Munday Nursing Center — nursing home in Munday, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 61 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 37.5 CMS, MDS-derived
CMS Certification Number: 675061
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 18, 1992
Ownership type: Government - Hospital district
Operator (legal business name): Knox County Hospital District
CMS chain: Not part of a CMS-reported chain
Phone: (940) 422-4541
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Aug 13, 2026

Citations

24

16 health · 8 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D6	E8	F4
Minimal	A·	B·	C6

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 675061
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 61
First approved: Jun 18, 1992
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 13, 2026	Fire safety	Fire Safety Standard	2	Minimal	—	Open →
Aug 13, 2026	Health	Health Standard	6	Potential harm	—	Open →
Jun 26, 2025	Fire safety	Fire Safety Standard	2	Minimal	2	Open →
Jun 26, 2025	Health	Health Standard	4	Potential harm	—	Open →
May 16, 2024	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
May 16, 2024	Health	Health Standard	6	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D6	E8	F4
Minimal	A·	B·	C6

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Aug 13, 2026	F-0565	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Sep 3, 2026
Aug 13, 2026	F-0585	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect	F · Potential harm Widespread	Corrected Sep 3, 2026
Aug 13, 2026	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 3, 2026
Aug 13, 2026	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 3, 2026
Aug 13, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Sep 3, 2026
Aug 13, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Sep 3, 2026
Aug 13, 2026	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Sep 3, 2026
Aug 13, 2026	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Sep 3, 2026
Jun 26, 2025	F-0585	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jul 17, 2025
Jun 26, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jul 17, 2025
Jun 26, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jul 17, 2025
Jun 26, 2025	F-0813	Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jul 17, 2025
Jun 26, 2025	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	C · Minimal Widespread	No plan of correction
Jun 26, 2025	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	No plan of correction
May 16, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 7, 2024
May 16, 2024	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 6, 2024
May 16, 2024	F-0552	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 6, 2024
May 16, 2024	F-0578	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 6, 2024
May 16, 2024	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 6, 2024
May 16, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 6, 2024
May 16, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jun 6, 2024
May 16, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 6, 2024
May 16, 2024	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Jun 6, 2024
May 16, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Jun 6, 2024

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QMNot rated

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.25

State avg 3.42US avg 3.90

Registered nurse (RN)0.28

State avg 0.44US avg 0.69

Licensed practical nurse0.86

State avg 0.94US avg 0.86

Nurse aide2.10

State avg 2.03US avg 2.35

Weekend total nurse2.88

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.05 (case-mix index 1.12).

Staff turnover

Total nursing staff turnoverNot reported

State avg 50.8%US avg 45.3%

Registered nurse turnoverNot reported

State avg 49.8%US avg 42.5%

Administrators who leftNot reported

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Aug 13, 2026
Cycle 1 health score: 44
Total weighted score: 41

Operating entity

Knox County Hospital District

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

19

Organizations

1

Individuals

16

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Knox County Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 4, 2018

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Knox County Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 4, 2018
Knox County Hospital District	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 4, 2018
Stephen Kuehler	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 10, 2024
Kendra Williams	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 16, 2024
Louis Baty	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 6, 2023
Larry Welch	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Feb 21, 2022
Joann Albus	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 1, 2012
Tracy Cartwright	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 1, 2012
Jennifer Carver	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 17, 2019
Judy Hobert	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 1, 2012
Stephen Kuehler	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 1, 2012
Daniel Wainscott	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 1, 2016
Stephen Kuehler	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Dec 1, 2012
Kelsey Simmons	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Mar 1, 2018
Kendra Williams	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jan 1, 2024
Knox County Hospital District	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 27, 2024
Stephen Kuehler	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 27, 2024
Kelsey Simmons	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 27, 2024
Kendra Williams	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 27, 2024

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 421 West F St, Munday, TX 76371
ZIP: 76371
County: Knox County FIPS 48275
State: Texas
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Avir at Knox City 605 S Ave F, Knox City, TX 79529 CCN 675989	17.8 km	66		Dec 18, 2025	301 harm1 open	$8,018

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	675061	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	675061	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 675061

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction