Ellery Care
B

Hereford Nursing & Rehabilitation

231 Kingwood St, Hereford, TX 79045 · Deaf Smith County

For-profit · 120 certified beds · 38% occupancy · (806) 364-7113

Deciding as a family?

Hereford Nursing & Rehabilitation reviews: what the government record shows

The U.S. government (CMS) rates Hereford Nursing & Rehabilitation 4 out of 5 stars overall, above average. Its nurse staffing is at or above the Texas median.

Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.

At a glance

CMS overall rating
4 of 5 stars
Nurse staffing
3.50 hrs/resident/day (+7% vs TX median)
Antipsychotic drug use
38.5% of long-stay residents (TX median 8.3%)
Falls with major injury
1.1% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
None on record
Inspection findings
14 cited
Federal abuse-warning flag
No

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.

What this means for your family

A strong option on the record. Still worth a visit to confirm it fits your parent.

Strengths

  • ✓Earns 4 of 5 stars overall from CMS.
  • ✓Nurse staffing of 3.50 hrs/resident/day is at or above the Texas median of 3.27.
  • ✓No federal fines on record in roughly the last three years.

Concerns

  • !Gives antipsychotic drugs to 38.5% of long-stay residents, well above the norm.

Questions to ask on your visit

  • ·For any resident on an antipsychotic, is there a documented diagnosis and a plan to reduce it?

Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.

A plain-English read of this home's public record. Not advice — always visit in person.

Common questions about Hereford Nursing & Rehabilitation

Is Hereford Nursing & Rehabilitation a good nursing home?

Hereford Nursing & Rehabilitation in Hereford, Texas holds a 4 of 5 star CMS overall rating. A strong option on the record. Still worth a visit to confirm it fits your parent.

How is Hereford Nursing & Rehabilitation staffed?

Hereford Nursing & Rehabilitation reports 3.50 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.

Has Hereford Nursing & Rehabilitation been fined or flagged for abuse?

Hereford Nursing & Rehabilitation has no federal fines on record in roughly the last three years, and does not currently carry a federal abuse-warning flag.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.

TX median 3.27

3.50 nurse hours per resident per day. 7% above the Texas median of 3.27.

Total nurse
3.50 hrs
RN
0.41 hrs
LPN
0.95 hrs
Aide
2.15 hrs

Nursing staff turnover: 32.6%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

14
total findings
0
immediate jeopardy
0
caused actual harm
0
from complaints
  • Potential for harmTag F0578 · Aug 7, 2025Corrected Aug 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.

    Resident Rights Deficiencies

  • Potential for harmTag F0607 · Aug 7, 2025Corrected Aug 20, 2025

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • Potential for harmTag F0609 · Aug 7, 2025Corrected Aug 20, 2025

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • Potential for harmTag F0610 · Aug 7, 2025Corrected Aug 20, 2025

    Respond appropriately to all alleged violations.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • Potential for harmTag F0637 · Aug 7, 2025Corrected Aug 23, 2025

    Assess the resident when there is a significant change in condition

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0880 · Aug 7, 2025Corrected Aug 23, 2025

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0812 · Jul 18, 2024Corrected Jul 19, 2024

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

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0880 · Jul 18, 2024Corrected Jul 19, 2024

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0558 · Jul 18, 2024Corrected Jul 19, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Resident Rights Deficiencies

  • Potential for harmTag F0700 · Jul 18, 2024Corrected Jul 19, 2024

    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.

    Quality of Life and Care Deficiencies

Showing the 10 most recent and serious of 14 findings. See the full inspection history on Medicare.gov.

Antipsychotic drug use

The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.

38.5%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is far above both the Texas and national norm. It is worth asking the staff directly why, and whether every prescription has a documented medical reason and a plan to reduce it.

Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study

Preventable harm

Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.

Falls with major injury
1.1%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
4.8%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is at or below the Texas median, a reassuring sign for how closely the home supervises residents.

Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study

Federal fines and penalties

Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.

No federal fines are on record for this home in roughly the last three years, a good sign.

Ownership

This home is for-profit (for profit - individual). It is independently operated, not part of a multi-facility chain.