The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Sterling County Nursing Home
Registered name: Sterling Nursing and Rehab
STERLING CITY, TX · Medicare-certified · 44 beds
In good standing
Government-run
Data as of July 1, 2026
4 of 5 overall
Sterling County Nursing Home has a 4-star overall rating, with 4-star marks for health inspections, staffing, and quality measures. It reported 5.35 nurse staffing hours per resident per day, above the federal benchmark of 4.1, and had no fines in the last 24 months; recent inspection citations included accident hazards/supervision, infection prevention and control, and equipment safety.
Facility ratings
Health inspections
Staffing
5.3544 hrs/resident/day
Quality measures
Last inspection: September 11, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.3544.
Staffing detail
- Registered nurses
- 0.41
- Licensed practical nurses
- 1.49
- Nurse aides
- 3.45
- Weekend nursing
- 4.34
Hours per resident per day.
Total staff turnover: 53%
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
—11.3%—
Residents with a fall causing major injury
8%0%Improving
Residents with pressure ulcers (bedsores)
7.4%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
—0%—
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—13.4%—
Residents whose ability to walk got worse
—12.4%—
Long-stay residents on antianxiety or sleep medication
—33.3%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
12.5%16.9%Worsening
Residents with depressive symptoms
0%0%No change
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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to keep essential equipment working safely. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 27 days
Medicare/Medicaid payment denial
Aug 23, 2024
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 22 residents on an average day (50% of 44 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 25 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.