Chisolm Trail Nursing and Rehabilitation Center
107 North Medina Street, Lockhart, TX 78644 · Caldwell County · 96 certified beds · avg 69 residents/day · certified since Jun 26, 1992
Part of chain: DIVERSICARE HEALTHCARE (44 facilities, chain avg rating 2.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · 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): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Sep 2, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (24)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 8, 2026 | D · Potential for harm, one-off | 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 |
| Aug 7, 2025 | E · Potential for harm, repeated | 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. |
| Aug 7, 2025 | E · Potential for harm, repeated | 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. |
| Aug 7, 2025 | E · Potential for harm, repeated | The facility did not have policies on smoking. |
| Aug 7, 2025 | D · Potential for harm, one-off | The 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. |
| Aug 7, 2025 | D · Potential for harm, one-off | 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. |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Aug 7, 2025 | D · Potential for harm, one-off | The 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. |
| Jul 17, 2025 | D · Potential for harm, one-off | The 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 |
| Jun 5, 2025 | E · Potential for harm, repeated | The 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 |
| Jun 5, 2025 | D · Potential for harm, one-off | The 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 |
| Mar 4, 2025 | D · Potential for harm, one-off | The 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 |
| Aug 31, 2024 | ▲ K · Immediate jeopardy, repeated | 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. · from a complaint |
| Jul 11, 2024 | E · Potential for harm, repeated | The facility did not keep residents' personal and medical information private and confidential. |
| Jul 11, 2024 | E · Potential for harm, repeated | The 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. |
| Jul 11, 2024 | D · Potential for harm, one-off | The 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. |
| Jul 11, 2024 | D · Potential for harm, one-off | The 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. |
| Jul 11, 2024 | D · Potential for harm, one-off | The 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. |
| Apr 12, 2024 | D · Potential for harm, one-off | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · from a complaint |
| May 25, 2023 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 25, 2023 | E · Potential for harm, repeated | 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. |
| May 25, 2023 | D · Potential for harm, one-off | The 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. |
| May 25, 2023 | D · Potential for harm, one-off | The 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. |
| May 25, 2023 | D · Potential for harm, one-off | The 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | E |
| 2024 | 7 | 1 | K ▲ |
| 2025 | 11 | 0 | E |
| 2026 | 1 | 0 | D |
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)
1 fine totaling $37,541.
| Date | Type | Amount / length |
|---|---|---|
| Aug 31, 2024 | Fine | $37,541 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.70 | 3.46 | 3.95 | bottom 8% in Texas; bottom 6% in the U.S. |
| Registered Nurse hours | 0.50 | 0.44 | 0.69 | top 27% in Texas; bottom 37% in the U.S. |
| Weekend total nurse staffing | 2.25 | 3.04 | 3.50 | bottom 5% in Texas; bottom 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.38 | 0.34 | 0.48 | top 28% in Texas; bottom 49% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 55.3 | 45.8 | — |
| RN turnover (%) | 0.0 | 54.6 | 42.9 | — |
Hours are per resident per day, 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. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Advocat Finance, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/18/1996 |
| Dac Newcorp INC | Organization | 5% or Greater Indirect Ownership Interest | — | 04/04/2022 |
| Diversicare Healthcare Services LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/10/1994 |
| Diversicare Leasing LP | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/04/2006 |
| Diversicare Management Services LP. | Organization | 5% or Greater Indirect Ownership Interest | — | 10/10/1996 |
| Bodie, Rebecca | Individual | Corporate Officer | NOT APPLICABLE | 03/02/2020 |
| Chudleigh, James | Individual | ADP of the SNF | NOT APPLICABLE | 10/21/2024 |
| DLC GP LLC | Organization | General Partnership Interest | NOT APPLICABLE | 04/04/2022 |
| DMS GP LLC | Organization | General Partnership Interest | NOT APPLICABLE | 04/04/2022 |
| Kohn, Brian | Individual | Corporate Director | NOT APPLICABLE | 11/19/2021 |
| Nee, Stephen | Individual | Corporate Officer | NOT APPLICABLE | 02/20/2023 |
| Perkins, Tiffany | Individual | W-2 Managing Employee | NOT APPLICABLE | 03/27/2017 |
| Ratner, Eran | Individual | Corporate Director | NOT APPLICABLE | 11/19/2021 |
| Weishaar, Matthew | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2003 |
Questions to ask on your visit
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?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Parkview Nursing and Rehabilitation Center | 1.4 mi | Lockhart, TX | ★★☆☆☆ | 2/5 | abuse |
| Avir at Magnolia | 13.0 mi | Luling, TX | ★★☆☆☆ | 2/5 | abuse |
| Avir at Luling | 13.6 mi | Luling, TX | ★★☆☆☆ | 1/5 | |
| Diversicare of Luling | 14.9 mi | Luling, TX | ★★★☆☆ | 4/5 | |
| Legend Oaks Healthcare and Rehabilitation-Kyle | 15.5 mi | Kyle, TX | ★★★☆☆ | 3/5 | |
| San Marcos Rehabilitation and Healthcare Center | 15.6 mi | San Marcos, TX | ★☆☆☆☆ | 1/5 | |
| Hays Nursing and Rehabilitation Center | 15.8 mi | San Marcos, TX | ★★★☆☆ | 3/5 | |
| Cypress Healthcare and Rehabilitation Center | 16.2 mi | San Marcos, TX | ★☆☆☆☆ | 1/5 | |
| Onion Creek Nursing and Rehabilitation Center | 18.8 mi | Austin, TX | ★☆☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 675053.