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Sterling Nursing And Rehab

309 Fifth St, Sterling City, TX 76951 · Sterling County

Government · 44 certified beds · 50% occupancy · (325) 378-2134

The U.S. government (CMS) rates Sterling Nursing And Rehab 4 out of 5 stars overall, above average. Its nurse staffing is at or above the Texas median.

CMS quality ratings

Overall★★★★
Health inspections★★★★
Staffing★★★★
Quality of resident care★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.

TX median 3.27

5.35 nurse hours per resident per day. 64% above the Texas median of 3.27.

Total nurse
5.35 hrs
RN
0.41 hrs
LPN
1.49 hrs
Aide
3.45 hrs

Nursing staff turnover: 53.3%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

13
total findings
0
immediate jeopardy
1
caused actual harm
5
from complaints
  • Potential for harmTag F0880 · Sep 11, 2025Corrected Oct 10, 2025

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0908 · Sep 11, 2025ComplaintCorrected Sep 15, 2025

    Keep all essential equipment working safely.

    Environmental Deficiencies

  • Potential for harmTag F0695 · Sep 11, 2025ComplaintCorrected Sep 20, 2025

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

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0805 · Sep 11, 2025ComplaintCorrected Oct 1, 2025

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

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0812 · Aug 8, 2024Corrected Aug 16, 2024

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

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0656 · Aug 8, 2024ComplaintCorrected Aug 16, 2024

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

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0880 · Aug 8, 2024ComplaintCorrected Aug 16, 2024

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0700 · Aug 8, 2024Corrected Aug 16, 2024

    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.

    Quality of Life and Care Deficiencies

  • Actual harmTag F0689 · Jun 22, 2023Corrected Jul 14, 2023

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

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0812 · Jun 22, 2023Corrected Jul 14, 2023

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

    Nutrition and Dietary Deficiencies

Showing the 10 most recent and serious of 13 findings. See the full inspection history on Medicare.gov.

Antipsychotic drug use

The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.

11.3%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is below the national median but above the Texas median, roughly middle of the pack for the state.

Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-08-09. See the Texas study

Federal fines and penalties

Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.

No federal fines are on record for this home in roughly the last three years, a good sign.

Ownership

This home is government (government - county). It is independently operated, not part of a multi-facility chain.