Castro County Nursing & Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 8 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (14 vs median 8.0)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in GULF COAST LTC PARTNERS chain · $47,932 in fines
What this means for your family
The facility appears to be undergoing a management transition that has improved communication with families. However, the extreme severity of the reported medical emergency involving a resident's transfer to life support is a major red flag that requires direct investigation during your tour.
Google Reviews
Google Reviews
8 reviews analyzed“Families should be aware of a critical incident involving a lack of communication regarding a resident's life-threatening medical decline. While recent feedback suggests a positive turnaround in management and responsiveness under new leadership, severe concerns regarding medical oversight and transparency remain.”
Quality Themes
Tap a score for detailsStrengths
- Improved administrative responsiveness
- Effective leadership under new administration
Concerns
- Critical lack of communication regarding medical emergencies
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
Questions for Your Tour
- 1I've noticed some positive feedback regarding the new administration's responsiveness; how has the recent change in leadership impacted the day-to-day care for residents?
- 2In the event of a medical emergency, what is the specific protocol for notifying family members immediately?
- 3With the recent health inspection findings, what specific steps is the facility taking to address and resolve the identified deficiencies?
- 4How does the nursing team ensure that communication remains consistent and clear between the staff and the families regarding changes in a resident's condition?
- 5What does a typical daily schedule look like for residents, and what kind of social activities are available to keep them engaged?
- 6What is your plan for increasing the amount of direct care time available for each resident to ensure their needs are met?
Personalized based on this facility's data
Key Review Excerpts
“Our experience at Castro County Nursing and Rehab started off with some challenges, and at one point, we felt unheard and very disappointed. But since the arrival of the new administrator, Liz, there’s been a noticeable shift—and it’s been for the better.”
“We got a call from a hospital (not the Castro nursing home) that my father was being air lifted to Amarillo and was on life support. They never told us.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
10
measures
2
measures
4
measures
Residents on antipsychotic medication
Residents with depression symptoms
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed 30 complaint-triggered reports, resulting in significant concerns about abuse prevention, medication management, and resident rights. Recent issues include failures to protect residents from abuse, medication errors, and problems maintaining required nursing staff coverage. While all deficiencies show correction dates, the recurring pattern of complaints about fundamental care areas suggests ongoing quality challenges that warrant careful consideration.
Mar 3, 2026Complaint1
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
May 25, 2025Complaint6
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
May 25, 2025Routine13
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
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.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Put firmly secured handrails on each side of hallways.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Mar 18, 2025Complaint1
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.
Mar 4, 2025Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Jan 27, 2025Complaint3
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Federal Penalties
Fine
May 25, 2025
$47,932
Payment Denial
May 25, 2025
6-day denial
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
DIMMITTTX, LLC
BERTIN KIMFILA
Chain Affiliation
Gulf Coast Ltc Partners
19 facilities nationwide
Chain avg rating: 2.4/5 · Rank 19 of 20 (Worst)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
8 reviews from families & visitors
Official Website
Visit castrocountycare.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.