Mitchell County Nursing and Rehabilitation Center

Nursing Home · Colorado City, TX

CMS overall rating 3/5 Government - Hospital district

CMS certification number676225

Contact & location

971 W I 20
Colorado City, TX 79512
Mitchell County
Phone
(325) 728-5247
ZIP code
79512 – all care providers

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Facility details

Certified beds
54
Residents per day
45.9 (85% occupied)
Ownership
Government - Hospital district
Legal name
Mitchell County Hospital District
Medicare certified since
October 15, 2009
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 2.6
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 3/5
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
3.28 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.53 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.81 (state 0.95 · U.S. 0.86)
Nurse aides
1.94 (state 2.00 · U.S. 2.32)
Weekend total
1.81 (state 2.98 · U.S. 3.42)
Nursing staff turnover
35.3 (state 55.3 · U.S. 45.8)%
RN turnover
—

Inspections

Last standard inspection
April 28, 2026
Health deficiencies (last cycle)
8.0 (state 9.3 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
22 health · 2 fire safety
DateCitationSeverityStatus
2026-04-28 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2026-04-28 Allow resident to participate in the development and implementation of his or her person-centered plan of care.
F0553 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2026-04-28 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
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2026-04-28 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2026-04-28 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 2026-05-20
2026-04-28 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2026-04-28 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2026-04-28 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2025-02-20 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 2025-03-20
2025-02-20 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 2025-03-20
2025-02-20 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-20
2025-02-20 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-20
2025-02-20 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-20
2025-02-20 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-20
2025-02-20 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-20
2025-02-20 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-20
2025-02-20 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-20
2025-02-20 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-20
2024-01-18 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 2024-02-18
2024-01-18 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 2024-02-18
2024-01-18 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-02-18
2024-01-18 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-18

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
Mitchell County Hospital District (organization)5%+ Direct Ownership Interest · 100%
Gafford, Suzanne (individual)Administrator · NOT APPLICABLE
Hall, Robert (individual)Administrator · NOT APPLICABLE
Mitchell County Hospital District (organization)Administrator · NOT APPLICABLE
Moore, Diane (individual)Administrator · NOT APPLICABLE
Pereida, Ruth (individual)Administrator · NOT APPLICABLE
Roach, Dee (individual)Administrator · NOT APPLICABLE
Rural Hospital Management (organization)Administrator · NOT APPLICABLE
Edwards, Helen (individual)Corporate Director · NOT APPLICABLE
Gafford, Suzanne (individual)Corporate Director · NOT APPLICABLE
Goebel, Donna (individual)Corporate Director · NOT APPLICABLE
Hall, Robert (individual)Corporate Director · NOT APPLICABLE
Jackson, Kaleb (individual)Corporate Director · NOT APPLICABLE
Moore, Diane (individual)Corporate Director · NOT APPLICABLE
Olstowski, Henryk (individual)Corporate Director · NOT APPLICABLE
Rickard, Marsha (individual)Corporate Director · NOT APPLICABLE
Rubio, Maria (individual)Corporate Director · NOT APPLICABLE
Womack, Richy (individual)Corporate Director · NOT APPLICABLE
Gafford, Suzanne (individual)Managing Control - Governing Body · NOT APPLICABLE
Hall, Robert (individual)Managing Control - Governing Body · NOT APPLICABLE
Moore, Diane (individual)Managing Control - Governing Body · NOT APPLICABLE
Gafford, Suzanne (individual)Operational/managerial Control · NOT APPLICABLE
Hall, Robert (individual)Operational/managerial Control · NOT APPLICABLE
Mitchell County Hospital District (organization)Operational/managerial Control · NOT APPLICABLE
Pereida, Ruth (individual)Operational/managerial Control · NOT APPLICABLE
Rural Hospital Management (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Mitchell County Nursing and Rehabilitation Center?

Mitchell County Nursing and Rehabilitation Center has a 3-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 Mitchell County Nursing and Rehabilitation Center have?

It has 54 certified beds and cares for about 46 residents per day.

Has Mitchell County Nursing and Rehabilitation Center been fined?

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

What is the phone number of Mitchell County Nursing and Rehabilitation Center?

(325) 728-5247. The facility is located at 971 W I 20, Colorado City, TX 79512.

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