PlainNursing
CMS Nursing Home Compare · August 2026

Holiday Hill INC

245 State Highway 153, Coleman, TX 76834

Holiday Hill INC, a 106-bed non profit - other nursing facility in Coleman, TX, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #188 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: 3256254157

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4 / 5
Above average · CMS overall · nat'l 3.0
#188 of 1,165
In-state rank among rated TX homes
3.58
Below average · nurse hrs/day · nat'l 3.86
16
Inspection findings

The verdict

Holiday Hill INC, a 106-bed non profit - other nursing facility in Coleman, TX, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #188 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.

4 / 5
CMS overall · national 3.0
#188 of 1,165
In-state rank among rated TX homes
3.58
Nurse hrs/resident-day · national 3.86
16
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 Non profit - Other. 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

4/5

Quality Measures

3/5

Long-Stay Quality

2/5

Facility Information

Provider Number
675687
Ownership
Non profit - Other
Provider Type
Medicare and Medicaid
Beds
106
Residents
56
In Hospital
No
County
Coleman
Last Inspection
Jan 8, 2026

Staffing Data

How the 3.58 total nursing hours per resident-day are staffed:

RN Hours
0.21 (nat'l avg: 0.69)
LPN Hours
1.13
CNA Hours
2.24
Total Nursing Hours
3.58 (nat'l avg: 3.86)
PT Hours
0.01
Nursing Turnover
36.4%

What the CMS Record Reveals About Holiday Hill INC

According to CMS Nursing Home Compare, Holiday Hill INC ranks #188 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Holiday Hill INC operates 106 certified beds in Coleman, TX with approximately 56 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 4★ · quality 3★).

The inspection file contains 16 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 14 penalties totaling $64K against this provider. Staffing is reported at 3.58 total nursing hours per resident day (national average 3.86), with RN coverage at 0.21 per resident day.

Classified as "Non profit - Other" ownership and operating as a "Medicare and Medicaid" provider, Holiday Hill INC falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 36.4% (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 (16 most recent)

D - Isolated - Minimal harm Jan 8, 2026 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 19, 2026

D - Isolated - Minimal harm Jan 8, 2026 Tag: 0577

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Category: Resident Rights Deficiencies

Corrected: Jan 19, 2026

E - Pattern - Minimal harm Jan 8, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 16, 2026

E - Pattern - Minimal harm Jan 8, 2026 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 19, 2026

D - Isolated - Minimal harm Sep 19, 2024 Tag: 0700

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 10, 2024

E - Pattern - Minimal harm Sep 19, 2024 Tag: 0909

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Category: Environmental Deficiencies

Corrected: Oct 3, 2024

E - Pattern - Minimal harm Sep 19, 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: Oct 3, 2024

F - Widespread - Minimal harm Sep 19, 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: Sep 30, 2024

D - Isolated - Minimal harm Jun 12, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 12, 2024

D - Isolated - Minimal harm Aug 9, 2023 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 10, 2023

E - Pattern - Minimal harm Aug 9, 2023 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Aug 28, 2023

E - Pattern - Minimal harm Aug 9, 2023 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Sep 1, 2023

E - Pattern - Minimal harm Aug 9, 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: Aug 10, 2023

E - Pattern - Minimal harm Aug 9, 2023 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Aug 16, 2023

E - Pattern - Minimal harm Aug 9, 2023 Tag: 0727

Have 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.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 10, 2023

E - Pattern - Minimal harm Aug 9, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 1, 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 24.0% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.6% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 11.9% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 9.7% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 19.7% 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 0.6% No
Percentage of long-stay residents who have depressive symptoms Long Stay 4.0% 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 2.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.4% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 23.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History 14 penalties totaling $64K

Date Type Amount
Nov 20, 2023 Fine $5K
Nov 13, 2023 Fine $5K
Nov 6, 2023 Fine $5K
Oct 30, 2023 Fine $5K
Oct 23, 2023 Fine $5K
Oct 17, 2023 Fine $5K
Oct 10, 2023 Fine $5K
Oct 2, 2023 Fine $5K
Sep 25, 2023 Fine $5K
Sep 18, 2023 Fine $5K
Sep 11, 2023 Fine $5K
Sep 5, 2023 Fine $5K
Aug 28, 2023 Fine $5K
Aug 21, 2023 Fine $5K

Nationwide facilities with similar scale or staffing

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

What the CMS records show for Holiday Hill INC

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 106 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 Holiday Hill INC?
Holiday Hill INC has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (3★).
Where does Holiday Hill INC rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Holiday Hill INC ranks 188th among 1,165 rated nursing homes in TX (#188 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 Holiday Hill INC?
Holiday Hill INC reports 3.58 total nursing hours per resident day (national average: 3.86). RN hours are 0.21 per resident day (national average: 0.69). Nursing staff turnover is 36.4%.
How many beds does Holiday Hill INC have?
Holiday Hill INC has 106 certified beds with approximately 56 residents. The facility is located at 245 State Highway 153, Coleman, TX 76834.
Does Holiday Hill INC have any deficiencies on record?
Yes, Holiday Hill INC has 16 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Holiday Hill INC received any fines or penalties?
Yes, Holiday Hill INC has received 14 penalties totaling $64K.
Who owns Holiday Hill INC?
Holiday Hill INC is classified as "Non profit - Other" ownership. The facility type is "Medicare and Medicaid".
When was Holiday Hill INC last inspected?
The most recent health inspection for Holiday Hill INC was on Jan 8, 2026. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Holiday Hill INC?
Holiday Hill INC 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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