Mitchell County Nursing And Rehabilitation Center
971 WEST I-20, Colorado City, TX, 79512
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district
- Certified beds
- 54 · avg 47 residents/day
- Total nursing staff turnover
- 36.1% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 147886
- Service type
- Medicare/medicaid
- Licensed capacity
- 54 beds
- Bed type breakdown
- 54 Medicaid/Medicare
- Current license effective
- February 1, 2026
- Current license expires
- February 1, 2029
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Mitchell County Hospital District (Nonprofit Organization)
- Administrator
- Ruth G Pereida
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (14 on record)
- Ruth Pereida
Operational/managerial Control · since 2025
- Mitchell County Hospital District
Adp of The Snf · since 2025
- Rural Hospital Management
Adp of The Snf · since 2025
- Donna Goebel
Corporate Director · since 2024
- Richy Womack
Corporate Director · since 2024
- Dee a Roach
Adp of The Snf · since 2024
+ 8 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 17)
- D0883·Feb 20, 2025
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D0880·Feb 20, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Feb 20, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Feb 20, 2025
Pharmacy Service Deficiencies
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.
- D0755·Feb 20, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F0727·Feb 20, 2025
Nursing and Physician Services Deficiencies
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.
- E0656·Feb 20, 2025
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0578·Feb 20, 2025
Resident Rights Deficiencies
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.
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Jan 18, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Mitchell County Nursing And Rehabilitation Center is a 54-bed nonprofit nursing home in Colorado City, TX, operated by Mitchell County Hospital District. CMS rates it 2 stars overall, with a 1-star staffing rating — the lowest tier. All 54 beds are Medicare- and Medicaid-certified, and the facility is currently operating at roughly 88% of capacity. No fines have been assessed and no abuse findings are on record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Residents receive roughly 139 minutes of nursing care per day, about 102 minutes less than at a 4-star-staffing facility in Texas. That gap covers nearly two additional hours of hands-on help each day. Registered nurse presence is particularly limited at about 13 minutes per resident per day, compared to 37 minutes at 4-star facilities in Texas.
The staffing hours above are further stretched by the resident population here. Residents need more hands-on care than at a typical facility — they are, on average, sicker or less mobile — so the raw minutes per day translate to less practical coverage than the numbers alone suggest.
Nursing staff turnover runs low: roughly 4 in 10 nursing staff left in the past year, below Texas's 25th-percentile cutoff — better than about three-quarters of nursing homes in the state. A long-stay resident is less likely to cycle through multiple primary caregivers here than at most Texas facilities.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on nights and weekends
Weekend nursing hours are reported at 0.979 hours per resident per day — ask how many nurses and aides are on duty overnight and on weekends specifically.
Registered nurse coverage each day
CMS data shows about 13 minutes of RN time per resident daily — ask whether a registered nurse is on-site around the clock or only during daytime shifts.
How care plans are reviewed
Staffing rates 1 star while the quality-measures rating is 2 stars — ask how often care plans are updated and who leads that review process.
Waitlist and bed availability
The facility is operating at roughly 88% of its 54 licensed beds — ask whether specific room types have a waitlist and what the typical wait time is.
Resident Council meeting frequency
A Resident Council is on record but no Family Council — ask how often the Resident Council meets and how families are kept informed of concerns raised.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.