Coryell County Memorial Hospital Authority
Nursing Home, Assisted Living, Independent Living, Memory Care, Respite Care & Skilled Nursing · Gatesville, TX
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Coryell County Memorial Hospital Authority

Nursing Home, Assisted Living, Independent Living, Memory Care, Respite Care & Skilled Nursing · Gatesville, TX
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Overview of Coryell County Memorial Hospital Authority

Operated by owner Kara Cox, Coryell County Memorial Hospital Authority is a nursing facility in Gatesville, Texas, with 70 beds. The home serves residents who need skilled nursing care and rehabilitation. Most stay an average of approximately 415 days, including short-term post-acute patients and those requiring longer-term care. The facility’s occupancy rate is 95%.

Cardiac rehabilitation, orthopedic care, pain management, and dialysis are available on site. The facility also provides diagnostic imaging and wound care services. Residents who need oncology or infectious disease management can access coordinated clinical support. These services support the facility’s focus on complex medical care and rehabilitation needs.

Total nurse staffing averages 4 hours and 33 minutes per resident each day. Registered nurses provide 13 minutes of daily care, while nurse aides contribute approximately 2 hours of direct support. Supporting residents with daily care needs and medication management, the staffing team provides hands-on assistance throughout the facility.

The facility’s location on West Main Street has a Walk Score of 59. Some errands can be reached while walking, but other trips require driving. In this setting, family members can visit and conveniently spend time in the community.

Recent state inspections have shown a pattern of maintaining standards with minimal deficiency citations. No Life Safety Code violations or enforcement actions have been recorded.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 33m per day
Rank #48 / 273Nurse hours — State benchmarkedThis home is ranked 48th out of 273 homes in Texas for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 273 Texas facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 13m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 1h 3m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 1h 59m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 2h 56m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 5m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 14m per day

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
415 days
Bed community size
70-bed community Rank #507 / 976Bed count — State benchmarkedThis home is ranked 507th out of 976 homes in Texas for Bed Count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 59 / 100 Rank #309 / 1389Walk Score — State benchmarkedThis home is ranked 309th out of 1389 homes in Texas for Walk Score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Texas facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

License Details

Facility TypeType B
CountyCoryell
CMS Certification Number675886

Ownership & Operating Entity

Coryell County Memorial Hospital Authority is legally operated by Coryell County Memorial Hospital Authority.

Owner NameCoryell Memorial Hospital Authority

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Memory & Specialized Care

1 service
No Alzheimer's certification

Additional Services

1 service
Rehabliving

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Specific ProgramsAllergy & Asthma, Bariatric Surgery, Cardiac Rehabilitation, Cardiology, Chronic Care Management (CCM) Program, Dermatology, Diagnostic Imaging, Dialysis, Ear, Nose & Throat, Emergency Medical Services, Family Medicine, General Surgery, Hepatology, Hospital, Ideal Protein, Infusion & Medication Therapy, Laboratory, Nephrology & Hypertension, Neurology, Oncology, Orthopedics, Pain Management, Podiatry, Pulmonary Rehabilitation, Rehab Programs, Robotic Knee Surgery, Sleep Center, Surgery, Telehealth, Urology, Quick Care Walk-in Clinic, Vein & Vascular Center, Wound Center, Medical Clinic, Gatesville, Mills County, Waco, Moody, Copperas Cove, McGregor, Advanced Wound Center, Residential Care, Independent Living at the Oaks, Assisted Living at the Oaks, RehabLiving at the Meadows

Contact Coryell County Memorial Hospital Authority

Inspection History

In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.

Since 2022 · 4 years of data 1 citation 1 inspection

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. Texas state average
Overall vs. TX average 0 Worse No metrics in this bucket. 1 At Avg Metrics at Texas average:
• Inspections with citations (at TX avg)
3 Better Metrics better than Texas average:
• Total citations (83% below)
• Health citations (50% below)
• Citations per year (80% below)
Latest Inspection April 5, 2022 Other An inspection that falls outside standard annual surveys and formal complaint investigations. May include administrative compliance checks, documentation reviews, focused surveys on specific concerns, or revisit surveys to verify prior corrections.

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityTX Averagevs. TX Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 16 This facility has 83% fewer total citations than a typical Texas assisted living residence (1 vs. TX avg 6).↓ 83% better
Health citations Info Citations related to resident care, clinical practices, and day-to-day operations. 12 This facility has 50% fewer health citations than a typical Texas assisted living residence (1 vs. TX avg 2).↓ 50% better
Citations per year Info Average citations per year since 2022. 0.31.5 This facility has 80% fewer citations per year than a typical Texas assisted living residence (0.3 vs. TX avg 1.5).↓ 80% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityTX Averagevs. TX Avg
Inspections with citations Info Inspections that resulted in at least one regulatory citation. 11 This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • April 5, 2022 inspection cited one violation of state standards with no Life Safety Code violations or enforcement actions.
  • The single deficiency was unspecified, indicating a low-severity or administrative issue without further detail.
  • No complaints were substantiated or investigated during the most recent inspection period.

Health Inspection History

Inspections since 2022
Total health inspections 7

State average N/A


Last Health inspection on Sep 2025

Total health citations
20 Rank #127 / 274Health citations — State benchmarkedThis home is ranked 127th out of 274 homes in Texas for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 274 TX facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
2.86 Rank #103 / 274Citations per inspection — State benchmarkedThis home is ranked 103rd out of 274 homes in Texas for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 274 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

14 of 20 citations resulted from standard inspections; and 6 of 20 resulted from complaint investigations.

Breakdown of citation severity (last 4 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

20 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 4 years)
Pharmacy moderate citation Sep 09, 2025
Corrected

Quality of Care moderate citation Sep 09, 2025
Corrected

Quality of Care moderate citation Sep 09, 2025
Corrected

Nutrition moderate citation Nov 27, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 175
Employees 65
Contractors 110
Staff to resident ratio 1.77 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 43
Average shift 8.9 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 35,106

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 6 RN Staff are full-time employees. No contractors work on this role. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.3 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 51 total: 8 full-time employees and 43 contractors. 51
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 92 total: 26 full-time employees and 66 contractors. 92
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

26.6%

9,334 contractor hours this quarter

Certified Nursing Assistant: 66 Licensed Practical Nurse: 43 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant26669214,03992100%9.4
Licensed Practical Nurse843518,57692100%9.1
Medication Aide/Technician7074,10792100%10.8
Registered Nurse6061,4757986%10.3
RN Director of Nursing2021,0586773%9
Dietitian2021,0217885%7.8
Respiratory Therapy Technician2028117683%6.6
Qualified Social Worker2028096975%6.1
Speech Language Pathologist3037287076%6.5
Mental Health Service Worker1015225964%8.8
Administrator1015126470%8
Nurse Practitioner1015126470%8
Physical Therapy Assistant3035126571%7.2
Physical Therapy Aide1014026166%6.6
Medical Director011231314%1.7
92 Certified Nursing Assistant
% of Days 100%
51 Licensed Practical Nurse
% of Days 100%
7 Medication Aide/Technician
% of Days 100%
6 Registered Nurse
% of Days 86%
2 RN Director of Nursing
% of Days 73%
2 Dietitian
% of Days 85%
2 Respiratory Therapy Technician
% of Days 83%
2 Qualified Social Worker
% of Days 75%
3 Speech Language Pathologist
% of Days 76%
1 Mental Health Service Worker
% of Days 64%
1 Administrator
% of Days 70%
1 Nurse Practitioner
% of Days 70%
3 Physical Therapy Assistant
% of Days 71%
1 Physical Therapy Aide
% of Days 66%
1 Medical Director
% of Days 14%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 11.2
30% worse than State average

State average: 8.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 19.3
20% worse than State average

State average: 16.0

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 19.5%
20% worse than State average

State average: 16.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 28.1%
73% worse than State average

State average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 10.3%
34% better than State average

State average: 15.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.4%
In line with State average

State average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.5%
22% better than State average

State average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.6%
94% worse than State average

State average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.5%
57% better than State average

State average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.3%
89% better than State average

State average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 8.3%
6% worse than State average

State average: 7.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
In line with State average

State average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with State average

State average: 97.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.9%
In line with State average

State average: 90.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.8%
43% better than State average

State average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 93.8%
7% better than State average

State average: 88.0%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 99
Medicare
10
10.1% of residents
Medicaid
46
46.5% of residents
Private pay or other
43
43.4% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 07/2024.

Government
Operated by county authorities.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.5M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$851.8K
Government Operated by county authorities.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.5M Rank #99 / 280Revenue — State benchmarkedThis home is ranked 99th out of 280 homes in Texas for Revenue. Shows this facility's annual revenue compared to the Texas average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$851.8K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$288
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #87 / 280Payroll — State benchmarkedThis home is ranked 87th out of 280 homes in Texas for Payroll. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$6.2M 72.6% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #125 / 280Payroll % — State benchmarkedThis home is ranked 125th out of 280 homes in Texas for Payroll %. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 50–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.2M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$9.4M

Places of interest near Coryell County Memorial Hospital Authority

Address 0.0 miles from city center Info Estimated distance in miles from Gatesville's city center to Coryell County Memorial Hospital Authority's address, calculated via Google Maps.

Calculate Travel Distance to Coryell County Memorial Hospital Authority

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Frequently Asked Questions about Coryell County Memorial Hospital Authority

Who is the owner of Coryell County Memorial Hospital Authority?

Coryell County Memorial Hospital Authority is legally operated by Coryell Memorial Hospital Authority.

Is Coryell County Memorial Hospital Authority in a walkable area?

Coryell County Memorial Hospital Authority has a walk score of 59. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Coryell County Memorial Hospital Authority?

Coryell County Memorial Hospital Authority's occupancy is 95.2%.

Are pets allowed at Coryell County Memorial Hospital Authority?

No, Coryell County Memorial Hospital Authority has a no-pet policy.

Is Coryell County Memorial Hospital Authority a government-operated facility?

Coryell County Memorial Hospital Authority is a government-operated nursing facility in TX.

How many beds does Coryell County Memorial Hospital Authority have?

Coryell County Memorial Hospital Authority has 70 beds.

Has Coryell County Memorial Hospital Authority had any citations?

Coryell County Memorial Hospital Authority has had 1 reported citation since 2022 according to records from Texas Health and Human Services (HHSC).

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