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 HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Coke County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Administrator
- Wesley Mcguire
Texas HHS licensing registry · as of April 16, 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 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.