Farwell Care and Rehabilitation Center

305 Fifth St · Farwell, TX · 79325 · 8064819027

75 certified beds Government - Hospital district

  • Inspection results have improved across recent cycles.

Red flags

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Total nurse staffing below 3.0 hours per resident-day

2.94 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

66% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 42
Serious harm & abuse 20% 78
Staffing 20% 45
Federal penalties 15% 75
Trend 10% 75
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day2.943.48 min · 4.1 strong
RN hours / resident-day0.350.55–0.75
Weekend hours / resident-day2.65≈ weekday level
Nursing turnover / year66%median 45%
Fines (3-yr window)1 · $13,397

Inspection citations (29 in the current record)

  • Potential for harm · D April 22, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 22, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 16, 2025

    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.

    Corrected January 30, 2026 · Resident Rights

  • Potential for harm · E December 16, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected January 30, 2026 · Resident Rights

  • Potential for harm · D December 16, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected January 30, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 16, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected January 30, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 16, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected January 30, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 16, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 30, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 16, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected January 30, 2026 · Quality of Life and Care

  • Potential for harm · D December 16, 2025

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected January 30, 2026 · Quality of Life and Care

  • Potential for harm · E December 16, 2025

    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.

    Corrected January 30, 2026 · Nursing and Physician Services

  • Potential for harm · D December 16, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected January 30, 2026 · Pharmacy Service

  • Potential for harm · D December 16, 2025

    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.

    Corrected January 30, 2026 · Pharmacy Service

  • Potential for harm · D December 16, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected January 30, 2026 · Nutrition and Dietary

  • Potential for harm · D December 16, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 30, 2026 · Nutrition and Dietary

  • Potential for harm · D December 16, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected January 30, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E December 16, 2025

    Provide and implement an infection prevention and control program.

    Corrected January 30, 2026 · Infection Control

  • Potential for harm · E July 23, 2025 · found via complaint

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Corrected August 15, 2025 · Administration

  • Potential for harm · D September 19, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected October 18, 2024 · Resident Rights

  • Potential for harm · D September 19, 2024

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected October 18, 2024 · Nursing and Physician Services

  • Potential for harm · E September 19, 2024

    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.

    Corrected October 18, 2024 · Pharmacy Service

  • Potential for harm · D September 19, 2024

    Provide and implement an infection prevention and control program.

    Corrected October 18, 2024 · Infection Control

  • Immediate jeopardy · J November 2, 2023 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected December 2, 2023 · Resident Rights

  • Immediate jeopardy · J November 2, 2023 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected December 2, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E August 16, 2023

    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.

    Corrected September 15, 2023 · Resident Rights

  • Potential for harm · D August 16, 2023

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected September 15, 2023 · Freedom from Abuse, Neglect, and Exploitation

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
November 2, 2023Fine$13,397

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675098 · certified since November 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.