Grace Care Center Of Nocona
Nursing Home · 306 Carolyn Rd, Nocona, TX 76255 · 9408253288
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 2.0 / 5 | high |
| Staffing | 1.4 / 5 | high |
| Clinical outcomes | 3.0 / 5 | high |
| Enforcement | 3.5 / 5 | high |
| Financial stability | 3.6 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 89 |
| Ownership | For Profit - Limited Liability Company |
| Operator | Nocona Hospital District |
| Certified since | 1995-12-29 |
| CMS overall star | 1 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $ of 5 · ~$231/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 1 immediate jeopardy · 2 actual harm · 25 potential for harm · 1 minor
- Federal fines: $32,425 · payment denials: 0 · penalty actions: 1
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2025-11-26 | 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. (Nursing and Physician Services Deficiencies, tag 0727) | F | corrected 2025-12-01 |
| 2025-11-26 | 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. (Nutrition and Dietary Deficiencies, tag 0801) | E | corrected 2025-12-04 |
| 2025-11-26 | Keep all essential equipment working safely. (Environmental Deficiencies, tag 0908) | E | corrected 2025-12-04 |
| 2025-11-26 | Make sure that a working call system is available in each resident's bathroom and bathing area. (Environmental Deficiencies, tag 0919) | D | corrected 2025-12-01 |
| 2025-11-26 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Environmental Deficiencies, tag 0921) | E | corrected 2025-12-05 |
| 2025-11-26 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Environmental Deficiencies, tag 0925) | E | corrected 2025-11-27 |
| 2025-11-10 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Administration Deficiencies, tag 0835) | F | corrected 2025-11-19 |
| 2025-06-04 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Administration Deficiencies, tag 0835) | E | corrected 2025-06-25 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 2.91 hrs/resident/day (expected 3.50 for this facility's resident acuity — below expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.24 hrs/resident/day (expected 0.61 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 1.85 · LPN 0.81 hrs/resident/day
- Weekend total staffing: 2.60 hrs/resident/day (expected 3.11 for this facility's resident acuity — below expected)
- Resident acuity (nursing case-mix index): 1.26 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 8.7% | not reported | worse than 98% of US homes · TX median 0.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 4.2% | 2.7 → 5.7 → 3 → 5.4 | worse than 71% of US homes · TX median 3% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 18.9% | · → · → · → 39.8 | worse than 69% of US homes · TX median 13% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 17.2% | 13.8 → 18.5 → 3.7 → 30.3 | worse than 66% of US homes · TX median 14.8% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 13.6% | 13.6 → · → 10 → 9.1 | worse than 51% of US homes · TX median 8.1% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 2.9% | 3.1 → 2.9 → 3.2 → 2.4 | better than 73% of US homes · TX median 3.4% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0.3% |
What this costs
- This facility's reported avg daily charge: $231/day · $ (price tier 1 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2025-08. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 55% Medicaid · 10% Medicare · 35% other/private · 43% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Montague County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Nocona General Hospital | Nocona | Yes | 1★ | Acute care |
Compare nearby
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Montague County nursing homes coverage. Spot an error? Tell us.