Hereford Nursing & Rehabilitation

Name: Hereford Nursing & Rehabilitation
Address: 231 KINGWOOD ST, Hereford, TX, 79045, US
Telephone: 8063647113

231 Kingwood St, Hereford, TX 79045 · Deaf Smith County · 120 certified beds · avg 46 residents/day · certified since Apr 5, 2001

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.61

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (14)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Aug 7, 2025	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Aug 7, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Aug 7, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Aug 7, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Aug 7, 2025	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Aug 7, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 18, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 18, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 18, 2024	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Jul 18, 2024	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Jul 18, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jun 9, 2023	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jun 9, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 9, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).

Year	Citations	Worst severity that year
2023	3	E
2024	5	E
2025	6	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.61	3.46	3.95	top 29% in Texas; bottom 42% in the U.S.
Registered Nurse hours	0.42	0.44	0.69	top 43% in Texas; bottom 25% in the U.S.
Weekend total nurse staffing	3.12	3.04	3.50	top 33% in Texas; bottom 38% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.37	0.34	0.48	top 32% in Texas; bottom 45% in the U.S.
Total nursing staff turnover (%)	32.6	55.3	45.8	top 8% in Texas; top 19% in the U.S.
RN turnover (%)	0.0	54.6	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.50, RN 0.41, weekend 3.03. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 1/5

Who owns this facility

For profit - Individual

Owner / manager	Type	Role	Stake	Since
Terrel, Aaron	Individual	Direct Ownership Interest	NOT APPLICABLE	05/01/2014
Terrel, Audra	Individual	Direct Ownership Interest	NOT APPLICABLE	05/01/2014
Llano Estacado Healthcare LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	05/01/2014
Terrel, Aaron	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2014

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Castro County Nursing & Rehabilitation	20.3 mi	Dimmitt, TX	★☆☆☆☆	2/5
Country View Living	20.6 mi	Dimmitt, TX	★★★★★	5/5
Prairie Acres	21.2 mi	Friona, TX	★★★★☆	4/5
Hillside Heights Rehabilitation Suites	35.0 mi	Amarillo, TX	★★☆☆☆	2/5	abuse
Five Points Nursing and Rehabilitation	37.6 mi	Amarillo, TX	★★★★☆	4/5
Legacy Rehabilitation and Living	38.0 mi	Amarillo, TX	★★☆☆☆	2/5
Kirkland Court Health and Rehabilitation Center	38.4 mi	Amarillo, TX	★☆☆☆☆	1/5	abuse
Amarillo Center for Skilled Care	38.6 mi	Amarillo, TX	★★★☆☆	3/5
Georgia Manor Nursing Home	39.2 mi	Amarillo, TX	★★☆☆☆	3/5
Heritage Convalescent Center	39.3 mi	Amarillo, TX	★★☆☆☆	3/5
Windflower Health Center	39.4 mi	Amarillo, TX	★★★★☆	4/5
Amarillo Medical Lodge	39.4 mi	Amarillo, TX	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Hereford →

Facility data as of CMS processing date 2026-08-01. CCN 675868.

The Care File

Visit checklist — Hereford Nursing & Rehabilitation

231 Kingwood St, Hereford, TX 79045 · 8063647113

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675868 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)