Hill Country Nursing & Rehab

Penalties

• Nov 7, 2024 — Fine ($2,243)
• Mar 6, 2024 — Fine ($10,829)
• Sep 14, 2023 — Fine ($3,354)

Inspection findings

1. Feb 26, 2026 Health · 5 findings
   • Not serious Scope/severity F

     F0727 Nursing and Physician Services Deficiencies

     Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

     Corrected Feb 27, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Feb 27, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Feb 25, 2026 · CMS fire safety

   • Not serious Scope/severity D

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Feb 25, 2026 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     CMS fire safety

2. Dec 22, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 23, 2025 · CMS health inspection

3. Nov 7, 2024 Health · 6 findings
   • Not serious Scope/severity D Complaint

     F0656 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.

     Corrected Nov 8, 2024 · CMS health inspection

   • Serious Scope/severity G

     F0692 Quality of Life and Care Deficiencies

     Provide enough food/fluids to maintain a resident's health.

     Corrected Nov 8, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Nov 8, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Nov 8, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Mar 6, 2025 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Mar 28, 2025 · CMS fire safety

4. Mar 6, 2024 Health · 1 finding
   • Serious Scope/severity H Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Feb 29, 2024 · CMS health inspection

5. Sep 14, 2023 Health · 6 findings
   • Not serious Scope/severity D

     F0645 Resident Assessment and Care Planning Deficiencies

     PASARR screening for Mental disorders or Intellectual Disabilities

     Corrected Sep 16, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Sep 16, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Sep 16, 2023 · CMS health inspection

   • Serious Scope/severity G

     F0697 Quality of Life and Care Deficiencies

     Provide safe, appropriate pain management for a resident who requires such services.

     Corrected Sep 16, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Sep 16, 2023 · CMS health inspection

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     CMS fire safety

Owners and managers (as published by CMS)

• CHOI, MARYANN — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/02/2025
• CHOI, ROBERT — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/02/2025
• CHUDLEIGH, JAMES — adp of the snf, NOT APPLICABLE, since 08/01/2021
• CHUMLEY, RICHARD — corporate director, NOT APPLICABLE, since 01/01/2024
• CUNNINGHAM, ERNEST — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/02/2025
• HOSS, RALPH — adp of the snf, NOT APPLICABLE, since 04/07/2025
• HOSS, RALPH — operational/managerial control, NOT APPLICABLE, since 04/07/2025
• MOORE, GREGORY — operational/managerial control, NOT APPLICABLE, since 01/01/2024
• O'DONOGHUE-STALLARD, MAIRE — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/02/2025
• STALLARD, THOMAS — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/02/2025
• WOOD, STEPHEN — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/02/2025
• CARADAY LAMPASAS LLC — operational/managerial control, NOT APPLICABLE, since 01/01/2024
• STRATFORD HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 01/01/2024