Elder Care Record

Texas › Liberty County › Cleveland

Cleveland Health Care Center

903 E Houston St, Cleveland, TX 77327

CCN 455952 · Non-profit, corporation · 142 certified beds · chain Health Services Management

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.

Cleveland Health Care Center, in Cleveland, Texas, is certified for 142 beds under non-profit, corporation ownership and belongs to the Health Services Management chain.

CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 3, staffing 3 and quality measures 4.

Inspectors recorded 14 health deficiencies across the three most recent survey cycles (5, 3, 6 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 9.9 per 100 beds, fewer than the state median of 22.5.

CMS lists 2 penalties in the period covered: fines totalling $30K.

Reported nurse staffing is 3.8 hours per resident per day (0.1 RN), close to the Texas median of 3.3; nursing staff turnover is 39.4%.

14health deficiencies, 3 survey cycles3 at actual harm or worse
$30Kfines listed by CMS2 penalties in period
3.8nurse hours per resident per daystate median 3.3
58%occupancy (residents ÷ beds)83 residents a day

Compared with county, state and nation

MeasureThis facilityLiberty Co. medianTexas medianUS average
Overall star rating3333.0
Health citations, 3 cycles14232528.7
Citations per 100 beds9.919.522.526.8
Total nurse hours per resident day3.83.83.33.9
RN hours per resident day0.10.30.40.7
Nursing staff turnover39.4%58.3%52.1%45.8%
Fines listed$30,198$131,714$16,801—

County and state figures are medians across facilities (4 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)5
Cycle 23
Cycle 36

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Jun 2026, 30 Apr 2025.

Severity mix: J ×2 G ×1 D ×9 E ×2

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
17 Jun 2026F0641Ensure each resident receives an accurate assessment.EStandard survey2 Jul 2026
17 Jun 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey2 Jul 2026
17 Jun 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey2 Jul 2026
17 Jun 2026F0761Ensure 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.DStandard survey2 Jul 2026
31 Dec 2025F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint investigation1 Jan 2026
30 Apr 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey15 May 2025
29 Aug 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GComplaint investigation14 Sep 2024
29 Aug 2024F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DComplaint investigation14 Sep 2024
13 Mar 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey2 Apr 2024
13 Mar 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey28 Mar 2024
13 Mar 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey28 Mar 2024
28 Aug 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.JComplaint investigation29 Aug 2023
28 Aug 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation29 Aug 2023
28 Aug 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation29 Aug 2023

Penalties

DateTypeAmountDetail
29 Aug 2024Fine$16,801
28 Aug 2023Fine$13,397

Staffing

Total nursing3.83 h
Nurse aides2.33 h
LPN1.36 h
RN0.14 h
Weekend total3.38 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 39.4%, RNs 60.0%; 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 Stay11.8%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.7%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.8%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.6%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay8.4%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.4%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay13.8%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: non-profit, corporation. Legal business name: Winnie-Stowell Hospital District. Chain: Health Services Management (16 facilities).

OrganisationRole in the CMS recordInterestSince
Cleveland Realty, LLC5% or greater mortgage interestNOT APPLICABLE06/01/2024
Health Services Management, Inc.5% or greater mortgage interestNOT APPLICABLE06/01/2024
Hsmtx/Cleveland, LLCOperational/managerial controlNOT APPLICABLE06/01/2024
Cleveland Realty, LLCAdp of the snfNOT APPLICABLE06/01/2024
Health Services Management, Inc.Adp of the snfNOT APPLICABLE06/01/2024
Hsmtx/Cleveland, LLCAdp of the snfNOT APPLICABLE03/05/2025

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 Liberty County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Magnolia Place Health CareLiberty1183342319.5—4 Jun 2025
Dayton Nursing and RehabilitationDayton602233660.0$132K28 May 2026
Liberty Health Care Centerabuse iconLiberty1181211916.1$217K19 Mar 2026

All 4 facilities in Liberty County

Questions and answers

How many deficiencies has Cleveland Health Care Center been cited for?

14 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 Cleveland Health Care Center been fined?

Yes. CMS lists fines totalling $30K in the period covered.

How does staffing at Cleveland Health Care Center compare?

Reported total nurse staffing is 3.8 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Cleveland Health Care Center?

It is part of the Health Services Management chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Hsmtx/Cleveland, LLC. Individual owners and managers are not listed on this site.

When was Cleveland Health Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 17 Jun 2026; the most recent standard health survey was 17 Jun 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.