53/100
Below average
903 E Houston St, Cleveland, TX 77327
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
3 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$30,198 in federal fines
CMS has fined this facility across 2 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: April 30, 2025 (1 year ago).
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Actual harm to a resident
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Immediate jeopardy to resident health or safety
Part of HEALTH SERVICES MANAGEMENT, which operates 16 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| CLEVELAND REALTY, LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — |
| HEALTH SERVICES MANAGEMENT, INC. | Organization | 5% OR GREATER MORTGAGE INTEREST | — |
| MURRELL, EDWARD | Individual | CORPORATE DIRECTOR | — |
| HSMTX/CLEVELAND, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| HAMPTON, TAMRA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| WHITE, JOSHUA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| BAXTER, KEVIN | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O... | — |
| CLEVELAND REALTY, LLC | Organization | ADP OF THE SNF | — |
| HEALTH SERVICES MANAGEMENT, INC. | Organization | ADP OF THE SNF | — |
| HSMTX/CLEVELAND, LLC | Organization | ADP OF THE SNF | — |
| CHERLO, SREENIVASULU | Individual | ADP OF THE SNF | — |
| HAMPTON, TAMRA | Individual | ADP OF THE SNF | — |
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Cleveland Health Care Center holds an ElderGrade of D (53 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.83 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 3 of the 12 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Cleveland Health Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.