Federal inspection record · CMS data as of October 1, 2026
Sterling Nursing and Rehab
309 Fifth St, Sterling City, TX · (325) 378-2134
- Certified beds
- 44
- Residents per day
- 23
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 18, 2001
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Sterling Nursing and Rehab carries 45 inspection points. That is fewer than 72% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
13 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary3F
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental2F
- F
Keep all essential equipment working safely.
- E
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Quality of Life and Care2E
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Resident Assessment and Care Planning1E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nursing and Physician Services1E
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspection history
2025-09-11
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
2024-08-08
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2023-06-22
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 46 min of nursing staff time a day, 28 min of it from a registered nurse.
This home
4 h 46 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 37% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$0 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-08-23 | Payment Denial · 27 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts better | 2.4% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.9 pts better | 0.0% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication19.5 pts worse | 37.3% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.9 pts worse | 12.7% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.7 pts better | 8.2% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.9 pts worse | 16.7% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.7 pts worse | 2.5% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.1 pts worse | 14.6% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.7 pts better | 0.0% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 100.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.8 pts better | 4.4% | 12.2% | 11.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.3 pts better | 23.2% | 25.5% | 23.4% |
·
Who owns and runs it
7 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Sterling County Nursing Home | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Counts, Belinda | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Counts, Belinda | Corporate Director · Individual | 0% | 1 facilities |
| Fowler, Jason | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Fowler, Jason | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hunt, John | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Hunt, John | Adp Of The SNF · Individual | 0% | 5 facilities |
·
Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Inspect, test, and maintain automatic sprinkler systems.
Construction2E
- E
Meet requirements for sections of health care facilities separated by fire resistive construction.
- E
Meet requirements for sections of health care facilities separated by fire resistive construction.
Egress1E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
·
Other homes nearby
-
Robert Lee Care Center
Robert Lee, TX
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 46 min
- Fines
- $0
-
Park Plaza Nursing And Rehabilitation Center
San Angelo, TX · Creative Solutions In Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- —
- Fines
- $0
-
Cedar Manor Nursing and Rehabilitation Center
San Angelo, TX · Creative Solutions In Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 14 min
- Fines
- $0