Grace Care Center of Nocona
306 Carolyn Rd · Nocona, TX · 76255 · 9408253288
89 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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
RN staffing in the bottom 10% nationally
0.24 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
2.91 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 3 of 5
| Total nurse hours / resident-day | 2.91 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.24 | 0.55–0.75 |
| Weekend hours / resident-day | 2.60 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (28 in the current record)
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Potential for harm · F November 26, 2025 · found via complaint
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 December 1, 2025 · Nursing and Physician Services
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Potential for harm · E November 26, 2025 · 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 4, 2025 · Nutrition and Dietary
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Potential for harm · E November 26, 2025 · found via complaint
Keep all essential equipment working safely.
Corrected December 4, 2025 · Environmental
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Potential for harm · D November 26, 2025 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected December 1, 2025 · Environmental
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Potential for harm · E November 26, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 5, 2025 · Environmental
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Potential for harm · E November 26, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected November 27, 2025 · Environmental
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Potential for harm · F November 10, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected November 19, 2025 · Administration
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Potential for harm · E June 4, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected June 25, 2025 · Administration
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Potential for harm · F March 21, 2025 · found via complaint
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 March 22, 2025 · Nursing and Physician Services
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Potential for harm · D January 21, 2025 · found via complaint
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected February 6, 2025 · Administration
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Potential for harm · E November 21, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected December 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 21, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 21, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · F November 21, 2024
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 December 16, 2024 · Nursing and Physician Services
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Potential for harm · E November 21, 2024
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.
Corrected December 16, 2024 · Pharmacy Service
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Potential for harm · F November 21, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 16, 2024 · Nutrition and Dietary
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Potential for harm · E November 21, 2024
Provide and implement an infection prevention and control program.
Corrected December 16, 2024 · Infection Control
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Potential for harm · D October 5, 2023
Ensure each resident receives an accurate assessment.
Corrected November 1, 2023 · Resident Assessment and Care Planning
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Potential for harm · E October 5, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 1, 2023 · Nutrition and Dietary
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Actual harm · G August 24, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 14, 2022 · Pharmacy Service
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Actual harm · G August 24, 2022
Ensure that residents are free from significant medication errors.
Corrected September 14, 2022 · Pharmacy Service
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Potential for harm · D August 24, 2022
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected September 14, 2022 · Resident Rights
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Potential for harm · E August 24, 2022
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 September 14, 2022 · Resident Rights
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Potential for harm · D August 24, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 14, 2022 · Resident Assessment and Care Planning
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Potential for harm · D August 24, 2022
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.
Corrected September 14, 2022 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675554 · certified since December 29, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.