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Farwell Care and Rehabilitation Center

305 Fifth St., Farwell, TX 79325 · Parmer County · (806) 481-9027

75 certified beds, about 49 residents a day · Government - Hospital district · Medicare and Medicaid since 1992

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 675098 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 16, 2025, inspectors cited 15 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 32 health citations since August 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 1 fine totaling $13,397 in the last three years; the largest was $13,397, and the latest is dated November 2, 2023.

Nurses and nurse aides worked 3.04 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.31 of those hours.

60.9% of nursing staff left within the year CMS measured (Texas average 55.3%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 32 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
20D
10E
0F
Potential for minimal harm
0A
0B
0C
July 23, 2026Complaint inspection · 1 citation
  1. E
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 23, 2026
    Inspectors wroteBased on interviews and record reviews, the facility failed to thoroughly investigate and document allegations of abuse, neglect, and misappropriation of property for 7 of 7 residents (Resident #1, Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, and Resident #7). The facility failed to thoroughly investigate and document evidence of five reported allegations of abuse, neglect, and misappropriation of propertyThis failure could result in residents to experience continued abuse or neglect and decreased quality of life. Findings Included:Resident #1Record review of Resident #1's face sheet, dated 07/23/2026, revealed a [AGE] year-old female who was admitted to the facility on [DATE]. [...]
May 19, 2026Complaint inspection · 2 citations
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 1, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the residents' environment remained as free from accident hazards as was possible; and that each resident received adequate supervision to prevent accident hazards for one resident (Resident #1) of 5 residents observed for accident hazards. -Resident #1 had an oxygen bottle/cylinder left unsecured in his room. This failure could lead to injuries such as bruising, skin tears, fractures, and feelings of fear and isolation.
  2. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 1, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents who need respiratory care were provided such care consistent with professional standards of practice for 1 (Resident #1) of 5 residents reviewed for respiratory care. The facility failed to store Resident #1's nasal cannula properly. This failure could place resident at risk for complications such as shortness of breath, confusion, respiratory failure, infection, and exacerbation of their condition.
April 22, 2026Complaint inspection · 1 citation
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 22, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures. [...]
December 16, 2025Standard inspection · 15 citations
  1. E
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on observation, interview, and record review; it was determined the facility failed to ensure each resident was provided with the right to have personal privacy during medical treatments, for 4 (Residents #1, #4, #14, and Resident #38) of 15 residents reviewed for privacy. -RN D failed to knock or announce herself upon entering Resident #4's room or provide privacy before administering medication via peg-tub.-RN D failed to knock or announce herself upon entering Resident #38's room or provide privacy before administering an injectable medication. -RN D failed to knock or announce herself upon entering Resident #14's room or provide privacy before administering an injectable medication. -RN D failed to knock or announce herself upon entering Resident #1's room or provide privacy before administering and injectable medication. [...]
  2. E
    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.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to have nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical well-being of each resident for 1 (RN D) of 5 staff reviewed for nursing services. -RN D failed to knock or announce herself upon entering Resident #4's room or provide privacy before administering medication via g-tub.-RN D failed to check placement of g-tube for Resident #4 before administering medication via g-tube. -RN D failed to perform hand hygiene before administering medication to Resident #4 via g-tube. -RN D failed to knock or announce herself upon entering Resident #38's room or provide privacy before performing glucose check and the administration of an injectable medication. [...]
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 6 of 15 (Resident #1, #4, #14, #27, #38, and Resident #57) Residents reviewed for infection control, in that:-RN D failed to perform hand hygiene or glove change before or after preparation of glucometer, glucose check, preparation of the medication, and the administration of Insulin for Resident #1.-RN D failed to perform hand hygiene before administering medication to Resident #4 via g-tube.-RN D failed to perform hand hygiene or glove change before or after preparation of glucometer, glucose check, preparation of the medication, and the administration of Insulin for Resident #14.-MA E failed to [...]
  4. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on interview and record review the facility failed to ensure residents had the right to formulate an advance directive for 1 (Resident #1) of 15 residents reviewed for advance directives. The facility failed to ensure Resident #1's DNR was dated by the physician, thereby rendering it invalid. This failure could place residents at risk of not having their end-of-life wishes honored. Findings Included:Record review of Resident #1's admission record dated [DATE] revealed a [AGE] year-old male admitted to the facility on [DATE] with diagnoses that included, but were not limited to, chronic kidney disease (longstanding disease of the kidneys leading to kidney failure), type 2 diabetes (insufficient production of insulin, causing high blood sugar), and heart failure (heart muscle fails to pump blood as it should). [...]
  5. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents who use psychotropic drugs receive gradual dose reductions, and behavioral interventions, unless clinically contraindicated, in an effort to discontinue these drugs for 1 (Resident #7) of 5 residents reviewed for unnecessary drugs. The facility failed to ensure a gradual dose reduction of Resident #7's four psychotropic medications was attempted or contraindicated from May 2024 to December 2025. This failure could lead to residents being overmedicated. [...]
  6. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to refer all residents with newly evident or possible serious mental disorder, intellectual disability, or a related condition to state designated authority for level II resident review upon a significant change in status assessment for 1 (Resident #6) of 15 residents reviewed for PASRR.The facility failed to refer Resident #6 to state designated authority for a PASRR Evaluation due to his diagnosis of PTSD.This failure could place residents at risk of not receiving necessary services or of being harmed by residents who have not been screened properly for placement in a nursing home setting. [...]
  7. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on interview and record review the facility failed to perform a preadmission screening for individuals with a mental disorder and individuals with intellectual disability for 1 (Resident #29) of 15 residents reviewed for preadmission screening. The facility failed to perform a preadmission screening for Resident #29 prior to admission on [DATE]. This failure could place residents at risk of not receiving needed services. [...]
  8. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that include measurable objectives and time frames to meet residents' mental and psychosocial needs for 2 of 15 (Residents #6 and Resident #36) Residents reviewed for care plans.1. Resident #6 had a diagnosis of PTSD, and his care plan was not specific or person-centered regarding his history of trauma and his triggers.2. Resident #36 did not have TED hose care planned had an order for TED hose daily. There was no documentation in the care plan of measurable objectives, interventions, or timeframes for how staff would meet this need. [...]
  9. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the residents received treatment and care in accordance with professional standards of practice for 1 of 16 residents (Resident #36) reviewed for physician orders for treatments. A. The facility failed to follow physician's orders and apply TED hose as ordered for Resident # 36. (Thrombo-Embolic Deterrent hose which are medical stockings designed to prevent blood clots to the legs). The failure could affect residents currently residing in the facility resulting in not receiving needed care to maintain optimum health and placing them at risk for injury and/or deterioration in their condition.
  10. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who were trauma survivors receive culturally competent, trauma-informed care in accordance with professional standards of practice and accounting for residents' experiences and preferences in order to eliminate or mitigate triggers that may cause re-traumatization of the resident for 1 (Resident #6) of 15 residents reviewed for trauma-informed care. The facility did not ensure Resident #6 had a trauma screening that identified possible triggers when Resident #6 had a history of trauma. This failure could put residents at an increased risk for severe psychological distress due to re-traumatization. Findings Included: [...]
  11. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 (Unidentified Resident) of 13 who was observed for medication administration. -MA C prepared medication for 3 separate unidentified residents and was carrying 3 medication cups around dining room administering medications. -Facility failed to ensure Resident #41's medication bubble pack for her Carbidopa-Levodopa 25mg-100mg's instructions for dosing matched Resident #41's current medication orders. These failures could place residents at risk for receiving medications that do not belong to them; [...]
  12. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed, in accordance with State and Federal laws, to store all drugs and biologicals in locked compartments and labeled in accordance with currently accepted professional principles and include the appropriate accessory and cautionary instructions for 2 (Resident #38 and Resident #41) of 15 residents, 1 (treatment cart) of 1 treatment cart reviewed for medication storage. -RN D failed to place Resident #38's Insulin back into treatment cart before going into Resident #38's room to perform a glucose test. This failure could place residents at risk of taking medications that do not belong to them or receiving the wrong dosage of medication, which could lead to adverse reactions, increased exacerbation of disease processes, and hospitalization. [...]
  13. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to prepare food by methods that conserve nutritive value, flavor, and appearance for 3 (pureed bread, pureed vegetables, and pureed meat) of 5 pureed food items reviewed for meal service. A. The dietary staff did not follow recipes for preparing the pureed bread for the lunch meal on 12/14/25 and 12/15/25 which altered the flavor of the bread. B. Foods from the test tray were not prepared by methods that conserve flavor. These failures could place any resident who consumes food prepared and served by dietary services at risk for dissatisfaction with the food and possible resulting nutrition deficit. Findings Included:In an observation and interview on 12/14/25 at 10:20 am, [NAME] H stated she had already pureed the foods for lunch and pointed to the steam table. [...]
  14. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with the professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure walk in cooler items were properly stored, labeled, and dated.2. The facility failed to ensure proper hot holding procedures were practiced. These failures could place residents who ate food served by the kitchen at risk of food-borne illness. Findings Included:Observation of the walk-in cooler on 12/14/25 at 10:17 am revealed 2 trays of cake pops on the top shelf of the cooler rack. One of the 2 trays was sitting directly under a pipe with a frozen water icicle hanging from the pipe. Both trays of cake pops had not been covered, labeled or dated. [...]
  15. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to, in accordance with professional standards and practices, maintain medical records on each resident that are accurately documented for 3 (Resident #6, Resident #36, and Resident #41) of 15 residents reviewed for accuracy of medical records.1. The facility failed to ensure Resident #6's EHR did not contain NP progress notes for a female resident with his same last name.2. The facility failed to ensure the nurse checking boxes in Resident #36's TAR was providing the treatment being checked off.3. Facility failed to ensure Resident #41's medication bubble pack for her Carbidopa-Levodopa 25mg-100mg's instructions for dosing matched Resident #41's current medication orders. These failures could place residents at risk of not receiving necessary and accurate care/treatment due to inaccurate medical records. [...]
July 23, 2025Complaint inspection · 1 citation
  1. E
    Develop, implement, and/or maintain an effective training program for all new and existing staff members.
    F940 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 15, 2025
    Inspectors wroteBased on interviews and record reviews the facility failed to develop, implement, and maintain an effective training program for all new and existing staff; individuals providing services under a contractual arrangement; and volunteers, consistent with their expected roles for 5 of 5 employees (the CNA, the DA, the Hskpr, the LPN and the SW) reviewed for required trainings. The facility failed to ensure Abuse, Neglect and Exploitation Training, Fall Prevention, Restraint Reduction, HIV and Bloodborne Pathogens, Emergency Procedures, and Dementia Training were completed for the CNA, the DA, the Hskpr, the LPN, and the SW upon hire and prior to providing care for or working with residents. This failure could cause a lack of understanding and skill needed to provide adequate care of residents with varying conditions and levels of care.
September 19, 2024Standard inspection · 4 citations
  1. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 18, 2024
    Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to ensure drugs and biologicals were stored in locked compartments and labeled in accordance with currently accepted professional principles and include the appropriate accessory and cautionary instructions, and the expiration date when applicable for 2 (medication cart #2 and Nurse's medication cart) of 3 medication carts reviewed for medication storage. -medication cart #2 revealed a bottle of Melatonin with an unreadable expiration date. -5 insulin medications were found in Nurse's medication cart that had a date of 08/24 written on them. -LVN E did not lock Nurse's medication cart while she went to go and get a resident for a treatment. [...]
  2. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 18, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality for 1 (Resident #18) of 12 Residents reviewed for resident rights. The facility failed to ensure LVN C was seated while she fed Resident #18. This failure could lead to residents' dignity being adversely affected. Findings Included: [...]
  3. D
    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.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 18, 2024
    Inspectors wroteBased on Record Review and Interview the facility failed to have a registered nurse for at least 8 consecutive hours a day, 7 days a week for 1 (September 2, 2024) day of 90 days reviewed for RN coverage. The facility failed to have a registered nurse for at least 8 consecutive hours a day on September 2, 2024. This failure could place residents at risk of not receiving the care and services needed to maintain their highest practicable level of physical, mental, and psychosocial well-being.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 18, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections for 1 of 12 (Resident #8) Residents reviewed for infection control, in that: -CNA B failed to use proper hand hygiene and glove change during incontinent care of Resident #8. These failures had the potential to affect residents in the facility by placing them at risk of contracting, spreading, and/or exposing them to bacterial or viral infections that could lead to the spread of communicable diseases.
November 2, 2023Complaint inspection · 2 citations
  1. J
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 2, 2023
    Inspectors wroteBased on interview and record review, it was determined the facility failed to immediately inform the physician and resident representative after a significant change in condition for 1 of 6 Residents (Resident #1) reviewed for notification of changes. The facility failed to notify Resident #1's Physician and Responsible Party after Resident #1 had a fall with injuries that resulted in a brain hematoma with a midline shift in which Resident died due to fall. The facility failed to notify Resident #1's Physician and Responsible Party after Resident #1 had a fall resulting in his head hitting the floor and sustaining a laceration to the right eyebrow/cheek. This failure could place residents at risk by causing a delay in necessary medical intervention, not allowing physician and families to be aware of any changing conditions and/or death. [...]
  2. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 2, 2023
    Inspectors wroteBased on interviews, observations and record reviews, the facility failed to ensure that residents are free from neglect for 1 of 6 residents (Resident #1) reviewed for neglect. The facility failed to ensure Resident #1 was assessed after a fall on [DATE] resulting in his head hitting the floor and sustaining a laceration to the right eyebrow/cheek . The facility failed to monitor the resident after the fall and after approximately 3.5 hrs. a change in condition was noted resulting in the resident being transferred to the hospital where he expired due to a brain bleed. This failure could place residents at risk of substandard or delay of care, physical harm, or death. An Immediate Jeopardy (IJ) was identified on [DATE] at 4:20 PM. [...]
August 16, 2023Standard inspection · 6 citations
  1. E
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 15, 2023
    Inspectors wroteBased on interviews and record reviews, the facility failed to follow policies to implement advance directives and State laws regarding advance directives for 5 of 5 residents (Residents #13, #17, #37, #39, #48) whose advance directives were reviewed. The facility failed to obtain a complete and accurate Do Not Resuscitate advance directive for Residents #13, #17, #37, #39, and #48. This failure could place residents at risk of receiving care by the facility that is against their wishes.
  2. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 15, 2023
    Inspectors wroteBased on interviews and record reviews, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet residents' medical, nursing, and mental and psychosocial needs for 5 of 5 residents (Residents #13, #17, #37, #39, #48) whose care plans were reviewed. The facility failed to develop a comprehensive person-centered care plan honoring Residents #13, #17, #37, #39, and #48 advance directives. This failure could place all residents at risk of receiving care by the facility that is against resident's wishes and not creating objectives to meet resident's medical needs.
  3. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 15, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, and serve food under sanitary conditions in 1 of 1 kitchen when they failed to properly store, label, and date food in accordance with professional standards for food service safety. The facility failed to: 1. Store food that was not properly sealed. 2. Properly label items for proper identification. 3. Properly date items of received, opened, or use by date. This failure has the potential to affect all residents by causing food-born illnesses, weight loss, and a diminished meal experience.
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 15, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 of 2 residents (Resident #12 and Resident #14) reviewed for infection control. The facility failed to ensure that facility staff perform hand hygiene appropriately during medication preparation, medication administration and incontinent care. This failure could place the residents at an increased risk for potentially exposing them to viral infections, secondary infections, tissue breakdown, communicable diseases and feelings of isolation related to poor hygiene.
  5. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 15, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures for 1 (Resident #14) of 13 residents reviewed for abuse and neglect. [...]
  6. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 15, 2023
    Inspectors wroteBased on observation, interview, and record review; it was determined the facility failed to ensure drugs and biologicals were stored in locked compartments under the proper temperature controls and permit only authorized personnel to have access. -LVN D left medication cart unattended and unlocked on 2 separate occasions while passing medications. -Refrigerator in medication room was not kept between 36-46 degrees. These failures could place residents at risk of having unauthorized access to medications and medications not being maintained at their best therapeutic level.

Fire safety inspections

4 fire safety citations on file: 3 on December 16, 2025, 1 on September 19, 2024.

Every fire safety citation4 citations
  1. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · December 16, 2025 · Corrected (the home has a date of correction)
  2. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · December 16, 2025 · Corrected (the home has a date of correction)
  3. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · December 16, 2025 · Corrected (the home has a date of correction)
  4. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · September 19, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
November 2, 2023Fine $13,397

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)3.043.393.86
Registered nurses0.310.430.69
All nursing staff on weekends2.752.983.42
Nurse aides2.15
Licensed practical nurses0.58
Nursing staff turnover (share who left in a year)60.9%55.3%45.8%
Registered nurse turnover62.5%54.6%42.9%
Administrators who left0

CMS expects 3.45 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.15 on weekdays and 2.75 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 44.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.76 in April to June 2025 to 3.04 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.040.313.152.75 44.4%0 of 9049
Oct to Dec 20252.940.353.052.65 36.5%0 of 9250
Jul to Sep 20252.760.392.892.45 22.8%0 of 9247
Apr to Jun 20252.760.322.932.34 24.7%1 of 9149
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Farwell Care and Rehabilitation Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
8.615.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.60.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.53.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.51.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.814.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.93.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
16.89.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.725.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.312.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.42.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.52.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Farwell Care and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (48.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

48.9% this home

No different from the national rate

US median of homes 51.5% · Texas: 116 better, 50 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 38 eligible stays.

Potentially preventable readmissions

11.3% this home

No different from the national rate

US median of homes 10.7% · Texas: 0 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 52 eligible stays.

Infections that led to a hospital stay

6.7% this home

No different from the national rate

US median of homes 7.1% · Texas: 4 better, 11 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 30 eligible stays.

Self-care and mobility at discharge

65.9% this home

Median of homes: Texas57.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 44 residents counted.

Falls with major injury

0.0% this home

Median of homes: Texas0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 54 residents counted.

New or worsened pressure ulcers

3.3% this home

Median of homes: Texas1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 54 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 10 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: FARWELL HOSPITAL DISTRICT.

NameRoleTypeShareSince
Farwell Hospital District5% or greater direct ownership interestOrganization100%02/01/2014
Farwell Hospital District5% or greater mortgage interestOrganization02/01/2014
Kirkland, JackCorporate directorIndividual05/01/1991
24 Karat VenturesOperational/managerial controlOrganization04/01/2026
Jewell, BillyOperational/managerial controlIndividual04/01/2026
Ogburn, ShelliOperational/managerial controlIndividual05/20/2024
Rankin, RonOperational/managerial controlIndividual02/01/2014
Farwell Hospital DistrictAdp of the SNFOrganization02/01/2014
Ogburn, ShelliAdp of the SNFIndividual05/20/2024
Rankin, RonAdp of the SNFIndividual02/01/2014

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on July 23, 2026: "Respond appropriately to all alleged violations."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on December 16, 2025: "Keep residents' personal and medical records private and confidential."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on December 16, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on May 19, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.75 hours per resident per day, below the Texas average of 2.98.

Other nursing homes nearby

Texas contacts for a concern about a nursing home

These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.

Common questions

What is Farwell Care and Rehabilitation Center's Medicare star rating?
CMS rates Farwell Care and Rehabilitation Center 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Farwell Care and Rehabilitation Center get at its last inspection?
15 health deficiencies at the standard inspection on December 16, 2025. The Texas average is 9.4.
Has Farwell Care and Rehabilitation Center been fined?
Yes. CMS lists 1 fine totaling $13,397 in the last three years.
Does Farwell Care and Rehabilitation Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Farwell Care and Rehabilitation Center?
CMS lists 10 owners and managers. Legal business name: FARWELL HOSPITAL DISTRICT.

Sources

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