Copperas Hollow Nursing & Rehabilitation Center — nursing home in Caldwell, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 90 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 45.8 CMS, MDS-derived
CMS Certification Number: 676227
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 26, 2009
Ownership type: For profit - Corporation
Operator (legal business name): Coryell County Memorial Hospital Authority
CMS chain: Creative Solutions in Healthcare 150 facilities
Phone: (979) 567-4300
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

12

latest Apr 11, 2026

Citations

22

21 health · 1 fire

Harm or worse

2

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K1	L·
Actual harm	G·	H·	I·
Potential harm	D11	E6	F3
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

2

$49,901

Payment denials

0

Latest

May 7, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 676227
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 90
First approved: Jun 26, 2009
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Apr 11, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Nov 19, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Aug 28, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Aug 28, 2025	Health	Health Standard	2	Potential harm	—	Open →
May 7, 2025	Health	Health Complaint	2	Immediate jeopardy	—	Open →
Jan 18, 2025	Health	Health Complaint	2	Immediate jeopardy	—	Open →
Jul 23, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Jul 11, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jul 11, 2024	Health	Health Standard	5	Potential harm	—	Open →
Oct 17, 2023	Health	Infection Control	0	No citations	—	Open →
May 25, 2023	Fire safety	Fire Safety Standard	0	No citations	—	Open →
May 25, 2023	Health	Health Standard	7	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
May 7, 2025	Civil money penalty (fine)	$34,776	—	676227\|Fine\|113848
Jan 18, 2025	Civil money penalty (fine)	$15,125	—	676227\|Fine\|113528

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K1	L·
Actual harm	G·	H·	I·
Potential harm	D11	E6	F3
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Apr 11, 2026	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 12, 2026	Complaint
Nov 19, 2025	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 20, 2025	Complaint
Aug 28, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 6, 2025
Aug 28, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Aug 29, 2025
Aug 28, 2025	F-0693	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 29, 2025
May 7, 2025	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	K · Immediate jeopardy Pattern	Corrected Jun 3, 2025	Complaint
May 7, 2025	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 4, 2025	Complaint
Jan 18, 2025	F-0742	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. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Jan 19, 2025	Complaint
Jan 18, 2025	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 19, 2025	Complaint
Jul 23, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 24, 2024	Complaint
Jul 11, 2024	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 12, 2024
Jul 11, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 12, 2024
Jul 11, 2024	F-0699	Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 12, 2024
Jul 11, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jul 12, 2024
Jul 11, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jul 12, 2024
May 25, 2023	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jul 14, 2023
May 25, 2023	F-0577	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jul 14, 2023
May 25, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 14, 2023
May 25, 2023	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jul 14, 2023
May 25, 2023	F-0688	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 14, 2023
May 25, 2023	F-0727	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. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Jul 14, 2023
May 25, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jul 14, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.19

State avg 3.42US avg 3.90

Registered nurse (RN)0.38

State avg 0.44US avg 0.69

Licensed practical nurse0.95

State avg 0.94US avg 0.86

Nurse aide1.86

State avg 2.03US avg 2.35

Weekend total nurse2.72

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.23 (case-mix index 1.38).

Staff turnover

Total nursing staff turnover58.0%

State avg 50.8%US avg 45.3%

Registered nurse turnover50.0%

State avg 49.8%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Aug 28, 2025
Cycle 1 health score: 20
Total weighted score: 75
Infection-control citations: 0

Operating entity

Coryell County Memorial Hospital Authority

CMS legal business name of the certified provider. Operates 31 facilities.

VerifiedLinked by exact legal name

CMS chain

Creative Solutions in Healthcare

150 facilities in 1 states. CMS chain ID 169.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.3

Ownership disclosures

Disclosures

5

Organizations

1

Individuals

4

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
David Byrom	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2014

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
David Byrom	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2014
Coryell County Memorial Hospital Authority	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2014
David Byrom	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2014
David Byrom	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2014
David Byrom	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jan 1, 2014

Other facilities operated by Coryell County Memorial Hospital Authority

All 30 →

Facility	Beds	Last inspection	Citations (window)	Fines
Fort Worth Wellness & Rehabilitation 2129 Skyline Dr, Fort Worth, TX 76114 CCN 455457	104	Aug 18, 2026	301 IJ	$122k
Ivy Creek Wellness & Rehabilitation 2501 Maple Ave, Waco, TX 76707 CCN 455478	162	Jul 1, 2026	454 IJ2 open	$149k
Glenview Wellness & Rehabilitation 7625 Glenview Dr, North Richland Hills, TX 76180 CCN 455494	163	Aug 11, 2026	444 IJ2 open	$16k
Mcgregor Wellness & Rehabilitation 414 Johnson Dr, Mc Gregor, TX 76657 CCN 455554	186	Mar 12, 2026	256 IJ	$49k
West Side Campus of Care 1950 S Las Vegas Trail, White Settlement, TX 76108 CCN 455592	234	Mar 26, 2026	354 IJ	$16k
Western Hills Healthcare Residence 400 Old Sidney Rd, Comanche, TX 76442 CCN 455602	158	Jul 22, 2026	433 IJ	$62k
Colonial Manor Nursing Center 2035 N Granbury St, Cleburne, TX 76031 CCN 455631Abuse icon	137	Apr 9, 2026	142 IJ1 harm	$52k
Bedford Wellness & Rehabilitation 2001 Forest Ridge Dr, Bedford, TX 76021 CCN 455798	166	Aug 13, 2026	311 IJ2 open	$14k

Same chain in Texas

All 149 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Buena Vida Nursing and Rehab-San Antonio 5027 Pecan Grove, San Antonio, TX 78222 CCN 455390SFF CandidateAbuse icon	222	Jul 24, 2026	595 IJ1 harm	$198k
Mesa Vista Inn Health Center 5756 North Knoll Drive, San Antonio, TX 78240 CCN 455444	144	Jul 2, 2026	531 IJ	$8,160
Mountain View Health & Rehabilitation 1600 Muchison Rd, El Paso, TX 79902 CCN 455471	187	Jul 2, 2026	836 IJ	$123k
Vista Hills Health Care Center 1599 Lomaland Drive, El Paso, TX 79935 CCN 455493	120	Aug 24, 2026	832 IJ	$40k
Pleasant Springs Healthcare Center 2003 North Edwards Avenue, Mount Pleasant, TX 75455 CCN 455532SFF CandidateAbuse icon	90	Aug 7, 2026	774 IJ2 harm	$66k
Amistad Nursing and Rehabilitation Center 200 Riverside Drive, Uvalde, TX 78801 CCN 455536	200	Aug 7, 2026	44	—
Heritage at Longview Healthcare Center 112 Ruthlynn Dr, Longview, TX 75605 CCN 455569	140	Apr 28, 2026	401 IJ1 harm1 open	$82k
Mineral Wells Nursing & Rehabilitation 316 Southwest 25th Avenue, Mineral Wells, TX 76067 CCN 455570	109	Jun 24, 2026	19	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 345 Country Club Dr, Caldwell, TX 77836
ZIP: 77836
County: Burleson County FIPS 48051
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Avir at Caldwell 1022 Presidential Corridor Hwy 21 E, Caldwell, TX 77836 CCN 675885	4.2 km	112		Aug 21, 2026	563 IJ	$86k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	676227	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	676227	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 676227

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction