West Coke County Hospital District Dba Robert Lee Care Center
307 WEST 8TH ST, Robert Lee, TX, 76945
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 - Hospital district
- Certified beds
- 70 · avg 44 residents/day
- Total nursing staff turnover
- 46.7% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · 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
- 147813
- Service type
- Medicare/medicaid
- Licensed capacity
- 70 beds
- Bed type breakdown
- 27 Medicare-only · 43 Medicaid/Medicare
- Current license effective
- April 5, 2023
- Current license expires
- April 5, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Coke County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Administrator
- Wesley Mcguire
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (8 on record)
- John d Hunt
Adp of The Snf · since 2025
- Wesley Mcguire
Adp of The Snf · since 2025
- Roma Mccarley
Corporate Director · 20% · since 2022
- Betty Lewis
Corporate Director · 20% · since 2021
- Beverly Burdett
Corporate Director · 20% · since 2018
- Noel Tinkler
Corporate Director · 20% · since 2015
+ 2 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 11)
- D0726·Dec 31, 2025Complaint
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- D0689·Dec 31, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0656·Dec 31, 2025Complaint
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.
- F0812·Sep 26, 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.
- C0732·Sep 26, 2024
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- D0695·Sep 26, 2024
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0684·Sep 26, 2024
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0656·Sep 26, 2024
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.
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Dec 31, 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
Robert Lee Care Center is a 70-bed nursing home in Robert Lee, Texas, operated by West Coke County Hospital District — a government entity that has held the license since 1971. CMS rates it 5 stars overall, with 5 stars on health inspections and quality measures and 4 stars on staffing. About 44 residents occupy the facility on a typical day, leaving roughly 37% of licensed beds open.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
Staffing rates 4 stars — roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 239 minutes of nursing care per day. The resident mix here requires less hands-on care than at a typical facility, so those hours stretch further than the raw number already suggests.
The facility is running at about 63% of its 70 licensed beds, averaging 44 residents per day. No other distress signals appear in this record alongside that figure.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Why occupancy sits at 63%
About 26 of 70 licensed beds are empty on a typical day — ask whether that reflects a waitlist pause, discharge patterns, or something else.
How hospital-district ownership works
West Coke County Hospital District is the licensee; ask how governance decisions — staffing budgets, capital repairs — are made and who residents or families contact with concerns.
Resident Council meeting frequency
CMS records a Resident Council but no Family Council; ask how often the Resident Council meets and how families receive information from those meetings.
RN coverage on nights and weekends
Reported RN hours average about 23 minutes per resident per day — below the 37-minute Texas threshold for 4-star RN staffing; ask what registered-nurse coverage looks like overnight and on weekends.
Staffing plan given low census
With beds roughly one-third empty, ask whether nursing staff levels adjust if occupancy rises and how quickly additional staff can be brought in.
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.