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Cuero Nursing and Rehabilitation Center

1310 E Broadway, Cuero, TX 77954 · De Witt County · (361) 275-9133

120 certified beds, about 97 residents a day · Non profit - Corporation · Medicare and Medicaid since 1993

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 675110 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 23, 2026, inspectors cited 5 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 23 health citations since September 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 1 fine totaling $16,801 in the last three years; the largest was $16,801, and the latest is dated September 28, 2024.

Nurses and nurse aides worked 3.03 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.22 of those hours.

24.5% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Wellsential Health, an affiliated group of 67 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.

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 23 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
19D
1E
1F
Potential for minimal harm
0A
0B
0C
January 23, 2026Standard inspection · 5 citations
  1. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 26, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the assessment accurately reflected the resident's status for 1 of 19 residents (Resident #3) reviewed for assessments: Resident #3's admission MDS, dated [DATE], identified the resident had urinary indwelling catheter. This failure could place residents at risk for inadequate care due to inaccurate assessments.
  2. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 26, 2026
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure a resident who was incontinent of bladder and bowel received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 1 of 3 residents (Resident #39) reviewed for incontinence care. CNA-B used multiple passes with the same wipe while cleaning the Resident #39'sgenital area on 01/21/2026. This failure could place residents at risk for cross contamination and the development of new or worsening urinary tract infections.
  3. D
    Ensure 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 26, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store all drugs and biologicals in locked compartments for 2 medication carts (200 & 400 hall nursing cart and 500 hall nursing cart) of 5 medication carts reviewed for medication storage. 1. In the nurse cart in hall 200 & 400, one insulin bottle (Novolin) of Resident #8 was opened, but there was no open date on the label of the insulin bottle. 2. The nurse cart in hall 500 was unlocked unattended while LVN-D was providing intravascular care to Resident #102. This failure could place residents at risk of missing or misuse of drugs by unauthorized personnel and not reach to therapeutic effects.
  4. D
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    F813 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 26, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to enact a policy regarding use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption, for 1 (Resident #41) of 8 residents reviewed, in that: Resident #'41s personal refrigerator located in her room was observed on 01/20/2026. There were three small plastic containers inside the refrigerator, with no dates and no labels on the plastic containers. This failure could place residents at risk of foodborne illness due to consuming foods which might be spoiled.
  5. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 26, 2026
    Inspectors wroteBased on observation, interviews and record reviews, the facility failed to maintain medical records that were complete and accurately documented in accordance with accepted professional standards and practices for 2 (Resident #6 and #102) out of 6 residents reviewed for medical records. 1. ADON LVN-E did not document on Resident #6's treatment administration record on 01/09/2026 after providing wound care to the resident. 2. The facility nurse did not document on Resident 102's medication administration record on 01/17/2026 regarding the resident was out on pass. This failure placed residents at risk for missed treatment and medications which could result in decline in health and well-being.
July 10, 2025Complaint inspection · 4 citations
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 14, 2025
    Inspectors wroteBased on interviews and record reviews, the facility failed to ensure the residents received treatment and care in accordance with professional standards of practice for 2 of 5 (Resident #1 and Resident #2) residents reviewed for quality of care. 1. The facility failed to follow policy and Resident #1's care plan intervention to conduct weekly skin assessments for 1 of 14 (week of 05/09/2025) weeks reviewed. 2. The facility failed to follow policy and conduct a quarterly fall risk assessment for Resident #2 scheduled on 06/26/2025. This failure could affect residents currently residing in the facility resulting in not receiving needed care to maintain optimum health and placing them at risk for injury and/or deterioration in their condition.
  2. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 14, 2025
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to provide pharmaceutical services including procedures that assure the accurate dispensing, administering, and timely documentation of medications given, to meet the needs of each resident for 2 of 17 residents (Resident #3 and Resident #4) reviewed for pharmacy services. 1. CMA A failed to ensure medications were signed out as given to Resident #3 after administration, and not before they were given. 2. LPN H failed to reconcile Resident #4's documented penicillin (antibiotic) allergy with the physician's order for amoxicillin (antibiotic) before it was scheduled for administration on 06/29/2025. [...]
  3. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 14, 2025
    Inspectors wroteBased on interviews and record reviews, the facility failed to ensure, in accordance with accepted professional standards and practices, medical records were maintained on each resident that were complete and accurately documented for 2 of 4 residents (Resident #1 and Resident #4) reviewed for clinical records. 1. CMA A failed to document a progress note following the entry of chart code 5= Hold/See Progress Notes on 06/16/2025 for Resident #1's Metoprolol Tartrate (a blood pressure medication) order. 2. CMA A failed to document progress notes following the entry of chart code 9= Other/See Progress Notes on 07/02/2025 and 07/03/2025 for Resident #5's Olmesartan Medoxomil-HCTZ (a blood pressure medication) order. This failure could place residents at risk of not receiving the care and services needed due to inaccurate or incomplete clinical records.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 14, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of infections involving 1 of 3 staff (CMA B) reviewed for infection control, in that: The facility failed to ensure CMA B cleaned the blood pressure cuff between Resident #6 and Resident #7. These deficient practices could place residents at-risk for infections.
October 18, 2024Standard inspection · 4 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 25, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen. Cook C failed to cover a pan of wheat rolls to prevent the rolls from being contaminated. Cook D failed to ensure all foods were covered during meal preparation and failed to allow two pans to air dry before using them also to prevent debris from contaminating the foods. [NAME] D also dried two pans with paper towels then used them during meal prep which could also contaminate the food. These deficient practices could affect the majority of residents who ate from the kitchen and could result in resident getting sick due to the spread of food borne illnesses. Observation on 10/15/24 at 9:05 AM revealed a pan of wheat rolls sitting on the side tabletop of the steam table. [...]
  2. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 25, 2024
    Inspectors wroteBased on interview and record review, the facility failed to refer a resident with newly evident or possible serious mental disorder, intellectual disability, or a related condition for level II resident review for 1 of 5 residents (Resident #4) reviewed for resident assessment. Resident #4 was not referred to the pre-admission screening and resident review (PASARR) program for a level II resident review despite having a serious mental disorder diagnosis. This failure could place residents at risk of not receiving specialized services to meet their needs.
  3. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 25, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure the attending physician documented in the resident's medical record that the identified irregularity has been reviewed and what, if any, action has been taken to address it in response to the pharmacist report for 1 of 2 Residents (Resident #15) reviewed for antipsychotic use. Nursing staff failed to ensure the attending physician responded to the pharmacists' recommendations for Resident #15. This deficient practice could affect residents who receive recommendations for psychotropic medications and result in the unnecessary adverse side affects.
  4. D
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 25, 2024
    Inspectors wroteBased on observation, interview and record review revealed the facility failed to dispose of garbage and refuse properly for 1 of 4 survey dates (10/18/24). The facility failed to ensure all dumpster's had a plug at the bottom to keep spillage and the attraction of insects, bugs and rodents which could carry diseases and infections. This deficient practice could affect all residents and result in the spillage of trash seepage, attraction of bugs, rodents and insects that could enter the facility.
September 28, 2024Complaint inspection · 4 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible and each resident received adequate supervision to prevent accidents for 2 of 4 residents (Resident #1 and #3) reviewed for accidents and supervision. 1. The facility failed to ensure Resident #1 did not elope from the facility without staff knowing on the evening of 1/26/2024. The noncompliance was identified as PNC. The IJ began on 1/26/2024 and ended on 1/26/2024. The facility had corrected the noncompliance before the survey began. 2. Nurse Aide-E transferred Resident #3 from the bed to the resident's wheelchair using a gait belt by herself and lower the resident to the floor on 02/04/2024. It caused skin abrasion to Resident #3's back. [...]
  2. J
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    F805 · Nutrition and Dietary · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interviews and record reviews, the facility failed to ensure residents received food provided and prepared in a from designated to meet individual needs for 1 of 3 residents (Resident #2). The facility failed to ensure Resident #2 received the correct diet texture to prevent a choking hazard when Resident #2 was served a regular texture diet despite being prescribed a pureed texture diet. This failure to follow dietary orders could place residents at risk of harm, serious injury, or death. The noncompliance was identified as PNC. The IJ began on 01/26/204 and ended on 01/27/2024. The facility had corrected the noncompliance before the survey began.
  3. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interviews, and record review, the facility failed to ensure the right to be free from re misappropriation of funds was provided for 1 of 5 residents (Resident # 4), reviewed for misappropriation. The facility failed to ensure that Resident #4 was free from misappropriation of property when [NAME] D took $100 from the resident to buy Resident #4 a refrigerator and did not return. This failure could affect residents by putting them at a greater risk exploitation and diminished quality of life. The noncompliance was identified as PNC. The noncompliance began on 07/03/2024 and ended on 07/04/2024. The facility had corrected the noncompliance before the survey began. The Findings Included: [...]
  4. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 4, 2024
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure that a resident who was incontinent of bladder recieved appropriate treatment and services for 1 of 4 residents (Residents #3) reviewed for infection control, in that: CNA-G touched Resident #3's clean brief with dirty gloves after cleaning the resident's bowel movement while providing incontinent care to Resident #3 on 09/25/2024 at 1:12 PM. These deficient practices could place residents at-risk for infection due to improper care practices.
September 15, 2023Standard inspection, Complaint inspection · 6 citations
  1. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 5, 2023
    Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure that a resident who needs respiratory care, including tracheostomy care and tracheal suctioning, was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals for 3 residents (#15, #41 and #127) out of 6 residents observed for oxygen therapy in that: 1. Resident #15's nasal cannula tubing was lying on her bed and not placed in the plastic bag provided at her bedside when not in use. 2. Resident #41's oxygen nebulizer mask was unbagged when not in use. 3. Resident #127's oxygen nebulizer mask was unbagged when not in use. These deficient practices could affect residents on oxygen and nebulization therapy and place them at risk for respiratory distress.
  2. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 5, 2023
    Inspectors wroteBased on interviews and record reviews, the facility failed to transmit within 14 days after a facility completes a resident's assessment, a facility must electronically transmit encoded, accurate, and complete MDS data to the CMS System, including a subset of items upon a resident's discharge with for 1 of 3 residents (Resident #74) reviewed for the transmittal of assessments, in that: Resident #74's discharge MDS reflected he was discharged to an acute hospital when he was discharged to the community. This deficient practice affects residents who are discharged and result in misinformation of resident status and condition.
  3. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 5, 2023
    Inspectors wroteBased on interview and record review, the facility failed to develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care for 1 of 8 residents (Resident #277) reviewed for baseline care plan, in that: The facility failed to ensure Resident #277's baseline care plan included information related to resident's use of oxygen therapy. This failure could place newly admitted residents at risk of not receiving continuity of care and communication among nursing home staff to ensure their immediate care needs are met.
  4. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 5, 2023
    Inspectors wroteBased on observation, interviews and record reviews, the facility failed to review and revise the comprehensive person-centered care plan for one resident (#11) out of 8 residents reviewed for comprehensive care plans in that: Resident #11's PRN oxygen or her oxygen saturation checks each shift were not reflected on her care plan since she had them ordered on 06/01/2023. This deficient practice could affect residents who are assessed and have care plans and places them at risk for not receiving necessary care.
  5. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 5, 2023
    Inspectors wroteBased on observation, interviews and record reviews, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for one resident (#58) out of 7 residents reviewed for medication administration in that: CMA E left Resident #58's lactulose (used to treat high ammonia levels in the blood which can lead to loss of brain function for people with liver disease) at his bedside for him to take and she did not observe the resident take the medication. This deficient practice could affect residents with medications and place residents at risk for aspiration or not taking required medications.
  6. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 5, 2023
    Inspectors wroteBased on observation, interviews and record reviews the facility failed to have medical records that were in accordance with accepted professional standards and practices, the facility must maintain medical records on each resident that are complete and accurately documented for one resident (#129) of 8 residents reviewed for clinical records in that: The facility was aware that Resident #129's Full Code status was changed to DNR and the physician orders in the clinical record were not updated until 9 days later. This deficient practice could affect residents who desire advanced directives and place them at risk for receiving full code measures when they wanted to have DNR status.

Fines and payment denials

DatePenaltyAmount or length
September 28, 2024Fine $16,801

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)3.033.393.86
Registered nurses0.220.430.69
All nursing staff on weekends2.622.983.42
Nurse aides1.92
Licensed practical nurses0.90
Nursing staff turnover (share who left in a year)24.5%55.3%45.8%
Registered nurse turnover40.0%54.6%42.9%
Administrators who left0

CMS expects 4.00 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

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 January to March 2026, nursing staff hours per resident were 3.20 on weekdays and 2.62 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.17 in April to June 2025 to 3.03 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.030.223.202.62 0.0%0 of 9097
Oct to Dec 20253.120.243.252.78 0.0%0 of 9289
Jul to Sep 20253.070.223.192.75 0.0%0 of 9289
Apr to Jun 20253.170.243.332.77 0.0%0 of 9185
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%0.7% 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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Cuero Nursing and Rehabilitation Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
10.615.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.23.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.91.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
4.714.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.73.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
5.89.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.025.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.312.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.12.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.82.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Cuero Nursing and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (38.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

38.2% this home

No different from the national rate

US median of homes 51.5% · Texas: 116 better, 50 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 32 eligible stays.

Potentially preventable readmissions

11.4% this home

No different from the national rate

US median of homes 10.7% · Texas: 0 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 39 eligible stays.

Infections that led to a hospital stay

9.0% this home

No different from the national rate

US median of homes 7.1% · Texas: 4 better, 11 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 29 eligible stays.

Self-care and mobility at discharge

67.7% this home

Median of homes: Texas57.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 34 residents counted.

Falls with major injury

0.0% this home

Median of homes: Texas0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 52 residents counted.

New or worsened pressure ulcers

6.2% this home

Median of homes: Texas1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 52 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 17 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: CITIZENS MEDICAL CENTER COUNTY OF VICTORIA. CMS links this home to Wellsential Health, a group of 67 nursing homes averaging 2.7 stars overall.

NameRoleTypeShareSince
Citizens Medical Center County of Victoria5% or greater direct ownership interestOrganization100%03/01/2014
Regency IHS of Cuero LLCDirect ownership interestOrganization03/01/2014
Csv Rhea Management Holdco, LLCIndirect ownership interestOrganization03/01/2014
Dwd Tx Holdings LLCIndirect ownership interestOrganization03/01/2014
Jack and Nancy Dwyer Workforce Development Center IncIndirect ownership interestOrganization03/01/2014
Reg Hg Opco 1, LLCIndirect ownership interestOrganization03/01/2014
Reg Hg Opco LLCIndirect ownership interestOrganization03/01/2014
Reg Operator Holdco LLCIndirect ownership interestOrganization03/01/2014
Regency Texas Holdings LLCIndirect ownership interestOrganization03/01/2014
Baird, DanielManaging control - governing bodyIndividual04/13/2021
Carvajal, AntonioManaging control - governing bodyIndividual05/16/2024
Clapp, BarbaraManaging control - governing bodyIndividual06/01/2021
Cortese, DarenManaging control - governing bodyIndividual08/10/2021
Gibson, PatriciaManaging control - governing bodyIndividual08/01/2021
Gonzales, VeronicaManaging control - governing bodyIndividual05/16/2024
Gorouhi, FariborzManaging control - governing bodyIndividual07/01/2023
Guerra, LuisManaging control - governing bodyIndividual01/01/2009
Holm, PaulManaging control - governing bodyIndividual01/01/2007
Kaufman, NicoleManaging control - governing bodyIndividual08/10/2021
Mandelbaum, ElliotManaging control - governing bodyIndividual01/01/2025
Marshall, RussellManaging control - governing bodyIndividual04/23/2014
Neumann, JamesManaging control - governing bodyIndividual05/31/2016
Olson, MichaelManaging control - governing bodyIndividual11/12/2015
Thomas, AshlieManaging control - governing bodyIndividual07/01/2023
Olson, MichaelCorporate officerIndividual11/12/2015
Citizens Medical Center County of VictoriaOperational/managerial controlOrganization03/01/2014
Regency IHS of Cuero LLCOperational/managerial controlOrganization03/01/2014
Regency Integrated Health Services LLCOperational/managerial controlOrganization03/01/2014
Dekowski, DonovanOperational/managerial controlIndividual03/01/2014
Villanueva, AnthonyOperational/managerial controlIndividual06/10/2024
1300 East Broadway Street LLCAdp of the SNFOrganization03/01/2014
Citizens Medical Center County of VictoriaAdp of the SNFOrganization03/26/2025
Regency IHS Clinical Consulting, LLCAdp of the SNFOrganization03/01/2014
Regency IHS Master Tenant LLCAdp of the SNFOrganization03/01/2014
Regency IHS of Cuero LLCAdp of the SNFOrganization03/26/2025
Regency IHS Rehab LLCAdp of the SNFOrganization03/01/2014
Regency Integrated Health Services LLCAdp of the SNFOrganization03/26/2025
Dekowski, DonovanAdp of the SNFIndividual03/01/2014
Villanueva, AnthonyAdp of the SNFIndividual06/10/2024
Willers, GaryAdp of the SNFIndividual01/01/2025

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.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on January 23, 2026: "Ensure each resident receives an accurate assessment."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on January 23, 2026: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on January 23, 2026: "Ensure 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."
  4. 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 January 23, 2026: "Have a policy regarding use and storage of foods brought to residents by family and other visitors."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.62 hours per resident per day, below the Texas average of 2.98.

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Common questions

What is Cuero Nursing and Rehabilitation Center's Medicare star rating?
CMS rates Cuero Nursing and Rehabilitation Center 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Cuero Nursing and Rehabilitation Center get at its last inspection?
5 health deficiencies at the standard inspection on January 23, 2026. The Texas average is 9.4.
Has Cuero Nursing and Rehabilitation Center been fined?
Yes. CMS lists 1 fine totaling $16,801 in the last three years.
Does Cuero Nursing and Rehabilitation 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 Cuero Nursing and Rehabilitation Center?
CMS lists 40 owners and managers, and links the home to Wellsential Health. Legal business name: CITIZENS MEDICAL CENTER COUNTY OF VICTORIA.

Sources

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