Grace Care Center Of Henrietta
807 W BOIS D ARC, Henrietta, TX, 76365
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.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company
- Certified beds
- 60 · avg 19 residents/day
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $13,627 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 150299
- Service type
- Medicare/medicaid
- Licensed capacity
- 60 beds
- Bed type breakdown
- 14 Medicare-only · 46 Medicaid/Medicare
- Current license effective
- September 1, 2024
- Current license expires
- September 1, 2027
- Initial license date
- February 14, 1972
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Nocona Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Extended Care At Henrietta Llc
- Administrator
- Karen Holmes
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (5 on record)
- Extended Care at Henrietta Llc
Adp of The Snf · since 2025
- Nocona Hospital District
Adp of The Snf · since 2025
- Greg Lance Meekins
Managing Control - Governing Body · since 2024
- Henrietta Propco Llc
Adp of The Snf · since 2024
- Zachary Lapin
5% or Greater Direct Ownership Interest · 100% · since 2024
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 53)
- E0842·Nov 18, 2025Complaint
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.
- F0812·Jul 30, 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.
- F0803·Jul 30, 2025
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- D0657·Jul 30, 2025
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0609·Jul 30, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F0880·Apr 25, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0867·Apr 25, 2025Complaint
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- L0837·Apr 25, 2025Complaint
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Federal penalties
By year
- 20251 payment denial
- 20241 fine · $14K
Most recent events
- Apr 25, 2025Payment denial · 5 days · starting May 15, 2025
- Mar 8, 2024Fine · $14K
Fire-safety citations
16 Life-Safety-Code citations on file. Most recent: Jul 30, 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
Grace Care Center of Henrietta is a 60-bed nursing home in Henrietta, TX, licensed under Nocona Hospital District and managed by Extended Care at Henrietta LLC. CMS rates it 1 star overall, with a 1-star health inspection rating and SFF Candidate status — a federal designation signaling a pattern of serious deficiencies. The facility is currently operating at roughly 31% of its licensed beds, with 18.5 residents on an average day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star on staffing — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives approximately 202 minutes of nursing care per day, roughly 39 minutes less than at a 4-star-staffing facility in Texas. Of those 202 minutes, only 28 involve a registered nurse.
CMS has flagged this facility as a Special Focus Candidate — a step below outright Special Focus Facility designation. That status signals a documented pattern of serious inspection deficiencies; facilities at this level are under heightened federal scrutiny and face more frequent review.
One CMS fine totaling $13,627 has been issued. The state median fine across Texas nursing homes is $20,699, and about 30% of Texas facilities have no fines at all.
The facility is operating at roughly 31% of its 60 licensed beds — about 18 to 19 residents on a typical day. That figure sits well below normal occupancy levels for nursing homes in this region.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reason for SFF Candidate status
CMS has flagged this facility as a Special Focus Candidate — ask which specific deficiency patterns triggered that designation and what corrective steps are underway.
Why occupancy is so low
With roughly 18 residents in a 60-bed facility, ask what is driving the low census and whether staffing levels adjust as occupancy changes.
Registered nurse coverage daily
Reported RN hours translate to about 28 minutes per resident per day — ask how many hours a registered nurse is physically on-site each day and overnight.
Management company's role
The facility is licensed to Nocona Hospital District but managed by Extended Care at Henrietta LLC — ask which entity makes day-to-day staffing and care decisions.
Recent inspection findings
Given the 1-star health inspection rating, ask to see the most recent state inspection report and what deficiencies were cited.
Resident Council activity
A Resident Council is listed but no Family Council — ask how often the Resident Council meets and how family members 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.