Texas › Coryell County › Copperas Cove
Hill Country Heights
810 Industrial Ave, Copperas Cove, TX 76522
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 96 beds, Hill Country Heights serves Copperas Cove in Coryell County, Texas and has taken Medicare and Medicaid residents since 1995.
CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 4, staffing 2 and quality measures 4.
Inspectors recorded 23 health deficiencies across the three most recent survey cycles (5, 3, 15 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 24.0 per 100 beds, about the same as the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $12K.
Reported nurse staffing is 3.5 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 42.1%.
Compared with county, state and nation
| Measure | This facility | Coryell Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 23 | 23 | 25 | 28.7 |
| Citations per 100 beds | 24.0 | 22.8 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.5 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 42.1% | 46.7% | 52.1% | 45.8% |
| Fines listed | $12,356 | $12,356 | $16,801 | — |
County and state figures are medians across facilities (4 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: 21 May 2026, 20 Mar 2025.
Severity mix: J ×1 D ×13 E ×6 F ×2 C ×1
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 |
|---|---|---|---|---|---|
| 21 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 15 Jun 2026 |
| 21 May 2026 | 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 | 15 Jun 2026 |
| 21 May 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Jun 2026 |
| 21 May 2026 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 15 Jun 2026 |
| 8 Dec 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Complaint investigation | 9 Dec 2025 |
| 20 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 11 Apr 2025 |
| 20 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 11 Apr 2025 |
| 20 Mar 2025 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | Standard survey | 11 Apr 2025 |
| 23 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 24 Jun 2024 |
| 31 Jan 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 11 Mar 2024 |
| 31 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 11 Mar 2024 |
| 31 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 11 Mar 2024 |
| 31 Jan 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 11 Mar 2024 |
| 31 Jan 2024 | 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 | 11 Mar 2024 |
| 31 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 11 Mar 2024 |
| 31 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 11 Mar 2024 |
| 31 Jan 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 11 Mar 2024 |
| 31 Jan 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 11 Mar 2024 |
| 12 Oct 2023 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Complaint investigation | 27 Oct 2023 |
| 12 Oct 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 27 Oct 2023 |
| 26 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 13 Oct 2023 |
| 26 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 13 Oct 2023 |
| 26 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 13 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 23 Jun 2024 | Fine | $12,356 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 42.1%, RNs 22.2%; 0 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 | 12.2% | 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 | 0.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.4% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.7% | 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: Uvalde County Hospital Authority. Chain: Touchstone Communities (25 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Touchstone Strategies - Copperas Cove, LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2024 |
| Touchstone Strategies - Copperas Cove, LLC | Adp of the snf | NOT APPLICABLE | 02/12/2025 |
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 Coryell County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Coryell Health Rehabliving At the Meadows | Gatesville | 106 | 4 | 4 | 3 | 17 | 16.0 | — | 12 Feb 2026 |
| Hillside Medical Lodge | Gatesville | 128 | 3 | 4 | 1 | 13 | 10.2 | — | 11 Dec 2025 |
| Copperas Cove Nursing & Rehabilitation | Copperas Cove | 123 | 1 | 2 | 1 | 28 | 22.8 | $24K | 13 Apr 2026 |
All 4 facilities in Coryell County
Questions and answers
How many deficiencies has Hill Country Heights been cited for?
23 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 Hill Country Heights been fined?
Yes. CMS lists fines totalling $12K in the period covered.
How does staffing at Hill Country Heights compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Hill Country Heights?
It is part of the Touchstone Communities chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Touchstone Strategies - Copperas Cove, LLC. Individual owners and managers are not listed on this site.
When was Hill Country Heights last inspected?
The most recent survey or investigation in the CMS record is dated 21 May 2026; the most recent standard health survey was 21 May 2026.
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.