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Nursing home report

CLEVELAND HEALTH CARE CENTER

CLEVELAND, TX · Medicare-certified · 142 beds

Needs attention
Non-profitChain member
4 of 5 overall

CLEVELAND HEALTH CARE CENTER in Cleveland, TX has an overall 4-star rating, with 4-star health inspections and quality measures but only 3-star staffing. Reported nurse staffing is 3.66 hours per resident per day, below the federal benchmark of 4.1, and it had $16,801 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.6618 hrs/resident/day

Quality measures

Last inspection: December 31, 2025Penalties, last 24 months: $16,801recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6618.

Staffing detail

Registered nurses
0.12
Licensed practical nurses
1.31
Nurse aides
2.23
Weekend nursing
3.25

Hours per resident per day.

Total staff turnover: 41%
Registered nurse turnover: 60%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

17.9%12.8%Improving

Residents with a fall causing major injury

7.4%5.3%Improving

Residents with pressure ulcers (bedsores)

5.2%1.2%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

1.9%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

21.7%22.8%Worsening

Residents whose ability to walk got worse

8.9%14.7%Worsening

Long-stay residents on antianxiety or sleep medication

24.1%20.3%Improving

Short-stay residents newly given an antipsychotic

1.9%0%Improving

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

13.1%15.9%Worsening

Residents with depressive symptoms

0%1.5%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

94.6%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

87.3%

Short-stay residents given the pneumonia vaccine

86.1%75.5%Worsening

What the inspectors found

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited August 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited August 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 690 — 42 CFR §483.25(e) — S/S: G

The home failed to make sure the resident’s transfer or discharge met their needs and preferences and was safe. Cited December 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 627 — 42 CFR §483.15(c) — S/S: D

The home failed to get ordered lab tests and services, and failed to promptly tell the doctor the results. Cited August 2024 — isolated incident, potential for harm.

View the original federal record

F-Tag 773 — 42 CFR §483.50 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. PENALTY

    A federal fine of $16,801 was recorded.

  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $30,198 in total fines.

  • Federal fine

    Aug 29, 2024

    $16,801
  • Federal fine

    Aug 28, 2023

    $13,397

Operator & ownership

Ownership
Non profit - Corporation
Chain
Part of HEALTH SERVICES MANAGEMENT · 16 homes · 3 stars avg
Occupancy
86.6 residents on an average day (61% of 142 beds)
Resident voice
Resident council
Medicare history
Certified for 34 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.