Montague County, Texas · Nursing home
Nocona Rehabilitation and Care Center
1 of 5 overall from CMS
306 Carolyn Rd, Nocona, TX 76255
At a glance
- Overall rating 1 of 5 Below the state average of 2.7
- Nurse time per resident, per day 3.12 hours Below the state average of 3.39
- Nursing staff who left in a year Not reported
- Health citations, last 3 inspection cycles 26 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 35.6% of 89 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Nocona Rehabilitation and Care Center is a 89-bed nursing home in Nocona, Texas (Montague County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.12 nurse staffing hours per resident per day, below the Texas average of 3.39. CMS lists no fines in the past three years.
- Certified beds
- 89
- Residents per day (average)
- 31.7
- Certified since
- 1995 (31 yrs)
For profit - Limited Liability company Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Nocona Rehabilitation and Care Center
Chosen from this home's public data.
- CMS counts 14 health deficiencies in the latest inspection cycle (the standard inspection on Feb 13, 2026 plus complaint and infection-control inspections); the Texas average is 9.4. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 2.79 hours per resident on weekends against 3.12 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 35.6% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Texas average 2.7
- Health inspections 2 of 5 Texas average 2.8
- Staffing 1 of 5 Texas average 1.9
- Quality measures 3 of 5 Texas average 3.7
The vertical line marks the Texas average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.12 h Texas average 3.39
- Nurse aides 1.66 h Texas average 2.01
- Licensed practical nurses 1.05 h Texas average 0.95
- Registered nurses 0.42 h Texas average 0.43
- All staff, weekends 2.79 h Texas average 2.98
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Texas average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnoverNot reported
- Texas average55.3%
- Registered nurse turnoverNot reported
- Texas average54.6%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Texas and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Texas | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 18.2% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 7.3% | 3.0% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.3% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 0.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 3.7% | 2.4% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 5.9% | 3.3% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% | 96.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 18.6% | 14.0% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 32.2% | 18.0% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 98.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.2% | 3.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.6% | 13.4% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 13.4% | 9.6% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 4.39 | 2.17 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 4.79 | 2.06 | 1.78 |
Short-stay residents
| Measure | This home | Texas | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.7% | 88.9% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 5.0% | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 88.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 25.7% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 12.3% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 26 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 10 were cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Feb 13, 2026 | 14 | 8 |
| Nov 21, 2024 | 10 | 5 |
| Oct 5, 2023 | 2 | 2 |
Texas homes averaged 9.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (26)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 3, 2026)
-
FPotential for more than minimal harm, widespread
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration · Deficient, Provider has date of correction (Mar 3, 2026)
-
EPotential for more than minimal harm, pattern
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration · Deficient, Provider has date of correction (Mar 3, 2026)
-
EPotential for more than minimal harm, pattern
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Mar 3, 2026)
-
EPotential for more than minimal harm, pattern
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration · Deficient, Provider has date of correction (Mar 3, 2026)
Show 21 more
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Mar 3, 2026)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Mar 3, 2026)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Dec 1, 2025)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Dec 4, 2025)
-
EPotential for more than minimal harm, pattern
Keep all essential equipment working safely.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Dec 4, 2025)
-
EPotential for more than minimal harm, pattern
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Dec 5, 2025)
-
EPotential for more than minimal harm, pattern
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Nov 27, 2025)
-
DPotential for more than minimal harm, isolated
Make sure that a working call system is available in each resident's bathroom and bathing area.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Dec 1, 2025)
-
FPotential for more than minimal harm, widespread
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Complaint investigation · Administration · Deficient, Provider has date of correction (Nov 19, 2025)
-
EPotential for more than minimal harm, pattern
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jun 25, 2025)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Mar 22, 2025)
-
DPotential for more than minimal harm, isolated
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Complaint investigation · Administration · Deficient, Provider has date of correction (Feb 6, 2025)
-
FPotential for more than minimal harm, widespread
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 · Deficient, Provider has date of correction (Dec 16, 2024)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 16, 2024)
-
EPotential for more than minimal harm, pattern
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 16, 2024)
-
EPotential for more than minimal harm, pattern
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 16, 2024)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 16, 2024)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Dec 16, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Dec 16, 2024)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 1, 2023)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 1, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Texas homes averaged 1.5 fines and $44,141 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Texas
- Size937 of 1177 by certified beds
- Texas average residents per day75.8
- ChainNone listed
- Resident or family councilResident
- Homes in Montague County2
Common questions
What is the CMS star rating for Nocona Rehabilitation and Care Center?
Nocona Rehabilitation and Care Center has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 1 and quality measures is 3.
How many beds does Nocona Rehabilitation and Care Center have?
Nocona Rehabilitation and Care Center has 89 certified beds. It averages 31.7 residents per day, about 35.6% of its certified beds.
How much nursing care do residents get at Nocona Rehabilitation and Care Center?
The home reports 3.12 hours of nurse staffing per resident per day, including 0.42 hours from registered nurses. The Texas average is 3.39 hours and 0.43 hours from registered nurses.
Has Nocona Rehabilitation and Care Center been fined?
CMS lists no fines for this home in the past three years.
Does Nocona Rehabilitation and Care Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Advanced Rehabilitation and Healthcare of Bowie 180beds 92.4%in use 2.82nurse hours a day
- 1 of 5 Grace Care Center of Henrietta 60beds 40.3%in use –nurse hours a day
- 3 of 5 Avir at River Valley 116beds 32.8%in use 3.08nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Montague County
Who to call in Texas
These offices serve residents of every nursing home in Texas.
- Long-term care ombudsman Office of the State Long-Term Care Ombudsman 1-800-252-2412 An advocate for residents and their families.
- File a complaint about a nursing home Complaint and Incident Intake 1-800-458-9858 (Monday to Friday, 7 a.m. to 7 p.m. Central) The state agency that inspects nursing homes.
Texas staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 675554. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.