Deficiency Index

Mitchell County Nursing and Rehabilitation Center

Colorado City, Texas · CCN 676225

20 surveys since 2010, 5 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
111
Surveys
20
Harm or worse
5
Immediate jeopardy
5
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy5

Findings at the most serious level CMS records.

Beyond CMS’s monthly file16/20

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
54
Ownership
Government - Hospital district
Chain
Independent
County
Mitchell · rural
Medicare-certified since
2009

CMS ratings

Overall
3
Health inspection
3
Staffing
3
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 24 government-run facilities with fewer than 66 beds in Texas.

Last survey on record

Jul 23, 2026

109 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.284.31
Registered-nurse hours per resident day0.53—
Annual nurse turnover35.3%52.2%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1252.2%E730.4%F417.4%
No harm, potential for minimalA—B—C—
CMS’s current file: 23 of the 111 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5783×

    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.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5502×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F7272×

    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.

  • F8802×

    Provide and implement an infection prevention and control program.

In the surveyor’s words

From the most serious findings on record at Mitchell County Nursing and Rehabilitation Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF727Feb 20, 2025

    Based on interviews and record review, the facility failed to utilize the services of a registered nurse for at least eight consecutive hours per day, seven days per week for 4 days out of 33 days (1/25/25, 1/26/25, 2/8/25 and 2/9/25) reviewed for nursing services. The facility failed to ensure a registered nurse was scheduled for eight consecutive hours per day, seven days per week on the following dates: 1/25/25, 1/26/25, 2/8/25 and 2/9/25. This deficient practice could place residents at risk of not receiving adequate care. Findings included: During an interview on 02/19/25 at 9:48 AM, RN B stated she was an RN. She said she worked every other weekend. As an RN, she had the ability to pronounce death. She stated they were also in the facility if the LVN needs guidance. […]

  • No harm, potential for more than minimal, widespreadF812Feb 20, 2025

    Based on observation, interview, and record review, the facility must store, prepare, and serve food under sanitary conditions, as required by the Texas Department of State Health Services food service sanitation requirements. in 1 of 1 kitchen reviewed for dietary services, in that: 1. The facility failed to ensure canned foods were not expired and dented. 2. The kitchen staff member failed to use proper hand washing while preparing eating utensils. 3. The facility failed to label and properly date foods. These failures could place residents at risk for food contamination and foodborne illness. The findings included: The following observations were made on [DATE] beginning at 09:07 AM during initial observation of the kitchen: Observed the following in the storage panty: 1. […]

  • No harm, potential for more than minimal, widespreadF727Jan 18, 2024

    Based on interview and record review, the facility failed to use the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week for 1 out of 48 days (12/25/23) reviewed for RN coverage. The facility failed to ensure they had RN coverage 8 hours a day, 7 days a week for the following day: 12/25/23 This failure could place residents at risk for inconsistency in care and services. Findings include: Record review of the facility's employee roster dated 01/16/24 revealed there were three RNs employed at the facility. Record review time sheet for the DON dated 01/16/24 revealed no hours worked for 12/25/23. Record review time sheet for RN A dated 01/16/24 revealed no hours worked for 12/25/23. […]

  • No harm, potential for more than minimal, widespreadF812Jan 18, 2024

    Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for dietary services. 1)The facility failed to ensure foods were processed, stored, and pureed under sanitary conditions. 2) The facility failed to ensure foods were not beyond manufacturer's use dates. 3) The facility failed to ensure foods were in sound condition. 4) The facility failed to ensure food were accurately dated and labeled. […]

  • No harm, potential for more than minimal, patternF550Apr 28, 2026

    Based on interviews and record reviews, the facility failed to treat each resident with respect, dignity, and care for each resident in a manner and in an environment that promoted the maintenance or enhancement of their quality of life, recognizing each resident's individuality and the facility failed to protect and promote the rights of 7 of 20 confidential residents reviewed for resident rights. The facility failed to ensure staff were not on their personal cell phones while providing care, which included assisting residents with their showers. […]

Read 25 findings in full →The most serious and the most recent: 25 of 111 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 23, 2026Complaint1 finding
  • Apr 28, 2026Standard and complaint8 findings
  • Feb 20, 2025Standard10 findings
  • Jan 18, 2024Standard4 findings
  • Nov 30, 2022Standard3 findings
  • Jan 13, 2022Complaint1 finding
  • Oct 1, 2021Standard2 findings
  • Sep 8, 2021Infection control2 findings
Show the 12 earlier surveys
  • Mar 4, 2021Complaint1 finding
  • Dec 18, 2020Infection control3 findings
  • Aug 7, 2019Standard and complaint7 findings
  • Aug 30, 2018Standard7 findings
  • Jun 19, 2017Standard and complaint9 findings · 4 harm
  • May 6, 2016Standard18 findings
  • Jun 12, 2015Complaint1 finding
  • Apr 16, 2015Standard5 findings
  • Jan 29, 2014Standard7 findings
  • Feb 28, 2013—5 findings
  • Dec 15, 2011—6 findings
  • Nov 10, 2010—11 findings · 1 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction