For profit - Corporation · 128 certified beds · CMS number 675201

Hillside Medical Lodge, Gatesville, TX

CMS records 13 health deficiencies at Hillside Medical Lodge in Gatesville, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Dec 11, 2025. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

CMS findings for Hillside Medical Lodge as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Hillside Medical Lodge may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (8 deficiencies)

Standard inspection Dec 11, 2025. CMS counts 8 health deficiencies and 0 fire safety deficiencies in this cycle.

Dec 11, 2025 · Standard inspection

8 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 12, 2026

F761 · Drug labeling and secure storage

Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 12, 2026

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 12, 2026

F693 · Feeding tube use and care

Requirement cited (CMS): Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 12, 2026

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 12, 2026

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 12, 2026

F583 · Personal privacy and confidential records

Requirement cited (CMS): Keep residents' personal and medical records private and confidential.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 12, 2026

F558 · Accommodating individual needs and preferences

Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 12, 2026
Previous cycle: 3 deficiencies (standard inspection Aug 13, 2024)

Standard inspection Aug 13, 2024. CMS counts 3 health deficiencies and 0 fire safety deficiencies in this cycle.

Jan 28, 2025 · Complaint inspection

1 deficiency, highest D

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Past non-compliance (fixed before the inspection), Nov 14, 2024

Aug 13, 2024 · Standard inspection

2 deficiencies, highest E

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 14, 2024

F802 · Enough kitchen and dining support staff

Requirement cited (CMS): Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 14, 2024
Earlier cycle: 2 deficiencies (standard inspection Jul 11, 2023)

Standard inspection Jul 11, 2023. CMS counts 2 health deficiencies and 0 fire safety deficiencies in this cycle.

Sep 18, 2023 · Complaint inspection

1 deficiency, highest D

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 19, 2023

Jul 11, 2023 · Standard inspection

1 deficiency, highest D

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 3, 2023

Tags cited in more than one inspection

2 tags cited on more than one inspection date at Hillside Medical Lodge; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F656 Comprehensive person-centered care plan2Dec 11, 2025; Jul 11, 2023
F812 Food safety and sanitation2Aug 13, 2024; Sep 18, 2023

Fines and payment denials

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.10 h (below the Texas median of 3.27 h)
RN hours per resident per day
0.28 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.59 h
Nursing staff turnover
46.7% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
3 of 5
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measure rating
2 of 5

CMS figures for Hillside Medical Lodge, copied as published; Texas medians are ours.

Facility details

Address
300 S Highway 36 Byp N, Gatesville, TX 76528
Phone
(254) 865-7575
County
Coryell
Accepts
Medicare and Medicaid
Ownership
For profit - Corporation
Chain (CMS)
Coryell County Memorial Hospital Authority
Certified beds
128
Average residents per day
111.3
In Medicare/Medicaid since
Nov 16, 1993
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
  • When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 2 times)
  • How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 1 time)
  • How do staff protect residents' privacy during bathing, dressing, and treatments? (F583, cited 1 time)

Other nursing homes in Gatesville and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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