For profit - Limited Liability company · 89 certified beds · CMS number 675554
Nocona Rehabilitation and Care Center, Nocona, TX
CMS records 26 health deficiencies at Nocona Rehabilitation and Care Center in Nocona, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Feb 13, 2026. The highest severity cited is F (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 26deficiencies, 3 cycles (TX median 25)
- 14in the latest cycle (TX median 8)
- Fhighest severity · Potential for harm
- $0fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Nocona Rehabilitation and Care Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Nocona Rehabilitation and Care Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (14 deficiencies)
Standard inspection Feb 13, 2026. CMS counts 14 health deficiencies and 8 fire safety deficiencies in this cycle.
Feb 13, 2026 · Standard inspection
7 deficiencies, highest F
F940 · Staff training program
Requirement cited (CMS): Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 3, 2026
F881 · Antibiotic stewardship
Requirement cited (CMS): Implement a program that monitors antibiotic use.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 3, 2026
F865 · Quality improvement (QAPI) program
Requirement cited (CMS): Have a plan that describes the process for conducting QAPI and QAA activities.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 3, 2026
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
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Mar 3, 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 Mar 3, 2026
F756 · Monthly pharmacist medication review
Requirement cited (CMS): Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 3, 2026
F585 · Grievances and how they are handled
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 3, 2026
Nov 26, 2025 · Complaint inspection
6 deficiencies, highest F
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 27, 2025
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 5, 2025
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 1, 2025
F908 · Equipment kept in safe working order
Requirement cited (CMS): Keep all essential equipment working safely.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 4, 2025
F801 · Qualified dietitian and food staff
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 4, 2025
F727 · RN coverage and director of nursing
Requirement cited (CMS): 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.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Dec 1, 2025
Nov 10, 2025 · Complaint inspection
1 deficiency, highest F
F835 · Effective administration
Requirement cited (CMS): Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Nov 19, 2025
Previous cycle: 10 deficiencies (standard inspection Nov 21, 2024)
Standard inspection Nov 21, 2024. CMS counts 10 health deficiencies and 5 fire safety deficiencies in this cycle.
Jun 4, 2025 · Complaint inspection
1 deficiency, highest E
F835 · Effective administration
Requirement cited (CMS): Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 25, 2025
Mar 21, 2025 · Complaint inspection
1 deficiency, highest F
F727 · RN coverage and director of nursing
Requirement cited (CMS): 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.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Mar 22, 2025
Jan 21, 2025 · Complaint inspection
1 deficiency, highest D
F776 · Radiology and diagnostic services
Requirement cited (CMS): Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 6, 2025
Nov 21, 2024 · Standard inspection
7 deficiencies, highest F
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 Dec 16, 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 Dec 16, 2024
F758 · Psychotropic drug safeguards
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 16, 2024
F727 · RN coverage and director of nursing
Requirement cited (CMS): 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.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Dec 16, 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 Dec 16, 2024
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 16, 2024
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 16, 2024
Earlier cycle: 2 deficiencies (standard inspection Oct 5, 2023)
Standard inspection Oct 5, 2023. CMS counts 2 health deficiencies and 2 fire safety deficiencies in this cycle.
Oct 5, 2023 · Standard inspection
2 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 Nov 1, 2023
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 1, 2023
Tags cited in more than one inspection
3 tags cited on more than one inspection date at Nocona Rehabilitation and Care Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F727 RN coverage and director of nursing | 3 | Nov 26, 2025; Mar 21, 2025; Nov 21, 2024 |
| F812 Food safety and sanitation | 3 | Feb 13, 2026; Nov 21, 2024; Oct 5, 2023 |
| F835 Effective administration | 2 | Nov 10, 2025; Jun 4, 2025 |
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
- 3.12 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.42 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.79 h
- Nursing staff turnover
- not reported
- Administrators who left
- not reported
- CMS overall rating
- 1 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
CMS figures for Nocona Rehabilitation and Care Center, copied as published; Texas medians are ours.
Facility details
- Address
- 306 Carolyn Rd, Nocona, TX 76255
- Phone
- (940) 825-3288
- County
- Montague
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 89
- Average residents per day
- 31.7
- In Medicare/Medicaid since
- Dec 29, 1995
- 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 is a registered nurse in the building, and how long has the director of nursing been here? (F727, cited 3 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
- How long have the administrator and director of nursing been in their roles? (F835, cited 2 times)
- Who is the grievance official, and how are complaints tracked and answered? (F585, 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.