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Nursing home report

Grace Care Center of Nocona

Nocona, TX · Medicare-certified · 89 beds

Needs attention
For-profit
1 of 5 overall

Grace Care Center of Nocona has a 1-star overall rating, with especially weak staffing at 1 star and nurse staffing below the federal benchmark (2.91 vs 4.1 hours per resident day). Its health inspection rating is 2 stars, quality measures are 3 stars, there were no fines in the last 24 months, and it carries a lowest-overall-rating flag.

Facility ratings

Health inspections

Staffing

2.9097 hrs/resident/day

Quality measures

Last inspection: November 26, 2025Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9097.

Staffing detail

Registered nurses
0.24
Licensed practical nurses
0.81
Nurse aides
1.85
Weekend nursing
2.60

Hours per resident per day.

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

13.6%9.1%Improving

Residents with a fall causing major injury

2.7%5.4%Worsening

Residents with pressure ulcers (bedsores)

3.1%2.4%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

3.4%9.4%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

13.8%30.3%Worsening

Residents whose ability to walk got worse

39.8%

Long-stay residents on antianxiety or sleep medication

31.2%36.4%Worsening

Short-stay residents newly given an antipsychotic

8.7%

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

8.8%14.9%Worsening

Residents with depressive symptoms

3.6%3.4%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%97.3%Worsening

Short-stay residents given the pneumonia vaccine

98.1%

What the inspectors found

The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited May 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 700 — 42 CFR §483.25(n) — S/S: J

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited August 2022 — isolated incident, actual harm.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: G

The nursing home failed to ensure residents were free from significant medication errors. Cited August 2022 — isolated incident, actual harm.

View the original federal record

F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G

The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited November 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 727 — 42 CFR §483.35 — S/S: F

The home failed to run its operations effectively and efficiently using its available resources. Cited November 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 835 — 42 CFR §483.70 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $32,425 in total fines.

  • Federal fine

    May 22, 2023

    $32,425

Operator & ownership

Ownership
For profit - Limited Liability company
Occupancy
33.9 residents on an average day (38% of 89 beds)
Resident voice
Resident council
Medicare history
Certified for 30 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.