Lake Hills Healthcare Center
1514 INDIAN CREEK RD., Brownwood, TX, 76801
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Hamilton County Hospital District
- Certified beds
- 94 · avg 68 residents/day
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $22,084 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 308387
- Service type
- Medicare/medicaid
- Licensed capacity
- 112 beds
- Bed type breakdown
- 18 licensed-only · 24 Medicare-only · 70 Medicaid/Medicare
- Current license effective
- September 1, 2024
- Current license expires
- September 1, 2027
- Initial license date
- June 1, 1972
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Slp Brownwood Llc
- Administrator
- Tylene Hughes
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Hamilton County Hospital District chain — 10 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (4 on record)
- Cassandra l Mistretta
Operational/managerial Control · since 2021
- Grady Hooper
Corporate Officer · since 2021
- Hamilton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2021
- Slp Brownwood, Llc
Operational/managerial Control · 100% · since 2021
Recent change of ownership
September 2021 (4 years ago) · acquired from Cross Country Healthcare Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 26)
- F0812·Apr 4, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0777·Apr 4, 2025
Administration Deficiencies
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
- J0689·Apr 4, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- C0680·Apr 4, 2025
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
- D0842·Jan 24, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0761·Jan 24, 2025Complaint
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D0755·Jan 24, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0880·Jan 25, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal penalties
By year
- 20251 fine · $13K
- 20241 fine · $8,824 · 1 payment denial
Most recent events
- Apr 4, 2025Fine · $13K
- Jan 25, 2024Payment denial · 2 days · starting Feb 21, 2024
- Jan 25, 2024Fine · $8,824
Largest single fine on record: $13K.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Apr 4, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Lake Hills Healthcare Center is a 112-bed nursing home in Brownwood, Texas, licensed through September 2027 and accepting Medicare and Medicaid. CMS rates it 4 stars overall, with a 4-star health inspection rating and a 3-star staffing rating. Quality measure ratings are lower — 2 stars overall and 1 star for short-stay outcomes. Managed by Slp Brownwood Llc under the Hamilton County Hospital District, the facility is operating at about 72% of its certified beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 3 stars on staffing. Each resident receives about 228 minutes of nursing care per day — roughly 13 minutes less than at a 4-star-staffing facility in Texas, which represents about 19% of Texas nursing homes. Staff hours per resident exceed what a typical resident mix would require here, meaning the raw minutes likely stretch further than they would at a facility with heavier care needs.
The quality measure ratings split noticeably by resident type. Long-stay residents — those living here permanently or long-term — are rated 3 stars. Short-stay residents — typically people recovering from a hospital stay — are rated 1 star, the lowest tier. These ratings are calculated from clinical outcome data filed with CMS.
CMS recorded 2 fines totaling $22,084 — just above the Texas state median of $20,699 for facilities that have received fines. About 30% of Texas nursing homes have no fines on record.
The facility is operating at roughly 72% of its certified beds — 68 residents on an average day against 94 certified beds. This is below the typical occupancy seen at comparable facilities.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Short-stay outcomes and care process
CMS rates short-stay quality outcomes 1 star — ask which specific measures drive that rating and what the team is doing to address them.
Staffing on nights and weekends
Reported weekend nursing hours run about 13 minutes per resident below the 4-star threshold in Texas — ask how weekend and overnight staffing compares to weekday levels.
Reasons behind low occupancy
The facility averages 68 residents against 94 certified beds — ask whether that reflects a recent shift in admissions, local market conditions, or something else.
Management company's role day-to-day
Slp Brownwood Llc manages the facility on behalf of the Hamilton County Hospital District — ask how decisions about staffing, budgets, and care protocols are made between the two entities.
Resident Council participation
A Resident Council meets here but no Family Council is listed — ask how families are informed of concerns raised by residents and how they can raise their own.
Recent fines and follow-up
Two CMS fines totaling $22,084 are on record — ask what deficiencies triggered them and what changes were made afterward.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.