Castro County Nursing & Rehabilitation
1621 Butler · Dimmitt, TX · 79027 · 8066473117
114 certified beds For profit - Limited Liability company Chain: Gulf Coast Ltc Partners
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $47,932 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.21 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.86 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.86 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.21 | 0.55–0.75 |
| Weekend hours / resident-day | 2.62 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 1 · $47,932 |
Inspection citations (53 in the current record)
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Potential for harm · D April 1, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 2, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 3, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected March 18, 2026 · Resident Rights
-
Immediate jeopardy · L May 25, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · L May 25, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected July 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K May 25, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 4, 2025 · Quality of Life and Care
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Immediate jeopardy · K May 25, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 25, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected July 4, 2025 · Resident Rights
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Potential for harm · D May 25, 2025
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.
Corrected July 4, 2025 · Resident Rights
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Potential for harm · D May 25, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected July 4, 2025 · Resident Rights
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Potential for harm · D May 25, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 4, 2025 · Quality of Life and Care
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Potential for harm · D May 25, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected July 4, 2025 · Quality of Life and Care
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Potential for harm · E May 25, 2025
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.
Corrected July 4, 2025 · Nursing and Physician Services
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Potential for harm · F May 25, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 4, 2025 · Nutrition and Dietary
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Potential for harm · D May 25, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 25, 2025
Provide and implement an infection prevention and control program.
Corrected July 4, 2025 · Infection Control
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Potential for harm · D May 25, 2025
Put firmly secured handrails on each side of hallways.
Corrected July 4, 2025 · Environmental
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Potential for harm · F May 25, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 25, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected July 4, 2025 · Resident Rights
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Potential for harm · D March 18, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 4, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 17, 2025 · Pharmacy Service
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Potential for harm · D January 27, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 1, 2025 · Resident Rights
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Potential for harm · D January 27, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 27, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 12, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 31, 2024 · Resident Rights
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Potential for harm · F December 12, 2024 · found via complaint
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.
Corrected December 31, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 25, 2025 | Fine | $47,932 |
| May 25, 2025 | Payment Denial | 6 days |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676186 · certified since May 13, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.