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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
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.