Cass Valley Healthcare Center
103 TEAKWOOD ST, Centerville, TX, 75833
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: Nexion Health
- Certified beds
- 74 · avg 30 residents/day
- Total nursing staff turnover
- 67.3% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 62.5% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 3 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 5 fines · $157,708 total
State licensing & capacity
- License number
- 147686
- Service type
- Medicare/medicaid
- Licensed capacity
- 74 beds
- Bed type breakdown
- 34 Medicare-only · 40 Medicaid/Medicare
- Current license effective
- April 1, 2023
- Current license expires
- April 1, 2026
- Initial license date
- February 14, 1972
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Liberty County Hospital District No 1 (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Slp Centerville Llc
- Administrator
- Carrie Burkett
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Nexion Health chain — 52 facilities across 3 states. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (4 on record)
- Amy Lawrence
W-2 Managing Employee · since 2023
- Nexion Health at Cass Valley, Inc.
Operational/managerial Control · since 2023
- Liberty County Hospital District No. 1
Operational/managerial Control · 100% · since 2017
- Charles Bruce Stratton
Corporate Director · since 2017
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 25)
- E0812·Nov 24, 2025
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·Nov 24, 2025
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.
- E0679·Nov 24, 2025
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
- D0656·Nov 24, 2025
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- J0689·Jun 10, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0624·Dec 10, 2024Complaint
Resident Rights Deficiencies
Prepare residents for a safe transfer or discharge from the nursing home.
- D0584·Sep 4, 2024Complaint
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- J0600·Aug 22, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Federal penalties
By year
- 20251 fine · $10K
- 20241 fine · $12K
- 20233 fines · $135K
Most recent events
- Jun 10, 2025Fine · $10K
- Aug 22, 2024Fine · $12K
- Dec 25, 2023Fine · $20K
- Oct 19, 2023Fine · $13K
- May 16, 2023Fine · $103K
Largest single fine on record: $103K.
Fire-safety citations
10 Life-Safety-Code citations on file. Most recent: Aug 22, 2024. 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
Cass Valley Healthcare Center is a 74-bed nursing home in Centerville, TX, licensed since 1972 and currently managed by Slp Centerville Llc under a hospital district licensee. CMS rates it 3 stars overall, with a 2-star staffing rating and 2-star health inspection rating — though quality measures reach 5 stars. Five CMS fines totaling $157,708 have been issued, and the facility is running at roughly 40% of licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars — about 268 minutes of nursing care per resident per day, compared to 241 minutes at a 4-star-staffing facility in Texas. Roughly 31% of Texas nursing homes share this staffing rating. The resident mix here requires less hands-on care than a typical facility, so the same staffing hours go further than the raw number suggests.
Approximately 7 in 10 nursing staff left in the past year. The state's 75th-percentile cutoff for turnover is 60%; this facility's rate of 67.3% places it above that threshold. A long-stay resident will likely go through several primary caregivers over the course of a year.
Three administrators have left in the past year — a level of leadership turnover that reaches residents through inconsistent care routines and shifting policies.
CMS recorded 5 fines totaling $157,708 since the facility's data window. The Texas state median fine total is $20,699, and about 30% of Texas nursing homes have no fines at all. This facility's total is roughly 7.6 times the state median.
Quality measures rate 5 stars — the top tier — both for long-stay residents. That rating covers documented outcomes like pressure wounds, falls, and pain management, drawn from clinical records submitted to CMS.
The facility is operating at roughly 40% of its 74 licensed beds, with an average of 29.7 residents per day. This level of low occupancy, alongside high staff turnover and a severe fine record, is a pattern families should ask management to address directly.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Five fines totaling $157,708
Ask what the five CMS fines cited, whether corrective plans are complete, and how management tracks compliance going forward.
Three administrators in one year
Three administrators left in the past 12 months — ask who is currently in charge, how long they have been in the role, and what caused the transitions.
Nursing staff turnover rate
Roughly 7 in 10 nursing staff left last year — ask how open positions are currently filled and how care assignments are managed during vacancies.
Only 30 of 74 beds occupied
The facility averaged about 30 residents against 74 licensed beds — ask what is driving the low census and whether it affects staffing schedules or service availability.
5-star quality measures with 2-star inspections
Quality measure outcomes are rated 5 stars while health inspections rate 2 stars — ask how those two ratings are reconciled in day-to-day care practice.
Management company relationship
The facility is licensed under a hospital district but managed by Slp Centerville Llc — ask how decisions about staffing levels and fine remediation are divided between the two entities.
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.