Shiner Nursing And Rehabilitation Center
1213 NORTH AVENUE B, Shiner, TX, 77984
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
- 95 · avg 47 residents/day
- Total nursing staff turnover
- 54% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 308588
- Service type
- Medicare/medicaid
- Licensed capacity
- 95 beds
- Bed type breakdown
- 24 Medicare-only · 71 Medicaid/Medicare
- Current license effective
- May 1, 2025
- Current license expires
- May 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Shiner I Enterprises, Llc
- Administrator
- Chandra L Polk
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)
- Byron m Burris
Operational/managerial Control · 100% · since 2022
- Kelly Jeffers
W-2 Managing Employee · since 2022
- Shiner Nursing & Rehabilitation Center, Inc.
Operational/managerial Control · since 2022
- West Wharton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2022
- David Mak
Corporate Officer · since 2020
Recent change of ownership
May 2022 (4 years ago) · acquired from Shiner Nursing & Rehabilitation Center, Inc.
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
Recent health-deficiency citations (most recent 8 of 23)
- E0921·May 19, 2025Complaint
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E0812·May 19, 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.
- E0880·Dec 13, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0842·Dec 13, 2024
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.
- D0756·Dec 13, 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.
- E0755·Dec 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.
- F0727·Dec 13, 2024
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- D0695·Dec 13, 2024
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Dec 13, 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
Shiner Nursing And Rehabilitation Center is a 95-bed Medicare- and Medicaid-certified nursing home in Shiner, TX, licensed since 1971 and managed by Shiner I Enterprises, LLC under the Creative Solutions In Healthcare chain. CMS rates it 3 stars overall, with a 2-star staffing rating. About 47 of 95 beds are occupied on an average day. Two administrators have left in the past year.
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 — the bottom third of Texas nursing homes on this measure. Each resident receives about 185 minutes of nursing care per day, roughly 56 minutes less than at a 4-star-staffing facility in Texas. Of that, only about 13 minutes come from a registered nurse, compared to 37 minutes at the 4-star threshold in Texas.
Two administrators have left in the past year. Leadership turnover at that rate tends to affect scheduling, staff morale, and the consistency of care routines that residents rely on day to day.
The facility is running at about 49% of its 95 licensed beds — roughly 47 residents on an average day. That level of vacancy in a nursing home with other active signals in this record is a fact worth probing when you visit.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Who is currently in charge
Two administrators have left in the past year — ask who is leading the facility now, how long they have been in the role, and whether they plan to stay.
Registered nurse coverage each day
CMS data shows about 13 minutes of RN time per resident per day; ask how many hours a registered nurse is on-site and whether an RN is present on nights and weekends.
Why so many beds are empty
Roughly half the facility's 95 beds are unoccupied on a typical day — ask what is driving that and whether it affects staffing levels or available services.
Staffing plan on weekends
CMS reports weekend nursing hours below the already-low weekday figure; ask how the weekend schedule compares to weekdays and who covers when agency staff are needed.
How the Resident Council works
The facility has a Resident Council but no Family Council; ask how family members raise concerns and who responds when residents report problems to the council.
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.