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Goldthwaite Health & Rehab Center

All states › Texas › Goldthwaite › Goldthwaite Health & Rehab Center

1207 S Reynolds St Goldthwaite, TX 76844 · Mills County

(325) 648-2258

All 2 nursing homes in Goldthwaite, TX (2 take Medicaid)

Accepts Medicare Accepts Medicaid 94 certified beds For profit

CMS certification number 676086 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Goldthwaite Health & Rehab Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Goldthwaite Health & Rehab Center as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Texas average of 2.8. Inspectors issued 19 citations in the last three years. CMS imposed 1 penalty, including $32,545 in fines, in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 2.94 hours per resident per day at Goldthwaite Health & Rehab Center, below the Texas median of 3.30 (US median: 3.72). About 0.64 of those hours are from registered nurses. On weekends it falls to 2.52 hours, 14% below its all-week average. 45.5% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 2.94 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.64 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.52 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 45.5% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 16.7% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds94
Residents per day 50 About 53% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 2006
Part of a chainHamilton County Hospital District
Legal business nameHAMILTON COUNTY HOSPITAL DISTRICT

Paying for care at Goldthwaite Health & Rehab Center: Medicare and Medicaid

Goldthwaite Health & Rehab Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on May 14, 2026 and found 6 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 19 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 19 citations at Goldthwaite Health & Rehab Center across 5 inspection dates, 4 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on May 25, 2024 (complaint inspection). The most common areas cited were resident assessment and care planning (4) and resident rights (4). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level K, May 25, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.

May 14, 2026 · 6 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 9, 2026)

EReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (Jun 9, 2026)

EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Jun 9, 2026)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jun 9, 2026)

EMake sure that a working call system is available in each resident's bathroom and bathing area.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0919 · Deficient, Provider has date of correction (Jun 9, 2026)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Jun 9, 2026)

January 9, 2026 · 1 citation · includes complaint inspection

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0627 · Complaint inspection · Deficient, Provider has date of correction (Feb 9, 2026)

March 19, 2025 · 3 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 15, 2025)

DPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Deficient, Provider has date of correction (Apr 15, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0699 · Deficient, Provider has date of correction (Apr 15, 2025)

May 25, 2024 · 3 citations, includes immediate jeopardy · includes complaint inspection

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

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (May 27, 2024)

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

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Complaint inspection · Deficient, Provider has date of correction (May 27, 2024)

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

Immediate jeopardy · Administration Deficiencies · Tag F0835 · Complaint inspection · Deficient, Provider has date of correction (May 27, 2024)

January 31, 2024 · 6 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Feb 29, 2024)

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Feb 29, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Feb 29, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0638 · Deficient, Provider has date of correction (Feb 29, 2024)

DPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Deficient, Provider has date of correction (Feb 29, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Feb 29, 2024)

Questions to ask on a tour of Goldthwaite Health & Rehab Center

  1. Inspectors cited the home at the immediate-jeopardy level on May 25, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on May 25, 2024. How are staff trained, and how are concerns reported?
  3. CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  4. The home averages about 53% of its beds filled. Are any units closed?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $32,545 in fines.

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

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 4/5 3/5
August 2026 2/5 2/5 4/5 4/5
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Location

Nearby nursing homes

Hillview Nursing and Rehabilitation Goldthwaite · 0.5 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 52 beds · Medicaid
San Saba Nursing & Rehabilitation San Saba · 20.1 mi away ★★★★★ Inspection 5/5 · Staffing 1/5 72 beds · Medicaid
Lake Hills Healthcare Center Brownwood · 27.9 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 94 beds · Medicaid
Pecan Bayou Nursing and Rehabilitation Brownwood · 29.2 mi away ★★★★★ Inspection 4/5 · Staffing 3/5 90 beds · Medicaid
Oak Ridge Manor Brownwood · 29.2 mi away ★★★★★ Inspection 4/5 · Staffing 2/5 114 beds · Medicaid

More nursing homes near Goldthwaite Health & Rehab Center ›   All nursing homes in Goldthwaite ›

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Other Hamilton County Hospital District nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 10 Hamilton County Hospital District nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/goldthwaite/goldthwaite-health-and-rehab-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.