Elder Care Record

Texas › Grayson County › Sherman

Cedar Hollow Rehabilitation Center

5011 North Us Hwy 75, Sherman, TX 75090

CCN 676488 · Government, hospital district · 142 certified beds · chain Hamilton County Hospital District

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Cedar Hollow Rehabilitation Center is a Government, hospital district nursing home in Sherman, Texas, certified for 142 beds and caring for about 119 residents a day.

CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 3, staffing 2 and quality measures 3.

Inspectors recorded 30 health deficiencies across the three most recent survey cycles (8, 12, 10 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 21.1 per 100 beds, about the same as the state median of 22.5.

CMS lists 2 penalties in the period covered: fines totalling $32K.

Reported nurse staffing is 3.5 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 50.4%.

30health deficiencies, 3 survey cycles3 at actual harm or worse
$32Kfines listed by CMS2 penalties in period
3.5nurse hours per resident per daystate median 3.3
84%occupancy (residents ÷ beds)119 residents a day

Compared with county, state and nation

MeasureThis facilityGrayson Co. medianTexas medianUS average
Overall star rating3233.0
Health citations, 3 cycles30302528.7
Citations per 100 beds21.121.122.526.8
Total nurse hours per resident day3.53.33.33.9
RN hours per resident day0.30.40.40.7
Nursing staff turnover50.4%60.0%52.1%45.8%
Fines listed$31,673$29,991$16,801—

County and state figures are medians across facilities (11 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)8
Cycle 212
Cycle 310

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 May 2026, 6 Mar 2025.

Severity mix: J ×3 D ×17 E ×9 F ×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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
12 Jun 2026F0880Provide and implement an infection prevention and control program.EComplaint investigation14 Jun 2026
7 May 2026F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey8 May 2026
7 May 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey8 May 2026
14 Jan 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation17 Jan 2026
30 Dec 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.JComplaint investigation1 Dec 2025
30 Dec 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation1 Dec 2025
30 Dec 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation2 Jan 2026
30 Dec 2025F0761Ensure 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.DComplaint investigation2 Jan 2026
6 Mar 2025F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EComplaint investigation28 Mar 2025
6 Mar 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation28 Mar 2025
6 Mar 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EComplaint investigation28 Mar 2025
6 Mar 2025F0761Ensure 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.EComplaint investigation28 Mar 2025
6 Mar 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation28 Mar 2025
6 Mar 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation28 Mar 2025
6 Mar 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation28 Mar 2025
6 Mar 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation28 Mar 2025
6 Mar 2025F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DComplaint investigation28 Mar 2025
6 Mar 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey28 Mar 2025
12 Dec 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation28 Dec 2024
12 Dec 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation28 Dec 2024
10 May 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation9 May 2024
1 Feb 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey7 Feb 2024
1 Feb 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation23 Feb 2024
1 Feb 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey23 Feb 2024
1 Feb 2024F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey20 Feb 2024
1 Feb 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey20 Feb 2024
1 Feb 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey12 Feb 2024
1 Sep 2023F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation11 Oct 2023
1 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation11 Oct 2023
1 Sep 2023F0761Ensure 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.DComplaint investigation11 Oct 2023

Penalties

DateTypeAmountDetail
30 Dec 2025Fine$14,901
10 May 2024Fine$16,772

Staffing

Total nursing3.46 h
Nurse aides2.15 h
LPN1.05 h
RN0.27 h
Weekend total3.06 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 50.4%, RNs 44.4%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay17.6%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.3%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.9%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.8%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.4%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay12.6%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.4%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay6.8%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: government, hospital district. Legal business name: Hamilton County Hospital District. Chain: Hamilton County Hospital District (10 facilities).

OrganisationRole in the CMS recordInterestSince
Dkp Investments, LLCOperational/managerial controlNOT APPLICABLE06/01/2023
Go Operations 7 LLCOperational/managerial controlNOT APPLICABLE06/01/2023
Slm Investments LLCOperational/managerial controlNOT APPLICABLE06/01/2023
Go Operations 7 LLCAdp of the snfNOT APPLICABLE04/22/2025
Go Properties 7 LLCAdp of the snfNOT APPLICABLE06/01/2023
Slm Investments LLCAdp of the snfNOT APPLICABLE06/01/2023

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Grayson County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Beacon HillDenison1504432114.0—26 May 2026
Meadowbrook Care CenterVan Alstyne603221728.3$14K5 May 2026
The Homestead of DenisonDenison1403312719.3$30K26 Mar 2026
Woodlands Place Rehabilitation SuitesDenison1333222418.0$110K26 Feb 2026
Avir At ShermanSherman1322313425.8—2 Jun 2026
Denison Nursing and RehabDenison712213143.7$8K29 Apr 2026
Texoma Healthcare CenterSherman1792313720.7$16K16 Jun 2026
Whitesboro Health and Rehabilitation CenterWhitesboro952311515.8$30K30 Jan 2026

All 11 facilities in Grayson County

Questions and answers

How many deficiencies has Cedar Hollow Rehabilitation Center been cited for?

30 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Cedar Hollow Rehabilitation Center been fined?

Yes. CMS lists fines totalling $32K in the period covered.

How does staffing at Cedar Hollow Rehabilitation Center compare?

Reported total nurse staffing is 3.5 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Cedar Hollow Rehabilitation Center?

It is part of the Hamilton County Hospital District chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Dkp Investments, LLC, Go Operations 7 LLC and Slm Investments LLC. Individual owners and managers are not listed on this site.

When was Cedar Hollow Rehabilitation Center last inspected?

The most recent survey or investigation in the CMS record is dated 12 Jun 2026; the most recent standard health survey was 7 May 2026.

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.