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Nursing homeFAID #12275

Schleicher County Medical Center

104 N US HWY 277, ELDORADO, TX, 76936
(325) 853-3931
34 licensed beds

CMS rates Schleicher County Medical Center 4 out of 5 overall. Federal inspectors issued 18 citations across 9 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall4/5 health inspections4/5 staffing3/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
34
CMS facility ID
45E631
Care type
Nursing home
County
Schleicher
Facility name
Schleicher County Medical Center
Street address
104 N US HWY 277
City / state / ZIP
Eldorado, TX 76936
Phone
(325) 853-3931

Schleicher County Medical Center is a Medicare/Medicaid-certified skilled nursing facility in Eldorado, Texas. It is licensed for 34 beds — well below the median for skilled nursing facilities in Texas (120 beds).

It is one of 1 senior care facility in Eldorado and 1,179 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 Schleicher County Medical Center 18 times across 9 inspections in the last three years, including 1 food-safety citation; 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 November 6, 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

Regulatory standing

Licensed / certified since
1974-12-04
CMS overall rating
4 of 5 stars
Health deficiencies
4 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-12-08
Nurse staffing
4.6 hours per resident per day

Services & coverage

Licensed beds
34
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare · last verified 2026-11-06. 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 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-08-04Health inspectionComplaint-triggered1 citation
F-0602
E · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2026-08-15
2025-12-08Health inspectionComplaint-triggered3 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 2025-12-19
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-12-19
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-12-19
5 earlier / fire-safety inspections (14 citations)
2024-08-15Health inspection4 citations
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 2024-08-15
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 2024-09-01
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 2024-09-15
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-09-15
2023-10-02Health inspectionComplaint-triggered2 citations
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-04
F-0726
G · Actual harmFrom a complaint
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 2023-09-04
2023-06-29Health inspection4 citations
F-0700
D · No harm found
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2023-07-22
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 2023-07-15
F-0851
C · No harm found
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2023-07-22
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-07-15
2025-12-08Fire-safety inspection3 citations
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-12-19
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-12-19
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-12-19
2024-08-15Fire-safety inspection1 citation
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2024-09-20
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 45E631.
How it compares in Texas.
Inspection citations, 3 years
18
More than 11% of nursing homes in the state
State median: 33
Federal fines, 3 years
$0
No federal fines on record
State median: $15,642
Nurse staffing, hours per resident per day
4.6
Higher than 95% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
34%
Higher than 12% of nursing homes in the state
State median: 50%

Resident outcomes

On 17 federal quality measures, this facility does better than the Texas average on 6 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased21.4%15.8%13.5%Worse than state
Lose too much weight3.3%2.9%5.1%Worse than state
With a catheter inserted and left in their bladder1.4%0.3%0.7%Worse than state
With a urinary tract infection2.6%0.8%1.5%Worse than state
Have depressive symptoms1.9%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury2.6%3.2%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine99.1%96.4%93.7%Near state average
Ability to walk independently worsened11.7%12.9%12.7%Near state average
Received an antianxiety or hypnotic medication15.6%17.8%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine90.0%97.0%95.3%Near state average
With pressure ulcers0.0%3.7%4.5%Better than state
With new or worsened bowel or bladder incontinence24.2%12.5%18.3%Worse than state
Received an antipsychotic medication19.7%9.8%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days1.422.051.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days4.191.971.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine95.3%88.7%82.3%Near state average
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0880 3 inspections. Provide and implement an infection prevention and control program.
  • F-0761 2 inspections. 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.
Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Lillian M Hudspeth Memorial Hospital, about 21 miles.
  • Shannon Medical Center, about 42 miles. CMS rating 3 of 5.
  • Kimble Hospital, about 54 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

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 18 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 2026-11-06
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