Cass Valley Healthcare Center: Staffing, Turnover, and Inspection Record
Cass Valley Healthcare Center is a 74-bed for-profit nursing home in Centerville, Texas. In the CMS August 2026 release it reported 2.60 nurse aide hours per resident per day, 30% above the Texas average of 2.00, and 45.0% nursing staff turnover (Texas average 55.3%).
Cass Valley Healthcare Center
103 Teakwood StCenterville, TX 75833
Leon County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Cass Valley Healthcare Center, nurse aides logged 2.60 hours per resident per day, 30% above the Texas average. With about 31 residents a day, that works out to roughly 79 aide hours a day, or about 10 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.60 | 2.00 | 2.32 |
| Licensed practical nurses | 1.31 | 0.95 | 0.86 |
| Registered nurses | 0.30 | 0.43 | 0.69 |
| All nursing staff | 4.20 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.80 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
45.0% of nursing staff at Cass Valley Healthcare Center left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Nov 24, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Texas average 9.3). CMS lists 4 fines totaling $54,592 in the last three years.
| Inspection date | Penalty | 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 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Cass Valley Healthcare Center holds 3 of 5 overall; the Texas average is 2.6.
About Cass Valley Healthcare Center
- Ownership: For profit - Limited Liability company
- Legal name: Liberty County Hospital District No 1
- Medicare and Medicaid certified since: Jun 25, 1992
- Councils: resident council
- Area: rural
Nursing homes near Cass Valley Healthcare Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Madisonville Care Center Madisonville | 20.9 | 106 | 1.95 | 3.19 | — | 2 | $18,852 |
| Avir at Madisonville Madisonville | 21.4 | 90 | 2.06 | 3.17 | 56.1% | 2 | $8,827 |
| Crockett Health Care Associates, Inc. Crockett · many days without an RN | 21.5 | 90 | 0.90 | 1.98 | 26.1% | 4 | None |
| Whitehall Rehab & Nursing Crockett | 32.0 | 113 | 1.81 | 3.01 | 36.5% | 3 | $77,342 |
| Winfield Rehab & Nursing Crockett | 32.0 | 83 | 1.99 | 3.20 | 62.1% | 1 | $355,773 |
| Teague Nursing and Rehabilitation Teague | 33.8 | 76 | 1.55 | 3.07 | 46.7% | 5 | None |
| Fairview Healthcare Residence Fairfield | 34.2 | 84 | 1.55 | 3.13 | 43.6% | 4 | $19,412 |
| Franklin Nursing Home Franklin | 34.3 | 90 | 1.81 | 3.13 | — | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.