Hill Country Heights
810 INDUSTRIAL AVE, Copperas Cove, TX, 76522
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 - Limited Liability company · Chain: Touchstone Communities
- Certified beds
- 96 · avg 64 residents/day
- Total nursing staff turnover
- 52.3% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 37.5% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- 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)
- 1 fine · $12,356 total
State licensing & capacity
- License number
- 308656
- Service type
- Medicare/medicaid
- Licensed capacity
- 96 beds
- Bed type breakdown
- 96 Medicaid/Medicare
- Current license effective
- June 1, 2025
- Current license expires
- June 1, 2028
- Initial license date
- December 1, 1988
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Touchstone Strategies Copperas Cove Llc
- Administrator
- Jeffery Tompkins
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Touchstone Communities chain — 28 facilities. Chain-wide average overall rating 2.8 / 5.
Disclosed owners (6 on record)
- Jeffery Tompkins
Operational/managerial Control · since 2025
- Touchstone Strategies - Copperas Cove, Llc
Adp of The Snf · since 2025
- Uvalde County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2022
- Terri Contreras
Corporate Officer · since 2019
- Adam Apolinar
Corporate Officer · since 2015
- Biju Oommen
Adp of The Snf · since 2010
Recent change of ownership
June 2022 (3 years ago) · acquired from Hill Country Rehab And Nursing 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 24)
- E0580·Dec 8, 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.
- D0880·Mar 20, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- C0851·Mar 20, 2025
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- E0689·Mar 20, 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.
- J0689·Jun 23, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F0812·Jan 31, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F0804·Jan 31, 2024
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D0697·Jan 31, 2024
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Federal penalties
By year
- 20241 fine · $12K
Most recent events
- Jun 23, 2024Fine · $12K
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Jan 31, 2024. 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
Hill Country Heights is a 96-bed nursing home in Copperas Cove, Texas, managed by Touchstone Strategies and licensed through Uvalde County Hospital Authority. CMS rates it 3 stars overall, with a 2-star staffing rating and a 4-star quality-measures rating. All 96 beds are Medicare- and Medicaid-certified. The facility is currently operating at about 67% of licensed capacity, or roughly 64 residents 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 2 stars. Each resident receives about 220 minutes of nursing care per day — roughly 21 minutes less than at a 4-star-staffing facility in Texas. About 28 of those minutes involve a registered nurse. Beyond the raw hours, residents here need more hands-on care than at a typical facility — they are, on average, sicker or less mobile — so those 220 minutes stretch thinner than the number alone suggests.
The facility carried one CMS fine totaling $12,356 over the review period. The state median fine across all Texas nursing homes with any fines is about $20,699, and roughly 30% of Texas facilities have no fines at all.
The facility is operating at about 67% of its 96 licensed beds, with an average of 64 residents per day. That occupancy sits well below what most nursing homes in the state run.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on nights and weekends
With a 2-star staffing rating and 220 daily nursing minutes per resident, ask specifically how many nurses and aides are on the floor during overnight and weekend shifts.
Why occupancy runs at 67%
The facility averages 64 residents against 96 licensed beds — ask whether that reflects a recent admission pause, referral patterns, or something else affecting the resident population.
Resident Council activity
A Resident Council is listed but no Family Council — ask how often the Resident Council meets and how family members can raise concerns outside of that body.
Care planning for higher-need residents
Residents here require more hands-on help than average, yet staffing is rated below peers — ask how the facility adjusts care plans when a resident's condition changes.
Management company's role day-to-day
Touchstone Strategies manages operations while Uvalde County Hospital Authority holds the license — ask which entity sets staffing levels and handles complaints.
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.