Texas ›Lockhart

Chisolm Trail Nursing and Rehabilitation Center

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107 North Medina Street, Lockhart, TX 78644 (opens Google Maps) · Caldwell County · (512) 398-5213· 96 certified beds · avg 69 residents/day · certified since Jun 26, 1992 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: DIVERSICARE HEALTHCARE (44 facilities, chain avg rating 2.6★)

3/5
Health inspection rating (on-site)
inspected Aug 7, 2025
1
Serious findings on record
most recent Aug 31, 2024
$37,541
Fines, last 3 years
2.70
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, pattern · Aug 31, 2024 · F-0686 · triggered by a complaint

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Sep 2, 2024 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 24 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint F-0725

  2. E · Potential for more than minimal harm, pattern

    The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. F-0578

  3. E · Potential for more than minimal harm, pattern

    The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812

View all 24 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Apr 8, 2026D · Potential for more than minimal harm, isolatedThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725
Aug 7, 2025E · Potential for more than minimal harm, patternThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Aug 7, 2025E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Aug 7, 2025E · Potential for more than minimal harm, patternThe facility did not have policies on smoking. · F-0926
Aug 7, 2025D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Aug 7, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Aug 7, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Aug 7, 2025D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Jul 17, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Jun 5, 2025E · Potential for more than minimal harm, patternThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Jun 5, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Mar 4, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Aug 31, 2024▲ K · Immediate jeopardy, patternThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Jul 11, 2024E · Potential for more than minimal harm, patternThe facility did not keep residents' personal and medical information private and confidential. · F-0583
Jul 11, 2024E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Jul 11, 2024D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Jul 11, 2024D · Potential for more than minimal harm, isolatedThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558
Jul 11, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
Apr 12, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · from a complaint · F-0825
May 25, 2023E · Potential for more than minimal harm, patternThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
May 25, 2023E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
May 25, 2023D · Potential for more than minimal harm, isolatedThe facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644
May 25, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
May 25, 2023D · Potential for more than minimal harm, isolatedThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 7).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 5
Serious citations (G–L): 0
2024
All citations: 7
Serious citations (G–L): 1
2025
All citations: 11
Serious citations (G–L): 0
2026
All citations: 1
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202350E
202471K ▲
2025110E
202610D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

1 fine totaling $37,541.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Aug 31, 2024Fine$37,541

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.70
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.50
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.25
Texas average: 3.04
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTexas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)2.703.463.95bottom 8% in Texas; bottom 6% in the U.S.
Registered Nurse hours0.500.440.69top 27% in Texas; bottom 37% in the U.S.
Weekend total nurse staffing2.253.043.50bottom 5% in Texas; bottom 4% in the U.S.
Weekend RN hours (not acuity-adjusted)0.380.340.48top 28% in Texas; bottom 49% in the U.S.
Total nursing staff turnover (%)—55.345.8—
RN turnover (%)—54.642.9—

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.72, RN 0.50, weekend 2.28.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.72 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Chisolm Trail Nursing and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Advocat Finance, LLCOrganization5% or Greater Indirect Ownership Interest—12/18/1996
Dac Newcorp INCOrganization5% or Greater Indirect Ownership Interest—04/04/2022
Diversicare Healthcare Services LLCOrganization5% or Greater Indirect Ownership Interest—05/10/1994
Diversicare Leasing LPOrganization5% or Greater Direct Ownership Interest100%05/04/2006
Diversicare Management Services LP.Organization5% or Greater Indirect Ownership Interest—10/10/1996
Bodie, RebeccaIndividualCorporate OfficerNOT APPLICABLE03/02/2020
Chudleigh, JamesIndividualADP of the SNFNOT APPLICABLE10/21/2024
DLC GP LLCOrganizationGeneral Partnership InterestNOT APPLICABLE04/04/2022
DMS GP LLCOrganizationGeneral Partnership InterestNOT APPLICABLE04/04/2022
Kohn, BrianIndividualCorporate DirectorNOT APPLICABLE11/19/2021
Nee, StephenIndividualCorporate OfficerNOT APPLICABLE02/20/2023
Perkins, TiffanyIndividualW-2 Managing EmployeeNOT APPLICABLE03/27/2017
Ratner, EranIndividualCorporate DirectorNOT APPLICABLE11/19/2021
Weishaar, MatthewIndividualCorporate OfficerNOT APPLICABLE12/01/2003

All 14 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Diversicare Healthcare — 44 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 43 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
  • "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
  • "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "What are your smoking rules, and how do you keep residents who smoke — and everyone around them — safe?"
  • "Can you show me an example care plan, and how are families included when it's created and updated?"
  • "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
  • "Can you show me how medications are stored and secured on the units, including controlled drugs?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Parkview Nursing and Rehabilitation Center1.4 miLockhart, TX★★☆☆☆2/5abuse
Avir at Magnolia13.0 miLuling, TX★★☆☆☆2/5abuse
Avir at Luling13.6 miLuling, TX★★☆☆☆1/5
Diversicare of Luling14.9 miLuling, TX★★★☆☆4/5
Legend Oaks Healthcare and Rehabilitation-Kyle15.5 miKyle, TX★★★☆☆3/5
San Marcos Rehabilitation and Healthcare Center15.6 miSan Marcos, TX★☆☆☆☆1/5
Hays Nursing and Rehabilitation Center15.8 miSan Marcos, TX★★★☆☆3/5
Cypress Healthcare and Rehabilitation Center16.2 miSan Marcos, TX★☆☆☆☆1/5
Onion Creek Nursing and Rehabilitation Center18.8 miAustin, TX★☆☆☆☆2/5

Compare this facility with the 3 closest →

All facilities in Lockhart →

Facility data as of CMS processing date 2026-08-01. CCN 675053.

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