Mitchell County Nursing And Rehabilitation Center
MITCHELL COUNTY NURSING AND REHABILITATION CENTER in COLORADO CITY, TX — inspection on April 28, 2026.
Found 8 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Federal health inspectors cited MITCHELL COUNTY NURSING AND REHABILITATION CENTER in COLORADO CITY, TX for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2026-04-28.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of MITCHELL COUNTY NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-05-20.
Federal health inspectors cited MITCHELL COUNTY NURSING AND REHABILITATION CENTER in COLORADO CITY, TX for a deficiency under regulatory tag F-F0553 during a standard health inspection conducted on 2026-04-28.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of MITCHELL COUNTY NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-05-20.
Federal health inspectors cited MITCHELL COUNTY NURSING AND REHABILITATION CENTER in COLORADO CITY, TX for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2026-04-28.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of MITCHELL COUNTY NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-05-20.
Federal health inspectors cited MITCHELL COUNTY NURSING AND REHABILITATION CENTER in COLORADO CITY, TX for a deficiency under regulatory tag F-F0585 during a standard health inspection conducted on 2026-04-28.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of MITCHELL COUNTY NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-05-20.
Federal health inspectors cited MITCHELL COUNTY NURSING AND REHABILITATION CENTER in COLORADO CITY, TX for a deficiency under regulatory tag F-F0605 during a standard health inspection conducted on 2026-04-28.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of MITCHELL COUNTY NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-05-20.
During an interview on 04/28/2026 at 12:27 p.m., the ADM stated that will be the DM that is responsible for ensuring that all meals were palatable, but I am not sure why, I know the RD is telling me everything is good, the palatability and consistency are good, I think we could do more training on that.
She further stated, we do have food palatability policy, and I don't know if the kitchen staff have seen one.
She stated that the negative outcome of serving residents such meals could be fatal.
She further stated, to me I looked at the menu, and it is not the same every day, it is not true regarding varieties, we give residents two choices.
During an interview on 04/28/2026 at 1:01 p.m., the DM stated, every kitchen staff is responsible for ensuring that all meals were palatable, but I am the overall and I think the kitchen staff rushed cooking the food and not checking for food palatability and consistency before plating, the staff failed to follow recipes, and that is not acceptable. He further stated, The only thing that is possible is they are not turning in the meals on time after putting it on the serving line, in addition there is a lot of airflow and I don't recall coming across food palatability policy. He further admitted that one steamtable compartment was not working and work order had already been turned in. He stated serving such meals, definitely cause residents not to eat resulting to weight loss.
Record review of the facility's policy and procedure titled, Food Palatability, undated, reflected the following: Policy Statement: The facility is committed to providing meals that are palatable, visually appealing, and served at appropriate temperatures, while meeting each resident's dietary needs and preferences.
Policy Guidelines: 1, Food Quality & Taste Taste testing will be conducted routinely by dietary staff prior to service.Meals shall be prepared using standardized recipes to ensure consistent flavor and quality.2, Appearance & PresentationMeals shall be attractively plated with attention to color, contrast, and portion size.Pureed foods shall be molded or presented to resemble original food items when possible3, Temperature Control Hot foods shabby served hot and cold food served cold.Food temperatures shall comply with state and federal food safety guidelines at times of service.Delays in mail service shall be minimized to preserve quality.4, Texture & ConsisitencyFoods shop meat prescribed diet orders (e.g., pureed, minced, soft).Textured-modified food shall maintain moisture and flavor to enhance palatability.Thickened liquids should be prepared to correct consistency and serve promptly.8, Staff TrainingDietary staff shall receive training on food preparation techniques that enhance flavor and presentation.
Federal health inspectors cited MITCHELL COUNTY NURSING AND REHABILITATION CENTER in COLORADO CITY, TX for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2026-04-28.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of MITCHELL COUNTY NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-05-20.
Federal health inspectors cited MITCHELL COUNTY NURSING AND REHABILITATION CENTER in COLORADO CITY, TX for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2026-04-28.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of MITCHELL COUNTY NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-05-20.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.