Goldthwaite Health & Rehab Center
1207 S. REYNOLDS ST., Goldthwaite, TX, 76844
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
- For profit - Corporation · Chain: Hamilton County Hospital District
- Certified beds
- 94 · avg 53 residents/day
- Total nursing staff turnover
- 38.1% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 28.6% — lower 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)
- 1 fine · $32,545 total
State licensing & capacity
- License number
- 307300
- Service type
- Medicare/medicaid
- Licensed capacity
- 94 beds
- Bed type breakdown
- 28 Medicare-only · 66 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Goldthwaite Skilled Care, Llc
- Administrator
- Mr. Dave A Johnson
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Hamilton County Hospital District chain — 10 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (4 on record)
- Goldthwaite Skilled Care, Llc
5% or Greater Indirect Ownership Interest · 100% · since 2019
- Grady Hooper
5% or Greater Indirect Ownership Interest · since 2019
- Hamilton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2019
- Michael Beasley
W-2 Managing Employee · since 2019
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, 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 13)
- D0627·Jan 9, 2026Complaint
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- E0812·Mar 19, 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.
- D0699·Mar 19, 2025
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
- D0645·Mar 19, 2025
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
- K0835·May 25, 2024Complaint
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- K0607·May 25, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- K0600·May 25, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0880·Jan 31, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal penalties
By year
- 20241 fine · $33K
Most recent events
- May 25, 2024Fine · $33K
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Mar 19, 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
Goldthwaite Health & Rehab Center is a 94-bed nursing home in Goldthwaite, TX, licensed to Hamilton County Hospital District and managed by Goldthwaite Skilled Care, LLC. CMS rates it 3 stars overall, with a 4-star staffing rating and a 5-star quality-measures rating — but a 2-star health inspection rating. One CMS fine of $32,545 has been issued. The facility is running at 56% of licensed capacity, with 53 of 94 beds occupied on an average day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 4 stars — placing this facility in roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 182 minutes of nursing care per day. That figure runs below the 241-minute threshold for a 4-star staffing facility in Texas, which is possible when the resident population requires less hands-on care than average — the staffing hours go further per person.
About 4 in 10 nursing staff left in the past year. That figure falls below Texas's 25th-percentile cutoff of 42%, meaning turnover here is lower than at roughly three-quarters of nursing homes in the state. RN turnover follows the same pattern, with about 3 in 10 registered nurses departing over the same period.
CMS issued one fine totaling $32,545. The state median fine amount among Texas facilities that received any fine is $20,699, so this single penalty is above that midpoint. About 30% of Texas nursing homes have received no fines.
The facility's 2-star health inspection rating sits below its staffing and quality-measures scores. Health inspection ratings reflect deficiencies found during state surveys — a lower score here means surveyors documented more or more serious problems than at a typical Texas nursing home, independent of how staff hours or resident outcomes measure out.
With 53 residents in a 94-bed facility, occupancy sits at 56%. The facility is operating well below licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Health inspection findings explained
CMS rates health inspections here at 2 stars — ask which specific deficiencies were cited and what corrective steps have been completed since.
The $32,545 CMS fine
One fine of $32,545 has been assessed — ask what the violation was, when it occurred, and how the facility responded.
Why so many beds are empty
Only about 53 of 94 beds are filled on an average day — ask whether that reflects a planned census or a recent drop, and how staffing levels are maintained at lower occupancy.
Management company's role
The facility is licensed to a hospital district but managed by Goldthwaite Skilled Care, LLC — ask how day-to-day decisions are made and who holds operational authority.
Resident Council participation
A Resident Council meets here but there is no Family Council — ask how families are kept informed of concerns raised by residents and what channels exist for family input.
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.