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Munday Nursing Center

Name: Munday Nursing Center
Address: 421 WEST F ST, Munday, TX, 76371, US
Telephone: 9404224541

421 West F St, Munday, TX 76371 · Knox County · 61 certified beds · avg 36 residents/day · certified since Jun 18, 1992

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.39

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 (12)

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
Jun 26, 2025	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.
Jun 26, 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.
Jun 26, 2025	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 26, 2025	E · Potential for harm, repeated	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
May 16, 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.
May 16, 2024	E · Potential for harm, repeated	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
May 16, 2024	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.
May 16, 2024	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.
May 16, 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.
May 16, 2024	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.
Mar 23, 2023	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Mar 23, 2023	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 4).

Year	Citations	Worst severity that year
2023	2	E
2024	6	F
2025	4	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)	4.39	3.46	3.95	top 8% in Texas; top 26% in the U.S.
Registered Nurse hours	0.50	0.44	0.69	top 27% in Texas; bottom 37% in the U.S.
Weekend total nurse staffing	3.75	3.04	3.50	top 11% in Texas; top 31% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.29	0.34	0.48	top 50% in Texas; bottom 31% in the U.S.
Total nursing staff turnover (%)	0.0	55.3	45.8	—
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 3.37, RN 0.38, weekend 2.89. Staffing rating: 2/5.

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: 4/5 · short-stay residents: —/5

Who owns this facility

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
Knox County Hospital District	Organization	5% or Greater Direct Ownership Interest	—	01/04/2018
Albus, Joann	Individual	Corporate Officer	NOT APPLICABLE	12/01/2012
Baty, Louis	Individual	Corporate Director	NOT APPLICABLE	03/06/2023
Cartwright, Tracy	Individual	Corporate Officer	NOT APPLICABLE	12/01/2012
Carver, Jennifer	Individual	Corporate Officer	NOT APPLICABLE	06/17/2019
Hobert, Judy	Individual	Corporate Officer	NOT APPLICABLE	12/01/2012
Knox County Hospital District	Organization	Operational/Managerial Control	NOT APPLICABLE	01/04/2018
Knox County Hospital District	Organization	ADP of the SNF	NOT APPLICABLE	12/27/2024
Kuehler, Stephen	Individual	W-2 Managing Employee	NOT APPLICABLE	12/01/2012
Kuehler, Stephen	Individual	Corporate Officer	NOT APPLICABLE	12/01/2012
Kuehler, Stephen	Individual	Operational/Managerial Control	NOT APPLICABLE	12/10/2024
Kuehler, Stephen	Individual	ADP of the SNF	NOT APPLICABLE	12/27/2024
Simmons, Kelsey	Individual	W-2 Managing Employee	NOT APPLICABLE	03/01/2018
Simmons, Kelsey	Individual	ADP of the SNF	NOT APPLICABLE	12/27/2024
Wainscott, Daniel	Individual	Corporate Officer	NOT APPLICABLE	06/01/2016
Welch, Larry	Individual	Corporate Director	NOT APPLICABLE	02/21/2022
Williams, Kendra	Individual	W-2 Managing Employee	NOT APPLICABLE	01/01/2024
Williams, Kendra	Individual	Operational/Managerial Control	NOT APPLICABLE	12/16/2024
Williams, Kendra	Individual	ADP of the SNF	NOT APPLICABLE	12/27/2024

Questions to ask on your visit

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

"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What are your rules for bringing in my family member's favorite foods, and how are they stored?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"How do you explain health changes and treatment options to residents and their families?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"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 Knox City	11.1 mi	Knox City, TX	★★★☆☆	3/5

Compare this facility with the 1 closest →

All facilities in Munday →

Facility data as of CMS processing date 2026-08-01. CCN 675061.

The Care File

Visit checklist — Munday Nursing Center

421 West F St, Munday, TX 76371 · 9404224541

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

Questions for the administrator:

☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What are your rules for bringing in my family member's favorite foods, and how are they stored?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "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?"

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 675061 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)