Lake Hills Healthcare Center
1514 Indian Creek Rd., Brownwood, TX 76801
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Follow this homeLake Hills Healthcare Center is a nursing home in Brownwood, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating4 of 5
- Last standard health inspectionJune 24, 2026 (4 months ago)
- Health citations since January 25, 202419 (Texas average 28)
- Fines in the past three years2, $22,084 in total
- CMS flagsNone listed by CMS
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
CMS update of October 8, 2026
Name
CMS lists a new name for this home. It was CROSS COUNTRY HEALTHCARE CENTER.
Health inspection on July 10, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0656. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on July 11, 2026.
Health inspection on June 24, 2026
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation F0801. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
CMS lists it as corrected on July 26, 2026.
Citation F0755. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on July 26, 2026.
CMS has cited this home for F0755 3 times since 2024.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on July 26, 2026.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on July 26, 2026.
CMS has cited this home for F0761 3 times since 2024.
Fire safety inspection on June 24, 2026
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on July 1, 2026.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on July 1, 2026.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on July 1, 2026.
Citation K0521. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on July 1, 2026.
CMS has cited this home for K0521 3 times since 2024.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
Health inspection on February 9, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0728. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
CMS lists it as corrected on March 9, 2026.
CMS update of January 14, 2026
Fine
CMS changed the fine from April 4, 2025 from $20,400 to $13,260.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 1 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
CMS update of June 25, 2025
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Health inspection on April 4, 2025
4 citationsCMS lists this as a standard inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $13,260 on April 4, 2025.
Show the 4 citations
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on March 24, 2025.
CMS has cited this home for F0689 2 times since 2024.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on April 5, 2025.
CMS has cited this home for F0812 2 times since 2024.
Citation F0777. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
CMS lists it as corrected on April 5, 2025.
Citation F0680. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure the activities program is directed by a qualified professional.
CMS lists it as corrected on April 5, 2025.
Fire safety inspection on April 4, 2025
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation E0041. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Implement emergency and standby power systems.
CMS lists it as corrected on April 17, 2025.
Citation K0342. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
CMS lists it as corrected on April 17, 2025.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on April 17, 2025.
Citation K0521. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on April 17, 2025.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on January 24, 2025
3 citationsCMS lists this as a complaint inspection.
Show the 3 citations
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on January 25, 2025.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on January 25, 2025.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on January 25, 2025.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of June 26, 2024
Fine
CMS changed the fine from January 25, 2024 from $13,575 to $8,824.
CMS update of April 25, 2024
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
Ownership
CMS lists this home under a new chain.
February 21, 2024
Payment stoppedCMS stopped payment for new admissions from February 21, 2024, for 2 days.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Health inspection on January 25, 2024
6 citationsCMS lists this as a standard inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
143 of 1,177 Texas homes (12%) got a citation at the actual harm level in 2024.
CMS fine of $8,824 on January 25, 2024.
Show the 6 citations
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on January 26, 2024.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on January 26, 2024.
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS lists it as corrected on January 26, 2024.
Citation F0755. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on January 26, 2024.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on January 26, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on January 26, 2024.
Fire safety inspection on January 25, 2024
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0271. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have exits that are accessible at all times.
CMS lists it as corrected on February 23, 2024.
Citation K0521. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on January 25, 2024.
CMS update of December 21, 2023
Fine
CMS changed the fine from January 3, 2023 from $15,000 to $15,567.
CMS star ratings
- 4 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (325) 646-6529
- Last standard health inspection
- June 24, 2026 (4 months ago)
- Certified beds
- 94
- Residents per day, on average
- 72.7
- Ownership type
- For profit - Corporation
- Legal business name
- Hamilton County Hospital District
- Chain
- Hamilton County Hospital District
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (19 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- SLP BROWNWOOD, LLCOperational/managerial control · not applicable · since 09/01/2021
- MISTRETTA, CASSANDRAOperational/managerial control · not applicable · since 09/01/2021
Questions
When was Lake Hills Healthcare Center last inspected?
CMS lists June 24, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Lake Hills Healthcare Center have?
CMS lists 19 health citations since January 25, 2024. CMS also calls these deficiencies.
Has Lake Hills Healthcare Center been fined?
CMS lists 2 fines in the past three years, $22,084 in total.
What is the CMS star rating of Lake Hills Healthcare Center?
Its CMS overall star rating is 4 of 5.
Is Lake Hills Healthcare Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.