910 Midwestern Pkwy, Wichita Falls, TX 76302 · Wichita County · (940) 767-5500
144 certified beds, about 129 residents a day · Government - Hospital district · Medicare and Medicaid since 2007
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676144 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 22, 2026, inspectors cited 2 health deficiencies (the Texas average is 9.4, the national average 9.2).
None of its 8 health citations since January 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.15 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.24 of those hours.
40.7% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Foursquare Healthcare, an affiliated group of 10 nursing homes.
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.
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 8 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen, in that:1. The low temperature dish machine was operated without the chlorine sanitizer level being checked prior to washing the breakfast dishes on 4/19/2026. When the chlorine sanitizer level was checked by Dietary Aide B, the chlorine sanitizer test strip did not react, indicating there was no chlorine sanitizer content present. 2. Bulk storage bins used to store panko, flour, granulated sugar, and food thickener had exterior top surfaces of the storage bin lids that were lightly soiled with grease. A plastic scoop was inside the bin containing granulated sugar.3. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents had the right to a safe, clean, comfortable, and homelike environment including but not limited to receiving treatment and supports for daily living safely for 2 of 2 dining rooms reviewed for environment. The facility failed to ensure the Main dining room and Bistro dining room floors were thoroughly cleaned and sanitized. These deficient practices could place residents at risk of living in an unclean and unsanitary environment which could lead to a decreased quality of life. Interview on 04/21/2026 at 3:07 PM Resident #40 stated that the floors in both dining rooms were always dirty and not swept after meals and when the next meal came, they had to tolerate the mess under the tables. [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide pharmaceutical services that determines that drug records were in order and that an account of all controlled drugs are maintained and periodically reconciled for 5 of 65 residents (Resident #8, 32, 36, 93, and 383), reviewed for pharmacy services. The facility failed to accurately and timely complete documentation of controlled drug administration for 5 resident's (Resident #8, 32, 36, 93, and 383) and monitoring of controlled medications stored on 2 (Hall 100 and Hall 600) medication carts checked for narcotic reconciliation. This failure could place residents at risk of medication overdose, medication under-dose, and ineffective therapeutic outcomes.
Inspectors wroteBased on interviews and record reviews the facility failed to ensure that licensed nurses have the specific competencies and skill sets necessary to care for residents' needs, as identified through resident assessments, and described in the plan of care for 1 of 1 Licensed Nurses (LVN A) reviewed for competent nursing, in that: LVN A was not supervised as per the Texas Board of Nursing agreed order. This deficient practice places residents at risk for being provided care by staff who do not have the skills to provide necessary .
Inspectors wroteBased on interview, and record review the facility failed to have a system to account for the disposition and accurate accounting for controlled substances for 4 ( Resident #'s 1, 2, 3 and 4) of 12 residents reviewed for pharmacy records, in that: . The ADON and DON failed to review the medication sheets for medication discrepancies. The facility failed to have 2 signatures on medication sheets when a controlled drug was wasted. These failures could place the residents at risk of a drug diversion which could result in delayed healing. Findings Include: During a record review on 2/27/2024 at 10:30 AM, the following medication sheets revealed the following information: - Resident #1's Controlled Substance Disposition Record. Order- Hydroco/APAP Tb 10-325Mg, take 1 tablet by mouth every 6 hours, as needed. 2/7/2024- no time entered- 1 wasted- LVN A signature, second signature missing. [...]
Inspectors wroteBased on interview and record review the facility failed to maintain clinical records that were complete and/or accurate for 2 of 4 (Resident #2 and Resident #3) residents reviewed for clinical records in that: The facility failed to document in Resident #2's MAR when they administered Hydroco/APAP on 02/02/2024 through 02/07/2024. The facility failed to document in Resident #3's MAR when they administered Hydroco/APAP on 02/03/2024 through 02/11/2024. This failure could place residents at risk for having records that were inaccurate/incomplete
Inspectors wroteBased on interview and record review, the facility failed to develop a comprehensive care plan within 7 days after completion of the comprehensive assessment, and include to the extent practicable, the participation of the resident and the resident's representative(s) for 2 of 4 residents (Resident #'s 45 and 80) whose records were reviewed for assessments and care plans. Resident #45 did not have a comprehensive care plan meeting or an updated care plan after the Significant Change MDS dated [DATE]. Resident # 80 did not have a comprehensive care plan meeting or an updated care plan after the SignigficantSignificant Change MDS dated [DATE] This failure placed the residents at risk for not having individual needs identified and care and services provided to meet their needs, promote quality of care, feelings of well-being and quality of life.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, for residents who received their meals in the Rehab Dining Area and Rehab Kitchen area on Hallway 100, by failing to ensure: A. Countertops were clean. B. Floors were clean. C. Cabinet drawers were clean. This failure could affect residents by placing them at risk for food-borne illness and food contamination.
6 fire safety citations on file: 2 on April 22, 2026, 4 on February 13, 2025.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.15 | 3.39 | 3.86 |
| Registered nurses | 0.24 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.65 | 2.98 | 3.42 |
| Nurse aides | 1.99 | ||
| Licensed practical nurses | 0.91 | ||
| Nursing staff turnover (share who left in a year) | 40.7% | 55.3% | 45.8% |
| Registered nurse turnover | 54.5% | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.51 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.35 on weekdays and 2.65 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.38 in April to June 2025 to 3.15 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.15 | 0.24 | 3.35 | 2.65 | 0.0% | 0 of 90 | 129 |
| Oct to Dec 2025 | 3.22 | 0.32 | 3.42 | 2.72 | 0.0% | 0 of 92 | 128 |
| Jul to Sep 2025 | 3.30 | 0.38 | 3.48 | 2.84 | 0.0% | 0 of 92 | 128 |
| Apr to Jun 2025 | 3.38 | 0.29 | 3.55 | 2.94 | 0.0% | 0 of 91 | 125 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 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
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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 7.7 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.3 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.1 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.3 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.0 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.8 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.5 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.9 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.7 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Senior Care Health & Rehabilitation Center - Wichi's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (57.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
57.3% this home
Better than 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. 255 eligible stays.
8.3% 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. 263 eligible stays.
8.0% 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. 187 eligible stays.
77.7% 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. 85 residents counted.
1.3% 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. 226 residents counted.
4.2% 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. 226 residents counted.
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. 17 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.
Legal business name: NOCONA HOSPITAL DISTRICT. CMS links this home to Foursquare Healthcare, a group of 10 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Nocona Hospital District | 5% or greater direct ownership interest | Organization | 100% | 02/28/2015 |
| Campbell Gs-Trust | 5% or greater mortgage interest | Organization | 02/28/2015 | |
| Jem 5x5 Trust | 5% or greater mortgage interest | Organization | 02/28/2015 | |
| Miller Gs- Trust | 5% or greater mortgage interest | Organization | 02/28/2015 | |
| Montague Nh, LP | 5% or greater mortgage interest | Organization | 02/28/2015 | |
| Sdl Gs 5x5 Trust | 5% or greater mortgage interest | Organization | 02/28/2015 | |
| Wichita Nh Realty Ltd | 5% or greater mortgage interest | Organization | 02/28/2015 | |
| Campbell, William | 5% or greater mortgage interest | Individual | 02/28/2015 | |
| Miller, Don | 5% or greater mortgage interest | Individual | 02/28/2015 | |
| Miller, John | 5% or greater mortgage interest | Individual | 02/28/2015 | |
| Meekins, Greg | Corporate officer | Individual | 02/28/2015 | |
| David W Miller Gs Trust | Operational/managerial control | Organization | 02/28/2015 | |
| Jec Gs Trust | Operational/managerial control | Organization | 02/28/2015 | |
| John E Miller Gs Trust | Operational/managerial control | Organization | 02/28/2015 | |
| Kingsbury Capital LLC Series F | Operational/managerial control | Organization | 02/28/2015 | |
| Kjc Gs Trust | Operational/managerial control | Organization | 02/28/2015 | |
| Lion Plaza LP | Operational/managerial control | Organization | 02/28/2015 | |
| Mnh-Inv Series LLC Series D | Operational/managerial control | Organization | 02/28/2015 | |
| Richard M Miller Gs Trust | Operational/managerial control | Organization | 02/28/2015 | |
| Uptown Fs LLC | Operational/managerial control | Organization | 02/28/2015 | |
| Campbell, John | Operational/managerial control | Individual | 02/28/2015 | |
| Campbell, Kenneth | Operational/managerial control | Individual | 02/28/2015 | |
| Lewis, Shane | Operational/managerial control | Individual | 02/28/2015 | |
| Miller, David | Operational/managerial control | Individual | 02/28/2015 | |
| Miller, John | Operational/managerial control | Individual | 02/28/2015 | |
| Miller, Richard | Operational/managerial control | Individual | 02/28/2015 | |
| Campbell Gs-Trust | Adp of the SNF | Organization | 02/28/2015 | |
| Jem 5x5 Trust | Adp of the SNF | Organization | 02/28/2015 | |
| Miller Gs- Trust | Adp of the SNF | Organization | 02/28/2015 | |
| Montague Nh, LP | Adp of the SNF | Organization | 02/28/2015 | |
| Sdl Gs 5x5 Trust | Adp of the SNF | Organization | 02/28/2015 | |
| Uptown Fs LLC | Adp of the SNF | Organization | 05/16/2025 | |
| Wichita Nh Realty Ltd | Adp of the SNF | Organization | 02/28/2025 | |
| Laukhuf, Jon | Adp of the SNF | Individual | 02/28/2015 | |
| Mahmood, Arif | Adp of the SNF | Individual | 02/28/2015 |
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.
Chosen from this home's own inspection record.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.