Cleveland Health Care Center
903 E HOUSTON ST, Cleveland, TX, 77327
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
- Non profit - Corporation · Chain: Health Services Management
- Certified beds
- 142 · avg 83 residents/day
- Total nursing staff turnover
- 41.8% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $30,198 total
State licensing & capacity
- License number
- 311944
- Service type
- Medicare/medicaid
- Licensed capacity
- 142 beds
- Bed type breakdown
- 43 Medicare-only · 99 Medicaid/Medicare
- Current license effective
- June 1, 2024
- Current license expires
- June 1, 2027
- Initial license date
- March 23, 1972
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Winniestowell Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Hsmtxcleveland Llc
- Administrator
- Tamra Hampton
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Health Services Management chain — 16 facilities across 2 states. Chain-wide average overall rating 3.1 / 5.
Disclosed owners (9 on record)
- Hsmtx/cleveland, Llc
Adp of The Snf · since 2025
- Cleveland Realty, Llc
5% or Greater Mortgage Interest · 100% · since 2024
- Edward r Murrell
Corporate Director · since 2024
- Health Services Management, Inc.
5% or Greater Mortgage Interest · 100% · since 2024
- Joshua l White
Operational/managerial Control · since 2024
- Sreenivasulu Cherlo
Adp of The Snf · since 2024
+ 3 additional owners on the federal record.
Recent change of ownership
June 2024 (1 year ago) · acquired from Cleveland Health Care Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, 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 12)
- D0627·Dec 31, 2025Complaint
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D0656·Apr 30, 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.
- D0773·Aug 29, 2024Complaint
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
- G0690·Aug 29, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0755·Mar 13, 2024
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0658·Mar 13, 2024
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- D0645·Mar 13, 2024
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
- D0755·Aug 28, 2023Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal penalties
By year
- 20241 fine · $17K
- 20231 fine · $13K
Most recent events
- Aug 29, 2024Fine · $17K
- Aug 28, 2023Fine · $13K
Largest single fine on record: $17K.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Apr 30, 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
Cleveland Health Care Center is a 142-bed nursing home in Cleveland, Texas, licensed since 1972 and currently operated by Health Services Management under a hospital district license. CMS rates it 4 stars overall and 4 stars on health inspections, but 3 stars on staffing and 2 stars on quality measures. Occupancy sits at roughly 58% — about 83 of 142 beds filled — and two CMS fines totaling $30,198 have been issued.
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 — placing this facility among the 19% of Texas nursing homes at that tier. Each resident receives about 222 minutes of nursing care per day, roughly 19 minutes less than at a 4-star-staffing facility in Texas. Staff hours per resident here actually exceed what a typical resident mix would require, meaning the raw minutes overstate the effective coverage relative to how dependent residents are on hands-on help.
About 4 in 10 nursing staff left in the past year — below Texas's 25th-percentile cutoff, meaning turnover is better than roughly three-quarters of nursing homes in the state. That kind of stability tends to mean residents see the same faces from week to week.
CMS has issued 2 fines totaling $30,198 since the facility's current data window. The state median for fines among facilities that have any is $20,699; about 30% of Texas nursing homes have zero fines in this period.
Occupancy runs at roughly 58% — about 83 residents in a 142-bed building. The facility holds a 2-star quality-measures rating on both long stays and short stays, despite a 4-star health-inspection score. Those two ratings measure different things: inspections capture what surveyors observe on a visit, while quality measures track outcomes like pressure wounds, falls, and pain levels over time.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Why quality measures rate 2 stars
The facility scores 4 stars on health inspections but 2 stars on quality measures — ask which specific outcomes are driving that gap and what the care team is doing to address them.
RN coverage on a typical day
Reported RN hours work out to about 8 minutes per resident per day — ask how many registered nurses are on the floor during day and night shifts.
What's behind the low occupancy
At roughly 58% occupancy, only about 83 of 142 beds are filled — ask whether that reflects a planned reduction, a referral slowdown, or something else.
Details on the two recent fines
CMS issued 2 fines totaling $30,198 — ask what deficiencies triggered them and how the facility responded after each citation.
Family Council availability
State records show a Resident Council but no Family Council — ask whether families have a regular, structured channel to raise concerns with leadership.
Management company's role day-to-day
The facility is licensed to a hospital district but managed by Hsmtxcleveland LLC — ask which entity sets staffing levels, hires administrators, and handles complaints.
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.