nursing home in Centerville, TX
Cass Valley Healthcare Center
103 Teakwood St, Centerville, TX 75833 · (903) 536-2596
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★5
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Cass Valley Healthcare Center at a glance
Cass Valley Healthcare Center is a 74-bed for-profit nursing home in Centerville, Texas (Leon County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Texas average of 2.7.
Residents receive about 4.2 hours of nursing care per day (0.3 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (November 24, 2025) found 5 health citations. The Texas average is 9.4.
Federal regulators fined it 4 times in the past three years, totaling $54,592.
Nursing staff turnover is 45% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 74
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- June 25, 1992
- Resident/family council
- Resident
- County
- Leon County
- CMS Certification Number
- 675065
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 1.9 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.20 hrs | 3.39 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.30 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.60 hrs | 2.01 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.80 hrs | 2.98 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 45% | 55.3% | 45.8% | Average |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 111.5 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $54,592 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 4 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 74 | 113 | 107 | |
| Average residents per day | 31 | 76 | 86 | |
| Occupancy | 41.2% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.7% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 0.8% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 8.5% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.9% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 8.8% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 14.4% | 14% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 3.8% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.9% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 11.3% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 5.2% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.3% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 5.9% | 1.5% | 1.6% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 94.5% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 25 health deficiencies and 11 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm, including 5 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 21, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected April 27, 2026 |
| November 24, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected June 26, 2026 |
| November 24, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | No revisit needed |
| November 24, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected November 25, 2025 |
| November 24, 2025 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected November 25, 2025 |
| November 24, 2025 Standard | 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 · Tag F0656 | D Potential harm, isolated | Corrected November 25, 2025 |
| November 24, 2025 Standard | 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 · Tag F0761 | D Potential harm, isolated | Corrected November 25, 2025 |
| June 10, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected June 2, 2025 |
| December 10, 2024 Complaint | Prepare residents for a safe transfer or discharge from the nursing home. Resident Rights Deficiencies · Tag F0624 | D Potential harm, isolated | Corrected December 11, 2024 |
| September 4, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected October 4, 2024 |
| August 22, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected March 12, 2025 |
| August 22, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected March 12, 2025 |
| August 22, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Deficient, Provider has no plan of correction |
| August 22, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected August 20, 2024 |
| August 22, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected September 20, 2024 |
| August 22, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected September 20, 2024 |
| August 22, 2024 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected September 20, 2024 |
| August 22, 2024 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | E Potential harm, pattern | Corrected September 20, 2024 |
| August 22, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected September 20, 2024 |
| August 22, 2024 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected September 20, 2024 |
| December 25, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | K Immediate jeopardy, pattern | Corrected December 26, 2023 |
| October 19, 2023 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected November 6, 2023 |
| October 19, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected November 6, 2023 |
| October 19, 2023 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected November 6, 2023 |
| October 19, 2023 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected November 6, 2023 |
| October 19, 2023 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected November 6, 2023 |
| October 19, 2023 Complaint | 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 · Tag F0726 | D Potential harm, isolated | Corrected November 6, 2023 |
| July 13, 2023 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected May 17, 2024 |
| July 13, 2023 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | F Potential harm, widespread | Corrected May 17, 2024 |
| July 13, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected May 17, 2024 |
| July 13, 2023 Fire safety | Have an alternate power supply for its alarm system. Smoke Deficiencies · Tag K0344 | E Potential harm, pattern | Corrected May 17, 2024 |
| July 13, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected May 17, 2024 |
| July 13, 2023 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | C No harm, widespread | Corrected May 17, 2024 |
| July 13, 2023 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | E Potential harm, pattern | Corrected August 4, 2023 |
| July 13, 2023 Standard | 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 · Tag F0656 | D Potential harm, isolated | Corrected August 4, 2023 |
| July 13, 2023 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | C No harm, widespread | Corrected August 4, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 4 federal penalties in the past three years, including $54,592 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| June 10, 2025 | Fine | $10,361 |
| August 22, 2024 | Fine | $12,051 |
| December 25, 2023 | Fine | $19,622 |
| October 19, 2023 | Fine | $12,558 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| STRATTON, CHARLES Individual | corporate director | NOT APPLICABLE | 03/31/2017 |
| LIBERTY COUNTY HOSPITAL DISTRICT NO 1 Organization | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| NEXION HEALTH AT CASS VALLEY, INC. Organization | operational/managerial control | NOT APPLICABLE | 03/31/2023 |
| STRATTON, CHARLES Individual | operational/managerial control | NOT APPLICABLE | 03/31/2017 |
| FONTENOT, AMY Individual | w-2 managing employee | NOT APPLICABLE | 08/14/2023 |
Other nursing homes near Cass Valley Healthcare Center
Madisonville Care Center
411 East Collard Street, Madisonville, TX 77864 · 20.9 mi
For-profit · 106 beds · Part of Creative Solutions in Healthcare
★★★★★2Below averageAvir at Madisonville
600 Bacon Street, Madisonville, TX 77864 · 21.4 mi
For-profit · 90 beds · Part of Gulf Coast LTC Partners
★★★★★2Below averageCrockett Health Care Associates, INC.
100 N E Loop 304, Crockett, TX 75835 · 21.5 mi
For-profit · 90 beds
★★★★★4Above averageWhitehall Rehab & Nursing
1116 E Loop 304, Crockett, TX 75835 · 32 mi
For-profit · 113 beds · Part of Advanced Healthcare Solutions
★★★★★3AverageWinfield Rehab & Nursing
1108 E Loop 304, Crockett, TX 75835 · 32 mi
For-profit · 83 beds · Part of Advanced Healthcare Solutions
★★★★★1Much below averageTeague Nursing and Rehabilitation
884 Hwy 84 W, Teague, TX 75860 · 33.8 mi
For-profit · 76 beds · Part of Gulf Coast LTC Partners
★★★★★5Much above average
Frequently asked questions
What is Cass Valley Healthcare Center's rating?
Cass Valley Healthcare Center has 3 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Cass Valley Healthcare Center receive?
Its most recent standard health inspection found 5 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Cass Valley Healthcare Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Cass Valley Healthcare Center?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Cass Valley Healthcare Center and how do I contact it?
Cass Valley Healthcare Center is at 103 Teakwood St, Centerville, TX 75833. Phone: (903) 536-2596.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.