Chisolm Trail Nursing And Rehabilitation Center
107 NORTH MEDINA STREET, Lockhart, TX, 78644-1919
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: Diversicare Healthcare
- Certified beds
- 96 · avg 68 residents/day
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $37,541 total
State licensing & capacity
- License number
- 312712
- Service type
- Medicare/medicaid
- Licensed capacity
- 96 beds
- Bed type breakdown
- 13 Medicare-only · 83 Medicaid/Medicare
- Current license effective
- July 1, 2025
- Current license expires
- May 13, 2026
- Initial license date
- September 14, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Lockhart I Enterprises, Llc (Limited Liability Company (LLC))
- Operator / manager
- Creative Solutions In Healthcare, Inc
- Administrator
- Michael Berrones
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Diversicare Healthcare chain — 44 facilities across 5 states. Chain-wide average overall rating 2.5 / 5.
Disclosed owners (15 on record)
- James Chudleigh
Adp of The Snf · since 2024
- Stephen Michael Nee
Corporate Officer · since 2023
- Dac Newcorp Inc
5% or Greater Indirect Ownership Interest · 100% · since 2022
- Dlc gp Llc
General Partnership Interest · 1% · since 2022
- Dms gp Llc
General Partnership Interest · 1% · since 2022
- Brian Kohn
Corporate Director · since 2021
+ 9 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, 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 23)
- E0926·Aug 7, 2025
Environmental Deficiencies
Have policies on smoking.
- E0812·Aug 7, 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.
- D0761·Aug 7, 2025
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·Aug 7, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0686·Aug 7, 2025
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D0656·Aug 7, 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.
- E0578·Aug 7, 2025
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D0684·Jul 17, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal penalties
By year
- 20241 fine · $38K
Most recent events
- Aug 31, 2024Fine · $38K
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Aug 7, 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
Chisolm Trail Nursing and Rehabilitation Center is a 96-bed Medicare/Medicaid nursing home in Lockhart, Texas, licensed since 1971 and managed by Creative Solutions in Healthcare. CMS rates it 2 stars overall. Staffing is rated 1 star — the lowest tier, covering about 38% of Texas nursing homes. Quality measures rate 4 stars, with long-stay outcomes at 5 stars. One CMS fine of $37,541 has been issued. The facility is currently operating at about 70% of licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star. Each resident receives about 175 minutes of total nursing care per day — roughly 66 minutes less than at a 4-star-staffing facility in Texas. Of that, registered nurse time amounts to about 28 minutes per resident per day, compared to 37 minutes at a 4-star-staffing Texas facility. Residents here also require more hands-on care than at a typical facility — less mobile or medically complex on average — so those already-lower staff hours are spread thinner than the raw numbers suggest.
Two administrators have left in the past year. That kind of turnover at the leadership level affects care coordination and staff continuity in ways that residents experience directly.
CMS recorded one fine totaling $37,541 in the available inspection period. The state median fine across Texas nursing homes that received any fine is about $20,699, so this figure runs above the midpoint. Roughly 30% of Texas nursing homes had no fines at all in this period.
The facility is operating at about 70% of its 96 licensed beds — approximately 67 residents on an average day. That figure sits below typical occupancy for nursing homes in this region. Paired with the staffing and leadership signals above, it is a pattern families may want to ask about directly.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 2.44 minutes per resident — lower than the already 1-star weekday average; ask how many nurses and aides are on duty during off-peak shifts.
Recent administrator changes
Two administrators have left in the past year; ask who is currently in charge, how long they have been in the role, and whether key department heads have also changed.
Why occupancy is at 70 percent
The facility averaged about 67 residents per day against 96 licensed beds; ask what is driving the lower census and whether any units or wings are currently unstaffed.
What triggered the 2023–2025 fine
CMS issued one fine totaling $37,541; ask what deficiency prompted it and what specific process changes were made in response.
How care plans are reviewed
Quality measures rate 4 stars overall despite 1-star staffing; ask how often care plans are updated and who leads those reviews when staffing is constrained.
Management company's role day to day
Creative Solutions in Healthcare manages the facility under LLC ownership; ask which decisions require corporate approval and who a family contacts when a concern isn't resolved at the building level.
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.