Whitney Nursing and Rehabilitation Center
101 N San Marcos Street, Whitney, TX 76692 · Hill County · 88 certified beds · avg 71 residents/day · certified since Nov 1, 2005
Part of chain: FOURSQUARE HEALTHCARE (10 facilities, chain avg rating 3.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Mar 19, 2024 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 28, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Mar 19, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 21, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Mar 19, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 28, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Mar 19, 2024 · F-0770 · triggered by a complaint
The facility did not provide timely, quality laboratory tests to meet residents' needs.
Why it matters: Slow or unreliable lab work can delay diagnosis and treatment of serious conditions.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 28, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (15)
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 |
|---|---|---|
| Jan 30, 2026 | 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. · from a complaint |
| Dec 4, 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. |
| Sep 19, 2024 | E · Potential for harm, repeated | 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. |
| Sep 19, 2024 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Sep 19, 2024 | E · Potential for harm, repeated | 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. |
| Sep 19, 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. |
| Sep 19, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Sep 19, 2024 | 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. |
| May 6, 2024 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Mar 19, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Mar 19, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Mar 19, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Mar 19, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint |
| Jul 28, 2023 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jul 28, 2023 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | E |
| 2024 | 11 | 4 | J ▲ |
| 2025 | 1 | 0 | D |
| 2026 | 1 | 0 | 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)
1 fine totaling $45,435.
| Date | Type | Amount / length |
|---|---|---|
| Mar 19, 2024 | Fine | $45,435 |
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) | 2.50 | 3.46 | 3.95 | bottom 3% in Texas; bottom 4% 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 | 2.14 | 3.04 | 3.50 | bottom 2% in Texas; bottom 3% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.38 | 0.34 | 0.48 | top 29% in Texas; bottom 49% 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 2.88, RN 0.48, weekend 2.46. Staffing rating: 1/5.
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: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Nocona Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/30/2024 |
| Adm Trust | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 12/30/2024 |
| Adm Trust | Organization | ADP of the SNF | NOT APPLICABLE | 12/30/2024 |
| Campbell, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/30/2024 |
| Campbell, Kenneth | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/30/2024 |
| David W Miller GS Trust | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/30/2024 |
| David W Miller GS Trust | Organization | ADP of the SNF | NOT APPLICABLE | 03/13/2025 |
| DWM 5x5 Trust | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 12/30/2024 |
| DWM 5x5 Trust | Organization | ADP of the SNF | NOT APPLICABLE | 12/30/2024 |
| Earhart, James | Individual | ADP of the SNF | NOT APPLICABLE | 12/30/2024 |
| Fairbrook Partners, LP | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 12/30/2024 |
| Fairbrook Partners, LP | Organization | ADP of the SNF | NOT APPLICABLE | 12/30/2024 |
| Foursquare Texas 16 LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/30/2024 |
| Foursquare Texas 16 LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/13/2025 |
| Jec GS Trust | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/30/2024 |
| Jec GS Trust | Organization | ADP of the SNF | NOT APPLICABLE | 03/13/2025 |
| Jem 5x5 Trust | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 12/30/2024 |
| Jem 5x5 Trust | Organization | ADP of the SNF | NOT APPLICABLE | 12/30/2024 |
| John E Miller GS Trust | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/30/2024 |
| Kingsbury Capital LLC Series F | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/30/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How quickly are lab tests done and results acted on when a resident's doctor orders them?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "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 Hillsboro | 13.6 mi | Hillsboro, TX | ★☆☆☆☆ | 1/5 | |
| Town Hall Estates | 13.9 mi | Hillsboro, TX | ★☆☆☆☆ | 1/5 | |
| West Rest Haven | 16.4 mi | West, TX | ★☆☆☆☆ | 1/5 | |
| Avir at Itasca | 17.9 mi | Itasca, TX | ★★★★☆ | 4/5 | |
| Willow Park Rehabilitation Health Care Center | 19.1 mi | Clifton, TX | ★☆☆☆☆ | 1/5 | abuse |
| Sunset Home | 19.7 mi | Clifton, TX | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676074.