Schleicher County Medical Center

104 N Us Hwy 277 · Eldorado, TX · 76936 · 3258533931

34 certified beds Government - Hospital district

  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 68
Serious harm & abuse 20% 88
Staffing 20% 80
Federal penalties 15% 100
Trend 10% 87
Context 5% 100

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

CMS ratings & staffing

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

Total nurse hours / resident-day4.633.48 min · 4.1 strong
RN hours / resident-day0.700.55–0.75
Weekend hours / resident-day3.91≈ weekday level
Nursing turnover / year49%median 45%
Fines (3-yr window)none

Inspection citations (13 in the current record)

  • Potential for harm · E December 8, 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 December 19, 2025 · Resident Rights

  • Potential for harm · D December 8, 2025

    Provide and implement an infection prevention and control program.

    Corrected December 19, 2025 · Infection Control

  • Potential for harm · D December 8, 2025 · found via complaint

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

    Corrected December 19, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 15, 2024

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

    Corrected August 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 15, 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 September 1, 2024 · Pharmacy Service

  • Potential for harm · E August 15, 2024

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

    Corrected September 15, 2024 · Nutrition and Dietary

  • Potential for harm · D August 15, 2024

    Provide and implement an infection prevention and control program.

    Corrected September 15, 2024 · Infection Control

  • Actual harm · G October 2, 2023 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 4, 2023 · Quality of Life and Care

  • Actual harm · G October 2, 2023 · found via complaint

    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 September 4, 2023 · Nursing and Physician Services

  • Potential for harm · D June 29, 2023

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected July 22, 2023 · Quality of Life and Care

  • Potential for harm · E June 29, 2023

    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 July 15, 2023 · Pharmacy Service

  • Potential for harm · D June 29, 2023

    Provide and implement an infection prevention and control program.

    Corrected July 15, 2023 · Infection Control

  • No harm found · C June 29, 2023

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected July 22, 2023 · Administration

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 45E631 · certified since December 4, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.