Sterling Nursing And Rehab
309 FIFTH ST, Sterling City, TX, 76951
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
- Government - County
- Certified beds
- 44 · avg 22 residents/day
- Total nursing staff turnover
- 58.3% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 33.3% — 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)
- 1 fine · $7,443 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 148346
- Service type
- Medicare/medicaid
- Licensed capacity
- 44 beds
- Bed type breakdown
- 1 Medicare-only · 43 Medicaid/Medicare
- Current license effective
- November 10, 2025
- Current license expires
- July 20, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Sterling County Nursing Home (COUNTY)
- Operator / manager
- Cross Healthcare Management Llc
- Administrator
- Jason Fowler
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (3 on record)
- Jeffery Tompkins
W-2 Managing Employee · since 2017
- Sterling City Healthcare Partners Llc
Operational/managerial Control · since 2011
- Doug Hudson
Contracted Managing Employee · 100% · since 2011
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 13)
- F0908·Sep 11, 2025Complaint
Environmental Deficiencies
Keep all essential equipment working safely.
- E0805·Sep 11, 2025Complaint
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E0695·Sep 11, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- F0880·Sep 11, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0656·Aug 8, 2024Complaint
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.
- F0812·Aug 8, 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.
- D0700·Aug 8, 2024
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail…
- E0880·Aug 8, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal penalties
By year
- 20241 payment denial
- 20231 fine · $7,443
Most recent events
- Aug 23, 2024Payment denial · 27 days · starting Nov 23, 2024
- Jun 22, 2023Fine · $7,443
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Sep 11, 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
Sterling Nursing And Rehab is a 44-bed county-owned nursing home in Sterling City, Texas, managed by Cross Healthcare Management LLC. CMS rates it 5 stars overall, with 4-star ratings in both health inspections and staffing, and a 5-star quality-of-care rating. The facility is operating at roughly 50% of licensed beds. One CMS fine of $7,443 is on record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 4 stars — placing this facility in roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 315 minutes of nursing care per day, above the 241-minute threshold for a 4-star staffing rating in Texas. Staff hours per resident exceed what a typical resident mix would require, meaning the staffing picture is stronger in practice than the raw minutes alone convey.
RN turnover is low: roughly 3 in 10 registered nurses left in the past year, below the state's 25th-percentile cutoff — better than about three-quarters of nursing homes in Texas. The facility has a Resident Council but no Family Council; families have no formal structured channel to raise collective concerns with the home.
The facility is operating at approximately 50% of its 44 licensed beds, with an average of 22 residents per day. This is a small, lightly occupied home; that context shapes staffing ratios, service availability, and day-to-day environment in ways worth exploring directly.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reason for low occupancy
The facility is running at roughly 50% capacity — ask whether that reflects a recent change in admissions, staffing constraints, or community demand.
Family Council absence
There is no Family Council here; ask how the facility collects and acts on feedback from family members between formal care conferences.
Management company's role
Day-to-day operations are run by Cross Healthcare Management LLC under county ownership — ask how decisions are divided between the management company and the county.
Services available at this size
With roughly 22 residents on an average day, ask which therapy, specialist, and activity services are provided on-site versus arranged off-site.
The single CMS fine
CMS recorded one fine of $7,443 — ask what the cited deficiency was and what corrective steps were taken.
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.