Holiday Hill INC
245 State Highway 153, Coleman, TX 76834 · Coleman County
Non-profit · 106 certified beds · 53% occupancy · (325) 625-4157
Holiday Hill INC reviews: what the government record shows
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.
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
- 4 of 5 stars
- Nurse staffing
- 3.58 hrs/resident/day (+9% vs TX median)
- Antipsychotic drug use
- 19.7% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 2.6% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $64,218
- Inspection findings
- 16 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
- ✓Earns 4 of 5 stars overall from CMS.
- ✓Nurse staffing of 3.58 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !Has paid $64,218 in federal fines in roughly the last three years.
- !Pressure-ulcer (bedsore) rate of 9.7% is well above the Texas median of 3.3%.
Questions to ask on your visit
- ·How often are residents repositioned, and who checks skin daily?
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 Holiday Hill INC
Is Holiday Hill INC a good nursing home?
Holiday Hill INC in Coleman, Texas holds a 4 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is Holiday Hill INC staffed?
Holiday Hill INC reports 3.58 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Holiday Hill INC been fined or flagged for abuse?
Holiday Hill INC has paid approximately $64,218 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
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.
3.58 nurse hours per resident per day. 9% above the Texas median of 3.27.
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.
- Potential for harmTag F0605 · Jan 8, 2026Corrected Jan 19, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0880 · Jan 8, 2026Corrected Feb 16, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0577 · Jan 8, 2026Corrected Jan 19, 2026
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies
- Potential for harmTag F0641 · Jan 8, 2026Corrected Jan 19, 2026
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- 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
Showing the 10 most recent and serious of 16 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.
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.
The serious-fall rate here is at or below the Texas median, a reassuring sign for how closely the home supervises residents.
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.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is non-profit (non profit - other). It is independently operated, not part of a multi-facility chain.