Cass Valley Healthcare Center
103 Teakwood St · Centerville, TX · 75833 · 9035362596
74 certified beds For profit - Limited Liability company Chain: Nexion Health
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $22,412 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.05 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 3.56 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | 4 · $54,592 |
Inspection citations (25 in the current record)
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Potential for harm · D April 21, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 24, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 24, 2025
Provide activities to meet all resident's needs.
Corrected November 25, 2025 · Quality of Life and Care
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Potential for harm · D November 24, 2025
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.
Corrected November 25, 2025 · Pharmacy Service
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Potential for harm · E November 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 25, 2025 · Nutrition and Dietary
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Immediate jeopardy · J June 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 2, 2025 · Quality of Life and Care
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Potential for harm · D December 10, 2024 · found via complaint
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected December 11, 2024 · Resident Rights
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Potential for harm · D September 4, 2024 · found via 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.
Corrected October 4, 2024 · Resident Rights
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Immediate jeopardy · J August 22, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 22, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected September 20, 2024 · Resident Rights
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Potential for harm · E August 22, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 20, 2024 · Quality of Life and Care
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Potential for harm · E August 22, 2024
Provide activities to meet all resident's needs.
Corrected September 20, 2024 · Quality of Life and Care
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Potential for harm · E August 22, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 20, 2024 · Nutrition and Dietary
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Potential for harm · E August 22, 2024
Provide and implement an infection prevention and control program.
Corrected September 20, 2024 · Infection Control
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Potential for harm · E August 22, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 20, 2024 · Environmental
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Immediate jeopardy · K December 25, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 26, 2023 · Infection Control
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Immediate jeopardy · J October 19, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 6, 2023 · Quality of Life and Care
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Immediate jeopardy · J October 19, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 6, 2023 · Quality of Life and Care
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Potential for harm · D October 19, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 6, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 19, 2023 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected November 6, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 19, 2023 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected November 6, 2023 · Quality of Life and Care
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Potential for harm · D October 19, 2023 · found via 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.
Corrected November 6, 2023 · Nursing and Physician Services
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Potential for harm · D July 13, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 4, 2023 · Resident Assessment and Care Planning
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Potential for harm · E July 13, 2023
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.
Corrected August 4, 2023 · Nursing and Physician Services
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No harm found · C July 13, 2023
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected August 4, 2023 · Administration
Federal penalties
| Date | Type | 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 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675065 · certified since June 25, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.