PlainNursing
CMS Nursing Home Compare · August 2026

Nocona Rehabilitation and Care Center

306 Carolyn Rd, Nocona, TX 76255

Nocona Rehabilitation and Care Center, a 89-bed for profit - limited liability company nursing facility in Nocona, TX, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #941 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 9408253288

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1 / 5
Much below average · CMS overall · nat'l 3.0
#941 of 1,165
In-state rank among rated TX homes
3.12
Well below average · nurse hrs/day · nat'l 3.86
26
Inspection findings

The verdict

Nocona Rehabilitation and Care Center, a 89-bed for profit - limited liability company nursing facility in Nocona, TX, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #941 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

1 / 5
CMS overall · national 3.0
#941 of 1,165
In-state rank among rated TX homes
3.12
Nurse hrs/resident-day · national 3.86
26
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

1/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
675554
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
89
Residents
32
In Hospital
No
County
Montague
Last Inspection
Feb 13, 2026

Staffing Data

How the 3.12 total nursing hours per resident-day are staffed:

RN Hours
0.42 (nat'l avg: 0.69)
LPN Hours
1.05
CNA Hours
1.66
Total Nursing Hours
3.12 (nat'l avg: 3.86)
PT Hours
0.01

What the CMS Record Reveals About Nocona Rehabilitation and Care Center

According to CMS Nursing Home Compare, Nocona Rehabilitation and Care Center ranks #941 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Nocona Rehabilitation and Care Center operates 89 certified beds in Nocona, TX with approximately 32 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 2★ · staffing 1★ · quality 3★).

The inspection file contains 26 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Reported nurse staffing runs 3.12 total hours per resident day (national average 3.86); RN hours specifically are 0.42 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Nocona Rehabilitation and Care Center falls into a category where comparative context matters.

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (26 most recent)

D - Isolated - Minimal harm Feb 13, 2026 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Mar 3, 2026

D - Isolated - Minimal harm Feb 13, 2026 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: Mar 3, 2026

E - Pattern - Minimal harm Feb 13, 2026 Tag: 0940

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Category: Administration Deficiencies

Corrected: Mar 3, 2026

E - Pattern - Minimal harm Feb 13, 2026 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Mar 3, 2026

E - Pattern - Minimal harm Feb 13, 2026 Tag: 0865

Have a plan that describes the process for conducting QAPI and QAA activities.

Category: Administration Deficiencies

Corrected: Mar 3, 2026

F - Widespread - Minimal harm Feb 13, 2026 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Mar 3, 2026

F - Widespread - Minimal harm Feb 13, 2026 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 3, 2026

D - Isolated - Minimal harm Nov 26, 2025 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Dec 1, 2025

E - Pattern - Minimal harm Nov 26, 2025 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Nov 27, 2025

E - Pattern - Minimal harm Nov 26, 2025 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Dec 5, 2025

E - Pattern - Minimal harm Nov 26, 2025 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Dec 4, 2025

E - Pattern - Minimal harm Nov 26, 2025 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 4, 2025

F - Widespread - Minimal harm Nov 26, 2025 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 1, 2025

F - Widespread - Minimal harm Nov 10, 2025 Tag: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category: Administration Deficiencies

Corrected: Nov 19, 2025

E - Pattern - Minimal harm Jun 4, 2025 Tag: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category: Administration Deficiencies

Corrected: Jun 25, 2025

F - Widespread - Minimal harm Mar 21, 2025 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 22, 2025

D - Isolated - Minimal harm Jan 21, 2025 Tag: 0776

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Category: Administration Deficiencies

Corrected: Feb 6, 2025

E - Pattern - Minimal harm Nov 21, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 16, 2024

E - Pattern - Minimal harm Nov 21, 2024 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Dec 16, 2024

E - Pattern - Minimal harm Nov 21, 2024 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 16, 2024

E - Pattern - Minimal harm Nov 21, 2024 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 16, 2024

E - Pattern - Minimal harm Nov 21, 2024 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 16, 2024

F - Widespread - Minimal harm Nov 21, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 16, 2024

F - Widespread - Minimal harm Nov 21, 2024 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 16, 2024

D - Isolated - Minimal harm Oct 5, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 1, 2023

E - Pattern - Minimal harm Oct 5, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 1, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 18.2% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 5.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 18.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.2% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 13.4% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 5.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 3.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.5% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 32.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 11.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 91.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Nocona Rehabilitation and Care Center, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Nocona Rehabilitation and Care Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 89 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Nocona Rehabilitation and Care Center?
Nocona Rehabilitation and Care Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (2★), staffing levels (1★), and quality measures (3★).
Where does Nocona Rehabilitation and Care Center rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Nocona Rehabilitation and Care Center ranks 941st among 1,165 rated nursing homes in TX (#941 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Nocona Rehabilitation and Care Center?
Nocona Rehabilitation and Care Center reports 3.12 total nursing hours per resident day (national average: 3.86). RN hours are 0.42 per resident day (national average: 0.69).
How many beds does Nocona Rehabilitation and Care Center have?
Nocona Rehabilitation and Care Center has 89 certified beds with approximately 32 residents. The facility is located at 306 Carolyn Rd, Nocona, TX 76255.
Does Nocona Rehabilitation and Care Center have any deficiencies on record?
Yes, Nocona Rehabilitation and Care Center has 26 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Nocona Rehabilitation and Care Center received any fines or penalties?
No, Nocona Rehabilitation and Care Center has no fines or penalties on record.
Who owns Nocona Rehabilitation and Care Center?
Nocona Rehabilitation and Care Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Nocona Rehabilitation and Care Center last inspected?
The most recent health inspection for Nocona Rehabilitation and Care Center was on Feb 13, 2026. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Nocona Rehabilitation and Care Center?
Nocona Rehabilitation and Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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