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.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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
-
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
-
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
-
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.