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B

82.5/100

Above average

Sterling Nursing And Rehab

309 Fifth St, Sterling City, TX 76951

CMS 4/5 stars (325) 378-2134
Certified beds
44
Occupancy
50%
Ownership
Government
Accepts
Medicare + Medicaid

Our read on Sterling Nursing And Rehab

Sterling Nursing and Rehab is county-owned, and the staffing reflects that: 5.35 nurse hours per resident day, roughly 39% above the national average. That's the strongest thing in the numbers, though weekends run about 19% lighter than weekdays, and turnover sits at 53.3% against a national 45.8%, people are cycling through here faster than average. The inspection record shows 13 deficiencies, one serious enough to involve harm or jeopardy, and none tied to abuse. The last state visit was September 2025. Four stars on inspections, quality measures, and staffing put this home solidly above middle ground, with the open question being whether that staffing cushion holds up when turnover keeps grinding.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing23.5/30Stability9/15Outcomes12/15Enforcement8/10

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.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

23.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →6.18 total nurse hours per resident per day (national median 3.77)
  • →0.41 RN hours per resident per day
  • →Weekend staffing drops 19% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →53% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →4 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →No federal fines on record
  • →-2 for 1 denial(s) of Medicare payment for new admissions

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day5.35 hrs
National average 3.86 hrsBetter than average
Registered nurse (RN) hours0.41 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours4.34 hrs
National average 3.42 hrsBetter than average

The shift most families visit, and the one thinned first.

Nursing staff turnover53.30%
National average 45.80%Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: September 11, 2025 (1 year ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

What families say

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Common questions about Sterling Nursing And Rehab

What is the ElderGrade for Sterling Nursing And Rehab? +

Sterling Nursing And Rehab holds an ElderGrade of B (82.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Sterling Nursing And Rehab? +

Residents receive an average of 5.35 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Sterling Nursing And Rehab been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Sterling Nursing And Rehab accept Medicaid? +

Yes, Sterling Nursing And Rehab 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.