Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Williams Co Hillside Country L during CMS and state inspections, most recent first.
The facility did not meet the requirements for a Legionella water management program, as chlorination levels were inadequately monitored, and there was no risk assessment or flow diagram for the water systems. Additionally, a nurse failed to wear gloves during insulin administration to a resident with diabetes, violating the facility's infection control policy.
The facility failed to conduct thorough investigations into multiple allegations of physical abuse among residents. Necessary investigative steps such as staff interviews, witness statements, resident interviews or assessments, and staff education were not completed for incidents involving six residents. Interviews with the Administrator and DON confirmed these omissions, which violated the facility's policy on abuse and neglect.
The facility failed to cook non-pasteurized eggs appropriately, affecting three residents, and did not ensure proper hand hygiene during meal assistance, impacting two residents. Unpasteurized eggs were used due to a shortage of pasteurized eggs, and a CNA was observed not following hand hygiene protocols. Facility policies lacked guidance on hand hygiene during meal assistance.
A facility failed to ensure a resident's call light was within reach, affecting a resident with dementia and other conditions who required substantial assistance. The call light was observed wrapped around the bed rail, three feet away from the resident, who was sitting in a chair. A CNA confirmed the resident's ability to express needs and the inaccessibility of the call light.
The facility failed to maintain privacy curtains in good repair for two residents. One resident with a history of CVA and Alzheimer's had a curtain held together with binder clips, while another resident with atrial fibrillation and anxiety had a curtain hanging onto the floor. Both issues were confirmed by a hospitality aide, and the DON revealed the absence of a policy for a homelike environment.
A facility failed to ensure medications were not left at the bedside, affecting a resident with dementia who was found with a non-prescribed bottle of Tums. The Tums, purchased by the resident's son, were not ordered for self-administration and had a warning label to keep out of reach. A nurse confirmed the Tums should not have been at the bedside. The DON identified five other cognitively impaired and independently mobile residents on the same hall, indicating a broader issue with medication storage and supervision.
The facility failed to implement bowel interventions for two residents at risk for constipation due to impaired mobility and cognitive impairment. Despite having orders for medications to manage constipation, records showed no evidence of bowel movements for several four-day periods, and no as-needed medications were administered. Interviews confirmed the lack of interventions, despite the facility's bowel protocol requiring action after three days without a bowel movement.
Deficiencies in Legionella Water Management and Infection Control
Penalty
Summary
The facility failed to meet the requirements for a Legionella water management program, which had the potential to affect all residents. The Maintenance Director confirmed that the facility did not have a risk assessment or flow chart/diagram describing the water systems, and chlorination levels were only tested once a week in one room, contrary to the facility policy that required daily checks. The facility's water management program did not align with CDC guidance, which outlines a multi-step process to minimize the growth and transmission of Legionella and other waterborne pathogens. Additionally, the facility failed to maintain proper infection control practices during insulin administration for a resident with diabetes mellitus. A Registered Nurse administered insulin without wearing gloves, which was against the facility's policy on bloodborne pathogen exposure control. The policy required the use of disposable gloves when handling blood or body secretions, but this was not followed during the insulin administration observed.
Failure to Conduct Thorough Investigations into Alleged Abuse
Penalty
Summary
The facility failed to conduct thorough investigations into multiple allegations of physical abuse among residents. Specifically, the facility did not complete necessary investigative steps such as staff interviews, witness statements, resident interviews or assessments, and staff education for incidents involving six residents. These incidents were documented in self-reported incidents (SRI) submitted by the facility, but the corresponding investigations lacked evidence of comprehensive inquiry as required by the facility's policy on abuse and neglect. Interviews with the Administrator and the Director of Nursing confirmed the absence of these critical investigative components. The facility's policy, revised in August 2023, mandates that all alleged violations be thoroughly investigated and documented, including the removal of residents from abusive situations and the completion of assessments. However, the facility did not adhere to these procedures, resulting in incomplete investigations for the reported incidents.
Deficiencies in Egg Preparation and Hand Hygiene
Penalty
Summary
The facility failed to ensure that non-pasteurized eggs were cooked appropriately, affecting three residents who received soft-cooked eggs from the kitchen. Observations revealed that the kitchen used unpasteurized eggs for the morning meal due to running out of pasteurized eggs. Staff interviews confirmed that medium and soft-cooked eggs were prepared for the residents, contrary to the facility's policy, which required pasteurized eggs for such preparations. Additionally, the facility did not ensure proper hand hygiene practices during meal assistance, affecting two residents observed during meal service. A CNA was observed touching a resident's sandwich with bare hands and failing to perform hand hygiene after touching a telephone and another resident before assisting a third resident with eating. The CNA confirmed the lapses in hand hygiene and acknowledged the need to don gloves and sanitize hands between tasks. The facility's policies on infection control and personal hygiene lacked guidance on hand hygiene during meal assistance. Interviews with the Director of Nursing revealed that there was no policy regarding cleansing hands between residents when providing meal assistance or hand hygiene concerning touching ready-to-eat foods.
Call Light Accessibility Deficiency
Penalty
Summary
The facility failed to ensure that call lights were within reach and accessible to residents, specifically affecting one resident. The resident, who was admitted with diagnoses including dementia, major depressive disorder, and chronic kidney disease, was frequently incontinent of bowel and bladder, required substantial/maximal staff assistance with toileting, and was receiving hospice care. During an observation, the resident was found sitting in a chair watching television, with the call light wrapped around the side rail of the bed, approximately three feet away and not within reach. A CNA confirmed that the resident was able to express care needs and used the call light for assistance, verifying that the call light was not accessible and acknowledging that call lights should be within reach of residents.
Facility Fails to Maintain Privacy Curtains in Good Repair
Penalty
Summary
The facility failed to maintain privacy curtains in good repair, affecting two residents. Resident #3, who was admitted with diagnoses of cerebral vascular accident and Alzheimer's disease, was found to have a privacy curtain in disrepair in their semi-private room. The curtain was ripped at the top and held together with binder clips. This condition was observed during a visit, and Resident #3's daughter confirmed that the curtain had been in this state for the entire duration of the resident's stay, despite having reported it and requested repairs. A hospitality aide verified the condition of the curtain. Similarly, Resident #29, who was admitted with diagnoses of atrial fibrillation, transient ischemic attack, and anxiety, was found to have a privacy curtain that was ripped at the top and hanging onto the floor in their semi-private room. The resident was cognitively impaired at the time of the observation. The same hospitality aide confirmed the condition of the curtain in Resident #29's room. An interview with the Director of Nursing revealed that the facility did not have a policy for maintaining a homelike environment.
Medication Storage Deficiency
Penalty
Summary
The facility failed to ensure medications were not left at the bedside, affecting a resident who was reviewed for medication storage. The resident, who was mildly cognitively impaired and diagnosed with dementia, was found with a bottle of Tums at her bedside, which was not prescribed or ordered for self-administration. The Tums were purchased by the resident's son, and the bottle had a warning label to keep it out of reach. A registered nurse confirmed the presence of the Tums at the bedside, acknowledging they should not have been there. Additionally, the Director of Nursing identified five other cognitively impaired and independently mobile residents residing on the same hall, indicating a broader issue with medication storage and supervision in the facility.
Failure to Implement Bowel Interventions for Residents
Penalty
Summary
The facility failed to implement bowel interventions for two residents, both of whom were at risk for constipation due to impaired mobility and cognitive impairment. Resident #24, who had diagnoses including dementia and major depressive disorder, was frequently incontinent and required substantial assistance with toileting. Despite having orders for various medications to manage constipation, the bowel elimination record showed no evidence of bowel movements for several four-day periods in February 2025. The Medication Administration Record (MAR) indicated that no as-needed medications for constipation were administered during these times. Similarly, Resident #52, who also had dementia and was receiving hospice care, was frequently incontinent and required significant assistance with toileting. The resident had orders for medications to address constipation, but the bowel elimination record revealed no bowel movements for two separate four-day periods. The MAR confirmed that no additional as-needed medications were given. Interviews with the Director of Nursing and staff confirmed the lack of bowel movements and the absence of additional interventions, despite the facility's bowel protocol requiring action after three days without a bowel movement.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 60 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Bryan
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Majestic Care Of Bryan | 1 mi | ★★★★★ | 19 | 0 |
| Evergreen Healthcare Center | 7.3 mi | ★★★★★ | 1 | 0 |
| Park View Care Center | 9.8 mi | ★★★★★ | 9 | 0 |
| Fairlawn Haven | 14.3 mi | ★★★★★ | 0 | 0 |
| Vancrest Of Hicksville | 15.5 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release June 2026) and official state health department websites.