Federal inspection record · CMS data as of October 1, 2026
Mitchell County Nursing And Rehabilitation Center
971 West I-20, Colorado City, TX · (325) 728-5247
- Certified beds
- 54
- Residents per day
- 46
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 15, 2009
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Mitchell County Nursing And Rehabilitation Center carries 59 inspection points. That is fewer than 60% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights8E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- E
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.
- D
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
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.
- D
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.
Nutrition and Dietary4F
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services3F
- D
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
- F
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.
- F
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.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Pharmacy Service2D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Resident Assessment and Care Planning1E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care1E
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspection history
2026-04-28
9 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2025-02-20
10 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2024-01-18
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 45 min of nursing staff time a day, 36 min of it from a registered nurse.
This home
3 h 45 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts better | 1.1 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days4 pts worse | 6.0 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.5 pts better | 98.9% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.3 pts worse | 95.7% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts worse | 4.4% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1 pts better | 1.3% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.8 pts better | 2.1% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication23.5 pts worse | 41.3% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.7 pts better | 5.1% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.3 pts worse | 16.2% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5 pts better | 10.8% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder7.6 pts worse | 7.9% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.6 pts worse | 3.4% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.3 pts better | 5.2% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts worse | 4.3% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.6 pts better | 91.3% | 88.7% | 82.3% |
·
Who owns and runs it
26 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Mitchell County Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Edwards, Helen | Corporate Director · Individual | 0% | 1 facilities |
| Gafford, Suzanne | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Gafford, Suzanne | Corporate Director · Individual | 0% | 1 facilities |
| Gafford, Suzanne | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gafford, Suzanne | Adp Of The SNF · Individual | 0% | 1 facilities |
| Goebel, Donna | Corporate Director · Individual | 0% | 1 facilities |
| Hall, Robert | Managing Control - Governing Body · Individual | 0% | 6 facilities |
| Hall, Robert | Corporate Director · Individual | 0% | 6 facilities |
| Hall, Robert | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Hall, Robert | Adp Of The SNF · Individual | 0% | 6 facilities |
| Jackson, Kaleb | Corporate Director · Individual | 0% | 1 facilities |
| Mitchell County Hospital District | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Mitchell County Hospital District | Adp Of The SNF · Organization | 0% | 1 facilities |
| Moore, Diane | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Moore, Diane | Corporate Director · Individual | 0% | 1 facilities |
| Moore, Diane | Adp Of The SNF · Individual | 0% | 1 facilities |
| Olstowski, Henryk | Corporate Director · Individual | 0% | 1 facilities |
| Pereida, Ruth | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Pereida, Ruth | Adp Of The SNF · Individual | 0% | 1 facilities |
| Rickard, Marsha | Corporate Director · Individual | 0% | 1 facilities |
| Roach, Dee | Adp Of The SNF · Individual | 0% | 1 facilities |
| Rubio, Maria | Corporate Director · Individual | 0% | 1 facilities |
| Rural Hospital Management | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Rural Hospital Management | Adp Of The SNF · Organization | 0% | 1 facilities |
| Womack, Richy | Corporate Director · Individual | 0% | 1 facilities |
·
Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous1D
- D
Have simulated fire drills held at unexpected times.
Smoke1E
- E
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
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