Texas › Leon County › Centerville
Cass Valley Healthcare Center
103 Teakwood St, Centerville, TX 75833
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Cass Valley Healthcare Center is a For-profit, limited liability company nursing home in Centerville, Texas, certified for 74 beds and caring for about 31 residents a day.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 2, staffing 3 and quality measures 5.
Inspectors recorded 25 health deficiencies across the three most recent survey cycles (5, 10, 10 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 33.8 per 100 beds, more than the state median of 22.5.
CMS lists 4 penalties in the period covered: fines totalling $55K.
Reported nurse staffing is 4.2 hours per resident per day (0.3 RN), above the Texas median of 3.3; nursing staff turnover is 45.0%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Leon Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 25 | 25 | 25 | 28.7 |
| Citations per 100 beds | 33.8 | 33.8 | 22.5 | 26.8 |
| Total nurse hours per resident day | 4.2 | 4.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 45.0% | 45.0% | 52.1% | 45.8% |
| Fines listed | $54,592 | $54,592 | $16,801 | — |
County and state figures are medians across facilities (1 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 24 Nov 2025, 22 Aug 2024.
Severity mix: J ×4 K ×1 D ×10 E ×9 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 27 Apr 2026 |
| 24 Nov 2025 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 25 Nov 2025 |
| 24 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 25 Nov 2025 |
| 24 Nov 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 25 Nov 2025 |
| 24 Nov 2025 | F0761 | 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. | D | Standard survey | 25 Nov 2025 |
| 10 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 2 Jun 2025 |
| 10 Dec 2024 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint investigation | 11 Dec 2024 |
| 4 Sep 2024 | F0584 | 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. | D | Complaint investigation | 4 Oct 2024 |
| 22 Aug 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 20 Aug 2024 |
| 22 Aug 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 20 Sep 2024 |
| 22 Aug 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 20 Sep 2024 |
| 22 Aug 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 20 Sep 2024 |
| 22 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Sep 2024 |
| 22 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 20 Sep 2024 |
| 22 Aug 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 20 Sep 2024 |
| 25 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | K | Complaint investigation | 26 Dec 2023 |
| 19 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 6 Nov 2023 |
| 19 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 6 Nov 2023 |
| 19 Oct 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 6 Nov 2023 |
| 19 Oct 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 6 Nov 2023 |
| 19 Oct 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 6 Nov 2023 |
| 19 Oct 2023 | F0726 | 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. | D | Complaint investigation | 6 Nov 2023 |
| 13 Jul 2023 | F0727 | 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. | E | Standard survey | 4 Aug 2023 |
| 13 Jul 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 4 Aug 2023 |
| 13 Jul 2023 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | Standard survey | 4 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 10 Jun 2025 | Fine | $10,361 | |
| 22 Aug 2024 | Fine | $12,051 | |
| 25 Dec 2023 | Fine | $19,622 | |
| 19 Oct 2023 | Fine | $12,558 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 45.0%, RNs —; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.8% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.9% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.4% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.5% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Liberty County Hospital District No 1.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Liberty County Hospital District No 1 | Operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| Nexion Health At Cass Valley, Inc. | Operational/managerial control | NOT APPLICABLE | 03/31/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Cass Valley Healthcare Center been cited for?
25 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Cass Valley Healthcare Center been fined?
Yes. CMS lists fines totalling $55K in the period covered.
How does staffing at Cass Valley Healthcare Center compare?
Reported total nurse staffing is 4.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Cass Valley Healthcare Center?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Liberty County Hospital District No 1 and Nexion Health At Cass Valley, Inc.. Individual owners and managers are not listed on this site.
When was Cass Valley Healthcare Center last inspected?
The most recent survey or investigation in the CMS record is dated 21 Apr 2026; the most recent standard health survey was 24 Nov 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.