Sterling Nursing and Rehab

309 Fifth St · Sterling City, TX · 76951 · 3253782134

44 certified beds Government - County

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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.

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Red flags

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 58
Serious harm & abuse 20% 94
Staffing 20% 77
Federal penalties 15% 60
Trend 10% 57
Context 5% 100

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

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day5.453.48 min · 4.1 strong
RN hours / resident-day0.480.55–0.75
Weekend hours / resident-day4.65≈ weekday level
Nursing turnover / year54%median 45%
Fines (3-yr window)1 · $7,443

Inspection citations (13 in the current record)

  • Potential for harm · F September 11, 2025

    Provide and implement an infection prevention and control program.

    Corrected October 10, 2025 · Infection Control

  • Potential for harm · E September 11, 2025 · found via complaint

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

    Corrected September 20, 2025 · Quality of Life and Care

  • Potential for harm · E September 11, 2025 · found via complaint

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected October 1, 2025 · Nutrition and Dietary

  • Potential for harm · F September 11, 2025 · found via complaint

    Keep all essential equipment working safely.

    Corrected September 15, 2025 · Environmental

  • Potential for harm · D August 8, 2024

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected August 16, 2024 · Quality of Life and Care

  • Potential for harm · F August 8, 2024

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

    Corrected August 16, 2024 · Nutrition and Dietary

  • Potential for harm · E August 8, 2024 · 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 August 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E August 8, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected August 16, 2024 · Infection Control

  • Actual harm · G June 22, 2023

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

    Corrected July 14, 2023 · Quality of Life and Care

  • Potential for harm · E June 22, 2023

    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 July 14, 2023 · Nursing and Physician Services

  • Potential for harm · F June 22, 2023

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

    Corrected July 14, 2023 · Nutrition and Dietary

  • Potential for harm · E June 22, 2023

    Provide bedrooms that don't allow residents to see each other when privacy is needed.

    Corrected July 14, 2023 · Environmental

  • Potential for harm · E June 22, 2023 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected July 14, 2023 · Infection Control

Federal penalties

DateTypeAmount / length
August 23, 2024Payment Denial27 days
June 22, 2023Fine$7,443

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

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 675880 · certified since June 18, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.