PlainNursing
CMS Nursing Home Compare · August 2026

Hillside Medical Lodge

300 S Highway 36 Byp N, Gatesville, TX 76528

Hillside Medical Lodge, a 128-bed for profit - corporation nursing facility in Gatesville, TX, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #580 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm 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: 2548657575

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3 / 5
Average · CMS overall · nat'l 3.0
#580 of 1,165
In-state rank among rated TX homes
3.10
Well below average · nurse hrs/day · nat'l 3.86
13
Inspection findings

The verdict

Hillside Medical Lodge, a 128-bed for profit - corporation nursing facility in Gatesville, TX, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #580 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

3 / 5
CMS overall · national 3.0
#580 of 1,165
In-state rank among rated TX homes
3.10
Nurse hrs/resident-day · national 3.86
13
Inspection findings on file

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 - Corporation. 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

1/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
675201
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
128
Residents
111
In Hospital
No
County
Coryell
Last Inspection
Dec 11, 2025

Staffing Data

How the 3.10 total nursing hours per resident-day are staffed:

RN Hours
0.28 (nat'l avg: 0.69)
LPN Hours
0.90
CNA Hours
1.92
Total Nursing Hours
3.10 (nat'l avg: 3.86)
PT Hours
0.05
Nursing Turnover
46.7%
RN Turnover
62.5%

What the CMS Record Reveals About Hillside Medical Lodge

According to CMS Nursing Home Compare, Hillside Medical Lodge ranks #580 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Hillside Medical Lodge operates 128 certified beds in Gatesville, TX with approximately 111 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 4★ · staffing 1★ · quality 2★).

The inspection file contains 13 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Reported nurse staffing runs 3.10 total hours per resident day (national average 3.86); RN hours specifically are 0.28 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Hillside Medical Lodge falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 46.7% (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 (13 most recent)

D - Isolated - Minimal harm Dec 11, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 12, 2026

D - Isolated - Minimal harm Dec 11, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jan 12, 2026

D - Isolated - Minimal harm Dec 11, 2025 Tag: 0693

Ensure 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.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 12, 2026

D - Isolated - Minimal harm Dec 11, 2025 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: Jan 12, 2026

D - Isolated - Minimal harm Dec 11, 2025 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Jan 12, 2026

D - Isolated - Minimal harm Dec 11, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Jan 12, 2026

E - Pattern - Minimal harm Dec 11, 2025 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 12, 2026

E - Pattern - Minimal harm Dec 11, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 12, 2026

D - Isolated - Minimal harm Jan 28, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Nov 14, 2024

E - Pattern - Minimal harm Aug 13, 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: Aug 14, 2024

E - Pattern - Minimal harm Aug 13, 2024 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 14, 2024

D - Isolated - Minimal harm Sep 18, 2023 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: Sep 19, 2023

D - Isolated - Minimal harm Jul 11, 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: Aug 3, 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 13.7% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.6% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.9% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 15.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 6.5% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 15.1% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 31.8% 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 31.0% 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 24.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 99.0% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Hillside Medical Lodge, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Hillside Medical Lodge

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 128 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 Hillside Medical Lodge?
Hillside Medical Lodge has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (4★), staffing levels (1★), and quality measures (2★).
Where does Hillside Medical Lodge rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Hillside Medical Lodge ranks 580th among 1,165 rated nursing homes in TX (#580 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 Hillside Medical Lodge?
Hillside Medical Lodge reports 3.10 total nursing hours per resident day (national average: 3.86). RN hours are 0.28 per resident day (national average: 0.69). Nursing staff turnover is 46.7%.
How many beds does Hillside Medical Lodge have?
Hillside Medical Lodge has 128 certified beds with approximately 111 residents. The facility is located at 300 S Highway 36 Byp N, Gatesville, TX 76528.
Does Hillside Medical Lodge have any deficiencies on record?
Yes, Hillside Medical Lodge has 13 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Hillside Medical Lodge received any fines or penalties?
No, Hillside Medical Lodge has no fines or penalties on record.
Who owns Hillside Medical Lodge?
Hillside Medical Lodge is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Hillside Medical Lodge last inspected?
The most recent health inspection for Hillside Medical Lodge was on Dec 11, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Hillside Medical Lodge?
Hillside Medical Lodge 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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