Schleicher County Medical Center
Nursing Home · 104 N Us Hwy 277, Eldorado, TX 76936 · 3258533931
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 4.0 / 5 | high |
| Staffing | 4.2 / 5 | high |
| Clinical outcomes | 2.1 / 5 | high |
| Enforcement | 5.0 / 5 | high |
| Financial stability | 4.6 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 34 |
| Ownership | Government - Hospital District |
| Operator | Legal Business Name Not Available |
| Certified since | 1974-12-04 |
| CMS overall star | 4 / 5 |
| Accepts Medicaid | Yes |
Inspection & enforcement record
- Health-inspection citations: 0 immediate jeopardy · 2 actual harm · 10 potential for harm · 1 minor
- Federal fines: $0 · payment denials: 0 · penalty actions: 0
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 |
|---|---|---|---|
| 2025-12-08 | 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. (Resident Rights Deficiencies, tag 0578) | E | corrected 2025-12-19 |
| 2025-12-08 | Provide and implement an infection prevention and control program. (Infection Control Deficiencies, tag 0880) | D | corrected 2025-12-19 |
| 2025-12-08 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Resident Assessment and Care Planning Deficiencies, tag 0842) | D | corrected 2025-12-19 |
| 2024-08-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Resident Assessment and Care Planning Deficiencies, tag 0656) | D | corrected 2024-08-15 |
| 2024-08-15 | 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. (Pharmacy Service Deficiencies, tag 0761) | D | corrected 2024-09-01 |
| 2024-08-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Nutrition and Dietary Deficiencies, tag 0812) | E | corrected 2024-09-15 |
| 2024-08-15 | Provide and implement an infection prevention and control program. (Infection Control Deficiencies, tag 0880) | D | corrected 2024-09-15 |
| 2023-10-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Quality of Life and Care Deficiencies, tag 0689) | G · actual harm | corrected 2023-09-04 |
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: 4.63 hrs/resident/day (expected 3.05 for this facility's resident acuity — at or above expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.70 hrs/resident/day (expected 0.54 for this facility's resident acuity — at or above expected) (US median 0.58)
- Breakdown: nurse aide 2.95 · LPN 0.98 hrs/resident/day
- Weekend total staffing: 3.91 hrs/resident/day (expected 2.71 for this facility's resident acuity — at or above expected)
- Annual nursing-staff turnover: 48.6% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.10 (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 whose need for help with daily activities has increased (long stay) | 24.3% | · → · → 40 → 19 | worse than 87% of US homes · TX median 14.8% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 3.6% | 0 → 3.7 → 3.4 → 7.1 | worse than 87% of US homes · TX median 0.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 5.4% | 7.1 → 7.4 → 3.4 → 3.6 | worse than 84% of US homes · TX median 3% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 22.8% | not reported | worse than 80% of US homes · TX median 13% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 18.8% | not reported | worse than 70% of US homes · TX median 8.1% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 2.4% | 6.3 → 3.2 → 0 → 0 | better than 80% 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% |
What this costs
- This facility's reported charges: no recent federal cost report on file — typically a new certification, an exempt unit, or a filing CMS hasn't processed yet
- 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 Schleicher 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 |
|---|---|---|---|---|
| Schleicher County Medical Center | Eldorado | No | — | Critical access |
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 Schleicher County nursing homes coverage. Spot an error? Tell us.