PlainNursing
CMS Nursing Home Compare · August 2026

Hill Country Heights

810 Industrial Ave, Copperas Cove, TX 76522

Hill Country Heights, a 96-bed for profit - limited liability company nursing facility in Copperas Cove, TX, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #272 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 2545479552

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4 / 5
Above average · CMS overall · nat'l 3.0
#272 of 1,165
In-state rank among rated TX homes
3.48
Below average · nurse hrs/day · nat'l 3.86
23
Inspection findings · 1 serious

The verdict

Hill Country Heights, a 96-bed for profit - limited liability company nursing facility in Copperas Cove, TX, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #272 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

4 / 5
CMS overall · national 3.0
#272 of 1,165
In-state rank among rated TX homes
3.48
Nurse hrs/resident-day · national 3.86
23
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

2/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
675536
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
96
Residents
76
In Hospital
No
County
Coryell
Last Inspection
May 21, 2026

Staffing Data

How the 3.48 total nursing hours per resident-day are staffed:

RN Hours
0.44 (nat'l avg: 0.69)
LPN Hours
0.76
CNA Hours
2.27
Total Nursing Hours
3.48 (nat'l avg: 3.86)
PT Hours
0.06
Nursing Turnover
42.1%
RN Turnover
22.2%

What the CMS Record Reveals About Hill Country Heights

According to CMS Nursing Home Compare, Hill Country Heights ranks #272 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Hill Country Heights operates 96 certified beds in Copperas Cove, TX with approximately 76 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 2★ · quality 4★).

The inspection file contains 23 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 1 penalty totaling $12K levied against this facility. Per resident day, this facility reports 3.48 total nursing hours (national average 3.86) and 0.44 RN hours.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Hill Country Heights falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 42.1% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (23 most recent)

D - Isolated - Minimal harm May 21, 2026 Tag: 0810

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 15, 2026

D - Isolated - Minimal harm May 21, 2026 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 15, 2026

D - Isolated - Minimal harm May 21, 2026 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 15, 2026

E - Pattern - Minimal harm May 21, 2026 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 15, 2026

E - Pattern - Minimal harm Dec 8, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Dec 9, 2025

C - Widespread - No harm Mar 20, 2025 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Apr 11, 2025

D - Isolated - Minimal harm Mar 20, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 11, 2025

E - Pattern - Minimal harm Mar 20, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 11, 2025

J - Isolated - Jeopardy Jun 23, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 24, 2024

D - Isolated - Minimal harm Jan 31, 2024 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2024

D - Isolated - Minimal harm Jan 31, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2024

D - Isolated - Minimal harm Jan 31, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2024

D - Isolated - Minimal harm Jan 31, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2024

D - Isolated - Minimal harm Jan 31, 2024 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 11, 2024

D - Isolated - Minimal harm Jan 31, 2024 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 11, 2024

D - Isolated - Minimal harm Jan 31, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Mar 11, 2024

F - Widespread - Minimal harm Jan 31, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 11, 2024

F - Widespread - Minimal harm Jan 31, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 11, 2024

D - Isolated - Minimal harm Oct 12, 2023 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 27, 2023

D - Isolated - Minimal harm Oct 12, 2023 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 27, 2023

E - Pattern - Minimal harm Sep 26, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 13, 2023

E - Pattern - Minimal harm Sep 26, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 13, 2023

E - Pattern - Minimal harm Sep 26, 2023 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 13, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 12.2% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 7.5% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.4% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 6.7% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.2% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 13.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 7.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 92.4% No

Penalty History 1 penalties totaling $12K

Date Type Amount
Jun 23, 2024 Fine $12K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Hill Country Heights, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Hill Country Heights

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 96 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Hill Country Heights?
Hill Country Heights has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (2★), and quality measures (4★).
Where does Hill Country Heights rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Hill Country Heights ranks 272nd among 1,165 rated nursing homes in TX (#272 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Hill Country Heights?
Hill Country Heights reports 3.48 total nursing hours per resident day (national average: 3.86). RN hours are 0.44 per resident day (national average: 0.69). Nursing staff turnover is 42.1%.
How many beds does Hill Country Heights have?
Hill Country Heights has 96 certified beds with approximately 76 residents. The facility is located at 810 Industrial Ave, Copperas Cove, TX 76522.
Does Hill Country Heights have any deficiencies on record?
Yes, Hill Country Heights has 23 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Hill Country Heights received any fines or penalties?
Yes, Hill Country Heights has received 1 penalties totaling $12K.
Who owns Hill Country Heights?
Hill Country Heights is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Hill Country Heights last inspected?
The most recent health inspection for Hill Country Heights was on May 21, 2026. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Hill Country Heights?
Hill Country Heights is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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