All states › Texas › Lockhart › Chisolm Trail Nursing and Rehabilitation Center
107 North Medina Street Lockhart, TX 78644 · Caldwell County
All 2 nursing homes in Lockhart, TX (2 take Medicaid)
CMS certification number 675053 · See this home on Medicare Care Compare
Is Chisolm Trail Nursing and Rehabilitation Center 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 Chisolm Trail Nursing and Rehabilitation Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
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 2.75 hours per resident per day at Chisolm Trail Nursing and Rehabilitation Center, below the Texas median of 3.30 (US median: 3.72). About 0.45 of those hours are from registered nurses. On weekends it falls to 2.43 hours, 11% below its all-week average.
About this nursing home
Paying for care at Chisolm Trail Nursing and Rehabilitation Center: Medicare and Medicaid
Chisolm Trail Nursing and Rehabilitation Center 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.
This home is located in a hospital.
Health inspections
The most recent standard inspection was on August 7, 2025 and found 7 deficiencies, plus 6 from complaint inspections in the same period. In total, inspectors issued 29 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 29 citations at Chisolm Trail Nursing and Rehabilitation Center across 11 inspection dates, 12 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 31, 2024 (complaint inspection). The most common areas cited were quality of life and care (9) and resident rights (5). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level K, August 31, 2024). 3 citations were under CMS's abuse, neglect and exploitation rules.
August 23, 2026 · 3 citations · includes complaint inspection
HProvide safe, appropriate pain management for a resident who requires such services.
HEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
July 14, 2026 · 2 citations · includes complaint inspection
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DReasonably accommodate the needs and preferences of each resident.
April 8, 2026 · 1 citation · includes complaint inspection
DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
August 7, 2025 · 7 citations
EHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHave policies on smoking.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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.
July 17, 2025 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
June 5, 2025 · 2 citations · includes complaint inspection
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
March 4, 2025 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
August 31, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
KProvide appropriate pressure ulcer care and prevent new ulcers from developing.
July 11, 2024 · 5 citations
EKeep residents' personal and medical records private and confidential.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DReasonably accommodate the needs and preferences of each resident.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
April 12, 2024 · 1 citation · includes complaint inspection
DProvide or get specialized rehabilitative services as required for a resident.
May 25, 2023 · 5 citations
EEnsure each resident receives an accurate assessment.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Questions to ask on a tour of Chisolm Trail Nursing and Rehabilitation Center
- Inspectors cited the home at the immediate-jeopardy level on August 31, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 23, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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 $37,541 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 31, 2024 | Fine | $37,541 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
| August 2026 | 3/5 | 3/5 | 1/5 | 5/5 |
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Location
Hospitals near Chisolm Trail Nursing and Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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13.3 mi
Seton Medical Center Hays KyleEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 43m for patients treated and sent home
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14.7 mi
Seton Edgar B Davis Hospital LulingEmergency roomMedian ER visit 1h 28m for patients treated and sent home
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15.6 mi
Baylor Scott & White Medical Center - Buda BudaEmergency roomMedian ER visit 1h 46m 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
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Other Diversicare Healthcare nursing homes in Texas
- Diversicare of Luling · Luling · 4 stars
- Yorktown Nursing and Rehabilitation Center · Yorktown · 3 stars
- Lampasas Nursing and Rehabilitation Center · Lampasas · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 44 Diversicare Healthcare 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.