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Nursing homeFAID #14161

Nocona Rehabilitation and Care Center

306 CAROLYN RD, NOCONA, TX, 76255
(940) 825-3288
89 licensed beds
★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

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Public record summary

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Bed capacity
89
CMS facility ID
675554
Care type
Nursing home
County
Montague
Facility name
Nocona Rehabilitation and Care Center
Street address
306 CAROLYN RD
City / state / ZIP
Nocona, TX 76255
Phone
(940) 825-3288

About this facility — Nocona Rehabilitation and Care Center

Nocona Rehabilitation and Care Center is a Medicare/Medicaid-certified skilled nursing facility in Nocona, Texas. It is licensed for 89 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 1 senior care facility in Nocona 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 Nocona Rehabilitation and Care Center 41 times across 12 inspections in the last three years, including 4 food-safety citations; no federal fines are on record. 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.

Facility background

What the public record shows.

Ownership & operator

Ownership type
For profit - Limited Liability company

Registered owners & officers

Nocona Hospital District
Direct owner — 100% stake — since 2025
Dickey, Carla
Operational control · Additional disclosable party — since 2024
Dingler, Leonard
Additional disclosable party — since 2025
Meekins, Greg
Director — since 2014
Mistretta, Cassandra
Owner of a disclosable party — since 2026
Noconatx Llc
Operational control — since 2025
Pfeifer, Mary
Operational control — since 2025

Regulatory standing

Licensed / certified since
1995-12-29
CMS overall rating
1 of 5 stars
Health deficiencies
14 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-02-13
Nurse staffing
3.1 hours per resident per day

Cost & payer profile (FY2024 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)
65% Medicaid · 5% Medicare · 30% private/other
Occupancy
38% (fiscal year 2024)
Vs. state median
17% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
89
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.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-02-13Health inspection7 citations
F-0585
D · No harm found
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.
Corrected 2026-03-03
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2026-03-03
F-0812
F · 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 2026-03-03
F-0851
F · No harm found
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2026-03-03
F-0865
E · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2026-03-03
F-0881
E · No harm found
Implement a program that monitors antibiotic use.
Corrected 2026-03-03
F-0940
E · No harm found
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2026-03-03
2025-11-26Health inspectionComplaint-triggered6 citations
F-0727
F · No harm foundFrom a complaint
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 2025-12-01
F-0801
E · No harm foundFood safetyFrom a complaint
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2025-12-04
F-0908
E · No harm foundFrom a complaint
Keep all essential equipment working safely.
Corrected 2025-12-04
F-0919
D · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-12-01
F-0921
E · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-12-05
F-0925
E · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-11-27
9 earlier / fire-safety inspections (28 citations)
2025-11-10Health inspectionComplaint-triggered1 citation
F-0835
F · No harm foundFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-11-19
2025-06-04Health inspectionComplaint-triggered1 citation
F-0835
E · No harm foundFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-06-25
2025-03-21Health inspectionComplaint-triggered1 citation
F-0727
F · No harm foundFrom a complaint
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 2025-03-22
2025-01-21Health inspectionComplaint-triggered1 citation
F-0776
D · No harm foundFrom a complaint
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2025-02-06
2024-11-21Health inspection7 citations
F-0644
E · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-12-16
F-0645
E · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-12-16
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-12-16
F-0727
F · 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 2024-12-16
F-0758
E · No harm found
Implement 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.
Corrected 2024-12-16
F-0812
F · 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 2024-12-16
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-12-16
2023-10-05Health inspection2 citations
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-11-01
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 2023-11-01
2026-02-13Fire-safety inspection8 citations
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2026-03-30
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-03-30
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2026-03-30
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-03-30
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-03-30
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-03-30
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2026-03-30
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-03-30
2024-11-21Fire-safety inspection5 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-12-19
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-19
K-0364
E · No harm found
Install properly constructed windows in hallway walls or doors.
Corrected 2024-12-19
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-12-19
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-12-19
2023-10-05Fire-safety inspection2 citations
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-10-24
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-01
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 675554.

Inside your report

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Ownership & corporate history

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

Inspection citations — last 5 years

Locked
The 41 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

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Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

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