Coryell Health Rehabliving at the Meadows

Name: Coryell Health Rehabliving at the Meadows
Address: 110 Chicktown Rd, Gatesville, TX, 76528, US
Telephone: 2544042500

110 Chicktown Rd, Gatesville, TX 76528 · Coryell County · 106 certified beds · avg 97 residents/day · certified since Sep 20, 2001

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.76

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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.

All citations in the current public record (17)

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
Feb 12, 2026	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Feb 12, 2026	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.
Feb 12, 2026	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.
Feb 4, 2026	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. · from a complaint
Sep 9, 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. · from a complaint
Sep 9, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Sep 9, 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. · from a complaint
Nov 27, 2024	F · Potential for harm, facility-wide	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.
Nov 27, 2024	E · Potential for harm, repeated	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.
Nov 27, 2024	E · Potential for harm, repeated	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
May 8, 2024	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Sep 28, 2023	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Sep 28, 2023	E · Potential for harm, repeated	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.
Sep 28, 2023	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Sep 28, 2023	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Sep 28, 2023	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Sep 8, 2023	D · Potential for harm, one-off	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

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).

Year	Citations	Worst severity that year
2023	6	E
2024	4	F
2025	3	D
2026	4	E

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)

No fines or payment denials in the published 3-year window.

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)	4.76	3.46	3.95	top 5% in Texas; top 17% in the U.S.
Registered Nurse hours	0.41	0.44	0.69	top 45% in Texas; bottom 23% in the U.S.
Weekend total nurse staffing	4.46	3.04	3.50	top 4% in Texas; top 13% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.38	0.34	0.48	top 29% in Texas; bottom 48% 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 4.08, RN 0.35, weekend 3.83. Staffing rating: 3/5.

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: 2/5 · long-stay residents: 1/5 · short-stay residents: 3/5

Who owns this facility

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
Byrom, David	Individual	Corporate Officer	NOT APPLICABLE	08/01/1996
Byrom, David	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/1996
Byrom, David	Individual	ADP of the SNF	NOT APPLICABLE	08/01/1996
Coryell County Memorial Hospital Authority	Organization	Operational/Managerial Control	NOT APPLICABLE	01/20/2025
Cox, Kara	Individual	Corporate Director	NOT APPLICABLE	08/10/2012
May, Maranda	Individual	Corporate Director	NOT APPLICABLE	08/16/2023
May, Maranda	Individual	ADP of the SNF	NOT APPLICABLE	08/16/2023
Wuenschel, Diedra	Individual	Corporate Director	NOT APPLICABLE	09/01/2011
Wuenschel, Diedra	Individual	ADP of the SNF	NOT APPLICABLE	04/30/2025

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 does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"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
Hillside Medical Lodge	3.9 mi	Gatesville, TX	★★★☆☆	4/5

Compare this facility with the 1 closest →

All facilities in Gatesville →

Facility data as of CMS processing date 2026-08-01. CCN 675886.

The Care File

Visit checklist — Coryell Health Rehabliving at the Meadows

110 Chicktown Rd, Gatesville, TX 76528 · 2544042500

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675886 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)