Federal inspection record · CMS data as of October 1, 2026

Holland Lake Rehabilitation and Wellness Center

1201 Holland Lake Dr., Weatherford, TX · (817) 598-0160

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
120
Residents per day
97
Ownership
For-Profit
Chain
Hmg Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
September 18, 1996

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Holland Lake Rehabilitation and Wellness Center carries 30 inspection points. That is fewer than 86% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 30 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–26 pts
  • 4★ 26–51 pts
  • 3★ 51–85 pts
  • 2★ 85–145.75 pts
  • 1★ over 145.75 pts

Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

13 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 6 4 pts
E 5 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Assessment and Care Planning4E
  1. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    April 12, 2026 · Complaint · F656 · Corrected April 15, 2026

  2. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    October 17, 2024 · Complaint · F842 · Corrected October 18, 2024

  3. E

    Ensure each resident receives an accurate assessment.

    August 31, 2023 · Standard · F641 · Corrected September 4, 2023

  4. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    August 31, 2023 · Standard · F657 · Corrected September 4, 2023

Quality of Life and Care3E
  1. D

    Provide safe and appropriate respiratory care for a resident when needed.

    March 26, 2025 · Complaint · F695 · Corrected March 27, 2025

  2. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    August 31, 2023 · Standard · F677 · Corrected September 4, 2023

  3. E

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    August 31, 2023 · Standard · F688 · Corrected September 4, 2023

Pharmacy Service2D
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    April 12, 2026 · Complaint · F755 · Corrected April 15, 2026

  2. D

    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.

    January 2, 2025 · Complaint · F761 · Corrected January 4, 2025

Nutrition and Dietary2F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 8, 2026 · Standard · F812 · Corrected February 10, 2026

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 31, 2023 · Standard · F812 · Corrected September 4, 2023

Infection Control2E
  1. E

    Provide and implement an infection prevention and control program.

    December 3, 2025 · Complaint · F880 · Corrected December 5, 2025

  2. D

    Provide and implement an infection prevention and control program.

    August 31, 2023 · Standard · F880 · Corrected September 4, 2023

Inspection history

  1. 2026-01-08

    4 health deficiencies · 4 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  2. 2024-10-17

    3 health deficiencies · 5 fire-safety deficiencies

    Top issue: Pharmacy Service (1 deficiency)

  3. 2023-08-31

    6 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 29 min of nursing staff time a day, 24 min of it from a registered nurse.

This home

3 h 29 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 37% of nursing staff and 43% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.9 pts better1.12.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts better0.72.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better100.0%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.6 pts better98.6%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts better1.9%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms2.3 pts better0.0%2.3%13.5%
Percentage of long-stay residents who lose too much weight2.9 pts better0.0%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication10.1 pts better7.7%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication6.6 pts better3.2%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened6.9 pts better6.0%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased9.6 pts better6.2%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.4 pts better0.4%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.6 pts better3.9%12.5%18.3%
Percentage of long-stay residents with pressure ulcers0.4 pts worse4.1%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better100.0%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit6.1 pts better6.1%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better0.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.5 pts better90.9%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission6.9 pts better18.6%25.5%23.4%

·

Who owns and runs it

35 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Balsamo, KrystalAdp Of The SNF · Individual0%28 facilities
Cibc Bank UsaAdp Of The SNF · Organization0%208 facilities
Culp, RolandOperational/Managerial Control · Individual0%32 facilities
Culp, RolandAdp Of The SNF · Individual0%32 facilities
Daspit, LaurenceOperational/Managerial Control · Individual0%32 facilities
Daspit, LaurenceAdp Of The SNF · Individual0%32 facilities
Dohn, WilliamOperational/Managerial Control · Individual0%28 facilities
Dohn, WilliamAdp Of The SNF · Individual0%28 facilities
Edwards, RhondaOperational/Managerial Control · Individual0%1 facilities
Forvis Mazars, LlpAdp Of The SNF · Organization0%17 facilities
Hmg Park Manor Of Holland Lake, LLCOperational/Managerial Control · Organization0%1 facilities
Jackson, HelenOperational/Managerial Control · Individual0%1 facilities
Murrell, EdwardCorporate Officer · Individual0%77 facilities
Murrell, EdwardOperational/Managerial Control · Individual0%77 facilities
Pico, AnaOperational/Managerial Control · Individual0%29 facilities
Pico, AnaAdp Of The SNF · Individual0%29 facilities
Prince, DerekOperational/Managerial Control · Individual0%32 facilities
Prince, DerekIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%32 facilities
Prince, DerekAdp Of The SNF · Individual0%32 facilities
Reinarz, ChristianOperational/Managerial Control · Individual0%28 facilities
Reinarz, ChristianAdp Of The SNF · Individual0%28 facilities
Rollo, JefferyCorporate Officer · Individual0%36 facilities
Rollo, JefferyOperational/Managerial Control · Individual0%36 facilities
Stanbridge, NormaAdp Of The SNF · Individual0%28 facilities
Stramecki, AnthonyCorporate Director · Individual0%36 facilities
Stramecki, AnthonyOperational/Managerial Control · Individual0%36 facilities
Tillman, DonnaOperational/Managerial Control · Individual0%1 facilities
Tillman, DonnaAdp Of The SNF · Individual0%1 facilities
Vratis, KaceyCorporate Director · Individual0%33 facilities
Vratis, KaceyOperational/Managerial Control · Individual0%33 facilities
Way, GeorgeCorporate Director · Individual0%36 facilities
Way, GeorgeCorporate Officer · Individual0%36 facilities
Way, GeorgeOperational/Managerial Control · Individual0%36 facilities
Winnie-Stowell Hospital DistrictOperational/Managerial Control · Organization0%18 facilities
Zions BancorporationAdp Of The SNF · Organization0%24 facilities

·

Fire safety

12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke7E
  1. E

    Inspect, test, and maintain automatic sprinkler systems.

    January 8, 2026 · K353 · Corrected January 12, 2026

  2. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    January 8, 2026 · K372 · Corrected February 10, 2026

  3. E

    Provide properly protected cooking facilities.

    October 17, 2024 · K324 · Corrected October 31, 2024

  4. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    October 17, 2024 · K372 · Corrected November 4, 2024

  5. D

    Have approved installation, maintenance and testing program for fire alarm systems.

    October 17, 2024 · K345 · Corrected November 4, 2024

  6. E

    Inspect, test, and maintain automatic sprinkler systems.

    August 31, 2023 · K353 · Corrected September 26, 2023

  7. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    August 31, 2023 · K372 · Corrected September 15, 2023

Emergency Preparedness2F
  1. F

    Implement emergency and standby power systems.

    January 8, 2026 · E41 · Corrected January 27, 2026

  2. F

    Implement emergency and standby power systems.

    October 17, 2024 · E41 · Corrected October 31, 2024

Gas, Vacuum, and Electrical Systems2F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    January 8, 2026 · K918 · Corrected January 27, 2026

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    October 17, 2024 · K918 · Corrected October 31, 2024

Egress1D
  1. D

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    August 31, 2023 · K222 · Corrected September 26, 2023

·

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