Nursing Home

Cass Valley Healthcare Center

103 Teakwood St, Centerville, TX 75833

Part of Nexion Healthsee all 52 affiliated facilities

74 certified beds 31 residents per day on average

CMS Five-Star Quality Rating

3 out of 5 Stars

Overall rating

Health inspections

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nurse staffing per resident per day
4.2 hours

TX average: 3.4 hours · National: 3.9 hours

All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.

Registered nurse (RN) time per resident per day
0.3 hours

TX average: 0.4 hours · National: 0.7 hours

RN hours only — the most highly trained nursing staff.

Weekend nurse staffing per resident per day
3.8 hours

TX average: 3.0 hours · National: 3.4 hours

Total nurse staffing on Saturdays and Sundays, when staffing typically dips.

Nursing staff turnover in the past year
45.0%

TX average: 55.3% · National: 45.8%

Share of this facility’s nursing staff who stopped working there over 12 months.

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Penalties & Enforcement

4 fines totaling $54,592 in the recent inspection window (most recent: June 10, 2025).

Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.

Ownership

Ownership type
For profit - Limited Liability company
Who owns this facility — 5 entries in CMS's ownership records expand ↓
  • Fontenot, Amy Individual
    Managing employee (W-2) since 08/14/2023
  • Stratton, Charles Individual
    Corporate director since 03/31/2017
  • Liberty County Hospital District No 1 Organization
    Operational/managerial control since 04/01/2017
  • Nexion Health At Cass Valley, Inc. Organization
    Operational/managerial control since 03/31/2023
  • Stratton, Charles Individual
    Operational/managerial control since 03/31/2017

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 5 health (TX avg 9.3) · 2 fire (TX avg 3.2) · ⚠ 5 serious Details

25 deficiencies cited across recent inspection cycles, including ⚠ 5 serious (actual harm or immediate jeopardy). Most recent survey: April 21, 2026.

Most recent inspection cycle: 5 health deficiencies · TX average: 9.3 · National: 9.3

11 fire-safety deficiencies cited — most often smoke (5) and services (4).

Most recent fire-safety inspection (2025-11-24): 2 deficiencies · TX average: 3.2 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

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How Cass Valley Healthcare Center compares nearby

Compared with the 5 other nursing homes within 25 miles — 6 facilities in all, CMS data only.

Among the 6 nursing homes within 25 miles, Cass Valley Healthcare Center's overall star rating is 3★; the median among the 5 peers reporting it is 2★.

Measure This facility Nearby median
Overall star rating reported by 5 of 5 nearby peers 3★ 2★
Health inspections reported by 5 of 5 nearby peers 2★ 3★
Staffing reported by 5 of 5 nearby peers 3★ 1★
Quality measures reported by 5 of 5 nearby peers 5★ 4★

The comparison group

Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work

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