nursing home in Farwell, TX
Farwell Care and Rehabilitation Center
305 Fifth St, Farwell, TX 79325 · (806) 481-9027
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Farwell Care and Rehabilitation Center at a glance
Farwell Care and Rehabilitation Center is a 75-bed government nursing home in Farwell, Texas (Parmer County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (December 16, 2025) found 19 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $13,397.
Nursing staff turnover is 60.9% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 75
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- November 1, 1992
- Resident/family council
- Resident
- County
- Parmer County
- CMS Certification Number
- 675098
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.04 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.31 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.15 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.75 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 60.9% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 62.5% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 19 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 107.3 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $13,397 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 75 | 113 | 107 | |
| Average residents per day | 49 | 76 | 86 | |
| Occupancy | 65.6% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.5% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3.9% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 16.8% | 9.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 8.6% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 10.8% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0.7% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.7% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 15.2% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 15% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.4% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.5% | 1.5% | 1.6% | Average |
| Short-stay residents given a flu vaccine (higher is better) | 77.3% | 88% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 89.8% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 32 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 23, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | E Potential harm, pattern | Corrected August 23, 2026 |
| May 19, 2026 Complaint | 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 F0689 | D Potential harm, isolated | Corrected July 1, 2026 |
| May 19, 2026 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected July 1, 2026 |
| April 22, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected May 22, 2026 |
| December 16, 2025 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected January 30, 2026 |
| December 16, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected January 30, 2026 |
| December 16, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected January 30, 2026 |
| December 16, 2025 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | E Potential harm, pattern | Corrected January 30, 2026 |
| December 16, 2025 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0726 | E Potential harm, pattern | Corrected January 30, 2026 |
| December 16, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected January 30, 2026 |
| December 16, 2025 Standard | 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 F0761 | D Potential harm, isolated | Corrected January 30, 2026 |
| December 16, 2025 Standard | 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 F0812 | D Potential harm, isolated | Corrected January 30, 2026 |
| December 16, 2025 Standard | 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 F0656 | D Potential harm, isolated | Corrected January 30, 2026 |
| December 16, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected January 30, 2026 |
| December 16, 2025 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected January 30, 2026 |
| December 16, 2025 Standard | 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 F0842 | D Potential harm, isolated | Corrected January 30, 2026 |
| December 16, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected January 30, 2026 |
| December 16, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected January 30, 2026 |
| December 16, 2025 Standard | 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 F0578 | D Potential harm, isolated | Corrected January 30, 2026 |
| December 16, 2025 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected January 30, 2026 |
| December 16, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected January 30, 2026 |
| December 16, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected January 30, 2026 |
| July 23, 2025 Complaint | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Tag F0940 | E Potential harm, pattern | Corrected August 15, 2025 |
| September 19, 2024 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | F Potential harm, widespread | Corrected October 25, 2024 |
| September 19, 2024 Standard | 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 F0761 | E Potential harm, pattern | Corrected October 18, 2024 |
| September 19, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected October 18, 2024 |
| September 19, 2024 Standard | 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 F0727 | D Potential harm, isolated | Corrected October 18, 2024 |
| September 19, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 18, 2024 |
| November 2, 2023 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | J Immediate jeopardy, isolated | Corrected December 2, 2023 |
| November 2, 2023 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected December 2, 2023 |
| August 16, 2023 Standard | 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 F0578 | E Potential harm, pattern | Corrected September 15, 2023 |
| August 16, 2023 Standard | 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 F0656 | E Potential harm, pattern | Corrected September 15, 2023 |
| August 16, 2023 Standard | 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 F0812 | E Potential harm, pattern | Corrected September 15, 2023 |
| August 16, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected September 15, 2023 |
| August 16, 2023 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected September 15, 2023 |
| August 16, 2023 Standard | 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 F0761 | D Potential harm, isolated | Corrected September 15, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $13,397 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 2, 2023 | Fine | $13,397 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FARWELL HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 02/01/2014 |
| FARWELL HOSPITAL DISTRICT Organization | 5% or greater mortgage interest | NOT APPLICABLE | 02/01/2014 |
| FARWELL HOSPITAL DISTRICT Organization | adp of the snf | NOT APPLICABLE | 02/01/2014 |
| OGBURN, SHELLI Individual | adp of the snf | NOT APPLICABLE | 05/20/2024 |
| RANKIN, RON Individual | adp of the snf | NOT APPLICABLE | 02/01/2014 |
| KIRKLAND, JACK Individual | corporate director | NOT APPLICABLE | 05/01/1991 |
| 24 KARAT VENTURES Organization | operational/managerial control | NOT APPLICABLE | 04/01/2026 |
| JEWELL, BILLY Individual | operational/managerial control | NOT APPLICABLE | 04/01/2026 |
| OGBURN, SHELLI Individual | operational/managerial control | NOT APPLICABLE | 05/20/2024 |
| RANKIN, RON Individual | operational/managerial control | NOT APPLICABLE | 02/01/2014 |
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Frequently asked questions
What is Farwell Care and Rehabilitation Center's rating?
Farwell Care and Rehabilitation Center has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Farwell Care and Rehabilitation Center receive?
Its most recent standard health inspection found 19 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Farwell Care and Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Farwell Care and Rehabilitation Center?
It is government - hospital district. The ownership section on this page lists the owners and managers reported to CMS.
Where is Farwell Care and Rehabilitation Center and how do I contact it?
Farwell Care and Rehabilitation Center is at 305 Fifth St, Farwell, TX 79325. Phone: (806) 481-9027.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.