PlainNursing
CMS Nursing Home Compare · August 2026

Cass Valley Healthcare Center

103 Teakwood St, Centerville, TX 75833

Cass Valley Healthcare Center, a 74-bed for profit - limited liability company nursing facility in Centerville, TX, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #378 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 9035362596

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3 / 5
Average · CMS overall · nat'l 3.0
#378 of 1,165
In-state rank among rated TX homes
4.20
Above average · nurse hrs/day · nat'l 3.86
25
Inspection findings · 5 serious

The verdict

Cass Valley Healthcare Center, a 74-bed for profit - limited liability company nursing facility in Centerville, TX, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #378 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.

3 / 5
CMS overall · national 3.0
#378 of 1,165
In-state rank among rated TX homes
4.20
Nurse hrs/resident-day · national 3.86
25
Inspection findings · 5 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

3/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
675065
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
74
Residents
31
In Hospital
No
County
Leon
Last Inspection
Nov 24, 2025
Abuse citation on record

Staffing Data

How the 4.20 total nursing hours per resident-day are staffed:

RN Hours
0.30 (nat'l avg: 0.69)
LPN Hours
1.31
CNA Hours
2.60
Total Nursing Hours
4.20 (nat'l avg: 3.86)
PT Hours
0.02
Nursing Turnover
45.0%

What the CMS Record Reveals About Cass Valley Healthcare Center

According to CMS Nursing Home Compare, Cass Valley Healthcare Center ranks #378 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Cass Valley Healthcare Center operates 74 certified beds in Centerville, TX with approximately 31 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 2★ · staffing 3★ · quality 5★).

The inspection file contains 25 deficiency records from recent surveys, of which 5 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 4 penalties totaling $55K levied against this facility. Per resident day, this facility reports 4.20 total nursing hours (national average 3.86) and 0.30 RN hours.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Cass Valley Healthcare Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 45.0% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (25 most recent)

D - Isolated - Minimal harm Apr 21, 2026 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 27, 2026

D - Isolated - Minimal harm Nov 24, 2025 Tag: 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.

Category: Pharmacy Service Deficiencies

Corrected: Nov 25, 2025

D - Isolated - Minimal harm Nov 24, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 25, 2025

E - Pattern - Minimal harm Nov 24, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 25, 2025

E - Pattern - Minimal harm Nov 24, 2025 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 25, 2025

J - Isolated - Jeopardy Jun 10, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 2, 2025

D - Isolated - Minimal harm Dec 10, 2024 Tag: 0624

Prepare residents for a safe transfer or discharge from the nursing home.

Category: Resident Rights Deficiencies

Corrected: Dec 11, 2024

D - Isolated - Minimal harm Sep 4, 2024 Tag: 0584

Honor 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.

Category: Resident Rights Deficiencies

Corrected: Oct 4, 2024

E - Pattern - Minimal harm Aug 22, 2024 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Sep 20, 2024

E - Pattern - Minimal harm Aug 22, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 20, 2024

E - Pattern - Minimal harm Aug 22, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 20, 2024

E - Pattern - Minimal harm Aug 22, 2024 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 20, 2024

E - Pattern - Minimal harm Aug 22, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 20, 2024

E - Pattern - Minimal harm Aug 22, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Sep 20, 2024

J - Isolated - Jeopardy Aug 22, 2024 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 20, 2024

K - Pattern - Jeopardy Dec 25, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 26, 2023

D - Isolated - Minimal harm Oct 19, 2023 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 6, 2023

D - Isolated - Minimal harm Oct 19, 2023 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 6, 2023

D - Isolated - Minimal harm Oct 19, 2023 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 6, 2023

D - Isolated - Minimal harm Oct 19, 2023 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 6, 2023

J - Isolated - Jeopardy Oct 19, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 6, 2023

J - Isolated - Jeopardy Oct 19, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 6, 2023

C - Widespread - No harm Jul 13, 2023 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Aug 4, 2023

D - Isolated - Minimal harm Jul 13, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 4, 2023

E - Pattern - Minimal harm Jul 13, 2023 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 4, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 8.8% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.9% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 14.4% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 0.8% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 8.5% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 5.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 97.3% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 11.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 5.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 94.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History 4 penalties totaling $55K

Date Type Amount
Jun 10, 2025 Fine $10K
Aug 22, 2024 Fine $12K
Dec 25, 2023 Fine $20K
Oct 19, 2023 Fine $13K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Cass Valley Healthcare Center, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Cass Valley Healthcare Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 74 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Cass Valley Healthcare Center?
Cass Valley Healthcare Center has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (5★).
Where does Cass Valley Healthcare Center rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Cass Valley Healthcare Center ranks 378th among 1,165 rated nursing homes in TX (#378 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Cass Valley Healthcare Center?
Cass Valley Healthcare Center reports 4.20 total nursing hours per resident day (national average: 3.86). RN hours are 0.30 per resident day (national average: 0.69). Nursing staff turnover is 45.0%.
How many beds does Cass Valley Healthcare Center have?
Cass Valley Healthcare Center has 74 certified beds with approximately 31 residents. The facility is located at 103 Teakwood St, Centerville, TX 75833.
Does Cass Valley Healthcare Center have any deficiencies on record?
Yes, Cass Valley Healthcare Center has 25 deficiencies on record from recent inspections. Of these, 5 are classified as causing actual harm or jeopardy.
Has Cass Valley Healthcare Center received any fines or penalties?
Yes, Cass Valley Healthcare Center has received 4 penalties totaling $55K.
Who owns Cass Valley Healthcare Center?
Cass Valley Healthcare Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Cass Valley Healthcare Center last inspected?
The most recent health inspection for Cass Valley Healthcare Center was on Nov 24, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Cass Valley Healthcare Center?
Cass Valley Healthcare Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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