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.
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).
Last yrNowTrend
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).
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
—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
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 3 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $12,356 was recorded.
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.