Nocona Rehabilitation and Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 6 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 (16 vs median 8.0)
Bottom 25% in Texas · $32,425 in fines
What this means for your family
The facility is noted for its warm, family-like atmosphere and staff who go above and beyond for residents. However, because there are also very low ratings without explanation, families should visit in person to verify the current quality of care and address any concerns directly with management.
Google Reviews
Google Reviews
6 reviews analyzed“Families can expect a compassionate environment where staff members are described as treating residents like family. While several reviewers praise the high level of care provided to elderly relatives, there are also instances of highly dissatisfied experiences that lack specific detail.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and caring staff
- Family-like atmosphere
- Positive experience with multi-generational care
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
Questions for Your Tour
- 1I've heard wonderful things about the family-like atmosphere here; how do you help new residents feel like they are part of the community right away?
- 2Since we value a close-knit environment, what kind of daily activities or social gatherings do you host to keep residents engaged with one another?
- 3We want to ensure our loved one is always safe; what is your specific protocol for handling medical emergencies during the overnight hours?
- 4With the recent improvements being made to the facility, what specific steps are being taken to increase the number of staff members available on each shift?
- 5How do you ensure that the compassionate care mentioned by other families is consistently maintained across all shifts and departments?
- 6In terms of medical oversight, how do you manage and monitor the care plans to ensure all health inspection standards are being met and exceeded?
Personalized based on this facility's data
Key Review Excerpts
“The staff and residents are like family. This facility is full of love.”
“Have had several grandparents in the facility and the staff took great care of them!”
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
8
measures
6
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents who lost too much weight
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Multiple family complaints have triggered inspections at this facility, revealing recurring issues with nursing staffing, dietary services, and facility maintenance. The facility repeatedly violated federal requirements for registered nurse coverage, had problems with food safety and preparation, and faced complaints about environmental conditions including pest control and equipment maintenance. While all deficiencies show correction dates, the pattern of recurring problems in core care areas—particularly the same nursing staffing violation appearing four times—suggests ongoing operational challenges families should carefully evaluate.
Nov 26, 2025Complaint6
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.
Environmental Deficiencies
Keep all essential equipment working safely.
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Nov 10, 2025Complaint1
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Jun 4, 2025Complaint1
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Mar 21, 2025Complaint1
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.
Jan 21, 2025Complaint1
Administration Deficiencies
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Nov 21, 2024Routine12
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
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.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Install properly constructed windows in hallway walls or doors.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Federal Penalties
Fine
May 22, 2023
$32,425
Ownership & Operations
Who Operates This Facility
Nocona Hospital District
for profit
NOCONATX LLC
CARLA K DICKEY
Ownership & Management
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
6 reviews from families & visitors
Official Website
Visit arboretahealthcare.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.