Federal inspection record · CMS data as of October 1, 2026
Nocona Rehabilitation and Care Center
306 Carolyn Rd, Nocona, TX · (940) 825-3288
- Certified beds
- 89
- Residents per day
- 33
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 29, 1995
1
How this home got 2 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.
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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.
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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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Nocona Rehabilitation and Care Center carries 124 inspection points. That is fewer than 26% 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
26 health citations on record since 2023. 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
Administration6F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- E
Have a plan that describes the process for conducting QAPI and QAA activities.
- E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- E
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- D
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental4E
- E
Keep all essential equipment working safely.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Resident Assessment and Care Planning4E
- E
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
Nursing and Physician Services3F
- 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.
- 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 Control2E
- E
Implement a program that monitors antibiotic use.
- E
Provide and implement an infection prevention and control program.
Pharmacy Service2E
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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.
Resident Rights1D
- D
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.
Inspection history
2026-02-13
14 health deficiencies · 8 fire-safety deficiencies
Top issue: Administration (4 deficiencies)
2024-11-21
10 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2023-10-05
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 16 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
3 h 16 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
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 days1.5 pts worse | 3.5 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts worse | 3.3 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.1 pts better | 98.5% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.1 pts better | 97.1% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.3 pts worse | 7.5% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.3 pts worse | 3.6% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.8 pts worse | 3.7% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication16.1 pts worse | 33.9% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.1 pts worse | 11.9% | 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 worsened6.5 pts worse | 19.4% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.8 pts better | 15.0% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.9 pts better | 9.6% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts better | 2.1% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.4 pts better | 91.1% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
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Who owns and runs it
8 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 |
|---|---|---|---|
| Nocona Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 22 facilities |
| Dickey, Carla | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dickey, Carla | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dingler, Leonard | Adp Of The SNF · Individual | 0% | 1 facilities |
| Meekins, Greg | Corporate Director · Individual | 0% | 22 facilities |
| Mistretta, Cassandra | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 11 facilities |
| Noconatx LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Pfeifer, Mary | Operational/Managerial Control · Individual | 0% | 9 facilities |
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Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install properly constructed windows in hallway walls or doors.
Services3C
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Egress1E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
-
Advanced Rehabilitation and Healthcare of Bowie
Bowie, TX · Advanced Healthcare Solutions
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 4 min
- Fines
- $0
-
Grace Care Center of Henrietta
Henrietta, TX
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- —
- Fines
- $207,402
-
Avir at River Valley
Gainesville, TX · Avir Health Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 52 min
- Fines
- $0