Goldthwaite Health & Rehab Center

1207 S Reynolds St · Goldthwaite, TX · 76844 · 3256482258

94 certified beds For profit - Corporation Chain: Hamilton County Hospital District

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results have improved across recent cycles.

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Red flags

3 immediate-jeopardy citations in prior inspection cycles

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

2 abuse-related citations 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

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

Score breakdown

Inspection record 30% of score 39
Serious harm & abuse 20% 62
Staffing 20% 54
Federal penalties 15% 68
Trend 10% 92
Context 5% 75

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

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day2.793.48 min · 4.1 strong
RN hours / resident-day0.470.55–0.75
Weekend hours / resident-day2.34≈ weekday level
Nursing turnover / year30%median 45%
Fines (3-yr window)1 · $32,545

Inspection citations (13 in the current record)

  • Potential for harm · D January 9, 2026 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected February 9, 2026 · Resident Rights

  • Potential for harm · D March 19, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected April 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 19, 2025

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

    Corrected April 15, 2025 · Quality of Life and Care

  • Potential for harm · E March 19, 2025

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

    Corrected April 15, 2025 · Nutrition and Dietary

  • Immediate jeopardy · K May 25, 2024 · found via complaint

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

    Corrected May 27, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K May 25, 2024 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected May 27, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K May 25, 2024 · found via complaint

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected May 27, 2024 · Administration

  • Potential for harm · E January 31, 2024

    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 February 29, 2024 · Resident Rights

  • Potential for harm · D January 31, 2024

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected February 29, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 31, 2024

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected February 29, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E January 31, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected February 29, 2024 · Resident Assessment and Care Planning

  • Potential for harm · F January 31, 2024

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

    Corrected February 29, 2024 · Nutrition and Dietary

  • Potential for harm · D January 31, 2024

    Provide and implement an infection prevention and control program.

    Corrected February 29, 2024 · Infection Control

Federal penalties

DateTypeAmount / length
May 25, 2024Fine$32,545

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676086 · certified since January 6, 2006. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.