C71

MITCHELL COUNTY NURSING AND REHABILITATION CENTER

Grade C 71/100 composite score

Government - Hospital district

CMS Star Ratings

Overall
2/5
Health Insp.
3/5
Quality
2/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

54

Ownership

Government - Hospital district

Total Fines

None

Last Survey

N/A

971 W I 20, COLORADO CITY, TX 79512
3257285247

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.27h
LPN
0.61h
CNA
2.05h
Total
2.94h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

MITCHELL COUNTY HOSPITAL DISTRICT

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 1967

100%

MITCHELL COUNTY HOSPITAL DISTRICT

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Dec 2024

RURAL HOSPITAL MANAGEMENT

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jun 2012

GAFFORD, SUZANNE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2023

HALL, ROBERT

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2023

PEREIDA, RUTH

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2025

EDWARDS, HELEN

IndividualCORPORATE DIRECTORSince Jan 2020

GAFFORD, SUZANNE

IndividualCORPORATE DIRECTORSince Dec 2022

GOEBEL, DONNA

IndividualCORPORATE DIRECTORSince Oct 2024

HALL, ROBERT

IndividualCORPORATE DIRECTORSince Jan 2022

JACKSON, KALEB

IndividualCORPORATE DIRECTORSince May 2023

MOORE, DIANE

IndividualCORPORATE DIRECTORSince Apr 2023

OLSTOWSKI, HENRYK

IndividualCORPORATE DIRECTORSince Mar 2022

RICKARD, MARSHA

IndividualCORPORATE DIRECTORSince Apr 2016

RUBIO, MARIA

IndividualCORPORATE DIRECTORSince Jul 2018

WOMACK, RICHY

IndividualCORPORATE DIRECTORSince Feb 2024

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (17)

February 20, 2025Health10 deficiencies
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Mar 20, 2025
0552DMinimal harm, Isolated

Ensure that residents are fully informed and understand their health status, care and treatments.

Resident Rights Deficiencies

Corrected Mar 20, 2025
0578DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Mar 20, 2025
0656EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Mar 20, 2025
0727FMinimal harm, Widespread

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Nursing and Physician Services Deficiencies

Corrected Mar 20, 2025
0755DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Mar 20, 2025
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Mar 20, 2025
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Mar 20, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 20, 2025
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Mar 20, 2025
January 18, 2024Health4 deficiencies
0578DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Feb 18, 2024
0690EMinimal harm, Pattern

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Feb 18, 2024
0727FMinimal harm, Widespread

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Nursing and Physician Services Deficiencies

Corrected Feb 18, 2024
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Feb 18, 2024
November 30, 2022Health3 deficiencies
0578EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Dec 30, 2022
0656EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Dec 30, 2022
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 30, 2022

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Frequently Asked Questions

What is the CareGrader rating for MITCHELL COUNTY NURSING AND REHABILITATION CENTER?

MITCHELL COUNTY NURSING AND REHABILITATION CENTER in COLORADO CITY, Texas has a CareGrader grade of C (Average), with a composite score of 71.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for MITCHELL COUNTY NURSING AND REHABILITATION CENTER?

MITCHELL COUNTY NURSING AND REHABILITATION CENTER has an overall CMS star rating of 2 out of 5, a health inspection rating of 3/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does MITCHELL COUNTY NURSING AND REHABILITATION CENTER have?

MITCHELL COUNTY NURSING AND REHABILITATION CENTER has 17 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does MITCHELL COUNTY NURSING AND REHABILITATION CENTER have?

MITCHELL COUNTY NURSING AND REHABILITATION CENTER has 54 certified beds with approximately 47 current residents (87% occupancy). The facility is located at 971 W I 20, COLORADO CITY, Texas 79512. It is a government - hospital district facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.