Cedar Creek Nursing and Rehabilitation Center

159 Montague Ave · Bandera, TX · 78003 · 8304603767

62 certified beds For profit - Corporation Chain: Creative Solutions in Healthcare

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

94% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 50
Serious harm & abuse 20% 100
Staffing 20% 51
Federal penalties 15% 100
Trend 10% 81
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.343.48 min · 4.1 strong
RN hours / resident-day0.560.55–0.75
Weekend hours / resident-day2.62≈ weekday level
Nursing turnover / year94%median 45%
Fines (3-yr window)none

Inspection citations (39 in the current record)

  • Potential for harm · D May 8, 2026

    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.

    Deficient, Provider has no plan of correction · Resident Rights

  • Potential for harm · D May 8, 2026

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Deficient, Provider has no plan of correction · Resident Rights

  • Potential for harm · D May 8, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Deficient, Provider has no plan of correction · Resident Assessment and Care Planning

  • Potential for harm · E May 8, 2026

    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.

    Deficient, Provider has no plan of correction · Pharmacy Service

  • Potential for harm · D May 8, 2026

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Deficient, Provider has no plan of correction · Resident Assessment and Care Planning

  • Potential for harm · D December 21, 2025 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected January 6, 2026 · Resident Rights

  • Potential for harm · E December 21, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected January 6, 2026 · Pharmacy Service

  • Potential for harm · D December 21, 2025 · found via complaint

    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 January 6, 2026 · Pharmacy Service

  • Potential for harm · E December 21, 2025 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 6, 2026 · Nutrition and Dietary

  • Potential for harm · D December 21, 2025 · found via complaint

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Corrected January 6, 2026 · Nutrition and Dietary

  • Potential for harm · D March 7, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected March 10, 2025 · Resident Rights

  • Potential for harm · D March 7, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected March 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 7, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 10, 2025 · Quality of Life and Care

  • Potential for harm · D March 7, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 10, 2025 · Quality of Life and Care

  • Potential for harm · D March 7, 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 March 10, 2025 · Pharmacy Service

  • Potential for harm · E March 7, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected March 10, 2025 · Nutrition and Dietary

  • Potential for harm · E March 7, 2025

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Corrected March 10, 2025 · Nutrition and Dietary

  • Potential for harm · E March 7, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 10, 2025 · Nutrition and Dietary

  • Potential for harm · D March 7, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected March 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E March 7, 2025

    Provide and implement an infection prevention and control program.

    Corrected March 10, 2025 · Infection Control

  • Potential for harm · D March 7, 2025

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected March 14, 2025 · Environmental

  • Potential for harm · D February 12, 2025 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected February 13, 2025 · Resident Rights

  • Potential for harm · E February 12, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected February 13, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 12, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 13, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E February 12, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected February 13, 2025 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675929 · certified since August 20, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.