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Nursing homeFAID #14314

Kerens Care Center

809 Northeast 4th Street, KERENS, TX, 75144

(903) 396-3211

70 licensed beds

CMS rates Kerens Care Center 4 out of 5 overall. Federal inspectors issued 29 citations across 11 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall4/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

809 Northeast 4th Street

Kerens, TX 75144

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

675867

Care type

Nursing home

County

Navarro

Facility name

Kerens Care Center

Street address

809 Northeast 4th Street

City / state / ZIP

Kerens, TX 75144

Phone

(903) 396-3211

About this facility — Kerens Care Center

Kerens Care Center is a Medicare/Medicaid-certified skilled nursing facility in Kerens, Texas. It is licensed for 70 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 2 senior care facilities in Kerens and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Creative Solutions in Healthcare, a group of 150 facilities on this site.

Federal inspectors have cited Kerens Care Center 29 times across 11 inspections in the last three years; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Creative Solutions In Healthcare

Ownership type

For profit - Corporation

Registered owners & officers

Blake, Gary

Operational control — since 2019

Blake, Malisa

Operational control — since 2019

Creative Solutions In Healthcare Inc

Operational control — since 2019

Huggins, Linda

Managing employee — since 2019

Regulatory standing

Federal court records

4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

2001-03-14

CMS overall rating

4 of 5 stars

Health deficiencies

4 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-06-11

Nurse staffing

3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$198 per day (≈ $6,020/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

82% Medicaid · 3% Medicare · 15% private/other

Occupancy

37% (fiscal year 2023)

Vs. state median

29% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.

2026-06-11Health inspection3 citations

F-0656

D · No harm found

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

Corrected 2026-07-02

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-07-02

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-07-02

2025-11-21Health inspectionComplaint-triggered1 citation

F-0678

J · Immediate jeopardyFrom a complaint

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2025-11-18

9 earlier / fire-safety inspections (25 citations)

2025-04-30Health inspectionComplaint-triggered1 citation

F-0656

D · No harm foundFrom a complaint

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

Corrected 2025-05-01

2025-04-10Health inspection7 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-04-11

F-0558

E · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-04-11

F-0565

E · No harm found

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-04-11

F-0584

E · No harm found

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-04-11

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-04-11

F-0679

E · No harm found

Provide activities to meet all resident's needs.

Corrected 2025-04-11

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-04-11

2025-02-26Health inspectionComplaint-triggered1 citation

F-0755

E · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-03-17

2024-07-30Health inspectionComplaint-triggered3 citations

F-0626

D · No harm foundFrom a complaint

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2024-08-22

F-0656

D · No harm foundFrom a complaint

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

Corrected 2024-08-22

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-08-22

2024-05-24Health inspectionComplaint-triggered1 citation

F-0689

G · Actual harmFrom a complaint

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

Corrected 2024-05-25

2024-02-28Health inspection1 citation

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-02-29

2026-06-11Fire-safety inspection5 citations

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-08-15

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-08-15

K-0372

D · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-08-15

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2026-08-15

K-0521

D · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

2025-04-10Fire-safety inspection5 citations

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-06-01

K-0343

E · No harm found

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2025-06-01

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-06-01

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-06-01

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-06-01

2024-02-28Fire-safety inspection1 citation

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675867.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 38% of nursing homes in the state

State median: 33

Federal fines, 3 years

No federal fines on record

State median: $15,642

Nurse staffing, hours per resident per day

3.3

Higher than 47% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

71%

Higher than 92% of nursing homes in the state

State median: 50%

Resident outcomes

On 16 federal quality measures, this facility does better than the Texas average on 8 and worse on 4. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	19.0%	15.8%	13.5%	Worse than state
Lose too much weight	0.0%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	1.7%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	0.6%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	13.7%	12.9%	12.7%	Near state average
Received an antianxiety or hypnotic medication	17.1%	17.8%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	4.5%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	15.3%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	21.3%	9.8%	15.4%	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	100.0%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0656 3 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0880 3 inspections. Provide and implement an infection prevention and control program.
K-0521 3 inspections. Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
F-0755 2 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Ut Health East Texas Athens Hospital, about 23 miles. CMS rating 2 of 5.
Ennis Regional Medical Center, about 27 miles.
Freestone Medical Center, about 29 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Cedar Lake Nursing Center, Malakoff, about 14 miles. CMS rating 5 of 5.
Twilight Home, Corsicana, about 16 miles. CMS rating 4 of 5.
Heritage Oaks Retirement Village, Corsicana, about 16 miles. CMS rating 4 of 5.
Meadows of Corsicana, Corsicana, about 16 miles. CMS rating 5 of 5.
Legacy At Corsicana Rehabilitation and Healthcare, Corsicana, about 16 miles. CMS rating 3 of 5.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 29 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered