ElderGrade
B

75/100

Above average

Holiday Hill Inc

245 State Hwy #153 West, 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.

  • $87,154 in federal fines

    CMS has fined this facility across 17 penalty action(s).

How this grade was calculated

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

Inspection safety

30/30

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

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

2/10

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

  • $87,154 in federal fines across 17 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 day 3.58 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.21 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 3.08 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 36.40%
National average 45.80% Better than average

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

Recent inspection findings

All 18 citations

Last standard health inspection: September 19, 2024 (1 year ago).

F Sep 19, 2024 F0812 From a complaint

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

E Sep 19, 2024 F0656 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

E Sep 19, 2024 F0909 From a complaint

Environmental Deficiencies

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

No actual harm, potential for more than minimal harm

D Sep 19, 2024 F0700 From a complaint

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Cor...

No actual harm, potential for more than minimal harm

D Jun 12, 2024 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

E Aug 9, 2023 F0607 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

No actual harm, potential for more than minimal harm

E Aug 9, 2023 F0727 From a complaint

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

No actual harm, potential for more than minimal harm

E Aug 9, 2023 F0758 From a complaint

Pharmacy Service Deficiencies

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 m...

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
BLANTON, FORREST Individual W-2 MANAGING EMPLOYEE
GREEN, RAMONA Individual W-2 MANAGING EMPLOYEE
TEST, TERRY Individual CORPORATE DIRECTOR
ALLEN, CATHY Individual CORPORATE OFFICER
MCGILVRAY, BRYAN Individual CORPORATE OFFICER
RUNYAN, CARMEN Individual CORPORATE OFFICER
BLANTON, FORREST Individual OPERATIONAL/MANAGERIAL CONTROL

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 (75 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 18 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.