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COPPERAS HOLLOW NURSING & REHABILITATION CENTER

345 COUNTRY CLUB DR
CALDWELL, TX 77836 · 9795674300 · Burleson County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds90
OwnershipFor profit - Corporation
State rank#547

By the numbers

24
Health citations (3 cycles)
2
Immediate-jeopardy (J/K/L)
0
Actual-harm (G/H/I)
$49,901
Federal fines (CMPs)
The trend: Citations are trending down — 4 in the most recent cycle versus 11 two cycles ago.

Recent Health Citations

Apr 11, 2026 · Health survey · F-tag 0580
D — No actual harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Nov 19, 2025 · Health survey · F-tag 0580
D — No actual harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Aug 28, 2025 · Health survey · F-tag 0693
D — No actual harm
Quality of Life and Care Deficiencies
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.
Aug 28, 2025 · Health survey · F-tag 0656
E — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
May 7, 2025 · Health survey · F-tag 0842
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
May 7, 2025 · Health survey · F-tag 0760
K — Immediate jeopardy
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Details
Correction status: Corrected Jun 3, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Jan 18, 2025 · Health survey · F-tag 0842
E — No actual harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jan 18, 2025 · Health survey · F-tag 0742
J — Immediate jeopardy
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Details
Correction status: Corrected Jan 19, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Jul 23, 2024 · Health survey · F-tag 0684
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jul 11, 2024 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 11, 2024 · Health survey · F-tag 0699
D — No actual harm
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Jul 11, 2024 · Health survey · F-tag 0677
D — No actual harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Jul 11, 2024 · Health survey · F-tag 0584
D — No actual harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Jul 11, 2024 · Health survey · F-tag 0812
E — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Aug 21, 2023 · Health survey · F-tag 0880
E — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 21, 2023 · Health survey · F-tag 0761
E — No actual harm
Pharmacy Service Deficiencies
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.
Aug 21, 2023 · Health survey · F-tag 0583
E — No actual harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
May 25, 2023 · Health survey · F-tag 0688
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
May 25, 2023 · Health survey · F-tag 0656
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
May 25, 2023 · Health survey · F-tag 0677
E — No actual harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

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How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.