Nursing homeActive
Mitchell County Nursing And Rehabilitation Center
971 W I 20, Colorado City, TX 79512325728524754 certified beds · 46 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
3
since 2024
Deficiencies
22
● 0● 22● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-28
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 3
Quality 3
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 |
|---|---|---|---|---|
| 2026-04-28 | Standard | 080 | CMS-2567 (Care Compare) | — |
| 2025-02-20 | Standard | 0100 | CMS-2567 (Care Compare) | — |
| 2024-01-18 | Standard | 040 | 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.
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 676225-20260428-F550
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 676225-20260428-F553
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 2026-05-20Record 676225-20260428-F578
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 2026-05-20Record 676225-20260428-F585
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 676225-20260428-F605
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 676225-20260428-F804
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 2026-05-20Record 676225-20260428-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 2026-05-20Record 676225-20260428-F880
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-20Record 676225-20250220-F550
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 2025-03-20Record 676225-20250220-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 2025-03-20Record 676225-20250220-F578
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 2025-03-20Record 676225-20250220-F656
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-20Record 676225-20250220-F727
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-20Record 676225-20250220-F755
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-20Record 676225-20250220-F761
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 2025-03-20Record 676225-20250220-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 2025-03-20Record 676225-20250220-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-20Record 676225-20250220-F883
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 2024-02-18Record 676225-20240118-F578
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-18Record 676225-20240118-F690
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-02-18Record 676225-20240118-F727
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 2024-02-18Record 676225-20240118-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.53
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.28
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours1.81
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover35%
Facility
Texas
National
Texas 55% · National 46%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.2% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.5% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 4.2% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 5.1% | 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 | 12.8% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.1% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 40.0% | 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 |
|---|---|---|---|---|
| Mitchell County Hospital District Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| 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 | — | — |
| Edwards, Helen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gafford, Suzanne Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Gafford, Suzanne Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gafford, Suzanne Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Goebel, Donna Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hall, Robert Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hall, Robert Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hall, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Jackson, Kaleb Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mitchell County Hospital District Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Moore, Diane Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Moore, Diane Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Moore, Diane Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Olstowski, Henryk Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Pereida, Ruth Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rickard, Marsha Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Roach, Dee Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rubio, Maria Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Rural Hospital Management Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Womack, Richy Individual | CORPORATE DIRECTOR | 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 Mitchell.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Avir at Snyder Snyder | 21.1 mi | 2026-02-25 | 0222 |
| Sterling Hills Rehabilitation And Healthcare Cente Sweetwater | 29.4 mi | 2026-03-26 | 0160 |
| Sweetwater Healthcare Center Sweetwater | 29.7 mi | 2026-03-10 | 0160 |
| Sterling Nursing and Rehab Sterling City | 39.2 mi | 2025-09-11 | 080 |
| Lamun-Lusk-Sanchez Texas State Veterans Home Big Spring | 34.6 mi | 2025-08-07 | 0171 |
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 |