Nocona Rehabilitation And Care Center
306 CAROLYN RD, Nocona, TX, 76255
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 - Limited Liability company
- Certified beds
- 89 · avg 37 residents/day
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $32,425 total
State licensing & capacity
- License number
- 143603
- Service type
- Medicare/medicaid
- Licensed capacity
- 89 beds
- Bed type breakdown
- 32 Medicare-only · 57 Medicaid/Medicare
- Current license effective
- November 19, 2025
- Current license expires
- September 1, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Nocona Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Noconatx Llc
- Administrator
- Carla K Dickey
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (6 on record)
- Extended Care at Nocona Llc
Adp of The Snf · since 2025
- Nocona Hospital District
Adp of The Snf · since 2025
- Nocona Propco Llc
Adp of The Snf · since 2025
- Carla k Dickey
Operational/managerial Control · since 2024
- Greg Lance Meekins
Managing Control - Governing Body · since 2024
- Zachary Lapin
Operational/managerial Control · 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 30)
- E0925·Nov 26, 2025Complaint
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E0921·Nov 26, 2025Complaint
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D0919·Nov 26, 2025Complaint
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E0908·Nov 26, 2025Complaint
Environmental Deficiencies
Keep all essential equipment working safely.
- E0801·Nov 26, 2025Complaint
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F0727·Nov 26, 2025Complaint
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- F0835·Nov 10, 2025Complaint
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- E0835·Jun 4, 2025Complaint
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Federal penalties
By year
- 20231 fine · $32K
Most recent events
- May 22, 2023Fine · $32K
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Nov 21, 2024. 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
Nocona Rehabilitation And Care Center is an 89-bed nursing home in Nocona, Texas, licensed since 1971 and operated by Noconatx LLC under the Nocona Hospital District. CMS rates it 1 star overall — the lowest tier — with a 1-star staffing rating and a 2-star health inspection rating. Quality-of-care measures rate 4 stars for long-stay residents. The facility is running at roughly 42% of licensed beds.
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. About 37.8% of Texas nursing homes share this rating tier — the bottom of the state distribution. Staffing hours per resident per day are not reported to CMS for this facility, so a direct minutes-per-day comparison isn't available from this record.
One CMS fine totaling $32,425 has been issued. Texas's median fine total across penalized facilities is about $20,699, putting this facility's single fine above the state midpoint. About 30% of Texas nursing homes have no fines at all.
The facility is operating at roughly 42% of its 89 licensed beds — about 37 residents on an average day. Low occupancy at a facility with a 1-star overall rating and a moderate fine can reflect difficulty attracting referrals; it can also mean shorter wait times for admission.
Quality-of-care outcome measures rate 4 stars for long-stay residents — the upper tier — despite the low staffing and inspection ratings. That gap between process measures (staffing, inspections) and outcome measures (resident health indicators) is an unusual combination in the same record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing hours per resident
CMS shows a 1-star staffing rating but no reported daily nursing hours — ask how many total nursing hours per resident the facility logs on a typical weekday and weekend.
The $32,000 CMS fine
One fine totaling $32,425 appears in CMS records — ask what deficiency triggered it and what corrective steps were completed.
Why beds are largely empty
The facility averages about 37 residents in 89 licensed beds — ask whether that reflects a deliberate staffing model or a decline in admissions.
Who manages day-to-day care
The licensee is the Nocona Hospital District but the operating company is Noconatx LLC — ask which entity sets staffing levels, care policies, and budget decisions.
Resident Council access
A Resident Council meets here but no Family Council exists — ask how family members can formally raise concerns between visits.
Gap between outcomes and inspection scores
Long-stay quality measures rate 4 stars while the health inspection rating is 2 stars — ask what specific deficiencies drove the inspection score down and how they relate to resident care.
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.