Mitchell County Nursing and Rehabilitation Center
971 W I 20 · Colorado City, TX · 79512 · 3257285247
54 certified beds Government - Hospital district Hospital-based
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- 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
0.23 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
2.09 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Weekends run noticeably short-staffed
Weekend staffing is 39% of the overall level. Visit on a Saturday or Sunday before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.09 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.23 | 0.55–0.75 |
| Weekend hours / resident-day | 0.81 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (22 in the current record)
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Potential for harm · E April 28, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 20, 2026 · Resident Rights
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Potential for harm · E April 28, 2026
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected May 20, 2026 · Resident Rights
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Potential for harm · D April 28, 2026
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 May 20, 2026 · Resident Rights
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Potential for harm · E April 28, 2026
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.
Corrected May 20, 2026 · Resident Rights
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Potential for harm · D April 28, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected May 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 28, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 20, 2026 · Nutrition and Dietary
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Potential for harm · D April 28, 2026
Provide and implement an infection prevention and control program.
Corrected May 20, 2026 · Infection Control
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Potential for harm · E April 28, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 20, 2026 · Nutrition and Dietary
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Potential for harm · D February 20, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 20, 2025 · Resident Rights
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Potential for harm · D February 20, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 20, 2025 · Resident Rights
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Potential for harm · D February 20, 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 March 20, 2025 · Resident Rights
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Potential for harm · E February 20, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · F February 20, 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 March 20, 2025 · Nursing and Physician Services
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Potential for harm · D February 20, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 20, 2025 · Pharmacy Service
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Potential for harm · D February 20, 2025
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.
Corrected March 20, 2025 · Pharmacy Service
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Potential for harm · F February 20, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 20, 2025 · Nutrition and Dietary
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Potential for harm · D February 20, 2025
Provide and implement an infection prevention and control program.
Corrected March 20, 2025 · Infection Control
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Potential for harm · D February 20, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 20, 2025 · Infection Control
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Potential for harm · D January 18, 2024
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 February 18, 2024 · Resident Rights
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Potential for harm · E January 18, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected February 18, 2024 · Quality of Life and Care
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Potential for harm · F January 18, 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 February 18, 2024 · Nursing and Physician Services
-
Potential for harm · F January 18, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 18, 2024 · Nutrition and Dietary
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
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 676225 · certified since October 15, 2009. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.