All states › Texas › Centerville › Cass Valley Healthcare Center
103 Teakwood St Centerville, TX 75833 · Leon County
CMS certification number 675065 · See this home on Medicare Care Compare
Is Cass Valley Healthcare Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Cass Valley Healthcare Center as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.41 hours per resident per day at Cass Valley Healthcare Center, above the Texas median of 3.30 (US median: 3.72). About 0.43 of those hours are from registered nurses. On weekends it falls to 4.06 hours, 8% below its all-week average. 56.8% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at Cass Valley Healthcare Center: Medicare and Medicaid
Cass Valley Healthcare Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on November 24, 2025 and found 4 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 25 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 25 citations at Cass Valley Healthcare Center across 9 inspection dates, 12 of them from complaint investigations. 5 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 10, 2025 (complaint inspection). The most common areas cited were quality of life and care (7) and freedom from abuse, neglect, and exploitation (4). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level K, December 25, 2023). 4 citations were under CMS's abuse, neglect and exploitation rules.
April 21, 2026 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
November 24, 2025 · 4 citations
EProvide activities to meet all resident's needs.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
June 10, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 10, 2024 · 1 citation · includes complaint inspection
DPrepare residents for a safe transfer or discharge from the nursing home.
September 4, 2024 · 1 citation · includes complaint inspection
DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
August 22, 2024 · 7 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
EReasonably accommodate the needs and preferences of each resident.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide activities to meet all resident's needs.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
December 25, 2023 · 1 citation, includes immediate jeopardy · includes complaint inspection
KProvide and implement an infection prevention and control program.
October 19, 2023 · 6 citations, includes immediate jeopardy · includes complaint inspection
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DProvide safe, appropriate pain management for a resident who requires such services.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
July 13, 2023 · 3 citations
EHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Questions to ask on a tour of Cass Valley Healthcare Center
- Inspectors cited the home at the immediate-jeopardy level on December 25, 2023 under the rule on infection control. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 21, 2026. How are staff trained, and how are concerns reported?
- The home averages about 40% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
4 penalties in the last three years, including $54,592 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jun 10, 2025 | Fine | $10,361 |
| Aug 22, 2024 | Fine | $12,051 |
| Dec 25, 2023 | Fine | $19,622 |
| Oct 19, 2023 | Fine | $12,558 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 4/5 | 5/5 |
| August 2026 | 3/5 | 2/5 | 3/5 | 5/5 |
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Location
Hospitals near Cass Valley Healthcare Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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21.7 mi
Madison St Joseph Health Center MadisonvilleEmergency roomMedian ER visit 1h 48m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.