Government - Hospital district · 34 certified beds · CMS number 45E631
Schleicher County Medical Center, Eldorado, TX
CMS records 13 health deficiencies at Schleicher County Medical Center in Eldorado, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Dec 8, 2025. The highest severity cited is G (actual harm (not immediate jeopardy)). CMS lists no fines or payment denials in the last three years.
- 13deficiencies, 3 cycles (TX median 25)
- 3in the latest cycle (TX median 8)
- Ghighest severity · Actual harm
- $0fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Schleicher County Medical Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Schleicher County Medical Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (3 deficiencies)
Standard inspection Dec 8, 2025. CMS counts 3 health deficiencies and 3 fire safety deficiencies in this cycle.
Dec 8, 2025 · Standard + complaint inspection
3 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 19, 2025
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 19, 2025
F578 · Refusing treatment and advance directives
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 19, 2025
Previous cycle: 4 deficiencies (standard inspection Aug 15, 2024)
Standard inspection Aug 15, 2024. CMS counts 4 health deficiencies and 1 fire safety deficiency in this cycle.
Aug 15, 2024 · Standard inspection
4 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 15, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 15, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 1, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 15, 2024
Earlier cycle: 6 deficiencies (standard inspection Jun 29, 2023)
Standard inspection Jun 29, 2023. CMS counts 6 health deficiencies and 0 fire safety deficiencies in this cycle.
Oct 2, 2023 · Complaint inspection
2 deficiencies, highest G
F726 · Competent nurses and nurse aides
Requirement cited (CMS): Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Past non-compliance (fixed before the inspection), Sep 4, 2023
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Past non-compliance (fixed before the inspection), Sep 4, 2023
Jun 29, 2023 · Standard inspection
4 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 15, 2023
F851 · Reporting staffing data to CMS
Requirement cited (CMS): Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Jul 22, 2023
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 15, 2023
F700 · Bed rail safety
Requirement cited (CMS): Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 22, 2023
Tags cited in more than one inspection
2 tags cited on more than one inspection date at Schleicher County Medical Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F880 Infection prevention and control program | 3 | Dec 8, 2025; Aug 15, 2024; Jun 29, 2023 |
| F761 Drug labeling and secure storage | 2 | Aug 15, 2024; Jun 29, 2023 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 4.37 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.55 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.73 h
- Nursing staff turnover
- 37.8% (Texas median 52.1%)
- Administrators who left
- not reported
- CMS overall rating
- 4 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 4 of 5
- Quality measure rating
- 2 of 5
CMS figures for Schleicher County Medical Center, copied as published; Texas medians are ours.
Facility details
- Address
- 104 N Us Hwy 277, Eldorado, TX 76936
- Phone
- (325) 853-3931
- County
- Schleicher
- Accepts
- Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 34
- Average residents per day
- 31
- In Medicare/Medicaid since
- Dec 4, 1974
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How do staff track and report infections among residents? (F880, cited 3 times)
- How are medications stored and secured on each unit? (F761, cited 2 times)
- How does the home record and follow a resident's advance directive? (F578, cited 1 time)
- How are a resident's goals and preferences written into the care plan? (F656, cited 1 time)
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.