Ellery Care
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Hillside Medical Lodge

300 S Highway 36 Byp N, Gatesville, TX 76528 · Coryell County

For-profit · 128 certified beds · 87% occupancy · (254) 865-7575

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Hillside Medical Lodge reviews: what the government record shows

The U.S. government (CMS) rates Hillside Medical Lodge 3 out of 5 stars overall, average. Its nurse staffing is 5% below the Texas median.

Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.

At a glance

CMS overall rating
3 of 5 stars
Nurse staffing
3.10 hrs/resident/day (-5% vs TX median)
Antipsychotic drug use
15.1% of long-stay residents (TX median 8.3%)
Falls with major injury
4.9% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
None on record
Inspection findings
13 cited
Federal abuse-warning flag
No

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.

What this means for your family

A mixed record. The strengths and concerns below are worth weighing against a visit.

Strengths

  • ✓No federal fines on record in roughly the last three years.

Concerns

  • !Nurse staffing of 3.10 hrs/resident/day is below the Texas median of 3.27.

Questions to ask on your visit

  • ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?

Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.

A plain-English read of this home's public record. Not advice — always visit in person.

Common questions about Hillside Medical Lodge

Is Hillside Medical Lodge a good nursing home?

Hillside Medical Lodge in Gatesville, Texas holds a 3 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.

How is Hillside Medical Lodge staffed?

Hillside Medical Lodge reports 3.10 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.

Has Hillside Medical Lodge been fined or flagged for abuse?

Hillside Medical Lodge has no federal fines on record in roughly the last three years, and does not currently carry a federal abuse-warning flag.

CMS quality ratings

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

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. 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

3.10 nurse hours per resident per day. 5% below the Texas median of 3.27.

Total nurse
3.10 hrs
RN
0.28 hrs
LPN
0.90 hrs
Aide
1.92 hrs

Nursing staff turnover: 46.7% · RN turnover: 62.5%

Safety & compliance flags

  • Changed ownership in last 12 months

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.

13
total findings
0
immediate jeopardy
0
caused actual harm
2
from complaints
  • Potential for harmTag F0641 · Dec 11, 2025Corrected Jan 12, 2026

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0695 · Dec 11, 2025Corrected Jan 12, 2026

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

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0558 · Dec 11, 2025Corrected Jan 12, 2026

    Reasonably accommodate the needs and preferences of each resident.

    Resident Rights Deficiencies

  • Potential for harmTag F0583 · Dec 11, 2025Corrected Jan 12, 2026

    Keep residents' personal and medical records private and confidential.

    Resident Rights Deficiencies

  • Potential for harmTag F0656 · Dec 11, 2025Corrected Jan 12, 2026

    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 F0693 · Dec 11, 2025Corrected Jan 12, 2026

    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

  • Potential for harmTag F0761 · Dec 11, 2025Corrected Jan 12, 2026

    Ensure 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.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0880 · Dec 11, 2025Corrected Jan 12, 2026

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0802 · Aug 13, 2024Corrected Aug 14, 2024

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0812 · Aug 13, 2024Corrected Aug 14, 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

Showing the 10 most recent and serious of 13 findings. See the full inspection history on Medicare.gov.

Antipsychotic drug use

The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.

15.1%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is above the national median. Ask how the home decides to start these medications and how often it reviews them.

Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study

Preventable harm

Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.

Falls with major injury
4.9%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
6.5%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.

Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study

Federal fines and penalties

Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.

No federal fines are on record for this home in roughly the last three years, a good sign.

Ownership

This home is for-profit (for profit - corporation). It is part of the Coryell County Memorial Hospital Authority chain, which operates 9 facilities, with a chain-average CMS rating of 2.8 stars.

Ownership changed within the last 12 months, which can disrupt staffing and care during the transition.