Hereford Nursing & Rehabilitation
231 KINGWOOD ST, Hereford, TX, 79045
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 - Individual
- Certified beds
- 120 · avg 48 residents/day
- Total nursing staff turnover
- 31.4% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 33.3% — 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
State licensing & capacity
- License number
- 149379
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 36 Medicare-only · 84 Medicaid/Medicare
- Current license effective
- May 1, 2024
- Current license expires
- May 1, 2027
- Initial license date
- April 27, 1993
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Terrel I Investments, Llc (Limited Liability Company (LLC))
- Operator / manager
- Llano Estacado Healthcare, Llc
- Administrator
- Marcus Pehl
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (5 on record)
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2019
- Aaron Terrel
Operational/managerial Control · since 2014
- Audra Terrel
Direct Ownership Interest · 49% · since 2014
- Llano Estacado Healthcare Llc
Operational/managerial Control · 100% · since 2014
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 14)
- D0880·Aug 7, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0637·Aug 7, 2025
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
- D0610·Aug 7, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- D0609·Aug 7, 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.
- D0607·Aug 7, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D0578·Aug 7, 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.
- E0880·Jul 18, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Jul 18, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Aug 7, 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
Hereford Nursing & Rehabilitation is a 120-bed nursing home in Hereford, TX, licensed for Medicare and Medicaid. CMS rates it 4 stars overall, with 4-star health inspection and quality-measure scores. Staffing earns 3 stars. The facility is operating at roughly 40% of licensed capacity — about 48 residents on a given day — and carries no CMS fines. Licensed through May 2027 under Terrel I Investments, LLC.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing 3 stars here. Each resident receives about 214 minutes of nursing care per day — roughly 27 minutes less than at a 4-star-staffing facility in Texas. About 19% of Texas nursing homes share this staffing rating.
Roughly 3 in 10 nursing staff left in the past year — below Texas's 25th-percentile cutoff, meaning turnover is lower than about three-quarters of nursing homes in the state. RN turnover follows a similar pattern at 3 in 10. A long-stay resident is less likely to cycle through multiple primary caregivers here than at most Texas facilities.
The facility is running at about 40% of its 120 licensed beds, with roughly 48 residents on a given day. That gap between capacity and current census is present alongside a 3-star staffing score and no safety flags — the cause of the low occupancy is not visible in this data.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Why is occupancy at 40%
With roughly 48 residents in a 120-bed building, ask whether the low census reflects a recent change in admissions, staffing constraints, or another factor.
Staffing on evenings and weekends
CMS records weekend nursing hours at about 187 minutes per resident per day — notably below the weekday figure of 214 minutes; ask how weekend and overnight shifts are covered.
How the Resident Council operates
A Resident Council meets here but no Family Council is listed; ask how family members can raise concerns between scheduled visits.
RN presence on the floor
Reported RN hours work out to about 22 minutes per resident per day; ask how many registered nurses are on duty during a typical day shift and overnight.
Ownership and management structure
The facility is licensed under Terrel I Investments, LLC and managed by Llano Estacado Healthcare, LLC; ask how decisions about staffing and care are divided between the two entities.
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.