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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.