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Nursing homeFAID #14323

Sterling Nursing and Rehab

309 FIFTH ST, STERLING CITY, TX, 76951
(325) 378-2134
44 licensed beds
★★★★★4/5CMS Five-Star overall4/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
44
CMS facility ID
675880
Care type
Nursing home
County
Sterling
Facility name
Sterling Nursing and Rehab
Street address
309 FIFTH ST
City / state / ZIP
Sterling City, TX 76951
Phone
(325) 378-2134

Sterling Nursing and Rehab is a Medicare/Medicaid-certified skilled nursing facility in Sterling City, Texas. It is licensed for 44 beds — well below the median for skilled nursing facilities in Texas (120 beds).

It is one of 1 senior care facility in Sterling City and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Sterling Nursing and Rehab 21 times across 8 inspections in the last three years, including 3 food-safety citations; 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 August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Ownership type
Government - County

Registered owners & officers

Sterling County Nursing Home
Direct owner — 100% stake — since 2001
Counts, Belinda
Governing body · Director — since 2024
Fowler, Jason
Operational control · Additional disclosable party — since 2020
Hunt, John
Operational control · Additional disclosable party — since 2020

Regulatory standing

Licensed / certified since
2001-06-18
CMS overall rating
4 of 5 stars
Health deficiencies
4 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-09-11
Nurse staffing
5.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$128 per day (≈ $3,890/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
50% Medicaid · 9% Medicare · 41% private/other
Occupancy
65% (fiscal year 2023)
Vs. state median
54% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
44
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 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2025-09-11Health inspectionComplaint-triggered4 citations
F-0695
E · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-20
F-0805
E · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-10-01
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-10-10
F-0908
F · No harm foundFrom a complaint
Keep all essential equipment working safely.
Corrected 2025-09-15
2024-08-08Health inspectionComplaint-triggered4 citations
F-0656
E · 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 2024-08-16
F-0700
D · No harm found
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.
Corrected 2024-08-16
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-16
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-08-16
4 earlier / fire-safety inspections (13 citations)
2023-06-22Health inspection5 citations
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-14
F-0726
E · No harm found
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.
Corrected 2023-07-14
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-14
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-07-14
F-0914
E · No harm found
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected 2023-07-14
2025-09-11Fire-safety inspection2 citations
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-10-30
K-0321
F · 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 2025-10-30
2024-08-08Fire-safety inspection3 citations
K-0131
E · No harm found
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2024-12-20
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-09-24
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-01
2023-06-22Fire-safety inspection3 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2023-08-31
K-0131
E · No harm found
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-08-31
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-18

Federal penalties

2024-08-23Medicare payment denial — 27 days
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 675880.
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 21 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
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
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