Cedar Lake Nursing Center
1611 W Royall Blvd., Malakoff, TX 75148 · Henderson County · (903) 489-1702
90 certified beds, about 53 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2001
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
5 of 5
Staffing
1 of 5
CMS note: This facility did not submit staffing data.
Quality measures
1 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675898 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 10, 2025, inspectors cited 2 health deficiencies (the Texas average is 9.4, the national average 9.2).
None of its 8 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
CMS links it to Fannin County Hospital District, an affiliated group of 5 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
307/23
308/24
209/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
3E
1F
Potential for minimal harm
0A
0B
0C
September 10, 2025Standard inspection · 2 citations
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in the facility's only kitchen observed for kitchen sanitation. The facility failed to ensure the ice machine was cleaned and sanitized on a regular basis. These failures could place residents who ate food from the kitchen at risk of foodborne illness.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 3 residents (Resident #24) reviewed for infection control. CNA B failed to don PPE while transferring Resident #24 to the toilet and adjusted her urinary catheter drainage bag. This failure could place residents under their care at risk for the transmission of communicable diseases and infections.
August 7, 2024Standard inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in the facility's only kitchen. There were no trash cans at both hand wash sinks. The dish machine was not sanitizing properly and the DW did not report so it could be repaired. Two thickened liquid cartons were not dated when opened. One 32 oz. carton of almond milk was out of date and being used. A drawer under the tea machine had dried brown substance in the bottom. These failures could place residents who ate food from the kitchen at risk of foodborne illness.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure an accurate MDS was completed for 2 of 4 residents (Residents # 24 and 41) reviewed for MDS assessment accuracy. The facility failed to accurately code Resident # 24's and Resident # 41's nutritional status for weight loss on the MDS assessments. These failures could place residents at risk for not receiving the appropriate care and services to maintain the highest level of well-being.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview and record review, the facility failed to maintain clinical records in accordance with accepted professional standards and practices that are complete and accurately documented for 2 of 4 Residents (Residents #'s 24 and 41) reviewed for medical records accuracy. The facility failed to ensure the Dietary Manager accurately documented weight losses in the Dietary Quarterly Reviews for Resident #24 and Resident #31. These deficient practices could affect residents whose records are maintained by the facility and could place them at risk for errors in care and treatment.
July 12, 2023Standard inspection · 3 citations
- E Ensure residents have reasonable access to and privacy in their use of communication methods.
Inspectors wroteBased on interview, the facility failed to ensure the residents received mail for 3 of 3 residents reviewed for rights to forms of communication. The facility did not implement a system for delivering mail on Saturday. Resident #s 12, 24 and 35 said the mail is not delivered on Saturday. This failure could place residents who received mail at risk of not receiving mail in a timely manner and a diminished quality of life.
- E Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the menu was followed for 1 of 1 meals (lunch meal) reviewed for menus and nutritional adequacy. Dietary staff did not serve bread during the noon meal on 07/10/23 to any residents eating food provided by the dietary department. This failure could place residents who eat food from the kitchen at risk of not having their nutritional needs met.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in the kitchen. Baking sheets had thick, black burned on substances that were greasy and transferred grease when wiped with paper toweling. Cook A and DA B did not wear a beard restraint when in the kitchen or while serving food and preparing food trays. Mechanically altered chicken removed from the steam table by [NAME] A and placed on a insulated cover was returned to the pan on the steam table. These failures could place residents who ate food from the kitchen at risk of foodborne illness.
Fire safety inspections
6 fire safety citations on file: 4 on September 10, 2025, 2 on August 7, 2024.
Every fire safety citation6 citations
- F Conduct testing and exercise requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | not reported | 3.39 | 3.86 |
| Registered nurses | not reported | 0.43 | 0.69 |
| All nursing staff on weekends | not reported | 2.98 | 3.42 |
| Nurse aides | not reported | ||
| Licensed practical nurses | not reported | ||
| Nursing staff turnover (share who left in a year) | not reported | 55.3% | 45.8% |
| Registered nurse turnover | not reported | 54.6% | 42.9% |
| Administrators who left | not reported |
CMS note on this home's staffing data: This facility did not submit staffing data.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In October to December 2025, nursing staff hours per resident were 4.55 on weekdays and 4.20 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.40 in April to June 2025 to 4.45 in October to December 2025.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Oct to Dec 2025 | 4.45 | 0.48 | 4.55 | 4.20 | 2.6% | 0 of 92 | 45 |
| Jul to Sep 2025 | 4.86 | 0.52 | 4.99 | 4.51 | 2.1% | 0 of 92 | 41 |
| Apr to Jun 2025 | 4.40 | 0.51 | 4.53 | 4.07 | 3.4% | 0 of 91 | 46 |
| United States, Oct to Dec 2025 | 3.76 | 0.62 | 3.93 | 3.34 | 5.3% | 0.5% of days | |
| Texas, Oct to Dec 2025 | 3.34 | 0.40 | 3.49 | 2.95 | 2.1% | 0.8% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 28.0 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.7 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.3 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 31.6 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.8 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.4 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 31.3 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.2 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.1 | 2.1 | 1.8 |
Owners and operators
Legal business name: FANNIN COUNTY HOSPITAL AUTHORITY. CMS links this home to Fannin County Hospital District, a group of 5 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Fannin County Hospital Authority | 5% or greater direct ownership interest | Organization | 100% | 01/01/2024 |
| Sanderson, Clark | Corporate director | Individual | 01/01/2024 | |
| Cedar Lake Wellness & Rehabilitation LLC | Operational/managerial control | Organization | 06/01/2026 | |
| Garetz, David | Operational/managerial control | Individual | 06/01/2026 | |
| Humble, Douglas | Operational/managerial control | Individual | 06/01/2026 | |
| Sanner, David | Operational/managerial control | Individual | 01/01/2024 | |
| Davidovich, Niv | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/25/2026 | |
| Sternshein, Jennifer | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/25/2026 | |
| 1611 W Royall Blvd Tx LLC | Adp of the SNF | Organization | 06/01/2026 | |
| Humble, Douglas | Adp of the SNF | Individual | 06/01/2026 | |
| Sanner, David | Adp of the SNF | Individual | 01/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on September 10, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on August 7, 2024: "Ensure each resident receives an accurate assessment."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on September 10, 2025: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on July 12, 2023: "Ensure residents have reasonable access to and privacy in their use of communication methods."
Other nursing homes nearby
- Avir at Athens Athens, 8.9 mi · 1 of 5 stars · 21 citations
- Park Highlands Nursing & Rehabilitation Center Athens, 9 mi · 3 of 5 stars · 13 citations
- Avir at Commons Athens, 10.5 mi · 1 of 5 stars · 23 citations
- Kerens Care Center Kerens, 13.5 mi · 2 of 5 stars · 15 citations
- Mabank Nursing Center Mabank, 15.5 mi · 3 of 5 stars · 33 citations
- Kemp Care Center Kemp, 21.7 mi · 2 of 5 stars · 41 citations
- Lakeside Health and Wellness Kemp, 22.1 mi · 1 of 5 stars · 59 citations
Texas contacts for a concern about a nursing home
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Texas Office of the State Long-Term Care Ombudsman, 800-252-2412. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Cedar Lake Nursing Center's Medicare star rating?
- CMS rates Cedar Lake Nursing Center 3 out of 5 stars overall, with 5 for health inspections, 1 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Cedar Lake Nursing Center get at its last inspection?
- 2 health deficiencies at the standard inspection on September 10, 2025. The Texas average is 9.4.
- Has Cedar Lake Nursing Center been fined?
- CMS lists no fines in the last three years.
- Does Cedar Lake Nursing Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Cedar Lake Nursing Center?
- CMS lists 11 owners and managers, and links the home to Fannin County Hospital District. Legal business name: FANNIN COUNTY HOSPITAL AUTHORITY.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.