Nursing homeActive
Munday Nursing Center
421 West F St, Munday, TX 76371940422454161 certified beds · 36 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
12
● 0● 12● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-06-26
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 2
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-06-26 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2024-05-16 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2023-03-23 | Standard | 020 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F585Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-17Record 675061-20250626-F585
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-17Record 675061-20250626-F656
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-17Record 675061-20250626-F812
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-17Record 675061-20250626-F813
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-06Record 675061-20240516-F552
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-06Record 675061-20240516-F578
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-06Record 675061-20240516-F645
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-06Record 675061-20240516-F656
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-06-06Record 675061-20240516-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-06Record 675061-20240516-F880
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-28Record 675061-20230323-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-28Record 675061-20230323-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.38
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.37
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.89
Facility
Texas
National
Texas 2.98 · National 3.42
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.7% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.4% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 3.5% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 15.7% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.9% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 10.8% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Knox County Hospital District Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Knox County Hospital District Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kuehler, Stephen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Williams, Kendra Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Albus, Joann Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Baty, Louis Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Cartwright, Tracy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Carver, Jennifer Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hobert, Judy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Knox County Hospital District Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kuehler, Stephen Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Kuehler, Stephen Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kuehler, Stephen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Simmons, Kelsey Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Simmons, Kelsey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wainscott, Daniel Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Welch, Larry Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Williams, Kendra Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Williams, Kendra Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Knox.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Avir at Knox City Knox City | 11.1 mi | 2025-12-18 | 0231 |
| Avir at Haskell Haskell | 21.5 mi | 2025-07-17 | 0130 |
| Seymour Rehabilitation And Healthcare Seymour | 22.5 mi | 2026-01-02 | 2100 |
| Crowell Nursing Center Crowell | 37.0 mi | 2026-04-09 | 0150 |
| Harmony Care At Stamford Stamford | 37.0 mi | 2026-06-17 | 0230 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |