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Nursing home report

Chisolm Trail Nursing and Rehabilitation Center

Lockhart, TX · Medicare-certified · 96 beds

Needs attention
For-profitChain member
2 of 5 overall

Chisolm Trail Nursing and Rehabilitation Center in Lockhart, TX has a 2-out-of-5 overall rating, with very weak staffing (1 star and 2.63 nursing hours per resident per day vs. the 4.1 federal benchmark) and a recent federal penalty with $37,541 in fines. Its health inspection rating is 3 stars and quality measures are 4 stars, but recent cited issues included pressure ulcer care, resident rights, and food handling.

Facility ratings

Health inspections

Staffing

2.6269 hrs/resident/day

Quality measures

Last inspection: August 7, 2025Penalties, last 24 months: $37,541recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.6269.

Staffing detail

Registered nurses
0.41
Licensed practical nurses
0.43
Nurse aides
1.79
Weekend nursing
2.17

Hours per resident per day.

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

4.1%6.7%Worsening

Residents with a fall causing major injury

6.8%4.8%Improving

Residents with pressure ulcers (bedsores)

6.3%0%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

5%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

8.6%3.8%Improving

Residents whose ability to walk got worse

12.4%24.4%Worsening

Long-stay residents on antianxiety or sleep medication

21.9%13.8%Improving

Short-stay residents newly given an antipsychotic

0%5%Worsening

Residents with a long-term catheter

1.5%0%Improving

Residents with new or worsening incontinence

15.1%13.8%Improving

Residents with depressive symptoms

0%3.4%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

100%

Short-stay residents given the pneumonia vaccine

100%100%No change

What the inspectors found

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: K

The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 578 — 42 CFR §483.10 — S/S: E

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: E

The nursing home failed to have policies to keep smoking safe and properly managed. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 926 — 42 CFR §483.90 — S/S: E

The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited June 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 609 — 42 CFR §483.12 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $37,541 was recorded.

Penalties & enforcement

On record with Medicare: 1 fine · $37,541 in total fines.

  • Federal fine

    Aug 31, 2024

    $37,541

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of DIVERSICARE HEALTHCARE · 46 homes · 2.5 stars avg
Occupancy
69.4 residents on an average day (72% of 96 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 33 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.