Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hill Country Heights during CMS and state inspections, most recent first.
A resident with multiple comorbidities developed worsening moisture-associated skin damage (MASD) that progressed to full thickness tissue erosion. Despite ongoing skin assessments and documentation of deterioration, the wound care NP was not promptly notified or involved, resulting in delayed treatment. Facility staff interviews revealed inconsistent processes for escalating care and notifying providers when a resident's skin condition failed to improve.
The facility failed to maintain safe conditions for wheelchairs, affecting four residents. Observations showed cracked armrests with exposed foam, posing potential injury risks. Interviews revealed a lack of communication and follow-up on repairs, with the Maintenance Supervisor unaware of recent issues. The Administrator confirmed inspections and ongoing repairs, but no policy was provided at the survey exit.
A staff member failed to disinfect a blood pressure cuff between uses on two residents, both with diabetes and hypertension, during a morning medication pass. The oversight was acknowledged by the staff member, who admitted to forgetting the protocol. The DON confirmed the requirement for cleaning equipment between uses, as per facility policy, to prevent cross-contamination and infections.
The facility failed to submit complete staffing data to CMS for April 2024, resulting in deficiencies such as no RN hours and lack of 24-hour licensed nursing coverage. The issue arose during a management transition, with both companies potentially submitting data, leading to reporting errors.
A resident with a history of falls and requiring two-person assistance was inadequately supervised during a shower transfer, resulting in a fall and open ankle fracture. The facility failed to update the Kardex and POC for the resident and others, and CNAs were not trained to locate transfer status information, leading to systemic issues in communication and training.
Failure to Immediately Notify Physician of Significant Change in Skin Condition
Penalty
Summary
The facility failed to immediately consult with a resident's physician when there was a significant change in the resident's health status, specifically regarding the development and progression of moisture-associated skin damage (MASD) in a resident with multiple complex medical conditions. The resident, an elderly female with a history of cerebral infarction, end-stage renal disease requiring dialysis, heart failure, diabetes, and other comorbidities, was at high risk for skin breakdown. Upon admission, she had no wounds but was identified as being at risk for pressure ulcers and MASD, with care plans and physician orders in place for prevention and treatment. Despite ongoing skin assessments and documentation of MASD and subsequent deterioration, there was a lack of timely notification and involvement of the wound care nurse practitioner (NP) as the resident's skin condition worsened. The wound care NP was not involved until the MASD had advanced to full thickness tissue erosion, despite facility policy requiring notification of the medical provider for new or worsening wounds. Interviews with staff, including nurses, the DON, and the wound care NP, revealed inconsistent understanding and execution of the process for escalating care and notifying the appropriate provider when the resident's skin condition failed to improve or deteriorated further. Documentation and interviews indicated that the wound care NP was not informed or involved until the condition had significantly worsened, and the previous NP was also not notified of the new or worsening MASD. The lack of immediate consultation and delayed escalation of care resulted in a delay in the treatment and services needed for the resident's skin condition, contrary to facility policy and care plan interventions that required prompt notification of the physician or wound care provider for significant changes in condition.
Facility Fails to Maintain Safe Wheelchair Conditions
Penalty
Summary
The facility failed to ensure that assistive devices, specifically wheelchairs, were maintained and free of hazards for four residents. Observations revealed that the wheelchairs of these residents had cracked armrests with exposed foam, which could potentially cause injury. Resident #13, who is severely cognitively impaired, was found with a wheelchair that had a cracked right armrest. Resident #21, moderately cognitively impaired, was observed in a wheelchair with both armrests cracked. Resident #48, also moderately cognitively impaired, reported that his wheelchair, provided by the facility, had cracked armrests, and he had informed a charge nurse about it. Resident #221, who is cognitively alert, reported discomfort due to a cracked right armrest. Interviews with the Director of Nursing (DON) and the Maintenance Supervisor revealed a lack of communication and follow-up regarding the repair of wheelchairs. The DON mentioned that a sweep was conducted two months prior, and the armrests requiring repair were reported to the Maintenance Supervisor. However, the Maintenance Supervisor stated he had not received any recent reports from staff about wheelchairs needing repair. The Administrator later confirmed that all wheelchairs had been inspected, and necessary repairs were underway, but no policy was provided by the facility at the time of the survey exit.
Inadequate Disinfection of Blood Pressure Cuff
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the actions of a staff member, MA A, who did not disinfect a blood pressure cuff between uses on two residents. This oversight was observed during a morning medication pass, where MA A used the same blood pressure cuff on two residents without sanitizing it before or after each use. The residents involved were both elderly females with diagnoses including diabetes and hypertension, and both required assistance with activities of daily living. MA A admitted to forgetting to clean the cuff and acknowledged the potential for spreading germs. The Director of Nursing (DON), who also serves as the infection control preventionist, confirmed that all direct care staff are required to clean equipment, including blood pressure cuffs, after each resident contact. The facility's policy mandates that multi-patient use equipment be cleaned and disinfected between uses. Despite having received prior training on cleaning and storing equipment, MA A did not adhere to these protocols, which could lead to cross-contamination and infections among residents.
Incomplete Staffing Data Submission to CMS
Penalty
Summary
The facility failed to electronically submit complete and accurate direct care staffing information to CMS for the third quarter of 2024, specifically for the month of April. The Casper3 PBJ report indicated several deficiencies, including a One Star Staffing Rating, excessively low weekend staffing, no RN hours, and a failure to maintain licensed nursing coverage 24 hours a day throughout April 2024. The report showed no RN hours and a lack of licensed nursing coverage for every day in April. Despite the submission of a file to CMS on May 14, 2024, which was accepted, the report confirmed that total employee link records were not submitted. Interviews with the Administrator and the DON revealed that the facility was unaware of the missing RN and nursing hours in the report. The Administrator mentioned that the management company was in bankruptcy and a new company took over on May 1, 2024, which may have contributed to the reporting issues. The DON confirmed that there were no days without a working RN in April and was unaware of any issues. The Administrator speculated that data submission by both companies might have caused the reporting problems. The facility acknowledged the importance of accurate reporting to CMS and attributed the error to the transition between management companies.
Inadequate Supervision and Transfer Assistance Leads to Resident Injury
Penalty
Summary
The facility failed to ensure a safe environment free from accident hazards and provide adequate supervision for a resident during transfers, leading to a significant injury. A resident, who had a history of repeated falls and required two-person assistance for transfers, was inadequately supervised by a CNA during a shower transfer. The CNA, believing the resident was a one-person assist, attempted to transfer the resident alone, resulting in the resident falling and sustaining an open right ankle fracture that required hospitalization and surgical intervention. The deficiency was compounded by the facility's failure to update the Kardex and plan of care (POC) to reflect the current safe transfer status requirements for the resident and 12 other residents. The CNA involved in the incident was not knowledgeable about how to locate the Kardex to determine the required level of assistance for transfers. This lack of knowledge was not isolated to one CNA, as other CNAs also reported not knowing where to find transfer status information in the medical records or Kardex, relying instead on verbal exchanges with other staff. Interviews with facility staff revealed systemic issues in communication and training regarding resident transfer needs. The MDS Coordinator had a list of residents with missing or incorrect transfer status information, which was only corrected after the state incident investigation began. The facility's policies required that transfer needs be assessed and updated regularly, but these were not adhered to, leading to the resident's injury and the identification of an immediate jeopardy situation.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Copperas Cove
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Copperas Cove Nursing & Rehabilitation | 0.9 mi | — | 12 | 0 |
| Avir At Killeen | 9.6 mi | — | 9 | 0 |
| Rosewood Heights | 10.2 mi | — | 2 | 0 |
| Harker Heights Nursing & Rehabilitation | 14.1 mi | — | 4 | 0 |
| Caraday Of Lampasas | 17.2 mi | — | 6 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.