Nursing home in Colorado City, Texas
Mitchell County Nursing and Rehabilitation Center
Medicare and Medicaid
971 West I-20, Colorado City, TX 79512
(325) 728-5247
CMS star ratings
CMS gives this nursing home an overall star rating of 3 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home3
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home3
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home3
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home3
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Apr 28, 2026. CMS counts 9 health deficiencies in rating cycle 1.
- This nursing home9
- Texas average9.4 (1,171 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 23 health deficiencies on 4 inspection dates since Sep 30, 2023. By level of harm: 23 potential for harm.
- 0 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 23 No actual harm, potential for more than minimal harm
- 0 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Jul 23, 2026 | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.Nursing and Physician Services Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has plan of correction Sep 6, 2026 |
| Apr 28, 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction May 20, 2026 |
| Apr 28, 2026 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care.Resident Rights Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction May 20, 2026 |
| Apr 28, 2026 | F0585 | 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.Resident Rights Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction May 20, 2026 |
| Apr 28, 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction May 20, 2026 |
| Apr 28, 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction May 20, 2026 |
| Apr 28, 2026 | F0578 | 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 | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 20, 2026 |
| Apr 28, 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 20, 2026 |
| Apr 28, 2026 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 20, 2026 |
| Feb 20, 2025 | F0727 | 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 | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Mar 20, 2025 |
Show the other 13 deficiencies
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Feb 20, 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Mar 20, 2025 |
| Feb 20, 2025 | F0656 | 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 | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Mar 20, 2025 |
| Feb 20, 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 20, 2025 |
| Feb 20, 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 20, 2025 |
| Feb 20, 2025 | F0578 | 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 | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 20, 2025 |
| Feb 20, 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 20, 2025 |
| Feb 20, 2025 | F0761 | 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 | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 20, 2025 |
| Feb 20, 2025 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 20, 2025 |
| Feb 20, 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations.Infection Control Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 20, 2025 |
| Jan 18, 2024 | F0727 | 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 | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Feb 18, 2024 |
| Jan 18, 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Feb 18, 2024 |
| Jan 18, 2024 | F0690 | 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 | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Feb 18, 2024 |
| Jan 18, 2024 | F0578 | 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 | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Feb 18, 2024 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home3.28 hours
- Texas average3.39 hours (1,148 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.53 hours
- Texas average0.43 hours (1,148 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.
- This nursing home35.3%
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 0 penalties for this nursing home: 0 fines totaling $0, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 54 |
|---|---|
| Average residents per day | 45.9 |
| Ownership | Government - Hospital district |
| Provider type | Medicare and Medicaid |
| Inside a hospital | Yes |
| Continuing care retirement community | No |
| Resident and family council | Resident |
| Automatic sprinklers in all required areas | Yes |
| Chain | Not part of a chain in the CMS file |
| Legal business name | MITCHELL COUNTY HOSPITAL DISTRICT |
| First approved for Medicare and Medicaid | Oct 15, 2009 |
| County | Mitchell |
| CMS certification number | 676225 |
Also in Colorado City
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| Mitchell County Hospital District | Not available | Critical Access Hospitals | Yes |