Chisolm Trail Nursing and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 63 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (11 vs median 8.0)
Below average in Texas · Below recommended RN staffing · $37,541 in fines
What this means for your family
This facility is widely loved for its 'home-like' atmosphere and excellent rehab team. However, because there are highly specific and severe allegations of neglect and understaffing, you should personally verify the hygiene standards and nighttime staffing levels during your visit.
Google Reviews
Google Reviews
63 reviews on Google“Families considering Chisolm Trail often praise the facility for its warm, family-like atmosphere and the compassionate, long-term nursing and rehab staff. However, there are serious, critical allegations regarding neglect, understaffing, and poor hygiene that should be investigated thoroughly during a visit.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Warm, family-oriented atmosphere
- Effective rehabilitation and therapy services
- Strong administrative communication
Concerns
- Severe allegations of neglect and mistreatment
- Staffing shortages leading to slow response times (mentioned by 2 reviewers)
- Inconsistent cleanliness in resident rooms (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 65 analyzed
How They Respond to Reviews
The owner primarily uses templated, repetitive phrases to acknowledge positive reviews. There is a notable lack of engagement with specific feedback, particularly when addressing criticisms.
Questions for Your Tour
- 1We've heard wonderful things about the warm, family-oriented atmosphere here; how do you foster that sense of community among the residents?
- 2With the focus on rehabilitation services mentioned in your positive feedback, could you walk us through how the therapy team works with new residents to meet their mobility goals?
- 3How does the nursing team manage response times during busy shifts to ensure every resident's needs are met promptly?
- 4Could you tell us a bit about the daily dining experience and what steps are being taken to ensure high-quality, nutritious meals for everyone?
- 5What is the protocol for handling medical emergencies or urgent care needs during the overnight hours?
- 6How do you approach room cleanliness and maintenance to ensure a comfortable and hygienic environment for all 96 residents?
Personalized based on this facility's data
Key Review Excerpts
“As soon as we walked in the door, it felt like we were coming home to an extended family. The atmosphere is one of genuine warmth and sincere love and nurturing for those in their care.”
“The staff are friendly, knowledgeable, loving, personable and engaged with their residents. I highly recommend Chislom Trail to anyone that wants to place their [mother].”
“My mother has been there for almost 3 years and I couldn't be happier. The staff is friendly and supportive and the Center is really clean.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
3
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning patterns with families filing complaint reports about resident care quality, pressure ulcer management, and abuse prevention. The most recurring issues involve care planning and treatment, medication management, and fire safety systems. While all deficiencies show correction dates, problems persist across multiple surveys, with recent complaints in 2024-2025 highlighting ongoing concerns about appropriate treatment and wound care that families should investigate thoroughly.
Aug 7, 2025Routine12
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Environmental Deficiencies
Have policies on smoking.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Jul 17, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jun 5, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Mar 4, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Aug 31, 2024Complaint1
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jul 11, 2024Routine9
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Federal Penalties
Fine
Aug 31, 2024
$37,541
Ownership & Operations
Who Operates This Facility
Lockhart I Enterprises, LLC
for profit
CREATIVE SOLUTIONS IN HEALTHCARE, INC
MICHAEL BERRONES
Chain Affiliation
Diversicare Healthcare
46 facilities nationwide
Chain avg rating: 2.5/5 · Rank 3 of 4
Ownership & Management
Owners
Diversicare Leasing Lp
Owner · Organization
Advocat Finance, LLC
Owner (parent company) · Organization
Dac Newcorp INC
Owner (parent company) · Organization
Diversicare Healthcare Services LLC
Owner (parent company) · Organization
Diversicare Management Services Lp.
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
63 reviews from families & visitors
Official Website
Visit chisolmtrailnursing.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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