycle 311

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 Aug 2025, 11 Jul 2024.

Severity mix: J ×1 K ×1 D ×11 E ×9 F ×2

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
11 Apr 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation12 Apr 2026
19 Nov 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation20 Nov 2025
28 Aug 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey29 Aug 2025
28 Aug 2025F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey29 Aug 2025
7 May 2025F0760Ensure that residents are free from significant medication errors.KComplaint investigation3 Jun 2025
7 May 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation4 Jun 2025
18 Jan 2025F0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.JComplaint investigation19 Jan 2025
18 Jan 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation19 Jan 2025
23 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation24 Jul 2024
11 Jul 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey12 Jul 2024
11 Jul 2024F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard survey12 Jul 2024
11 Jul 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey12 Jul 2024
11 Jul 2024F0699Provide care or services that was trauma informed and/or culturally competent.DStandard survey12 Jul 2024
11 Jul 2024F0880Provide and implement an infection prevention and control program.DStandard survey12 Jul 2024
21 Aug 2023F0583Keep residents' personal and medical records private and confidential.EComplaint investigation15 Oct 2023
21 Aug 2023F0761Ensure 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.EComplaint investigation15 Oct 2023
21 Aug 2023F0880Provide and implement an infection prevention and control program.EComplaint investigation15 Oct 2023
25 May 2023F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard survey14 Jul 2023
25 May 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey14 Jul 2023
25 May 2023F0558Reasonably accommodate the needs and preferences of each resident.EStandard survey14 Jul 2023
25 May 2023F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.EStandard survey14 Jul 2023
25 May 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey14 Jul 2023
25 May 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey14 Jul 2023
25 May 2023F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey14 Jul 2023

Penalties

DateTypeAmountDetail
7 May 2025Fine$34,776
18 Jan 2025Fine$15,125

Staffing

Total nursing3.3 h
Nurse aides1.97 h
LPN1.04 h
RN0.28 h
Weekend total3 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay3.8%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.6%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.2%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay3.9%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.4%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay8.3%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, corporation. Legal business name: Coryell County Memorial Hospital Authority. Chain: Creative Solutions In Healthcare (149 facilities).

OrganisationRole in the CMS recordInterestSince
Coryell County Memorial Hospital AuthorityOperational/managerial controlNOT APPLICABLE01/01/2014

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 Burleson County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Avir At CaldwellCaldwell1121113430.4$10K20 Jun 2026

All 2 facilities in Burleson County

Questions and answers

How many deficiencies has Copperas Hollow Nursing & Rehabilitation Center been cited for?

24 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Copperas Hollow Nursing & Rehabilitation Center been fined?

Yes. CMS lists fines totalling $50K in the period covered.

How does staffing at Copperas Hollow Nursing & Rehabilitation Center compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Copperas Hollow Nursing & Rehabilitation Center?

It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Coryell County Memorial Hospital Authority. Individual owners and managers are not listed on this site.

When was Copperas Hollow Nursing & Rehabilitation Center last inspected?

The most recent survey or investigation in the CMS record is dated 11 Apr 2026; the most recent standard health survey was 28 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.