The nursing home failed to ensure residents were free from significant medication errors. Cited May 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: K
Nursing home report
COPPERAS HOLLOW NURSING & REHABILITATION CENTER
CALDWELL, TX · Medicare-certified · 90 beds
Needs attention
For-profitChain member
2 of 5 overall
2-star overall facility with a 2-star health inspection rating and a 1-star staffing rating; reported staffing is 3.47 hours per resident per day, below the 4.1 federal benchmark. It also has $49,901 in fines in the last 24 months, a recent federal penalty, and recent citations involving medication errors, behavioral/mental health care, and food handling.
Facility ratings
Health inspections
Staffing
3.4668 hrs/resident/day
Quality measures
Last inspection: November 19, 2025Penalties, last 24 months: $49,901recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4668.
Staffing detail
- Registered nurses
- 0.33
- Licensed practical nurses
- 0.99
- Nurse aides
- 2.15
- Weekend nursing
- 3.10
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
3.8%7.1%Worsening
Residents with a fall causing major injury
2.5%2.3%No change
Residents with pressure ulcers (bedsores)
3%0%Improving
Residents with a urinary tract infection
0%2.3%Worsening
Residents who lost too much weight
3%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0%2.8%Worsening
Residents whose ability to walk got worse
10.9%5%Improving
Long-stay residents on antianxiety or sleep medication
17.6%21.1%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
12.6%11.1%Improving
Residents with depressive symptoms
0%2.7%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%91.3%Worsening
What the inspectors found
The home failed to provide appropriate treatment and support for a resident with mental health, adjustment, or trauma-related needs. Cited January 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 742 — 42 CFR §483.40 — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — 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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $34,776 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $15,125 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $61,546 in total fines.
- $34,776
Federal fine
May 7, 2025
- $15,125
Federal fine
Jan 18, 2025
- $11,645
Federal fine
Jun 12, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
- Occupancy
- 44.1 residents on an average day (49% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 16 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.