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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.