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Nursing HomeMedicaid Investigative

Kent County Nursing Home

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

1443 North Main, Jayton, TX 7952860 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 20 Google reviews

5
4
3
2
1
Kent County Nursing Home Nursing Home in Jayton, TX — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

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

  • Low overall rating (2/5 stars)
  • High staff turnover (56%)

Below average in Texas · Critically understaffed (RN) · Above average staffing · $187,081 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice if you prioritize a clean environment and a staff that treats residents with genuine compassion. Because many reviews come from people with personal ties to the local community, you can expect a high level of personalized care, though you may want to verify specific details regarding dietary options during your tour.

Google Reviews

Google Reviews

20 reviews analyzed
Families considering Kent County Nursing Home can expect a highly caring environment where staff members are noted for treating residents like family. Reviewers consistently praise the cleanliness of the facility and the genuine compassion of the nursing team, though there is limited specific information regarding food or specialized medical services.

Quality Themes

Tap a score for details
FoodN/AStaff10.0Clean10.0ActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Compassionate and caring staff
  • Clean and beautiful facility
  • Safe and loving environment
  • High standard of resident care

Rating Trends

Tap a year to see what changed

234'17(1)'19(1)'21(1)'23(5)'25(4)

Distribution

5
17
4
1
3
1
2
0
1
1

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've read such wonderful things about how compassionate and loving the staff is here; how do you foster that culture of care among your team?
  • 2Since the facility is described as so clean and beautiful, what are your daily routines for maintaining the comfort and cleanliness of the resident rooms?
  • 3I noticed there were some recent notes regarding health inspections; what specific steps has the facility taken to address those areas and improve care standards?
  • 4With a smaller, intimate community of 60 residents, what kind of daily activities or social outings do you have planned to keep everyone engaged?
  • 5In the event of a medical emergency or a change in health status during the night, what is the protocol for getting immediate care for a resident?
  • 6How do you ensure that the staffing levels are sufficient to provide the high standard of personalized care that your residents deserve?

Personalized based on this facility's data


Key Review Excerpts

The staff here really CARES. They're mostly local to Jayton and often work beyond the scope, not just for residents, but local family and friends.

Frequent visitor to various Texas facilities · 2025★★★★★

When searching for just the right care center for my husband after he had completed physical therapy in a rehab center but could not yet walk, and him being a large man it was impossible to take him home safely. I searched many Nursing Facilities in the Lubbock area and did not find one that I felt he would be comfortable in.

Long-term resident's family · 2023★★★★★

Clean facility, wonderful staff. The residents are very well cared for. In between Lubbock and Abilene. I highly recommend this home for loved ones as my grandfather was once a resident and I personally worked here.

Former employee and family of a former resident · 2019★★★★★
Source: 20 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.41hrs
55%
Registered nurses for medical care
Total Nursing
3.52hrs
86%
All nurses + aides combined
Staff Turnover
49%
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 · 16 measures

Medicare Rating
3/ 5
Better Than Avg

8

measures

Worse Than Avg

6

measures

Mixed Results

2

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility28.4%
Worse than Avg
Here
28.4%
US
19.4%
TX
14.2%
Kent
22.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Kent
12.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility9.6%
Better than Avg
Here
9.6%
US
19.5%
TX
18.4%
Kent
16.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility23.0%
Worse than Avg
Here
23.0%
US
15.3%
TX
14.9%
Kent
16.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility11.2%
Mixed vs Avgs
Here
11.2%
US
15.4%
TX
9.4%
Kent
16.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility19.5%
Worse than Avg
Here
19.5%
US
14.4%
TX
16.1%
Kent
15.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.1%
Better than Avg
Here
97.1%
US
81.8%
TX
89.2%
Kent
83.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.8%
Worse than Avg
Here
2.8%
US
1.6%
TX
1.5%
Kent
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
7penalties
Well below state avg (9.1)
9 complaint-triggered
$187,081 in fines

Families have filed complaints about Kent County Nursing Home, triggering 9 of the 27 deficiencies found across recent inspections, including serious concerns about abuse prevention and reporting that surfaced in November 2024. The facility has recurring issues with care planning, medication management, and food safety that have persisted across multiple surveys. While all deficiencies show correction dates, the pattern of repeated problems in core care areas and family-initiated complaints warrants careful consideration.

Dec 4, 2025Routine
4
0804ModerateCorrected

Nutrition and Dietary Deficiencies

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

0604MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0656MinorCorrected

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.

0761MinorCorrected

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.

Nov 20, 2024Complaint
5
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.

0610SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0609ModerateCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0656MinorCorrected

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.

Aug 30, 2024Routine
4
0656MinorCorrected

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.

0657MinorCorrected

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.

0755MinorCorrected

Pharmacy Service Deficiencies

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

0812MinorCorrected

Nutrition and Dietary Deficiencies

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

Aug 5, 2024Complaint
2
0755MinorCorrected

Pharmacy Service Deficiencies

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

0760MinorCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Oct 4, 2023Complaint
2
0689SevereCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0726ModerateCorrected

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.

Jul 12, 2023Routine
10
0727ModerateCorrected

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.

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.

0925ModerateCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0644ModerateCorrected

Resident Assessment and Care Planning Deficiencies

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

0645ModerateCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0656ModerateCorrected

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.

0693MinorCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0805MinorCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Nov 20, 2024

$132,214

Fine

Feb 6, 2024

$10,915

Fine

Jan 8, 2024

$3,387

Fine

Jan 2, 2024

$2,797

Fine

Dec 11, 2023

$3,846

Fine

Nov 6, 2023

$1,747

Fine

Oct 4, 2023

$32,175

Ownership & Operations

Who Operates This Facility

Owner / Operator

County of Kent

Organization Type

government

Administrator

NATHAN SMITH

Ownership & Management

Owners

County of Kent

Owner · Organization

100%

Key personnel

Coulter, GradyW-2 Managing EmployeeMoeller, JordanW-2 Managing EmployeeCoulter, GradyOfficer / DirectorWhite, JimOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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