Deficiency Index

Sterling Hills Rehabilitation and Healthcare Cente

Sweetwater, Texas · CCN 455509

31 surveys since 2010. The first finding at harm level was recorded in 2014.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
110
Surveys
31
Harm or worse
11
Immediate jeopardy
5
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy5

Findings at the most serious level CMS records.

Beyond CMS’s monthly file28/31

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
96
Ownership
For profit - Corporation
Chain
NEXION HEALTH
County
Nolan · rural
Medicare-certified since
1985

CMS ratings

Overall
4
Health inspection
5
Staffing
3
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 164 for-profit facilities of 66–99 beds in Texas.

Last survey on record

Mar 26, 2026

228 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.823.22
Registered-nurse hours per resident day0.54—
Annual nurse turnover45.3%53.9%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1275.0%E318.8%F16.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 16 of the 110 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F8052×

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F5781×

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

  • F5851×

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

In the surveyor’s words

From the most serious findings on record at Sterling Hills Rehabilitation and Healthcare Cente, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Oct 19, 2023

    Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for dietary services, in that: 1)The facility failed to ensure foods were processed and pureed under sanitary conditions. 2) The facility failed to ensure foods were stored in a manner to prevent contamination. 3) The facility failed to ensure foods were served at temperature above 135 degrees Fahrenheit. These failures could place residents at risk for food contamination and foodborne illness. […]

  • No harm, potential for more than minimal, widespreadF812Aug 25, 2022

    Based on observation, interview and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 3 of 3 staff (Dietary staff A and B and Dietary Manager), in that: 1)The facility failed to ensure Dietary staff (Dietary Manager and Dietary staff A) used sanitizers as directed and sanitizer levels were maintained according to manufacturer recommendations, 2) The facility failed to ensure Dietary staff (Dietary staff A) used good hygienic practices during dietary duties (handwashing/glove changes), 3) The facility failed to ensure foods and food contact equipment were protected from possible contamination during processing and service (Dietary Manager and Dietary staff A and B) These failures could place… […]

  • No harm, potential for more than minimal, patternF585Dec 12, 2024

    Based on observation, interview and record review the facility failed to notify residents individually or through postings in prominent locations throughout the facility of the right to file grievances orally or in writing; the right to file grievances anonymously; the contact information of the grievance office with whom a grievance can be filed, that is, his or her name business address and business phone number, a reasonable expected time frame for completing the review of the grievance, and the contact information of independent entities with whom grievances may be filed, that is, the pertinent State agency, Quality Improvement Organization, State Survey Agency and State Long-Term Care Ombudsman program or protection and advocacy system for 20 of 20 confidential residents reviewed for… […]

  • No harm, potential for more than minimal, patternF645Oct 19, 2023

    Based on interviews and record review, the facility failed to ensure all Pre-Admission Screening and Resident Review (PASRR) Level I residents with mental illness were provided with an accurate PASRR Level I for 3 of 24 residents (Residents #8, #35, and #59) reviewed for PASRR screening, in that: Residents #8, #35, and #59 did not have an accurate PASRR Level 1 assessments when they had a diagnosis of mental illness. These failures could place residents with an inaccurate PASRR Level 1 Evaluation and no PASRR Level 2 Evaluation at risk for not receiving care and services to meet their needs. The findings included: Resident #8: Record review of Resident #8's electronic face sheet dated 10/18/2023 revealed a [AGE] year-old female most recently admitted to the facility on [DATE]. […]

  • No harm, potential for more than minimal, patternF880Oct 19, 2023

    Based on observation, interview and record review, the facility failed to maintain an infection control program designed to provide a safe, comfortable and sanitary environment to help prevent the development and transmission of diseases for 4 of 4 (Residents #19, #26, #59, and #171) and 5 of 7 (LVN A, CNA A, CNA C, CNA E, and CNA F) staff reviewed for infection control. 1. LVN A failed to wear gloves while checking the blood sugar for Resident #26 or perform hand hygiene after the procedure. 2. CNA A failed to perform hand hygiene between glove changes when providing incontinent care for Resident #19. 3. CNA C failed to perform hand hygiene between glove changes when providing incontinent care for Resident #171. 4. […]

Read 31 findings in full →The most serious and the most recent: 31 of 110 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 26, 2026Standard5 findings
  • Dec 12, 2024Standard and complaint5 findings
  • Oct 19, 2023Standard6 findings
  • May 2, 2023Complaint1 finding
  • Aug 25, 2022Standard4 findings
  • Jun 24, 2021Standard2 findings
  • Jan 30, 2020Standard5 findings
  • Apr 6, 2018Complaint4 findings
Show the 23 earlier surveys
  • Dec 6, 2017Complaint2 findings
  • Nov 10, 2017Standard3 findings
  • May 16, 2017Complaint1 finding
  • Sep 16, 2016Standard7 findings
  • Jun 30, 2016Complaint1 finding
  • Mar 2, 2016Complaint3 findings · 2 harm
  • Dec 23, 2015Complaint4 findings · 1 harm
  • Nov 19, 2015Standard8 findings · 2 harm
  • Sep 3, 2015Complaint7 findings · 4 harm
  • Oct 23, 2014Complaint3 findings · 1 harm
  • Sep 12, 2014Standard1 finding
  • Apr 8, 2014Complaint1 finding · 1 harm
  • Aug 7, 2013—9 findings
  • Jan 16, 2013—3 findings
  • Dec 4, 2012—2 findings
  • Sep 14, 2012—1 finding
  • Aug 10, 2012—13 findings
  • Jan 13, 2012—1 finding
  • Oct 24, 2011—1 finding
  • Aug 19, 2011—3 findings
  • Jul 8, 2011—2 findings
  • Nov 30, 2010—1 finding
  • Oct 6, 2010—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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