Chisolm Trail Nursing and Rehabilitation Center
107 N Medina · Lockhart, TX · 78644 · 5123985213
96 certified beds For profit - Limited Liability company Chain: Diversicare Healthcare Hospital-based
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Total nurse staffing below 3.0 hours per resident-day
2.63 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.63 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 2.17 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $37,541 |
Inspection citations (24 in the current record)
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Potential for harm · D April 8, 2026 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 7, 2026 · Nursing and Physician Services
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Potential for harm · E August 7, 2025
Honor 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.
Corrected September 21, 2025 · Resident Rights
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Potential for harm · D August 7, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 16, 2025 · Quality of Life and Care
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Potential for harm · D August 7, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 16, 2025 · Pharmacy Service
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Potential for harm · D August 7, 2025
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.
Corrected September 16, 2025 · Pharmacy Service
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Potential for harm · E August 7, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 16, 2025 · Nutrition and Dietary
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Potential for harm · E August 7, 2025
Have policies on smoking.
Corrected September 16, 2025 · Environmental
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Potential for harm · D July 17, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 4, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 5, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 4, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 24, 2025 · Quality of Life and Care
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Immediate jeopardy · K August 31, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 2, 2024 · Quality of Life and Care
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Potential for harm · D July 11, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 12, 2024 · Resident Rights
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Potential for harm · D July 11, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected July 12, 2024 · Resident Rights
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Potential for harm · E July 11, 2024
Keep residents' personal and medical records private and confidential.
Corrected July 12, 2024 · Resident Rights
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Potential for harm · D July 11, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 12, 2024 · Quality of Life and Care
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Potential for harm · E July 11, 2024
Provide and implement an infection prevention and control program.
Corrected July 12, 2024 · Infection Control
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Potential for harm · D April 12, 2024 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected April 15, 2024 · Quality of Life and Care
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Potential for harm · E May 25, 2023
Ensure each resident receives an accurate assessment.
Corrected June 25, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 25, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected June 25, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 25, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 25, 2023 · Quality of Life and Care
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Potential for harm · D May 25, 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.
Corrected June 25, 2023 · Pharmacy Service
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Potential for harm · E May 25, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 25, 2023 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 31, 2024 | Fine | $37,541 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675053 · certified since June 26, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.