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Holiday Hill INC

245 State Hwy #153 West, Coleman, TX 76834 · Coleman County

Non-profit · 106 certified beds · 53% occupancy · (325) 625-4157

The U.S. government (CMS) rates Holiday Hill INC 4 out of 5 stars overall — above average. Its nurse staffing is at or above the Texas median.

CMS quality ratings

Overall★★★★
Health inspections★★★★
Staffing★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.

TX median 3.27

3.58 nurse hours per resident per day. 9% above the Texas median of 3.27.

Total nurse
3.58 hrs
RN
0.21 hrs
LPN
1.13 hrs
Aide
2.24 hrs

Nursing staff turnover: 36.4%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

18
total findings
0
immediate jeopardy
0
caused actual harm
12
from complaints
  • Potential for harmTag F0812 · Sep 19, 2024ComplaintCorrected Sep 30, 2024

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

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0656 · Sep 19, 2024ComplaintCorrected Oct 3, 2024

    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

  • Potential for harmTag F0909 · Sep 19, 2024ComplaintCorrected Oct 3, 2024

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    Environmental Deficiencies

  • Potential for harmTag F0700 · Sep 19, 2024ComplaintCorrected Oct 10, 2024

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0607 · Aug 9, 2023ComplaintCorrected Sep 1, 2023

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • Potential for harmTag F0727 · Aug 9, 2023ComplaintCorrected Aug 10, 2023

    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

  • Potential for harmTag F0758 · Aug 9, 2023ComplaintCorrected Aug 16, 2023

    Implement 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.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0812 · Aug 9, 2023ComplaintCorrected Aug 10, 2023

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

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0867 · Aug 9, 2023ComplaintCorrected Sep 1, 2023

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Administration Deficiencies

  • Potential for harmTag F0868 · Aug 9, 2023ComplaintCorrected Aug 28, 2023

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Administration Deficiencies

Showing the 10 most recent and serious of 18 findings. See the full inspection history on Medicare.gov.