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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasCass Valley Healthcare Center

Cass Valley Healthcare Center

103 Teakwood St, Centerville, TX 758339035362596
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
2/5
Quality
5/5
Beds
74
certified
5 fine(s) totaling $157,708

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 74 certified beds with an average of 29.7 residents per day (40% occupancy)

• Last health inspection found 5 deficiencies (inspected Nov 24, 2025)

• Has been fined a total of $157,708 across 5 fine(s)

• Total nursing staff: 4.47 hours per resident per day

• Staff turnover rate: 67.3% (high)

• Part of the Nexion Health chain (52 facilities)

Cass Valley Healthcare Center is a 3-star Medicare and Medicaid certified nursing home in Centerville, Texas with 74 certified beds. It has been operating since 1992. The facility scored at average compared to Texas facilities.

Beds
74
Avg Residents/Day
29.7
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 25, 1992
Sprinklers
Yes
Council
Resident
County
Leon
Last Inspection
Nov 24, 2025
Deficiencies (Cycle 1)
5
Weighted Score
128.5
Infection Citations
0

Deficiency Citations (25)

F0689Immediate Jeopardy

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

Survey: Jun 10, 2025Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: Nov 24, 2025Corrected: NoCycle: 1
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Nov 24, 2025Corrected: NoCycle: 1
F0761Potential 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.

Survey: Nov 24, 2025Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Nov 24, 2025Corrected: NoCycle: 1
F0624Potential for Harm

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

Survey: Dec 10, 2024Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Sep 4, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0677Potential for Harm

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

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0921Potential for Harm

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

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0600Immediate Jeopardy

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

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0880Immediate Jeopardy

Provide and implement an infection prevention and control program.

Survey: Dec 25, 2023Corrected: NoCycle: 3
F0600Potential for Harm

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

Survey: Oct 19, 2023Corrected: NoCycle: 3
F0607Potential for Harm

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

Survey: Oct 19, 2023Corrected: NoCycle: 3
F0684Immediate Jeopardy

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

Survey: Oct 19, 2023Corrected: NoCycle: 3
F0689Immediate Jeopardy

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

Survey: Oct 19, 2023Corrected: NoCycle: 3
F0697Potential for Harm

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

Survey: Oct 19, 2023Corrected: NoCycle: 3
F0726Potential for 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.

Survey: Oct 19, 2023Corrected: NoCycle: 3
F0600Actual Harm

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

Survey: May 16, 2023Corrected: NoCycle: 3
F0656Potential for Harm

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

Survey: Jul 13, 2023Corrected: NoCycle: 3
F0727Potential for Harm

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.

Survey: Jul 13, 2023Corrected: NoCycle: 3
F0851Minimal Harm

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

Survey: Jul 13, 2023Corrected: NoCycle: 3
Total Fines
$157,708
Number of Fines
5
Payment Denials
0
Total Penalties
5

Penalty History

FineJun 10, 2025
$10,361
FineAug 22, 2024
$12,051
FineOct 19, 2023
$12,558
FineDec 25, 2023
$19,622
FineMay 16, 2023
$103,116

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.94 hrs
National avg: 2.35 hrs
LPN1.24 hrs
National avg: 0.86 hrs
RN0.29 hrs
National avg: 0.68 hrs
Total Nursing4.47 hrs
National avg: 3.89 hrs
Weekend Total4.07 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
67.3%
RN Turnover
62.5%
Administrators Left
3

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
LIBERTY COUNTY HOSPITAL DISTRICT NO. 1OPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2017
NEXION HEALTH AT CASS VALLEY, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMar 31, 2023
STRATTON, CHARLESOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 31, 2017
STRATTON, CHARLESCORPORATE DIRECTORIndividualN/AMar 31, 2017
LAWRENCE, AMYW-2 MANAGING EMPLOYEEIndividualN/AAug 14, 2023

Frequently Asked Questions

What is the CMS rating for Cass Valley Healthcare Center?▾
Cass Valley Healthcare Center has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 5/5. This facility is rated average.
Has Cass Valley Healthcare Center had any health inspection violations?▾
Cass Valley Healthcare Center had 5 deficiency citations in its most recent health inspection (Nov 24, 2025). The facility has been fined a total of $157,708 across 5 fine(s).
What are the staffing levels at Cass Valley Healthcare Center?▾
Cass Valley Healthcare Center provides 4.47 total nursing staff hours per resident per day, including 0.29 RN hours, 1.24 LPN hours, and 2.94 nurse aide hours. The total staff turnover rate is 67.3%.
How many beds does Cass Valley Healthcare Center have?▾
Cass Valley Healthcare Center has 74 certified beds with an average of 29.7 residents per day, resulting in approximately 40% occupancy. The facility is For profit - Limited Liability company owned and is part of the Nexion Health chain.

Part of Nexion Health

This chain operates 52 facilities. View all →