Nursing home
Schleicher County Medical Center
104 N Us Hwy 277, Eldorado, TX 76936 · Map
Government - Hospital district · 34 certified beds
Schleicher County Medical Center is a Medicare-certified nursing home in Eldorado, Texas. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.87 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Dec 8, 2025 cited 3 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Schleicher County Medical Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.87 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.65 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.20 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 44.4% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the December 8, 2025 inspection was corrected by December 19, 2025
What inspectors found at Schleicher County Medical Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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 · Dec 8, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Dec 8, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 8, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 15, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 15, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · Aug 15, 2024 · Full report (PDF) - Potential for harm
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 · Aug 15, 2024 · Full report (PDF) - Actual harm
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.
Nursing and Physician Services Deficiencies · Oct 2, 2023 - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 2, 2023 - Potential for harm
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 · Jun 29, 2023 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 29, 2023 - Potential for harm
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 · Jun 29, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 104 N Us Hwy 277
Eldorado, TX 76936 - CMS certification #
- 45E631
- Ownership
- Government - Hospital district
- Certified beds
- 34
- Avg residents/day
- 29.9
- Provider type
- Medicaid
- First certified
- 1974-12-04
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Schleicher County Medical Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Lillian M Hudspeth Memorial Hospital, Sonora. 21.3 miles away, straight line.
- Nearest Medicare nursing home
- Avir at San Angelo, San Angelo. 37.3 miles away, straight line.
- Nearest home health agency office
- Shannon Home Health Services, San Angelo. 38.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharm House Drug. 20.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 76936 as rural (rural area).
- Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 76936.
- Nearest geriatric medicine practice
- Texas Tech University Health Sciences Center Odessa, Midland. 118.1 miles away, straight line. 3 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Area not mapped by FEMA. (FEMA flood map)
- Wildfire risk to homes
- In Schleicher County, TX, risk to homes is greater than 88% of communities in Texas and 95% of communities nationwide. USDA rates the whole county, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively low, wildfire relatively high, tornado relatively moderate, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Schleicher County Medical Center a good nursing home?
CMS gives Schleicher County Medical Center an overall rating of 4 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Schleicher County Medical Center staffed?
Schleicher County Medical Center reports 4.87 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Schleicher County Medical Center had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Schleicher County Medical Center have?
Schleicher County Medical Center is certified for 34 beds.