Cass Valley Healthcare Center
103 Teakwood St, Centerville, TX, 75833
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Order the reportFederal 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 June 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
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
- 51% — near the Texas averageTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 40% — lower than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 4 fines · $54,592 total
Medicare certification
- CMS Certification Number
- 675065
- Certified beds
- 74 beds · avg 30 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Liberty County Hospital District No.1
- Chain affiliation
- Nexion Health
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Nexion Health chain — 52 facilities across 3 states. Chain-wide average overall rating 2.4 / 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 May 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)
- D0600·Apr 21, 2026Complaint
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.
- 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.
Federal penalties
By year
- 20251 fine · $10K
- 20241 fine · $12K
- 20232 fines · $32K
Most recent events
- Jun 10, 2025Fine · $10K
- Aug 22, 2024Fine · $12K
- Dec 25, 2023Fine · $20K
- Oct 19, 2023Fine · $13K
Largest single fine on record: $20K.
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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Cass Valley Healthcare Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.