Farwell Care And Rehabilitation Center
305 FIFTH ST, Farwell, TX, 79325
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
- 75 · avg 47 residents/day
- Total nursing staff turnover
- 68.9% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 85.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 8 fines · $54,337 total
State licensing & capacity
- License number
- 147050
- Service type
- Medicare/medicaid
- Licensed capacity
- 75 beds
- Bed type breakdown
- 18 Medicare-only · 57 Medicaid/Medicare
- Current license effective
- March 4, 2026
- Current license expires
- March 4, 2029
- Initial license date
- August 1, 1976
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Farwell Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Empower Healthcare Management Llc
- Administrator
- Shelli Ogburn
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (7 on record)
- Shelli Zan Ogburn
Operational/managerial Control · since 2024
- Cassandra l Mistretta
Operational/managerial Control · since 2023
- Empower Healthcare Management Llc
Operational/managerial Control · 100% · since 2023
- Mary f Pfeifer
Operational/managerial Control · since 2023
- Farwell Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2014
- Ron k Rankin
Operational/managerial Control · since 2014
+ 1 additional owner on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 28)
- E0880·Dec 16, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0842·Dec 16, 2025
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0812·Dec 16, 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.
- D0804·Dec 16, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D0761·Dec 16, 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·Dec 16, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0726·Dec 16, 2025
Nursing and Physician Services Deficiencies
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.
- D0699·Dec 16, 2025
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Federal penalties
By year
- 20238 fines · $54K
Most recent events
- Nov 2, 2023Fine · $13K
- Jun 5, 2023Fine · $4,545
- May 30, 2023Fine · $4,545
- May 23, 2023Fine · $4,545
- May 15, 2023Fine · $4,545
- May 8, 2023Fine · $4,545
Largest single fine on record: $14K.
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Dec 16, 2025. 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
Farwell Care And Rehabilitation Center is a 75-bed nursing home in Farwell, Texas, licensed to Farwell Hospital District and managed by Empower Healthcare Management LLC. CMS rates it 1 star overall — the lowest rating — with a 1-star staffing score and a 1-star short-stay quality rating. Eight CMS fines totaling $54,337 have been issued, and roughly 62% of licensed beds are occupied. No memory care is offered.
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. Each resident receives roughly 166 minutes of nursing care per day, about 75 minutes less than at a 4-star-staffing facility in Texas. Residents here tend to need more hands-on care than at a typical facility — more dependent or medically complex on average — so those 166 minutes stretch thinner than the raw number suggests.
Roughly 7 in 10 nursing staff left in the past year. That rate exceeds the Texas 75th percentile, meaning turnover here is worse than at least three-quarters of nursing homes in the state. A long-stay resident will likely cycle through two or three primary caregivers over the course of a year. RN turnover is higher still — roughly 9 in 10 registered nurses left — placing it in the very-high tier for Texas.
CMS has recorded 8 fines totaling $54,337 against this facility. The state median across fined Texas nursing homes is about $20,699, and 30% of Texas facilities have no fines at all. This facility's total is more than 2.5 times the state median.
The facility is operating at roughly 62% of its 75 licensed beds — about 47 residents on an average day. That occupancy level, combined with the staffing and turnover figures above, reflects the broader pattern in the record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours here average about 2.4 minutes per resident per hour — ask how many nurses and aides are on duty on a Saturday night specifically.
RN turnover and current tenure
About 9 in 10 registered nurses left in the past year; ask how long the current RNs on staff have been in their roles.
Eight CMS fines since certification
CMS has issued 8 fines totaling $54,337 — ask what the most recent citations were for and what corrective steps were taken.
Current bed occupancy and waitlists
The facility averages about 47 residents against 75 licensed beds; ask whether any wings or units are closed and why occupancy is at 62%.
Management company's role day-to-day
Empower Healthcare Management LLC runs daily operations under the Hospital District license; ask what decisions the on-site administrator handles independently versus escalating to the management company.
Resident Council access and meeting frequency
A Resident Council exists but no Family Council; ask how often the Resident Council meets and how family members can raise concerns formally.
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.