Cuero Nursing And Rehabilitation Center
1310 E BROADWAY, Cuero, TX, 77954
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: Wellsential Health
- Certified beds
- 120 · avg 89 residents/day
- Total nursing staff turnover
- 38.5% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 40% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · 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 · $32,806 total
State licensing & capacity
- License number
- 149082
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 4 Medicare-only · 116 Medicaid/Medicare
- Current license effective
- March 1, 2024
- Current license expires
- March 1, 2027
- Initial license date
- August 25, 1992
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Citizens Medical Center County Of Victoria (COUNTY)
- Operator / manager
- Regency Ihs Of Cuero, Llc
- Administrator
- Anthony J Villanueva
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 67 facilities. Chain-wide average overall rating 2.8 / 5.
Disclosed owners (35 on record)
- Citizens Medical Center County of Victoria
Adp of The Snf · since 2025
- Regency Ihs of Cuero Llc
Adp of The Snf · since 2025
- Regency Integrated Health Services Llc
Adp of The Snf · since 2025
- Elliot j Mandelbaum
Managing Control - Governing Body · since 2025
- Gary Willers
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
+ 29 additional owners on the federal record.
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)
- D0880·Jul 10, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0842·Jul 10, 2025Complaint
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.
- D0755·Jul 10, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0684·Jul 10, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0814·Oct 18, 2024
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
- F0812·Oct 18, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0756·Oct 18, 2024
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D0644·Oct 18, 2024
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Federal penalties
By year
- 20241 fine · $17K
- 20231 fine · $16K
Most recent events
- Sep 28, 2024Fine · $17K
- Apr 6, 2023Fine · $16K
Largest single fine on record: $17K.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Cuero Nursing And Rehabilitation Center is a 120-bed nursing home in Cuero, Texas, licensed under Citizens Medical Center County of Victoria and managed by Regency IHS of Cuero, LLC. CMS rates it 2 stars overall, with a 1-star staffing rating. Quality-of-care outcomes rate 4 stars, and the facility holds an active license through March 2027. Current occupancy sits at roughly 74% 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 at 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Residents receive around 184 minutes of total nursing care per day, approximately 57 minutes less than at a 4-star-staffing facility in Texas. RN coverage works out to about 13 minutes per resident per day, against 37 minutes at a 4-star-staffing Texas facility. Residents here also tend to need more hands-on help than at a typical facility — more dependent or medically complex on average — so those nursing hours stretch further than the raw numbers already suggest.
Despite the 1-star staffing rating, about 4 in 10 nursing staff left in the past year — below Texas's 25th-percentile cutoff of 42%, meaning turnover is better than roughly three-quarters of nursing homes in the state. RN turnover ran at 40% over the same period.
CMS has recorded 2 fines totaling $32,806 since the facility's data window. The state median for fines among Texas nursing homes that received any is $20,699, placing this facility's total above that midpoint. About 30% of Texas nursing homes had no fines at all in the same period.
Long-stay quality outcomes rate 5 stars — the highest tier — while short-stay outcomes rate 3 stars. These ratings measure things like pressure wounds, falls, and pain management for residents who live here long-term versus those recovering from a hospital stay.
Occupancy is running at roughly 74% of 120 licensed beds — about 89 residents on a typical day. A bed count well below capacity can reflect market conditions, local demographics, or reputation; it also means the facility is unlikely to have a waitlist.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Reported weekend nursing hours average 2.7 hours per resident per day — ask how many nurses and aides are on duty overnight and on weekends when supervisory staffing tends to thin.
RN presence during the day
CMS data shows about 13 minutes of RN time per resident per day — ask how many hours a registered nurse is physically on the floor each shift.
Details behind the two CMS fines
Two fines totaling $32,806 are on record — ask what deficiencies triggered them and what specific changes were made in response.
Why occupancy is at 74%
About 31 licensed beds are unfilled on a typical day — ask whether that reflects a recent census drop, referral patterns, or staffing constraints on admissions.
Hands-on care for higher-need residents
The resident population here tends to require more intensive daily assistance than average — ask how care plans are adjusted when a resident's needs increase.
Resident Council activity
The facility has a Resident Council but no Family Council — ask how often the Resident Council meets and how family members can raise concerns outside that structure.
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.