Holiday Hill Inc
245 State Hwy #153 West · Coleman, TX · 76834 · 3256254157
106 certified beds Non profit - Corporation
Red flags
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.60 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 3.07 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | 19 · $96,328 |
Inspection citations (18 in the current record)
-
Potential for harm · E September 19, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 3, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D September 19, 2024 · found via complaint
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) Correctly install and maintain the bed rail.
Corrected October 10, 2024 · Quality of Life and Care
-
Potential for harm · F September 19, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 30, 2024 · Nutrition and Dietary
-
Potential for harm · E September 19, 2024 · found via complaint
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.
Corrected October 3, 2024 · Environmental
-
Potential for harm · D June 12, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 12, 2024 · Quality of Life and Care
-
Potential for harm · E August 9, 2023 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected September 1, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E August 9, 2023 · found via complaint
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.
Corrected August 10, 2023 · Nursing and Physician Services
-
Potential for harm · E August 9, 2023 · found via complaint
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 medication is necessary and PRN use is limited.
Corrected August 16, 2023 · Pharmacy Service
-
Potential for harm · D August 9, 2023 · found via complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected August 10, 2023 · Nutrition and Dietary
-
Potential for harm · E August 9, 2023 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 10, 2023 · Nutrition and Dietary
-
Potential for harm · E August 9, 2023 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected September 1, 2023 · Administration
-
Potential for harm · E August 9, 2023 · found via complaint
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected August 28, 2023 · Administration
-
Potential for harm · E July 14, 2022
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected July 28, 2022 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E July 14, 2022
Provide activities to meet all resident's needs.
Corrected July 28, 2022 · Quality of Life and Care
-
Potential for harm · E July 14, 2022
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected July 28, 2022 · Nutrition and Dietary
-
Potential for harm · F July 14, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 28, 2022 · Nutrition and Dietary
-
Potential for harm · F July 14, 2022
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected August 3, 2022 · Administration
-
Potential for harm · D July 14, 2022
Provide and implement an infection prevention and control program.
Corrected August 3, 2022 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 20, 2023 | Fine | $4,587 |
| November 13, 2023 | Fine | $4,587 |
| November 6, 2023 | Fine | $4,587 |
| October 30, 2023 | Fine | $4,587 |
| October 23, 2023 | Fine | $4,587 |
| October 17, 2023 | Fine | $4,587 |
| October 10, 2023 | Fine | $4,587 |
| October 2, 2023 | Fine | $4,587 |
| September 25, 2023 | Fine | $4,587 |
| September 18, 2023 | Fine | $4,587 |
| September 11, 2023 | Fine | $4,587 |
| September 5, 2023 | Fine | $4,587 |
| August 28, 2023 | Fine | $4,587 |
| August 21, 2023 | Fine | $4,587 |
| August 14, 2023 | Fine | $4,587 |
| August 7, 2023 | Fine | $4,587 |
| July 17, 2023 | Fine | $13,762 |
| June 26, 2023 | Fine | $4,587 |
| June 20, 2023 | Fine | $4,587 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675687 · certified since May 14, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.