For profit - Limited Liability company · 94 certified beds · CMS number 676086

Goldthwaite Health & Rehab Center, Goldthwaite, TX

CMS records 19 health deficiencies at Goldthwaite Health & Rehab Center in Goldthwaite, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on May 14, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level. CMS lists 1 fine totaling $32,545 in the last three years.

Inspections and deficiencies

CMS findings for Goldthwaite Health & Rehab Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Goldthwaite Health & Rehab Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (7 deficiencies)

Standard inspection May 14, 2026. CMS counts 7 health deficiencies and 2 fire safety deficiencies in this cycle.

May 14, 2026 · Standard inspection

6 deficiencies, highest F

F919 · Working call system

Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 9, 2026

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 9, 2026

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
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Jun 9, 2026

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 9, 2026

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 9, 2026

F558 · Accommodating individual needs and preferences

Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 9, 2026

Jan 9, 2026 · Complaint inspection

1 deficiency, highest D

F627 · Permitted transfers, discharge planning, and return rights

Requirement cited (CMS): Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 9, 2026
Previous cycle: 3 deficiencies (standard inspection Mar 19, 2025)

Standard inspection Mar 19, 2025. CMS counts 3 health deficiencies and 4 fire safety deficiencies in this cycle.

Mar 19, 2025 · Standard inspection

3 deficiencies, highest E

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 Apr 15, 2025

F699 · Trauma-informed, culturally competent care

Requirement cited (CMS): Provide care or services that was trauma informed and/or culturally competent.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 15, 2025

F645 · Pre-admission screening for mental disorder or intellectual disability

Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 15, 2025
Earlier cycle: 9 deficiencies (standard inspection Jan 31, 2024)

Standard inspection Jan 31, 2024. CMS counts 9 health deficiencies and 2 fire safety deficiencies in this cycle.

May 25, 2024 · Complaint inspection

3 deficiencies, highest K

F835 · Effective administration

Requirement cited (CMS): Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date May 27, 2024

F607 · Abuse prevention policies

Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date May 27, 2024

F600 · Freedom from abuse and neglect

Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date May 27, 2024

Jan 31, 2024 · Standard inspection

6 deficiencies, highest F

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 Feb 29, 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
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Feb 29, 2024

F657 · Care plan timing and team review

Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 29, 2024

F645 · Pre-admission screening for mental disorder or intellectual disability

Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 29, 2024

F638 · Quarterly assessment reviews

Requirement cited (CMS): Assure that each resident’s assessment is updated at least once every 3 months.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 29, 2024

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 Feb 29, 2024

Tags cited in more than one inspection

3 tags cited on more than one inspection date at Goldthwaite Health & Rehab Center; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F812 Food safety and sanitation3May 14, 2026; Mar 19, 2025; Jan 31, 2024
F645 Pre-admission screening for mental disorder or intellectual disability2Mar 19, 2025; Jan 31, 2024
F880 Infection prevention and control program2May 14, 2026; Jan 31, 2024

Fines and payment denials

DateTypeAmount / length
May 25, 2024Fine$32,545

Staffing and CMS ratings

Total nurse staff hours per resident per day
2.80 h (below the Texas median of 3.27 h)
RN hours per resident per day
0.56 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.36 h
Nursing staff turnover
39.5% (Texas median 52.1%)
Administrators who left
1
CMS overall rating
2 of 5
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measure rating
4 of 5

CMS figures for Goldthwaite Health & Rehab Center, copied as published; Texas medians are ours.

Facility details

Address
1207 S Reynolds St, Goldthwaite, TX 76844
Phone
(325) 648-2258
County
Mills
Accepts
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Chain (CMS)
Hamilton County Hospital District
Certified beds
94
Average residents per day
52.5
In Medicare/Medicaid since
Jan 6, 2006
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.

  • When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
  • How does the home confirm the pre-admission screening is done for new residents with a mental health condition or intellectual disability? (F645, cited 2 times)
  • How do staff track and report infections among residents? (F880, cited 2 times)
  • How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 1 time)

Other nursing homes in Goldthwaite and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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