GoodStanding

Nursing home report

HILL COUNTRY HEIGHTS

COPPERAS COVE, TX · Medicare-certified · 96 beds

Needs attention
For-profitChain member
3 of 5 overall

Hill Country Heights in Copperas Cove has a 3-star overall rating, with a 1-star staffing rating and reported nurse staffing below the federal benchmark (3.42 vs. 4.1 hours per resident per day). It also had $12,356 in fines in the last 24 months and a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.4189 hrs/resident/day

Quality measures

Last inspection: December 8, 2025Penalties, last 24 months: $12,356recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4189.

Staffing detail

Registered nurses
0.41
Licensed practical nurses
0.86
Nurse aides
2.15
Weekend nursing
3.01

Hours per resident per day.

Total staff turnover: 49%
Registered nurse turnover: 33%

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

8.3%6.2%Improving

Residents with a fall causing major injury

0%0%No change

Residents with pressure ulcers (bedsores)

3.5%3.1%No change

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

4.3%5.8%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

12.5%17.1%Worsening

Residents whose ability to walk got worse

6.2%

Long-stay residents on antianxiety or sleep medication

10.4%9.4%Improving

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

12.9%10.6%Improving

Residents with depressive symptoms

0%0%No change

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

92.4%

Short-stay residents given the pneumonia vaccine

89.5%100%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited January 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 804 — 42 CFR §483.60 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2024 — 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 promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited December 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: E

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 September 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — 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 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $12,356 was recorded.

  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $12,356 in total fines.

  • Federal fine

    Jun 23, 2024

    $12,356

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of TOUCHSTONE COMMUNITIES · 25 homes · 2.7 stars avg
Occupancy
71.9 residents on an average day (75% of 96 beds)
Resident voice
Resident council
Medicare history
Certified for 30 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.