Schleicher County Medical Center
Strong Medicare quality ratings. Still worth an in-person visit before deciding.
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What this means for your family
Choosing Schleicher County Medical Center means your loved one is in a facility that ranks well on Medicare quality measures. While no facility is perfect, the clinical data here is encouraging.
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
4
measures
9
measures
3
measures
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents whose walking got worse
Residents with depression symptoms
Residents vaccinated for the flu
Short-stay residents newly given antipsychotics
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Schleicher County Medical Center has ongoing issues with infection control appearing in three consecutive surveys, plus recurring problems with medication management and fire safety protocols. Families have filed complaints resulting in citations for accident prevention, nursing competency, and medical records handling. While the facility corrects deficiencies when cited, the repeated infection control violations and persistent safety concerns across multiple survey years suggest systemic challenges that families should carefully consider.
Dec 8, 2025Routine5
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
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.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 8, 2025Complaint1
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.
Aug 15, 2024Routine5
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Provide properly protected cooking facilities.
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.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Oct 2, 2023Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Jun 29, 2023Routine4
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.
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Ownership & Operations
Who Operates This Facility
Schleicher County Hospital District
for profit
STACI CHATHAM
Ownership & Management
Owners
Undisclosed
Ownership Data Not Available · Organization
Contact
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
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Original nursing home datasets
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