4/5 stars overall. Hereford Nursing & Rehabilitation in Hereford, TX has a strong inspection rating (4/5) and no fines in the last 24 months, but staffing is below the federal benchmark at 3.35 hours per resident day versus 4.1; staffing and quality measures are both 3/5.
Last inspection: August 7, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3507.
Staffing detail
Registered nurses
0.28
Licensed practical nurses
0.97
Nurse aides
2.10
Weekend nursing
2.94
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 40%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
37.5%Steady
Residents with a fall causing major injury
0.6%Steady
Residents with pressure ulcers (bedsores)
2.7%Worsening
Residents with a urinary tract infection
1.2%Improving
Residents who lost too much weight
1.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
11.4%Improving
Residents whose ability to walk got worse
10.7%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
32.5%Worsening
Short-stay residents newly given an antipsychotic
11.6%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
10.5%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
97.9%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2024 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2023 — limited pattern, potential for harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited August 2025 — isolated incident, potential for harm.
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F-Tag 578 — 42 CFR §483.10 — S/S: D
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited August 2025 — isolated incident, potential for harm.
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F-Tag 607 — 42 CFR §483.12 — S/S: D
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 5 health deficiencies.
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INSPECTION
Health inspection found 3 health deficiencies.
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Operator & ownership
Ownership
For profit - Individual
Occupancy
46.9 residents on an average day (39% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 25 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.