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B

78/100

Above average

Holiday Hill Inc

245 State Highway 153, Coleman, TX 76834

CMS 4/5 stars #2 of 2 in Coleman County (325) 625-4157
Certified beds
106
Occupancy
53%
Ownership
Non-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.

  • $45,870 in federal fines

    CMS has fined this facility across 10 penalty action(s).

Our read on Holiday Hill Inc

Holiday Hill runs on 3.58 nurse hours per resident day, about 7 percent under the national figure, and weekends drop roughly 14 percent below its own weekday staffing. Turnover is 36.4 percent, which is better than the 45.8 percent national average, so people tend to stay. Inspections look solid, a 4-out-of-5 star rating, last survey in September 2024, and none of the 18 deficiencies on record rose to harm or jeopardy. But two are abuse-related, and 17 fines totaling $87,154 is real money. Nonprofit ownership and steady staff are points in its favor; the abuse citations and thin weekend coverage are what a family should ask about directly.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing22/30Stability12/15Outcomes9/15Enforcement5/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

22/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →4.77 total nurse hours per resident per day (national median 3.77)
  • →0.21 RN hours per resident per day
  • →Weekend staffing drops 14% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →36% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →3 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →$45,870 in federal fines across 10 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day3.58 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.21 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours3.08 hrs
National average 3.42 hrsBelow average

The shift most families visit, and the one thinned first.

Nursing staff turnover36.40%
National average 45.80%Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: January 8, 2026 (9 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

What families say

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Common questions about Holiday Hill Inc

What is the ElderGrade for Holiday Hill Inc? +

Holiday Hill Inc holds an ElderGrade of B (78 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Holiday Hill Inc? +

Residents receive an average of 3.58 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Holiday Hill Inc been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Holiday Hill Inc accept Medicaid? +

Yes, Holiday Hill Inc is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.