facebook tracking Hill Country Heights, Copperas Cove TX: CMS Ratings
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Hill Country Heights

All states › Texas › Copperas Cove › Hill Country Heights

810 Industrial Ave Copperas Cove, TX 76522 · Coryell County

(254) 547-9552

All 2 nursing homes in Copperas Cove, TX (2 take Medicaid)

Accepts Medicare Accepts Medicaid 96 certified beds For profit

CMS certification number 675536 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Hill Country Heights a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Hill Country Heights as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Texas average of 2.8. Inspectors issued 20 citations in the last three years. CMS imposed 1 penalty, including $12,356 in fines, in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.52 hours per resident per day at Hill Country Heights, above the Texas median of 3.30 (US median: 3.72). About 0.43 of those hours are from registered nurses. On weekends it falls to 3.09 hours, 12% below its all-week average. 39.5% of nursing staff left within a year (Texas median 50.2%). That is lower than most homes in Texas, a sign of a steadier team.

Nursing care per resident per day 3.52 hours
Above the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.43 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.09 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 39.5% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 0% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds96
Residents per day 78 About 81% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceOctober 1995
Part of a chainTouchstone Communities
Legal business nameUVALDE COUNTY HOSPITAL AUTHORITY

Paying for care at Hill Country Heights: Medicare and Medicaid

Hill Country Heights is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on May 21, 2026 and found 4 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 20 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 20 citations at Hill Country Heights across 6 inspection dates, 4 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 23, 2024 (complaint inspection). The most common areas cited were quality of life and care (8) and nutrition and dietary (4). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, June 23, 2024).

May 21, 2026 · 4 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 15, 2026)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jun 15, 2026)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Jun 15, 2026)

DProvide special eating equipment and utensils for residents who need them and appropriate assistance.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0810 · Deficient, Provider has date of correction (Jun 15, 2026)

December 8, 2025 · 1 citation · includes complaint inspection

EImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Dec 9, 2025)

March 20, 2025 · 3 citations

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Apr 11, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 11, 2025)

CElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Potential for minimal harm · Administration Deficiencies · Tag F0851 · Deficient, Provider has date of correction (Apr 11, 2025)

June 23, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jun 24, 2024)

January 31, 2024 · 9 citations

FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Mar 11, 2024)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Mar 11, 2024)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Mar 11, 2024)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Mar 11, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Mar 11, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Mar 11, 2024)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Mar 11, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Mar 11, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0697 · Deficient, Provider has date of correction (Mar 11, 2024)

October 12, 2023 · 2 citations · includes complaint inspection

DProvide for the safe, appropriate administration of IV fluids for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0694 · Complaint inspection · Deficient, Provider has date of correction (Oct 27, 2023)

DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0726 · Complaint inspection · Deficient, Provider has date of correction (Oct 27, 2023)

Questions to ask on a tour of Hill Country Heights

  1. Inspectors cited the home at the immediate-jeopardy level on June 23, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $12,356 in fines.

DateTypeAmount or length
Jun 23, 2024 Fine $12,356

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 4/5 2/5 4/5
August 2026 4/5 4/5 2/5 4/5
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Location

Hospitals near Hill Country Heights

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 5.5 mi
    Adventhealth Central Texas Killeen
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 28m for patients treated and sent home
  • 6.9 mi
    Darnall AMC (Ft Cavazos) Fort Cavazos
    Emergency room
    Median ER visit 2h 59m for patients treated and sent home
  • 12.9 mi
    Seton Medical Center Harker Heights Harker Heights
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 54m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Copperas Cove Nursing & Rehabilitation Copperas Cove · 0.9 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 123 beds · Medicaid
Avir at Killeen Killeen · 9.6 mi away ★★☆☆☆ Inspection 1/5 · Staffing 1/5 120 beds · Medicaid
Rosewood Heights Killeen · 10.2 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 64 beds · Medicaid
Harker Heights Nursing & Rehabilitation Harker Heights · 14.1 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 199 beds · Medicaid
Lily Springs Rehabilitation and Healthcare Center Lampasas · 17.0 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 116 beds · Medicaid

More nursing homes near Hill Country Heights ›   All nursing homes in Copperas Cove ›

Compare Hill Country Heights with the 3 closest homes side by side ›

Other Touchstone Communities nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 25 Touchstone Communities nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/copperas-cove/hill-country-heights/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.