Cedar Creek Nursing And Rehabilitation Center
159 MONTAGUE AVENUE, Bandera, TX, 78003
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Creative Solutions In Healthcare
- Certified beds
- 62 · avg 32 residents/day
- Total nursing staff turnover
- 51.9% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 148350
- Service type
- Medicare/medicaid
- Licensed capacity
- 62 beds
- Bed type breakdown
- 16 Medicare-only · 46 Medicaid/Medicare
- Current license effective
- October 1, 2023
- Current license expires
- October 1, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Bandera I Enterprises, Llc (Limited Liability Company (LLC))
- Operator / manager
- Creative Solutions In Healthcare, Inc
- Administrator
- Corali Keller
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (5 on record)
- Creative Solutions in Healthcare Inc
Operational/managerial Control · 100% · since 2013
- Gary r Blake
Operational/managerial Control · 50% · since 2013
- Honor x Enterprises, Llc
5% or Greater Direct Ownership Interest · 100% · since 2013
- Linda f Huggins
W-2 Managing Employee · since 2013
- Malisa a Blake
Operational/managerial Control · 50% · since 2013
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 34)
- D0813·Dec 21, 2025Complaint
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E0812·Dec 21, 2025Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Dec 21, 2025Complaint
Pharmacy Service Deficiencies
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.
- E0755·Dec 21, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0583·Dec 21, 2025Complaint
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- D0925·Mar 7, 2025
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E0880·Mar 7, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0842·Mar 7, 2025
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Mar 7, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Cedar Creek Nursing And Rehabilitation Center is a 62-bed nursing home in Bandera, TX, licensed since 1971 and managed by Creative Solutions In Healthcare. CMS rates it 3 stars overall, with a 2-star quality-of-care rating. The facility is operating at roughly 52% of its licensed beds — about 32 residents on an average day. No abuse findings or fines are on record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars. Each resident receives about 197 minutes of nursing care per day — roughly 44 minutes less than at a 4-star-staffing facility in Texas. RN coverage specifically runs about 26 minutes per resident per day, compared to 37 minutes at the 4-star threshold. Staffing at this level sits in the middle tier: roughly 19% of Texas nursing homes share this rating.
The quality-of-care rating is 2 stars, below the 3-star overall score. That gap means the facility's outcomes for residents — things like how often residents develop pressure wounds, lose function, or are hospitalized — rate below the average Texas nursing home even where other measures are middling.
One administrator has left in the past year. A single departure is not the same as repeated turnover, but leadership transitions affect how consistently policies are enforced and how staff are supervised during the changeover period.
The facility is running at about 52% of its 62 licensed beds — roughly 32 residents on a typical day. That occupancy level, paired with the 2-star quality rating, is a combination worth examining directly.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Cause of the 2-star quality rating
Ask which specific quality measures drove the 2-star rating — whether hospitalizations, pressure wounds, or another category — and what the facility has done in response.
Current administrator tenure
With one administrator departure in the past year, ask how long the current administrator has been in the role and whether they have prior experience running this size facility.
Why occupancy sits at 52%
The facility is at roughly half its licensed capacity; ask whether that reflects recent admissions slowdowns, staffing limits on new intakes, or something else.
RN coverage on evenings and weekends
Reported RN hours average about 26 minutes per resident per day — ask specifically whether a registered nurse is on-site overnight and on weekends, not just on call.
How the Resident Council works
A Resident Council is on record; ask how often it meets, whether minutes are kept, and how concerns raised there have changed anything in the past six months.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.