Texas › Lavaca County › Shiner
Shiner Nursing and Rehabilitation Center
1213 North Avenue B, Shiner, TX 77984
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.
Shiner Nursing and Rehabilitation Center is a For-profit, individual nursing home in Shiner, Texas, certified for 95 beds and caring for about 43 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 29 health deficiencies across the three most recent survey cycles (11, 12, 6 by cycle, most recent first), none at the actual-harm level. That is 30.5 per 100 beds, more than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.1 hours per resident per day (0.4 RN), close to the Texas median of 3.3.
Compared with county, state and nation
| Measure | This facility | Lavaca Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 29 | 26 | 25 | 28.7 |
| Citations per 100 beds | 30.5 | 23.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.1 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | — | 33.3% | 52.1% | 45.8% |
| Fines listed | $0 | $0 | $16,801 | — |
County and state figures are medians across facilities (6 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: 20 Mar 2026, 13 Dec 2024.
Severity mix: D ×16 E ×12 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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Mar 2026 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | Standard survey | 1 May 2026 |
| 20 Mar 2026 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 1 May 2026 |
| 20 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 1 May 2026 |
| 20 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 May 2026 |
| 20 Mar 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 1 May 2026 |
| 20 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 1 May 2026 |
| 20 Mar 2026 | 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 | 1 May 2026 |
| 20 Mar 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 1 May 2026 |
| 20 Mar 2026 | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | Standard survey | 1 May 2026 |
| 20 Mar 2026 | 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 | 1 May 2026 |
| 20 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 1 May 2026 |
| 19 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 20 May 2025 |
| 19 May 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 20 May 2025 |
| 13 Dec 2024 | 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. | F | Standard survey | 16 Dec 2024 |
| 13 Dec 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 3 Jan 2025 |
| 13 Dec 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 10 Jan 2025 |
| 13 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Jan 2025 |
| 13 Dec 2024 | 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 | 10 Jan 2025 |
| 13 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Jan 2025 |
| 13 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 10 Jan 2025 |
| 13 Dec 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Jan 2025 |
| 13 Dec 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 17 Jan 2025 |
| 13 Dec 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 17 Jan 2025 |
| 27 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 30 Oct 2023 |
| 27 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 30 Oct 2023 |
| 27 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 Oct 2023 |
| 27 Oct 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 30 Oct 2023 |
| 27 Oct 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 30 Oct 2023 |
| 27 Oct 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 30 Oct 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; 1 administrator 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 | 19.2% | 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 | 1.2% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.9% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.3% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.9% | 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, individual. Chain: Creative Solutions In Healthcare (149 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Shiner Nursing & Rehabilitation Center, Inc. | Operational/managerial control | NOT APPLICABLE | 05/01/2022 |
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 Lavaca County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Shady Oak Nursing and Rehabilitation | Moulton | 61 | 5 | 5 | 2 | 14 | 23.0 | — | 5 Sep 2025 |
| Stevens Nursing and Rehabilitation Center of Halle | Hallettsville | 144 | 5 | 4 | 2 | 20 | 13.9 | — | 2 Jun 2026 |
| Hallettsville Nursing and Rehabilitation Center | Hallettsville | 119 | 2 | 3 | 1 | 19 | 16.0 | $9K | 16 Jan 2026 |
| Paradigm At Stevens | Yoakum | 106 | 2 | 3 | 1 | 38 | 35.8 | — | 15 May 2026 |
| Yoakum Nursing and Rehabilitation Center | Yoakum | 110 | 2 | 3 | 1 | 26 | 23.6 | $14K | 29 May 2026 |
All 6 facilities in Lavaca County
Questions and answers
How many deficiencies has Shiner Nursing and Rehabilitation Center been cited for?
29 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Shiner Nursing and Rehabilitation Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Shiner Nursing and Rehabilitation Center compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Shiner Nursing and Rehabilitation Center?
It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Shiner Nursing & Rehabilitation Center, Inc.. Individual owners and managers are not listed on this site.
When was Shiner Nursing and Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 20 Mar 2026; the most recent standard health survey was 20 Mar 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.