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Nursing HomeMedicaid Investigative

Farwell Care and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

305 Fifth St, Farwell, TX 7932575 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 6 Google reviews

5
4
3
2
1
Farwell Care and Rehabilitation Center Nursing Home in Farwell, TX — Street View
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6/ 10
high Risk

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 (16 vs median 8.0)
  • High staff turnover (69%)
  • High RN turnover (86%)

Bottom 25% in Texas · Below recommended RN staffing · $54,337 in fines

Source: Medicare data

What this means for your family

The facility is noted for being a friendly, small, and welcoming environment that helps ease the transition for new residents. However, because the current reviews lack detail on clinical care, staffing ratios, or food quality, families should conduct an in-person visit to verify these essential services.

Google Reviews

Google Reviews

6 reviews on Google
Families can expect a friendly and welcoming environment that feels more like a home than a clinical institution. While the facility is praised for its pleasant atmosphere and helpful staff during the admission process, there is very little specific information available regarding clinical care or dining quality.

Quality Themes

Tap a score for details
FoodN/AStaff5.0CleanN/AActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Friendly and welcoming atmosphere
  • Helpful staff during admission
  • Small, home-like setting

Rating Trends

Tap a year to see what changed

2345.02017(1)5.02019(2)5.02022(1)5.02025(2)

Distribution · 6 analyzed

5
6
4
0
3
0
2
0
1
0

How They Respond to Reviews

17%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Since the facility has such a small, home-like setting, how do you ensure each resident gets personalized attention during meal times?
  • 2We've heard wonderful things about how welcoming the staff is during the admission process; what does that transition period look like for a new resident?
  • 3What specific steps are in place to ensure there is enough staff available to assist with daily care and personal needs throughout the night?
  • 4How do you manage medical emergencies or sudden changes in a resident's health after the main clinical team has left for the day?
  • 5Can you tell us more about the daily activities or social events planned to help residents stay engaged with one another in this intimate setting?
  • 6With the recent inspections, what specific improvements or training programs are currently being implemented to address care and staffing needs?

Personalized based on this facility's data


Key Review Excerpts

I want to say thank you to all the staff in helping get my mother in law into the nursing home. We visited her last week and she is going great.

Long-term resident's family · 2025★★★★★

Nice pretty small friendly place

Local Guide · 2019★★★★★
Source: 6 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.35hrs
46%
Registered nurses for medical care
Total Nursing
2.94hrs
72%
All nurses + aides combined
Staff Turnover
66%
Lower is better (< 30% = good)
RN Turnover
71%
Lower is better (< 30% = good)

Both 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 · 17 measures

Medicare Rating
3/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.2%
Worse than Avg
Here
26.2%
US
19.4%
TX
14.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
12.1%
TX
2.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.5%
Better than Avg
Here
12.5%
US
19.5%
TX
18.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.4%
Better than Avg
Here
99.4%
US
93.4%
TX
96.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility15.2%
Mixed vs Avgs
Here
15.2%
US
15.4%
TX
9.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.3%
Better than Avg
Here
11.3%
US
14.4%
TX
16.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility77.3%
Worse than Avg
Here
77.3%
US
79.7%
TX
88.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility82.6%
Mixed vs Avgs
Here
82.6%
US
81.8%
TX
89.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.7%
Worse than Avg
Here
2.7%
US
1.6%
TX
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies
4penalties
Well above state avg (9.1)
3 complaint-triggered
$54,337 in fines

This facility has concerning patterns with families filing complaints that triggered serious findings about abuse protection and resident notification requirements. The most recurring problems involve resident rights violations, medication management issues, and infection control deficiencies appearing across multiple surveys from 2023 to 2025. While all deficiencies show correction dates, the persistence of similar issues over time suggests ongoing operational challenges that families should carefully evaluate.

Dec 16, 2025Routine
18
0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0583Potential for harm · PatternCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0726Potential for harm · PatternCorrected

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0578Potential for harm · IsolatedCorrected

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.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0656Potential for harm · IsolatedCorrected

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0842Potential for harm · IsolatedCorrected

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.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Jul 23, 2025Complaint
1
0940Potential for harm · PatternCorrected

Administration Deficiencies

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Sep 19, 2024Routine
5
0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0727Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Nov 2, 2023Complaint
2
0580Immediate jeopardy · IsolatedCorrected

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.

0600Immediate jeopardy · IsolatedCorrected

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.

Aug 16, 2023Routine
6
0578Potential for harm · PatternCorrected

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.

0656Potential for harm · PatternCorrected

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Federal Penalties

Fine

Nov 2, 2023

$13,397

Fine

Jun 5, 2023

$4,545

Fine

May 30, 2023

$4,545

Fine

May 23, 2023

$4,545

Ownership & Operations

Who Operates This Facility

Owner / Operator

Farwell Hospital District

Organization Type

for profit

Administrator

SHELLI OGBURN

Ownership & Management

Owners

Farwell Hospital District

Owner · Organization

100%

Key personnel

Farwell Hospital District5% or Greater Mortgage InterestKirkland, JackOfficer / DirectorEmpower Healthcare Management LLCManagerMistretta, CassandraManagerOgburn, ShelliManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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.

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