Deficiency Index

Sterling Nursing and Rehab

Sterling City, Texas · CCN 675880

18 surveys since 2011, 4 of them producing a finding at harm level or worse.

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

Citations on record
64
Surveys
18
Harm or worse
4
Immediate jeopardy
3
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records.

Beyond CMS’s monthly file15/18

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

The facility

Certified beds
44
Ownership
Government - County
Chain
Independent
County
Sterling · rural
Medicare-certified since
2001

CMS ratings

Overall
4
Health inspection
4
Staffing
4
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=14, floor 20).

Last survey on record

Sep 11, 2025

424 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 day5.354.31
Registered-nurse hours per resident day0.41—
Annual nurse turnover53.3%52.2%

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

Enforcement

Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

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 harmG17.7%H—I—
No harm, potential for more than minimalD17.7%E753.8%F430.8%
No harm, potential for minimalA—B—C—
CMS’s current file: 13 of the 64 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6561×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6891×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F6951×

    Provide safe and appropriate respiratory care for a resident when needed.

In the surveyor’s words

From the most serious findings on record at Sterling Nursing and Rehab, in the surveyor’s own words.

  • Actual harm, isolatedF689Jun 22, 2023

    Based on observation, interview, and record review the facility failed to ensure adequate supervision and assistance devices was provided for 2 of 4 residents reviewed for transfers and accidents (Resident #20 and #23). The facility failed to ensure that Resident #23 had foot pedals on her wheelchair after demonstration she was unable to hold her feet up resulting in a possible fracture/ sprain. CNA C, NA G, and CNA H transferred Resident # 20 and Resident #23 by hooking their arms under the resident's armpits . This deficient practice has the potential to affect residents in the building who required extensive assistance which could result in residents having pain, falls or injuries including lacerations and fractures. […]

  • No harm, potential for more than minimal, widespreadF880Sep 11, 2025

    Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of communicable diseases and infections for 1 of 2 residents (Resident #2) reviewed for infection control, 26 of 26 cans of foam hand sanitizer reviewed for expiration dates and 2 of 2 bottles of gel hand sanitizer reviewed for expiration dates. CNA A failed to change her gloves after they became contaminated during incontinent care while assisting Resident #2. The facility failed to prevent the use of expired alcohol-based hand sanitizer (foam and gel). These failures could place residents at risk for cross contamination and the spread of infection. […]

  • No harm, potential for more than minimal, widespreadF908Sep 11, 2025

    Based on observation and interview, the facility failed to maintain all mechanical, electrical, and patient care equipment in safe operating condition for 1 of 1 kitchen reviewed for physical environment. The facility failed to ensure the dishwasher met manufacturer's recommendation of 120 degrees Fahrenheit for the wash and sanitize cycle. This failure could place residents at risk of foodborne illnesses and residents and staff. Findings included: Observation and interview on 9/10/25 at 1:38 p.m. revealed DA H said the dish machine was supposed to get up to 120 degrees. DA H ran the machine three times, and the wash temperature got to 100 degrees, the sanitizer level reached 114 degrees. […]

  • No harm, potential for more than minimal, widespreadF812Aug 8, 2024

    Based on observations, interviews, and record reviews the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed. The facility failed to use pasteurized eggs for fried eggs for the residents. The facility failed to ensure temperatures of the mechanically altered diets were checked for safe holding temperatures. The facility failed to take out sweet potatoes in the dry storage when they were beginning to show signs of rot. The facility failed to keep the freezer clean, the freezer floor had food particles and debris. The facility failed to store dishes in a manner to prevent contamination, dishes were stored face-up. […]

  • No harm, potential for more than minimal, widespreadF812Jun 22, 2023

    Based on observation, interview and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards in the facility's only kitchen. The facility failed to ensure the dishwasher machine dispensed the correct amount of chlorine sanitizer. This failure could place residents who receive food prepared in the facility kitchen at increased risk of exposure to food-borne illnesses. Findings included: During an observation and interview on 06/21/23 at 09:40 AM DA A was seen washing the dishes with the use of the automatic dishwasher. DA A was in the process of checking the sanitizing chemicals on the dishwasher. The DA took a test strip and placed it in the dishwasher water compartment. […]

Read 23 findings in full →The most serious and the most recent: 23 of 64 on record.

Every survey on record

FindingsAt actual harm or above

  • Sep 11, 2025Standard4 findings
  • Aug 8, 2024Standard and complaint4 findings
  • Jun 22, 2023Standard and complaint5 findings · 1 harm
  • May 5, 2022Standard and complaint1 finding
  • Dec 5, 2019Standard3 findings
  • Jan 10, 2019Standard2 findings
  • Feb 8, 2018Standard4 findings
  • Dec 2, 2016Standard6 findings
Show the 10 earlier surveys
  • Dec 4, 2014Standard and complaint5 findings
  • Jan 10, 2014—1 finding
  • Nov 14, 2013—2 findings
  • Oct 10, 2013—1 finding
  • Jun 7, 2013—2 findings
  • Dec 20, 2012—2 findings
  • Sep 14, 2012—13 findings
  • Oct 20, 2011—3 findings
  • Aug 9, 2011—3 findings
  • Mar 8, 2011—3 findings · 3 harm

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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