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 HHS 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 HHS licensing registry · as of April 16, 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 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.