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Mitchell County Nursing and Rehabilitation CenterCMS ratings, inspections and fines

Address
971 W I 20, Colorado City, TX 79512
CCN
676225
Ownership type
Government, hospital district
Certified beds
54
Chain
None in the CMS record
Residents per day
46
CMS flags
None in the CMS record
CMS star ratings
Overall rating3 of 5
Health inspection rating3 of 5
Staffing rating3 of 5
Quality measure rating3 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Mitchell County Nursing and Rehabilitation Center an overall rating of 3 of 5 stars. The last standard survey was on 28 Apr 2026. The latest survey cycle has 8 health citations. The median for nursing homes in Texas is 8. CMS lists no fines for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Mitchell County Nursing and Rehabilitation Center, with medians
Rating (1 to 5 stars)This homeTexas medianUS average (CMS)
Overall rating33.03.0
Health inspection rating33.02.8
Staffing rating32.02.9
Quality measure rating34.03.6

A median is the middle value of the homes in the group: 1,177 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Mitchell County Nursing and Rehabilitation Center in the last three survey cycles
Survey cycleStandard surveyCitationsTexas median
Cycle 1 (latest)28 Apr 202688
Cycle 220 Feb 2025108
Cycle 3No date48

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 22 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 8 citations

Standard survey of this cycle: .

Health citations of Mitchell County Nursing and Rehabilitation Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
28 Apr 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey20 May 2026
28 Apr 2026F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.EStandard survey20 May 2026
28 Apr 2026F0578Honor 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.DStandard survey20 May 2026
28 Apr 2026F0585Honor 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.EStandard survey20 May 2026
28 Apr 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey20 May 2026
28 Apr 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation20 May 2026
28 Apr 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey20 May 2026
28 Apr 2026F0880Provide and implement an infection prevention and control program.DStandard survey20 May 2026

Survey cycle 2: 10 citations

Standard survey of this cycle: .

Health citations of Mitchell County Nursing and Rehabilitation Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
20 Feb 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey20 Mar 2025
20 Feb 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey20 Mar 2025
20 Feb 2025F0578Honor 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.DStandard survey20 Mar 2025
20 Feb 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey20 Mar 2025
20 Feb 2025F0727Have 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.FStandard survey20 Mar 2025
20 Feb 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey20 Mar 2025
20 Feb 2025F0761Ensure 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.DStandard survey20 Mar 2025
20 Feb 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey20 Mar 2025
20 Feb 2025F0880Provide and implement an infection prevention and control program.DStandard survey20 Mar 2025
20 Feb 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey20 Mar 2025

Survey cycle 3: 4 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Mitchell County Nursing and Rehabilitation Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
18 Jan 2024F0578Honor 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.DStandard survey18 Feb 2024
18 Jan 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard survey18 Feb 2024
18 Jan 2024F0727Have 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.FStandard survey18 Feb 2024
18 Jan 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey18 Feb 2024

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

CMS lists no fine and no payment denial for this home in its penalties file.

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Mitchell County Nursing and Rehabilitation Center
StaffThis homeTexas medianTexas average (CMS)
All nurse staff3.283.303.39
Registered nurses (RN)0.530.400.43
Licensed practical nurses (LPN)0.810.95
Nurse aides1.942.00
All nurse staff, weekends1.812.902.98
Nurse staff turnover in a year
35.3%
Nurse staff turnover, Texas median
52.1%
RN turnover in a year
No data
Administrators who left in a year
No data

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Mitchell County Nursing and Rehabilitation Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay12.8%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay8.3%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay5.1%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.5%3.0%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay15.8%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.2%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay4.2%8.3%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
Government, hospital district
Setting
In a hospital
Legal business name
Mitchell County Hospital District
Organisations in the CMS ownership record of Mitchell County Nursing and Rehabilitation Center
OrganisationRole in the CMS recordInterestSince
Mitchell County Hospital District5% or greater direct ownership interest100%1 Jan 1967
Mitchell County Hospital DistrictOperational/managerial control30 Dec 2024
Rural Hospital ManagementOperational/managerial control2 Jun 2012
Mitchell County Hospital DistrictAdp of the snf14 Jan 2025
Rural Hospital ManagementAdp of the snf14 Jan 2025

The site shows organisations only. It does not show the names of persons.

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Mitchell County Nursing and Rehabilitation Center (CCN 676225). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/mitchell-county-nursing-and-rehabilitation-center-colorado-city-tx-676225/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Mitchell County Nursing and Rehabilitation Center last inspected?
The latest inspection with a citation in the CMS record was on 28 Apr 2026. It was a standard survey and a complaint investigation. It gave 8 citations. The standard survey before the last one was on 20 Feb 2025.
Who operates Mitchell County Nursing and Rehabilitation Center?
The CMS record gives the ownership type as government, hospital district. CMS lists no chain for the home. The CMS ownership file names Mitchell County Hospital District and Rural Hospital Management for operational or managerial control. This site does not show the names of persons.
Is Mitchell County Nursing and Rehabilitation Center a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.