Kent County Nursing Home
1443 NORTH MAIN, Jayton, TX, 79528
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 - County
- Certified beds
- 60 · avg 53 residents/day
- Total nursing staff turnover
- 56.1% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 7 fines · $187,081 total
- Infection control citations
- 2
State licensing & capacity
- License number
- 144975
- Service type
- Medicare/medicaid
- Licensed capacity
- 60 beds
- Bed type breakdown
- 14 Medicare-only · 46 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
- County Of Kent (COUNTY)
- Administrator
- Nathan Smith
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (4 on record)
- Grady Coulter
Corporate Director · since 2023
- Jordan Moeller
W-2 Managing Employee · since 2021
- Jim White
Corporate Director · since 2008
- County of Kent
5% or Greater Direct Ownership Interest · 100% · since 1993
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 27)
- E0804·Dec 4, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D0761·Dec 4, 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.
- D0656·Dec 4, 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.
- D0604·Dec 4, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D0656·Nov 20, 2024Complaint
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.
- K0610·Nov 20, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- E0609·Nov 20, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- K0607·Nov 20, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Federal penalties
By year
- 20244 fines · $149K
- 20233 fines · $38K
Most recent events
- Nov 20, 2024Fine · $132K
- Feb 6, 2024Fine · $11K
- Jan 8, 2024Fine · $3,387
- Jan 2, 2024Fine · $2,797
- Dec 11, 2023Fine · $3,846
- Nov 6, 2023Fine · $1,747
Largest single fine on record: $132K.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Kent County Nursing Home is a 60-bed, county-run nursing home in Jayton, Texas, licensed since 1971 and currently rated 2 stars overall by CMS. Seven fines totaling $187,081 have been assessed — nearly nine times the Texas median fine amount of $20,699. Staffing rates 3 stars; CMS rates both health inspections and quality measures at 2 and 3 stars respectively. The facility holds an active license through April 2028 and operates at roughly 88% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing 3 stars here — about 218 minutes of nursing care per resident per day, roughly 23 minutes less than at a 4-star-staffing facility in Texas. One in five Texas nursing homes lands at this staffing tier. Staff hours per resident exceed what a typical resident mix at this facility would require, meaning the residents here tend to need less hands-on care than average — so the raw minutes stretch somewhat further than they would elsewhere.
One administrator left in the past year. A single departure is less disruptive than sustained turnover, but leadership transitions do affect day-to-day operations and are worth tracking.
Seven CMS fines totaling $187,081 have been assessed against this facility. The Texas median across fined facilities is $20,699 — this total is nearly nine times that figure. About 30% of Texas nursing homes have no fines at all in the same period.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Nature of the seven fines
Ask what specific deficiencies triggered the seven CMS fines totaling $187,081, and whether any cited violations have been formally corrected with follow-up inspections.
Administrator transition and current leadership
One administrator departed in the past year — ask how long Nathan Smith has been in the role and who is responsible for day-to-day clinical oversight.
Waitlist and bed availability
The facility runs at roughly 88% of its 60 licensed beds; ask whether there is currently a waitlist and how quickly openings typically arise.
Health inspection findings
CMS rates health inspections at 2 stars — ask to see the most recent state inspection report and which deficiencies remain open or under a plan of correction.
Resident Council access and meeting schedule
A Resident Council exists here but no Family Council — ask how families can raise concerns, attend meetings, or receive updates on issues the Resident Council has flagged.
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.