Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
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 Hillside Medical Lodge during CMS and state inspections, most recent first.
A medication aide in an LTC facility administered non-prescribed Buspirone and Magnesium Oxide to a resident due to a failure to confirm the 5 rights of medication administration. The resident, with moderate cognitive impairment and a heart condition, was monitored after the error and showed no significant adverse effects. The incident was attributed to communication and human error.
The facility failed to ensure that five out of nine dietary staff members had current food handler's certificates, potentially risking foodborne illness for residents. The Dietary Manager and Administrator relied on Relias training, mistakenly believing it was accredited. No records of in-service training or dietary new hire training policy were available.
A dietary aide in an LTC facility was observed using bare hands to handle ready-to-eat foods, violating food safety standards. Despite receiving training on proper food handling, the aide did not use gloves or utensils, and the ADON did not intervene. The facility's policy requires the use of utensils or gloves to prevent cross-contamination.
Medication Error Due to Non-Compliance with 5 Rights
Penalty
Summary
The facility failed to provide pharmaceutical services to meet the needs of a resident, resulting in a medication error. A medication aide (MA A) administered 5 mg of Buspirone and 400 mg of Magnesium Oxide to a resident without a prescription. This incident occurred when the medication aide, who was not being supervised by a trainer at the time, mistakenly gave the medications to the wrong resident. The error was attributed to the failure to confirm the 5 rights of medication administration, which include the right person, right time, right dose, right medication, and right route. The resident involved in the incident was an elderly woman with a diagnosis of Paroxysmal Atrial Fibrillation and moderate cognitive impairment, as indicated by a BIMS score of 12. Following the administration of the non-prescribed medications, a telehealth visit was conducted, during which the resident was found to be non-distressed, alert, and oriented, with stable vital signs. The physician advised monitoring the resident's vitals and holding her usual doses of Remeron and Melatonin due to potential sedation effects from the Buspirone and Magnesium Oxide. The medication error was documented in a facility-generated Medication Error Report, which noted that the error occurred because the medication aide did not follow the 5 rights of medication administration. The aide had recently been issued a medication aide permit and had completed a medication administration check-off form the day before the incident, indicating that she met the required tasks. Interviews with other medication aides and the Director of Nursing (DON) confirmed that training and safeguards were in place to prevent such errors, but the incident was attributed to communication and human error.
Deficiency in Dietary Staff Certification
Penalty
Summary
The facility failed to provide sufficient support personnel with the appropriate competencies and skills to carry out the functions of the food and nutrition service. Specifically, five out of nine dietary staff members did not possess a current food handler's certificate from the date of hire until August 13, 2024. This deficiency was identified through observations, interviews, and record reviews. The absence of these certificates could place all residents consuming food prepared in the kitchen at risk of foodborne illness. Interviews revealed that the Dietary Manager (DM) acknowledged the requirement for all dietary staff to have an accredited food handler's certificate before working in the kitchen. However, the DM stated that the staff underwent training through Relias, a computer-based education system, and on-the-job training. The Administrator also believed that Relias was accredited based on guidance from the corporate office, but this was not the case. The Relias customer service confirmed that they were not affiliated with any state-level accreditation programs. Furthermore, the facility failed to provide records of in-service training for dietary staff, and the policy for dietary new hire training was unavailable.
Failure to Follow Food Safety Standards
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed during a lunch service on the 200 hall bistros. Dietary Aide C was seen using her bare hands to pick up pickles and onions, placing them into residents' sandwiches without wearing gloves or using utensils. This action was witnessed by the Assistant Director of Nursing (ADON), who did not intervene or correct the behavior. Dietary Aide C later acknowledged that she should have used utensils or gloves to prevent cross-contamination, as per facility policy. Interviews with facility staff revealed that the Dietary Manager (DM) was responsible for training new kitchen staff on proper food handling and serving procedures, although she did not maintain documentation of this training. The Director of Nursing (DON) confirmed that dietary staff received specific training from their manager, separate from nursing staff. The Administrator stated that new dietary personnel underwent general facility orientation, job-specific training through RELIAS, and on-the-job training with the dietary supervisor. Despite these training protocols, the incident occurred, indicating a lapse in adherence to the established food safety policies.
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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 Gatesville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Coryell Health Rehab Living At The Meadows | 3.9 mi | — | 4 | 0 |
| Mcgregor Wellness & Rehabilitation | 17.5 mi | — | 6 | 0 |
| Avir At Killeen | 20.8 mi | — | 9 | 0 |
| Rosewood Heights | 21 mi | — | 2 | 0 |
| Hill Country Heights | 23.1 mi | — | 1 | 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.