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STERLING COUNTY NURSING HOME

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STERLING COUNTY NURSING HOME is a government - county facility in STERLING CITY, TX with 44 certified beds and a 5-star overall CMS rating. The facility has 13 deficiency records on file. Total penalties: $7K.

309 FIFTH ST, STERLING CITY, TX 76951

Phone: 3253782134

Overall Rating

5/5

Health Inspection

4/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
675880
Ownership
Government - County
Provider Type
Medicare and Medicaid
Beds
44
Residents
22
In Hospital
No
County
Sterling
Last Inspection
Sep 11, 2025

Staffing Data

RN Hours
0.60 (nat'l avg: 0.68)
LPN Hours
1.09
CNA Hours
3.57
Total Nursing Hours
5.26 (nat'l avg: 3.89)
PT Hours
0.24
Nursing Turnover
58.3%
RN Turnover
33.3%

What the CMS Record Reveals About STERLING COUNTY NURSING HOME

STERLING COUNTY NURSING HOME operates 44 certified beds in STERLING CITY, TX with approximately 22 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (4★), and quality measures (5★). 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.

The inspection file contains 13 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $7K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 5.26 total nursing hours per resident day (national average 3.89), with RN coverage at 0.60 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Government - County" ownership and operating as a "Medicare and Medicaid" provider, STERLING COUNTY NURSING HOME falls into a category where comparative context matters. 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. Reported nursing turnover at this facility is 58.3%, above the level where continuity of care typically begins to suffer. 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 details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (13 most recent)

F — Widespread - Minimal harm Sep 11, 2025 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Sep 15, 2025

E — Pattern - Minimal harm Sep 11, 2025 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 1, 2025

E — Pattern - Minimal harm Sep 11, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 20, 2025

F — Widespread - Minimal harm Sep 11, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 10, 2025

E — Pattern - Minimal harm Aug 8, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 16, 2024

E — Pattern - Minimal harm Aug 8, 2024 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 16, 2024

F — Widespread - Minimal harm Aug 8, 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: Aug 16, 2024

D — Isolated - Minimal harm Aug 8, 2024 Tag: 0700

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.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 16, 2024

E — Pattern - Minimal harm Jun 22, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 14, 2023

E — Pattern - Minimal harm Jun 22, 2023 Tag: 0914

Provide bedrooms that don't allow residents to see each other when privacy is needed.

Category: Environmental Deficiencies

Corrected: Jul 14, 2023

F — Widespread - Minimal harm Jun 22, 2023 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: Jul 14, 2023

E — Pattern - Minimal harm Jun 22, 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: Jul 14, 2023

G — Isolated - Actual harm Jun 22, 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: Jul 14, 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 6.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.7% No
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 who have depressive symptoms Long Stay 1.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 7.4% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay N/A No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 9.5% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 29.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 7.5% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 22.5% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 16.7% Yes

Penalty History 1 penalties totaling $7K

Date Type Amount
Aug 23, 2024 Payment Denial -
Jun 22, 2023 Fine $7K

Frequently Asked Questions

What is the overall CMS rating for STERLING COUNTY NURSING HOME?
STERLING COUNTY NURSING HOME has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (5★).
What are the staffing levels at STERLING COUNTY NURSING HOME?
STERLING COUNTY NURSING HOME reports 5.26 total nursing hours per resident day (national average: 3.89). RN hours are 0.60 per resident day (national average: 0.68). Nursing staff turnover is 58.3%.
How many beds does STERLING COUNTY NURSING HOME have?
STERLING COUNTY NURSING HOME has 44 certified beds with approximately 22 residents. The facility is located at 309 FIFTH ST, STERLING CITY, TX 76951.
Does STERLING COUNTY NURSING HOME have any deficiencies on record?
Yes, STERLING COUNTY NURSING HOME has 13 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has STERLING COUNTY NURSING HOME received any fines or penalties?
Yes, STERLING COUNTY NURSING HOME has received 1 penalties totaling $7K.
Who owns STERLING COUNTY NURSING HOME?
STERLING COUNTY NURSING HOME is classified as "Government - County" ownership. The facility type is "Medicare and Medicaid".
When was STERLING COUNTY NURSING HOME last inspected?
The most recent health inspection for STERLING COUNTY NURSING HOME was on Sep 11, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for STERLING COUNTY NURSING HOME?
STERLING COUNTY NURSING HOME 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. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial