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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
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.