Mitchell County Nursing and Rehabilitation Center
971 W I 20, Colorado City, TX 79512 · Mitchell County · 54 certified beds · avg 46 residents/day · certified since Oct 15, 2009
3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
4.48
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 (22)
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 |
|---|---|---|
| Apr 28, 2026 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Apr 28, 2026 | E · Potential for harm, repeated | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. |
| Apr 28, 2026 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Apr 28, 2026 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Apr 28, 2026 | 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. |
| Apr 28, 2026 | 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. |
| Apr 28, 2026 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Apr 28, 2026 | 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. |
| Feb 20, 2025 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Feb 20, 2025 | F · Potential for harm, facility-wide | 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. |
| Feb 20, 2025 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Feb 20, 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. |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Feb 20, 2025 | 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. |
| Feb 20, 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. |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jan 18, 2024 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Jan 18, 2024 | F · Potential for harm, facility-wide | 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. |
| Jan 18, 2024 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jan 18, 2024 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (10 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 4 | 0 | F |
| 2025 | 10 | 0 | F |
| 2026 | 8 | 0 | E |
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) | 4.48 | 3.46 | 3.95 | top 7% in Texas; top 24% in the U.S. |
| Registered Nurse hours | 0.72 | 0.44 | 0.69 | top 8% in Texas; top 34% in the U.S. |
| Weekend total nurse staffing | 2.47 | 3.04 | 3.50 | bottom 13% in Texas; bottom 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.34 | 0.48 | bottom 38% in Texas; bottom 22% in the U.S. |
| Total nursing staff turnover (%) | 35.3 | 55.3 | 45.8 | top 12% in Texas; top 25% 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 3.28, RN 0.53, weekend 1.81. 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: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Mitchell County Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/1967 |
| Edwards, Helen | Individual | Corporate Director | NOT APPLICABLE | 01/09/2020 |
| Gafford, Suzanne | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/03/2023 |
| Gafford, Suzanne | Individual | Corporate Director | NOT APPLICABLE | 12/01/2022 |
| Gafford, Suzanne | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/03/2023 |
| Gafford, Suzanne | Individual | ADP of the SNF | NOT APPLICABLE | 02/03/2023 |
| Goebel, Donna | Individual | Corporate Director | NOT APPLICABLE | 10/29/2024 |
| Hall, Robert | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/03/2023 |
| Hall, Robert | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Hall, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/03/2023 |
| Hall, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 02/03/2023 |
| Jackson, Kaleb | Individual | Corporate Director | NOT APPLICABLE | 05/23/2023 |
| Mitchell County Hospital District | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/30/2024 |
| Mitchell County Hospital District | Organization | ADP of the SNF | NOT APPLICABLE | 01/14/2025 |
| Moore, Diane | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/24/2023 |
| Moore, Diane | Individual | Corporate Director | NOT APPLICABLE | 04/24/2023 |
| Moore, Diane | Individual | ADP of the SNF | NOT APPLICABLE | 04/03/2023 |
| Olstowski, Henryk | Individual | Corporate Director | NOT APPLICABLE | 03/22/2022 |
| Pereida, Ruth | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/25/2025 |
| Pereida, Ruth | Individual | ADP of the SNF | NOT APPLICABLE | 08/21/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How are residents and families included in care plan meetings, and how often do those meetings happen?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 |
|---|---|---|---|---|---|
| Avir at Snyder | 21.1 mi | Snyder, TX | ★★☆☆☆ | 2/5 | |
| Sterling Hills Rehabilitation and Healthcare Cente | 29.4 mi | Sweetwater, TX | ★★★★☆ | 5/5 | |
| Sweetwater Healthcare Center | 29.7 mi | Sweetwater, TX | ★★★☆☆ | 4/5 | |
| Lamun-Lusk-Sanchez Texas State Veterans Home | 34.6 mi | Big Spring, TX | ★★★★★ | 3/5 | |
| Parkview Skilled Care and Rehabilitation | 37.2 mi | Big Spring, TX | ★★★★☆ | 4/5 | |
| Big Spring Center for Skilled Care | 37.4 mi | Big Spring, TX | ★★★☆☆ | 4/5 | |
| Sterling Nursing and Rehab | 39.2 mi | Sterling City, TX | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 676225.