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CareWitnessTexasCaldwellNursing HomesCopperas Hollow Nursing And Rehabilitation Center

Copperas Hollow Nursing And Rehabilitation Center

345 COUNTRY CLUB DRIVE, Caldwell, TX, 77836

Type
Nursing home
State-licensedCMS certified · CCN 676227

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.

Full report →

CMS Star Ratings

Overall2/5
Health inspections2/5
Staffing2/5
Quality measures4/5

Facility & Staffing

Ownership
For profit - Corporation · Chain: Creative Solutions In Healthcare
Certified beds
90 · avg 46 residents/day
Total nursing staff turnover
52.5%near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
RN turnover
60%higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
Administrators who left
2 departednear the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
3 fines · $61,546 total
Infection control citations
3

State licensing & capacity

License number
146592
Service type
Medicare/medicaid
Licensed capacity
90 beds
Bed type breakdown
18 Medicare-only · 72 Medicaid/Medicare
Current license effective
January 1, 2026
Current license expires
January 1, 2029
Initial license date
June 26, 2009

Texas HHSC licensing registry · as of April 16, 2026

Ownership & operations

Licensee
Coryell County Memorial Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
Operator / manager
Caldwell Iii Enterprises, Llc
Administrator
Andreana Dannhaeuser

Texas HHSC licensing registry · as of April 16, 2026

Federal ownership record

Non-profitOther

Chain affiliation

Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.

Disclosed owners (2 on record)

  • Coryell County Memorial Hospital Authority

    Operational/managerial Control · since 2014

  • David Byrom

    5% or Greater Indirect Ownership Interest · since 2014

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.

Federal inspection record

24 health citations on file2 immediate-jeopardy findings10 from complaints3 federal fines totalling $62K

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 24)

  • D0580·Nov 19, 2025Complaint

    Resident Rights Deficiencies

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • D0693·Aug 28, 2025

    Quality of Life and Care Deficiencies

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

  • E0656·Aug 28, 2025

    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.

  • D0842·May 7, 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.

  • K0760·May 7, 2025Complaint

    Pharmacy Service Deficiencies

    Ensure that residents are free from significant medication errors.

  • E0842·Jan 18, 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.

  • J0742·Jan 18, 2025Complaint

    Quality of Life and Care Deficiencies

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

  • D0684·Jul 23, 2024Complaint

    Quality of Life and Care Deficiencies

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

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20252 fines · $50K
  • 20231 fine · $12K

Most recent events

  • May 7, 2025Fine · $35K
  • Jan 18, 2025Fine · $15K
  • Jun 12, 2023Fine · $12K

Largest single fine on record: $35K.

Fire-safety citations

1 Life-Safety-Code citation on file. Most recent: Aug 28, 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

Copperas Hollow Nursing and Rehabilitation Center is a 90-bed Medicare/Medicaid nursing home in Caldwell, Texas, licensed to Coryell County Memorial Hospital Authority and managed by Caldwell III Enterprises. CMS rates it 2 stars overall, with 2-star ratings on both health inspections and staffing. Three fines totaling $61,546 have been assessed. The facility is operating at roughly 52% of licensed beds, with 46 of 90 beds occupied on an average day.

Written from CMS Care Compare and state licensing records · last updated April 19, 2026

What the data says

CMS rates staffing here at 2 stars — roughly 31% of Texas nursing homes share this rating or lower. Each resident receives about 203 minutes of nursing care per day, approximately 38 minutes less than at a 4-star-staffing facility in Texas. Of that, only 29 minutes come from a registered nurse, compared to 37 minutes at a 4-star-staffing Texas facility.

Two administrators have left within the past year. That level of leadership turnover touches hiring decisions, care-plan oversight, and day-to-day staff direction.

CMS has recorded three fines totaling $61,546. The state median for fined facilities in Texas is $20,699; this facility's total is roughly three times that figure. About 30% of Texas nursing homes received no fines in the same period.

The facility is running at approximately 52% of its licensed 90 beds — about 46 residents on an average day. That is notably below typical occupancy for Texas nursing homes, particularly alongside the other signals in this record.

Long-stay quality measures rate 5 stars — the top tier — while short-stay measures rate 3 stars. These two scores reflect different populations: long-stay ratings track residents living here for months or years, while short-stay ratings track people admitted for rehabilitation after a hospital stay.

Written from CMS Care Compare and state licensing records · last updated April 19, 2026

Questions to ask when you tour

  1. Current administrator tenure

    Two administrators have left in the past year — ask who the current administrator is, how long they have been in the role, and whether they expect to stay.

  2. Staffing on nights and weekends

    Reported weekend nursing hours average 3.03 per resident per day, below the already-low weekday figure — ask how many nurses and aides are scheduled on a typical Saturday night shift.

  3. Details behind the three CMS fines

    Three fines totaling $61,546 have been assessed — ask what deficiencies triggered each fine and what changes were made in response.

  4. Why occupancy is low

    The facility averages about 46 residents against 90 licensed beds — ask whether the low census reflects a planned reduction, staffing constraints, or difficulty attracting referrals.

  5. Registered nurse coverage hours

    Reported RN time is 29 minutes per resident per day; ask how many hours a registered nurse is on-site each day and whether an RN is present overnight.

  6. Resident Council activity

    A Resident Council meets here but there is no Family Council — ask how often the Resident Council meets and how family members can raise concerns between visits.

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.