# Hereford Nursing & Rehabilitation

Hereford Nursing & Rehabilitation is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Hereford, TX, CMS Certification Number 675868, with 120 certified beds and about 47 residents per day. CMS rates it 5/5 overall (health inspections 4/5, staffing 2/5, quality measures 5/5).

## Key facts
- Status: Active CMS certification
- Address: 231 Kingwood St, Hereford, TX 79045 (Deaf Smith County)
- Ownership type: For profit - Individual

- Operator (legal business name): [Terrel I Investments, LLC](https://carefield.site/operator/op-terrel-i-investments-llc)
- CMS chain: not part of a CMS-reported chain

- Phone: 8063647113
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/675868

## Inspection record
6 inspections in the CMS window (latest 2025-08-07); 15 citations (14 health, 1 fire safety); 0 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2025-08-07 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-07 — [F-0578](https://carefield.site/deficiency/cms-f0578) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-07 — [F-0607](https://carefield.site/deficiency/cms-f0607) Develop and implement policies and procedures to prevent abuse, neglect, and theft. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-07 — [F-0609](https://carefield.site/deficiency/cms-f0609) Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-07 — [F-0610](https://carefield.site/deficiency/cms-f0610) Respond appropriately to all alleged violations. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-07 — [F-0637](https://carefield.site/deficiency/cms-f0637) Assess the resident when there is a significant change in condition — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-07 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-07-18 — [F-0558](https://carefield.site/deficiency/cms-f0558) Reasonably accommodate the needs and preferences of each resident. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-07-18 — [F-0700](https://carefield.site/deficiency/cms-f0700) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-07-18 — [F-0761](https://carefield.site/deficiency/cms-f0761) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-07-18 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2024-07-18 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2023-06-09 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2023-06-09 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2023-06-09 — [F-0842](https://carefield.site/deficiency/cms-f0842) Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected

## Penalties
No fines or payment denials in the CMS penalties file (about the last three years).

## Staffing (PBJ, hours per resident per day)
- Total nurse: 3.38866 (state avg 3.41615, US 3.90085)
- RN: 0.30394
- Nursing staff turnover: 27.9%

## Owners and managers of record (CMS disclosures)
- Aaron Terrel — Direct owner, since 2014-05-01
- Audra Terrel — Direct owner, since 2014-05-01
- [Llano Estacado Healthcare LLC](https://carefield.site/owner/org-llano-estacado-healthcare-llc) — Operational / managerial control, since 2014-05-01
- Aaron Terrel — Operational / managerial control, since 2014-05-01

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=675868&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=675868&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=675868&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=675868&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=675868&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=675868&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-675868 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.