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Nursing HomeMedicaid Investigative

Goldthwaite Health & Rehab Center

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

1207 S. Reynolds St., Goldthwaite, TX 7684494 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 10 Google reviews

5
4
3
2
1
Goldthwaite Health & Rehab Center Nursing Home in Goldthwaite, TX — Street View
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0/ 10
none Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Above average in Texas · Below recommended RN staffing · $32,545 in fines

Source: Medicare data

What this means for your family

This facility offers a lovely, homey environment with excellent food and attentive daytime staff. However, you should be extremely vigilant about communication regarding hospital transfers and discharge plans, as recent reviews indicate significant failures in notifying families during critical transitions.

Google Reviews

Google Reviews

10 reviews analyzed
Families may find comfort in the facility's warm, homey atmosphere and the high quality of food and administrative leadership. However, there are significant concerns regarding communication failures during transitions of care and perceived rudeness from nursing staff during evening shifts.

Quality Themes

Tap a score for details
Food5.0Staff4.0CleanN/AActivities5.0MedsN/AMemoryN/AComms2.0ValueN/A

Strengths

  • Attentive and caring staff members
  • High-quality, delicious meal service
  • Strong administrative presence and engagement
  • Welcoming and homey atmosphere

Concerns

  • Poor communication regarding discharge and readmission planning
  • Nurses appearing rude or dismissive to family members during evening shifts

Rating Trends

Tap a year to see what changed

2343.02018(1)5.02021(3)5.02022(1)3.02024(1)2.32025(3)1.02026(1)

Distribution

5
5
4
0
3
2
2
0
1
2

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about the meal service here; could you tell us more about how the menus are planned and how much variety residents get each week?
  • 2Since we want to stay closely involved in the care process, what is your preferred method for keeping families updated on changes in a resident's condition, especially during evening hours?
  • 3How does the administration stay engaged with the residents and families to ensure everyone feels heard and supported?
  • 4Can you walk us through the specific protocols the nursing team follows if a medical emergency occurs during the night shift?
  • 5What is the process for coordinating with hospitals to ensure a smooth transition and clear communication when a resident is being discharged or readmitted?
  • 6What kind of daily activities or social outings are available to help residents stay active and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The staff is very friendly and really care about the patients that are here no matter if its a short term or long term stay. They keep you informed about things going on recreationally and personally. The administrator is awesome! She visits with everyone while she's in the building. All the nurses and their aids are attentive as well. The kitchen makes delicious food which is a dramatic opposite of other places. Very homey vibe!!

Long-term resident's family · 2021★★★★★

My brother was accepted to their facility for long-tern care and was sent to the hospital with the expectations that they were going to accept him back once he was stable, now they are refusing to accept him back and they have failed to call the family to let us know they are not taking him back

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

I absolutely love this place and love Jesse in the evenings. My mother loves it there but sometimes in the evening or when I call the nurses to answer my moms phone for her because she can’t. The nurses are absolutely rude and always act like your bothering them.

Long-term resident's family · 2024★★★☆☆
Source: 10 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.47hrs
63%
Registered nurses for medical care
Total Nursing
2.79hrs
68%
All nurses + aides combined
Staff Turnover
30%
Lower is better (< 30% = good)
RN Turnover
17%
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
4/ 5
Better Than Avg

16

measures

Worse Than Avg

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility3.1%
Better than Avg
Here
3.1%
US
19.4%
TX
14.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
15.4%
TX
9.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility5.1%
Better than Avg
Here
5.1%
US
14.4%
TX
16.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.0%
Better than Avg
Here
10.0%
US
15.3%
TX
14.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.2%
Better than Avg
Here
99.2%
US
81.8%
TX
89.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility7.0%
Worse than Avg
Here
7.0%
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

4deficiencies
1penalties
Well below state avg (9.1)
4 complaint-triggered
$32,545 in fines

Families filed complaint reports that triggered deficiencies in 2024 related to protecting residents from abuse and neglect, though these issues were reportedly corrected. The facility shows recurring problems with building safety systems (fire safety, heating/ventilation, electrical), resident care planning assessments, and food safety that persist across multiple surveys from 2022-2025. While most deficiencies have correction dates, the pattern of repeated violations in safety systems and ongoing heating/ventilation issues suggests potential maintenance challenges.

Jan 9, 2026Complaint
1
0627MinorCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Mar 19, 2025Routine
7
0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0929ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

0645MinorCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0699MinorCorrected

Quality of Life and Care Deficiencies

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

0355MinorCorrected

Smoke Deficiencies

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

0511MinorCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

May 25, 2024Complaint
3
0600SevereCorrected

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.

0607SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0835SevereCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Jan 31, 2024Routine
8
0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0578ModerateCorrected

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.

0657ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0638MinorCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

0645MinorCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Dec 1, 2022Routine
5
0324ModerateCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355MinorCorrected

Smoke Deficiencies

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

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0918MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Federal Penalties

Fine

May 25, 2024

$32,545

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hamilton County Hospital District

Organization Type

for profit

Management Company

GOLDTHWAITE SKILLED CARE, LLC

Administrator

MR. DAVE A JOHNSON

Chain Affiliation

Chain Name

Hamilton County Hospital District

Chain Size

10 facilities nationwide

Chain avg rating: 2.7/5 · Rank 5 of 10

Ownership & Management

Owners

Goldthwaite Skilled Care, LLC

Owner (parent company) · Organization

100%

Hooper, Grady

Owner (parent company)

Key personnel

Beasley, MichaelW-2 Managing Employee
Source: Medicare provider data

Contact

Get in Touch

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

References & Resources

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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.

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