Nocona Rehabilitation and Care Center

Nursing Home · Nocona, TX

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number675554

Contact & location

306 Carolyn Rd
Nocona, TX 76255
Montague County
Phone
(940) 825-3288
ZIP code
76255 – all care providers

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Facility details

Certified beds
89
Residents per day
31.7 (36% occupied)
Ownership
For profit - Limited Liability company
Legal name
Nocona Hospital District
Medicare certified since
December 29, 1995
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 3/5
State avg 3.7
Long-stay quality★★★★★ 3/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.12 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.42 (state 0.43 · U.S. 0.69)
Licensed practical nurses
1.05 (state 0.95 · U.S. 0.86)
Nurse aides
1.66 (state 2.00 · U.S. 2.32)
Weekend total
2.79 (state 2.98 · U.S. 3.42)
Nursing staff turnover
—
RN turnover
—

Inspections

Last standard inspection
February 13, 2026
Health deficiencies (last cycle)
14.0 (state 9.3 · U.S. 9.3)
From complaints
7
Citations on record (3 years)
26 health · 15 fire safety
DateCitationSeverityStatus
2026-02-13 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-03-03
2026-02-13 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-03-03
2026-02-13 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-03-03
2026-02-13 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-03-03
2026-02-13 Develop, implement, and/or maintain an effective training program for all new and existing staff members.
F0940 · Administration Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-03-03
2026-02-13 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.
F0585 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-03
2026-02-13 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-03
2025-11-26 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.
F0727 · Nursing and Physician Services Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-12-01
2025-11-26 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F0801 · Nutrition and Dietary Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-12-04
2025-11-26 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-12-04
2025-11-26 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-12-05
2025-11-26 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-11-27
2025-11-26 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-01
2025-11-10 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-11-19
2025-06-04 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-25
2025-03-21 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.
F0727 · Nursing and Physician Services Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-03-22
2025-01-21 Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
F0776 · Administration Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-06
2024-11-21 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.
F0727 · Nursing and Physician Services Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-12-16
2024-11-21 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-12-16
2024-11-21 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-12-16
2024-11-21 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-12-16
2024-11-21 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-12-16
2024-11-21 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F0758 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-12-16
2024-11-21 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-12-16
2023-10-05 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-11-01
2023-10-05 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-01

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Nocona Hospital District (organization)5%+ Direct Ownership Interest · 100%
Dickey, Carla (individual)Administrator · NOT APPLICABLE
Dingler, Leonard (individual)Administrator · NOT APPLICABLE
Meekins, Greg (individual)Corporate Director · NOT APPLICABLE
Mistretta, Cassandra (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Dickey, Carla (individual)Operational/managerial Control · NOT APPLICABLE
Noconatx LLC (organization)Operational/managerial Control · NOT APPLICABLE
Pfeifer, Mary (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Nocona Rehabilitation and Care Center?

Nocona Rehabilitation and Care Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Nocona Rehabilitation and Care Center have?

It has 89 certified beds and cares for about 32 residents per day.

Has Nocona Rehabilitation and Care Center been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Nocona Rehabilitation and Care Center?

(940) 825-3288. The facility is located at 306 Carolyn Rd, Nocona, TX 76255.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.