Cedar Hollow Rehabilitation Center
5011 North Us Hwy 75 · Sherman, TX · 75090 · 9037712000
142 certified beds Government - Hospital district Chain: Hamilton County Hospital District
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
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Red flags
2 immediate-jeopardy citations 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.
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: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.27 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.31 | 0.55–0.75 |
| Weekend hours / resident-day | 2.89 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 2 · $39,697 |
Inspection citations (30 in the current record)
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Potential for harm · D January 14, 2026 · 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 17, 2026 · Pharmacy Service
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Immediate jeopardy · J December 30, 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 December 1, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J December 30, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 1, 2025 · Quality of Life and Care
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Potential for harm · D December 30, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 2, 2026 · Quality of Life and Care
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Potential for harm · D December 30, 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 2, 2026 · Pharmacy Service
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Potential for harm · D March 6, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 28, 2025 · Pharmacy Service
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Potential for harm · E March 6, 2025 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected March 28, 2025 · Resident Rights
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Potential for harm · D March 6, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 28, 2025 · Resident Rights
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Potential for harm · E March 6, 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 March 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 28, 2025 · Quality of Life and Care
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Potential for harm · E March 6, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 28, 2025 · Quality of Life and Care
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Potential for harm · D March 6, 2025 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected March 28, 2025 · Quality of Life and Care
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Potential for harm · E March 6, 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 March 28, 2025 · Pharmacy Service
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Potential for harm · E March 6, 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 March 28, 2025 · Nutrition and Dietary
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Potential for harm · E March 6, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 28, 2025 · Infection Control
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Potential for harm · E December 12, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 28, 2024 · Quality of Life and Care
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Potential for harm · D December 12, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 28, 2024 · Quality of Life and Care
-
Immediate jeopardy · J May 10, 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 May 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 1, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 23, 2024 · Quality of Life and Care
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Potential for harm · D February 1, 2024
Ensure 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.
Corrected February 20, 2024 · Quality of Life and Care
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Potential for harm · D February 1, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 20, 2024 · Quality of Life and Care
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Potential for harm · D February 1, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected February 12, 2024 · Quality of Life and Care
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Potential for harm · F February 1, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 7, 2024 · Nutrition and Dietary
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Potential for harm · E February 1, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 23, 2024 · Infection Control
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Potential for harm · D September 1, 2023 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected October 11, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 30, 2025 | Fine | $22,925 |
| May 10, 2024 | Fine | $16,772 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676488 · certified since June 12, 2020. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.