Texoma Healthcare Center
1000 US HIGHWAY 82 EAST, Sherman, TX, 75090
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 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: Creative Solutions In Healthcare
- Certified beds
- 179 · avg 97 residents/day
- Total nursing staff turnover
- 60.5% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 61.5% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 4 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $16,153 total
State licensing & capacity
- License number
- 147202
- Service type
- Medicare/medicaid
- Licensed capacity
- 179 beds
- Bed type breakdown
- 73 Medicare-only · 106 Medicaid/Medicare
- Current license effective
- March 31, 2023
- Current license expires
- March 31, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Sherman I Enterprises, Llc
- Administrator
- Franchot Pratt
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 (14 on record)
- Erin Clemens
Adp of The Snf · since 2025
- Nathan a Watson
Adp of The Snf · since 2025
- Zachary Willig
Corporate Director · since 2025
- Gary r Blake
Operational/managerial Control · 50% · since 2022
- Linda f Huggins
Corporate Director · since 2022
- Malisa a Blake
Operational/managerial Control · 50% · since 2022
+ 8 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 35)
- E0812·Jan 21, 2026Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0658·Jan 21, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- E0908·Dec 9, 2025Complaint
Environmental Deficiencies
Keep all essential equipment working safely.
- D0880·Dec 9, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0925·Jun 18, 2025Complaint
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D0812·Jun 18, 2025Complaint
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·Jun 18, 2025Complaint
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.
- E0656·Jun 18, 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.
Federal penalties
By year
- 20251 fine · $16K
Most recent events
- Jun 18, 2025Fine · $16K
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Nov 20, 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
Texoma Healthcare Center is a 179-bed nursing home in Sherman, Texas, licensed since 1971 and managed by Sherman I Enterprises under a Hospital District/Authority license. CMS rates it 1 star overall — the lowest rating — with a 1-star staffing rating and a substantiated finding of resident abuse or neglect within the past 36 months. The facility is running at roughly 54% of licensed capacity, with 96 of 179 beds occupied on an average day. Four administrators have turned over in the past year.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star on staffing — the bottom tier among Texas nursing homes, a rating shared by about 38% of facilities in the state. Each resident receives roughly 188 minutes of nursing care per day, about 53 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — sicker or less mobile on average — so those 188 minutes stretch thinner than the raw number suggests.
CMS has substantiated findings of resident abuse or neglect here within the past 36 months. This is a formal finding on the public record, not an allegation.
Four administrators have left in the past year. Residents and frontline staff experience that turnover directly — care plans, routines, and staff accountability all run through the administrator's office.
The facility is operating at roughly 54% of its 179 licensed beds, with about 97 residents on an average day. That level of vacancy, paired with the other signals in this record, is the kind of combination that warrants direct questions about staffing coverage and financial stability.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Details behind the abuse finding
CMS has a substantiated abuse or neglect finding on record here — ask what happened, what corrective steps were taken, and whether the involved staff are still employed.
Four administrators in one year
Four administrators left in the past 12 months — ask who is currently in the role, how long they have been here, and what drove the departures.
Staffing coverage on weekends
Reported weekend nursing hours drop to 2.68 hours per resident per day, compared to 3.13 on weekdays — ask how many nurses and aides are scheduled on a typical Saturday.
Why so many beds are empty
Only about 97 of 179 beds are occupied on an average day — ask whether that affects how many staff are scheduled and whether the facility is accepting new residents.
Management company's role
The licensee is a Hospital District Authority, but day-to-day operations are run by Sherman I Enterprises — ask which entity makes staffing and budget decisions.
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.