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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasGrace Care Center of Nocona

Grace Care Center of Nocona

306 Carolyn Rd, Nocona, TX 762559408253288
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
1/5
Quality
4/5
Beds
89
certified
1 fine(s) totaling $32,425

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 89 certified beds with an average of 37.3 residents per day (42% occupancy)

• Last health inspection found 16 deficiencies (inspected Nov 21, 2024)

• Has been fined a total of $32,425 across 1 fine(s)

• Total nursing staff: 0.00 hours per resident per day

Grace Care Center of Nocona is a 1-star Medicare and Medicaid certified nursing home in Nocona, Texas with 89 certified beds. It has been operating since 1995. The facility scored below average compared to Texas facilities.

Beds
89
Avg Residents/Day
37.3
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Dec 29, 1995
Sprinklers
Yes
Council
Resident
County
Montague
Last Inspection
Nov 21, 2024
Deficiencies (Cycle 1)
16
Weighted Score
146.8
Infection Citations
0

Deficiency Citations (30)

F0727Potential for Harm

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.

Survey: Nov 26, 2025Corrected: NoCycle: 1
F0801Potential for Harm

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Survey: Nov 26, 2025Corrected: NoCycle: 1
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Nov 26, 2025Corrected: NoCycle: 1
F0919Potential for Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey: Nov 26, 2025Corrected: NoCycle: 1
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Nov 26, 2025Corrected: NoCycle: 1
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Nov 26, 2025Corrected: NoCycle: 1
F0835Potential for Harm

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Survey: Nov 10, 2025Corrected: NoCycle: 1
F0835Potential for Harm

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Survey: Jun 4, 2025Corrected: NoCycle: 1
F0727Potential for Harm

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.

Survey: Mar 21, 2025Corrected: NoCycle: 1
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Nov 21, 2024Corrected: NoCycle: 1
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Nov 21, 2024Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Nov 21, 2024Corrected: NoCycle: 1
F0727Potential for Harm

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.

Survey: Nov 21, 2024Corrected: NoCycle: 1
F0758Potential for Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey: Nov 21, 2024Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Nov 21, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 21, 2024Corrected: NoCycle: 1
F0776Potential for Harm

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Survey: Jan 21, 2025Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Oct 5, 2023Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Oct 5, 2023Corrected: NoCycle: 2
F0700Immediate Jeopardy

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey: May 22, 2023Corrected: NoCycle: 3
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Mar 8, 2023Corrected: NoCycle: 3
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Aug 24, 2022Corrected: NoCycle: 3
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Aug 24, 2022Corrected: NoCycle: 3
F0607Minimal Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Aug 24, 2022Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Aug 24, 2022Corrected: NoCycle: 3
F0755Actual Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Aug 24, 2022Corrected: NoCycle: 3
F0758Potential for Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey: Aug 24, 2022Corrected: NoCycle: 3
F0760Actual Harm

Ensure that residents are free from significant medication errors.

Survey: Aug 24, 2022Corrected: NoCycle: 3
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Aug 24, 2022Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Aug 24, 2022Corrected: NoCycle: 3
Total Fines
$32,425
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineMay 22, 2023
$32,425

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide0.00 hrs
National avg: 2.35 hrs
LPN0.00 hrs
National avg: 0.86 hrs
RN0.00 hrs
National avg: 0.68 hrs
Total Nursing0.00 hrs
National avg: 3.89 hrs
Weekend Total0.00 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
0.0%
RN Turnover
0.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
EXTENDED CARE AT NOCONA LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2024
NOCONA HOSPITAL DISTRICTOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2024
DICKEY, CARLAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2024
LAPIN, ZACHARYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2024
MEEKINS, GREGCORPORATE DIRECTORIndividualN/ASep 1, 2014

Frequently Asked Questions

What is the CMS rating for Grace Care Center of Nocona?▾
Grace Care Center of Nocona has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated below average.
Has Grace Care Center of Nocona had any health inspection violations?▾
Grace Care Center of Nocona had 16 deficiency citations in its most recent health inspection (Nov 21, 2024). The facility has been fined a total of $32,425 across 1 fine(s).
What are the staffing levels at Grace Care Center of Nocona?▾
Grace Care Center of Nocona provides 0.00 total nursing staff hours per resident per day, including 0.00 RN hours, 0.00 LPN hours, and 0.00 nurse aide hours.
How many beds does Grace Care Center of Nocona have?▾
Grace Care Center of Nocona has 89 certified beds with an average of 37.3 residents per day, resulting in approximately 42% occupancy. The facility is For profit - Limited Liability company owned.