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Nursing homeFAID #13959

Farwell Care and Rehabilitation Center

305 FIFTH ST, FARWELL, TX, 79325
(806) 481-9027
75 licensed beds
★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
75
CMS facility ID
675098
Care type
Nursing home
County
Parmer
Facility name
Farwell Care and Rehabilitation Center
Street address
305 FIFTH ST
City / state / ZIP
Farwell, TX 79325
Phone
(806) 481-9027

Farwell Care and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Farwell, Texas. It is licensed for 75 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 1 senior care facility in Farwell and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Farwell Care and Rehabilitation Center 35 times across 10 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $13,397 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Ownership type
Government - Hospital district

Registered owners & officers

Farwell Hospital District
Direct owner · Mortgage holder · Additional disclosable party — 100% stake — since 2014
24 Karat Ventures
Operational control — since 2026
Jewell, Billy
Operational control — since 2026
Kirkland, Jack
Director — since 1991
Ogburn, Shelli
Operational control · Additional disclosable party — since 2024
Rankin, Ron
Operational control · Additional disclosable party — since 2014

Regulatory standing

Licensed / certified since
1992-11-01
CMS overall rating
1 of 5 stars
Health deficiencies
18 at the last standard inspection
Federal fines
$13,397 total
Last standard inspection
2025-12-16
Nurse staffing
3.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$229 per day (≈ $6,960/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
10% Medicaid · 5% Medicare · 85% private/other
Occupancy
46% (fiscal year 2023)
Vs. state median
17% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
75
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-19Health inspectionComplaint-triggered2 citations
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-07-01
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-07-01
2026-04-22Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-05-22
7 earlier / fire-safety inspections (32 citations)
2025-12-16Health inspection15 citations
F-0578
D · No harm found
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.
Corrected 2026-01-30
F-0583
E · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2026-01-30
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-01-30
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2026-01-30
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2026-01-30
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-30
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-30
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2026-01-30
F-0726
E · No harm found
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2026-01-30
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-01-30
F-0761
D · No harm found
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.
Corrected 2026-01-30
F-0804
D · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-01-30
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-30
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-01-30
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-01-30
2025-07-23Health inspectionComplaint-triggered1 citation
F-0940
E · No harm foundFrom a complaint
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2025-08-15
2024-09-19Health inspection4 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-18
F-0727
D · No harm found
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.
Corrected 2024-10-18
F-0761
E · No harm found
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.
Corrected 2024-10-18
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-10-18
2023-11-02Health inspectionComplaint-triggered2 citations
F-0580
J · Immediate jeopardyFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-12-02
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-12-02
2023-08-16Health inspection6 citations
F-0578
E · No harm found
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.
Corrected 2023-09-15
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-09-15
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-15
F-0761
D · No harm found
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.
Corrected 2023-09-15
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-15
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-09-15
2025-12-16Fire-safety inspection3 citations
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-01-30
K-0372
D · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-01-30
K-0741
F · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2026-01-30
2024-09-19Fire-safety inspection1 citation
K-0341
F · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-10-25

Federal penalties

2023-11-02Fine$13,397
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675098.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 35 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered