Cass Valley Healthcare Center, Centerville, Texas
- 25
- Citations from health inspectionsTexas average: 28 a home
- 5
- Residents harmed or put in dangerTexas average: 2.3 a home
- $54,592
- Fines from the federal governmentTexas average: $44,141 a home
- 3 out of 5
- Overall rating in starsTexas average: 2.7
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
Nine inspection visits produced 25 citations. Residents were in immediate danger in five findings. Federal fines came to $54,592 (four fines).
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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- The home's overall star rating
- 3 out of 5
- Rating for health inspections
- 2 out of 5
- Rating for staffing
- 3 out of 5
- Rating for quality of care
- 5 out of 5
- Nurse time for each resident
- 4.20 hours each dayThe Texas average is 3.39 hours
- Time from registered nurses
- 0.30 hours each dayThe Texas average is 0.43 hours
- Nursing staff who left during one year
- 45%against the Texas average of 55.3%
- Beds that are certified
- 74
- Ownership
- Limited Liability company (for profit)
- Chain
- This home is not part of a chain
- Street address
- 103 Teakwood St, Centerville, Texas 75833
- County
- Leon
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
One citation dated April 21, 2026
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Four citations dated Nov. 24, 2025
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, a pattern, several residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
One citation dated June 10, 2025
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
One citation dated Dec. 10, 2024
- F624 Prepare Residents for Safe Transfer or Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Sept. 4, 2024
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Seven citations dated Aug. 22, 2024
- F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, a pattern, several residents.
- F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents.
One citation dated Dec. 25, 2023
- F880 Infection Prevention and Control: immediate danger to residents, a pattern, several residents, found on a complaint visit.
Six citations dated Oct. 19, 2023
- F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F697 Pain Management: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
- F684 Quality of Care: immediate danger to residents, one or a few residents, found on a complaint visit.
- F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated July 13, 2023
- F851 Submit Accurate Staffing Data to Federal Government: minimal risk to residents, widespread.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, a pattern, several residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| June 10, 2025 | Fine | $10,361 |
| Aug. 22, 2024 | Fine | $12,051 |
| Dec. 25, 2023 | Fine | $19,622 |
| Oct. 19, 2023 | Fine | $12,558 |
Ownership and Management of the Home
- The home is run by Liberty County Hospital District No 1 (operational or managerial control).
- The home is run by Nexion Health at Cass Valley, Inc. (operational or managerial control).
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 675065. Other homes in Texas.