Kerens Care Center
809 NORTHEAST 4TH STREET, Kerens, TX, 75144
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 - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 70 · avg 41 residents/day
- Total nursing staff turnover
- 54.8% — near the Texas averageTexas 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
State licensing & capacity
- License number
- 307166
- Service type
- Medicare/medicaid
- Licensed capacity
- 70 beds
- Bed type breakdown
- 17 Medicare-only · 53 Medicaid/Medicare
- Current license effective
- January 1, 2026
- Current license expires
- January 1, 2029
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Kerens I Enterprises, Llc (Limited Liability Company (LLC))
- Operator / manager
- Creative Solutions In Healthcare, Inc
- Administrator
- Carmen Brackeen
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 2019
- Gary r Blake
5% or Greater Indirect Ownership Interest · 50% · since 2019
- Honor x Enterprises, Llc
5% or Greater Direct Ownership Interest · 100% · since 2019
- Linda f Huggins
W-2 Managing Employee · since 2019
- Malisa a Blake
5% or Greater Indirect Ownership Interest · 50% · since 2019
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 15)
- J0678·Nov 21, 2025Complaint
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D0656·Apr 30, 2025Complaint
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.
- E0880·Apr 10, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0679·Apr 10, 2025
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
- D0677·Apr 10, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E0584·Apr 10, 2025
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.
- E0565·Apr 10, 2025
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E0558·Apr 10, 2025
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Fire-safety citations
10 Life-Safety-Code citations on file. Most recent: Apr 10, 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
Kerens Care Center is a 70-bed nursing home in Kerens, Navarro County, accepting Medicare and Medicaid. CMS rates it 3 stars overall, with a 2-star staffing rating and a 4-star quality-measures rating. Managed by Creative Solutions In Healthcare, the facility is operating at roughly 59% of licensed capacity — about 41 residents on an average day. No fines are on record and no abuse findings have been substantiated.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 172 minutes of nursing care per day — roughly 69 minutes less than at a 4-star-staffing facility in Texas, which averages 241 minutes. Residents here also tend to need more hands-on care than at a typical facility — more dependent or medically complex on average — so the same staffing hours stretch thinner than the raw minutes suggest.
The facility is running at about 59% of its 70 licensed beds, with an average of 41 residents on any given day. That occupancy sits well below what most Texas nursing homes carry. Paired with a 2-star staffing rating, low census can reflect difficulty attracting or retaining both residents and staff.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current staffing levels and scheduling
With a 2-star CMS staffing rating and 172 nursing minutes per resident per day, ask how many nurses and aides are typically on each shift and whether those numbers hold on weekends.
Why occupancy is low
The facility averages 41 residents in 70 licensed beds — ask whether that reflects a temporary dip, a discharge trend, or something else affecting admissions.
Resident Council participation
A Resident Council is listed but no Family Council; ask how families receive updates on care changes and how they raise concerns if they cannot attend resident meetings.
Weekend nursing coverage
CMS data shows weekend nursing hours at 2.49 hours per resident per day, below the already-low weekday figure; ask specifically who is on duty Saturday and Sunday nights.
Management company's role day-to-day
Creative Solutions In Healthcare manages this facility; ask what decisions rest with on-site leadership versus the management company, and how quickly issues get escalated.
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.