Cuero Nursing and Rehabilitation Center — nursing home in Cuero, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 95.7 CMS, MDS-derived
CMS Certification Number: 675110
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Feb 18, 1993
Ownership type: Non profit - Corporation
Operator (legal business name): Citizens Medical Center County of Victoria
CMS chain: Wellsential Health 67 facilities
Phone: (361) 275-9133
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Jan 23, 2026

Citations

23

23 health · 0 fire

Harm or worse

2

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D19	E1	F1
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$16,801

Payment denials

0

Latest

Sep 28, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 675110
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Feb 18, 1993
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jan 23, 2026	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jan 23, 2026	Health	Health Standard	5	Potential harm	—	Open →
Jul 10, 2025	Health	Health Complaint	4	Potential harm	—	Open →
Oct 18, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Oct 18, 2024	Health	Health Standard	4	Potential harm	—	Open →
Sep 28, 2024	Health	Health Complaint	4	Immediate jeopardy	—	Open →
Sep 15, 2023	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Sep 15, 2023	Health	Health Standard	6	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Sep 28, 2024	Civil money penalty (fine)	$16,801	—	675110\|Fine\|113243

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D19	E1	F1
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jan 23, 2026	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 26, 2026
Jan 23, 2026	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 26, 2026
Jan 23, 2026	F-0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jan 26, 2026
Jan 23, 2026	F-0813	Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jan 26, 2026
Jan 23, 2026	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 26, 2026
Jul 10, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 14, 2025	Complaint
Jul 10, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 14, 2025	Complaint
Jul 10, 2025	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 14, 2025	Complaint
Jul 10, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jul 14, 2025	Complaint
Oct 18, 2024	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 25, 2024
Oct 18, 2024	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 25, 2024
Oct 18, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Oct 25, 2024
Oct 18, 2024	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Oct 25, 2024
Sep 28, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Past non-compliance Jan 26, 2024	Complaint
Sep 28, 2024	F-0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	J · Immediate jeopardy Isolated	Past non-compliance Jan 27, 2024	Complaint
Sep 28, 2024	F-0602	Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Past non-compliance Jul 4, 2024	Complaint
Sep 28, 2024	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 4, 2024	Complaint
Sep 15, 2023	F-0640	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 5, 2023
Sep 15, 2023	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 5, 2023
Sep 15, 2023	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 5, 2023
Sep 15, 2023	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Oct 5, 2023
Sep 15, 2023	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 5, 2023
Sep 15, 2023	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 5, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.20

State avg 3.42US avg 3.90

Registered nurse (RN)0.22

State avg 0.44US avg 0.69

Licensed practical nurse0.93

State avg 0.94US avg 0.86

Nurse aide2.05

State avg 2.03US avg 2.35

Weekend total nurse2.85

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.03 (case-mix index 1.48).

Staff turnover

Total nursing staff turnover29.2%

State avg 50.8%US avg 45.3%

Registered nurse turnover60.0%

State avg 49.8%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jan 23, 2026
Cycle 1 health score: 20
Total weighted score: 38

Operating entity

Citizens Medical Center County of Victoria

CMS legal business name of the certified provider. Operates 5 facilities.

VerifiedLinked by exact legal name

CMS chain

Wellsential Health

67 facilities in 1 states. CMS chain ID 670.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.8

Ownership disclosures

Disclosures

40

Organizations

14

Individuals

21

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Citizens Medical Center County of Victoria	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 1, 2014
Regency Ihs of Cuero LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2014
Csv Rhea Management Holdco, LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2014
Dwd Tx Holdings LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2014
Jack and Nancy Dwyer Workforce Development Center Inc	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2014
Reg Hg Opco 1, LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2014
Reg Hg Opco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2014
Reg Operator Holdco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2014
Regency Texas Holdings LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2014

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Citizens Medical Center County of Victoria	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 1, 2014
Regency Ihs of Cuero LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2014
Csv Rhea Management Holdco, LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2014
Dwd Tx Holdings LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2014
Jack and Nancy Dwyer Workforce Development Center Inc	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2014
Reg Hg Opco 1, LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2014
Reg Hg Opco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2014
Reg Operator Holdco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2014
Regency Texas Holdings LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2014
Daniel Baird	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Apr 13, 2021
Antonio Carvajal	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 16, 2024
Barbara Clapp	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jun 1, 2021
Daren Cortese	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Aug 10, 2021
Patricia Gibson	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Aug 1, 2021
Veronica Gonzales	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 16, 2024
Fariborz Gorouhi	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jul 1, 2023
Luis Guerra	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2009
Paul Holm	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2007
Nicole Kaufman	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Aug 10, 2021
Elliot Mandelbaum	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2025
Russell Marshall	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Apr 23, 2014
James Neumann	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 31, 2016
Michael Olson	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 12, 2015
Ashlie Thomas	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jul 1, 2023
Citizens Medical Center County of Victoria	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2014
Regency Ihs of Cuero LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2014
Regency Integrated Health Services LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2014
Donovan Dekowski	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2014
Anthony Villanueva	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 10, 2024
Michael Olson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 12, 2015
1300 East Broadway Street LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2014
Citizens Medical Center County of Victoria	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 26, 2025
Regency Ihs Clinical Consulting, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2014
Regency Ihs Master Tenant LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2014
Regency Ihs of Cuero LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 26, 2025
Regency Ihs Rehab LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2014
Regency Integrated Health Services LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 26, 2025
Donovan Dekowski	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2014
Anthony Villanueva	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 10, 2024
Gary Willers	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025

Other facilities operated by Citizens Medical Center County of Victoria

All 4 →

Facility	Beds	Last inspection	Citations (window)	Fines
Port Lavaca Nursing and Rehabilitation Center 524 Village Rd, Port Lavaca, TX 77979 CCN 455999	148	Jun 19, 2026	34	—
Southbrooke Manor Nursing and Rehabilitation Cente 1401 W Main St, Edna, TX 77957 CCN 675159	120	Feb 20, 2026	17	—
Stevens Nursing and Rehabilitation Center of Halle 106 Kahn St, Hallettsville, TX 77964 CCN 675226	144	Jun 2, 2026	32	—
Wharton Nursing and Rehabilitation Center 1220 Sunny Lane, Wharton, TX 77488 CCN 675361	120	May 28, 2026	173 IJ1 harm	$43k

Same chain in Texas

All 66 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Laredo West Nursing and Rehabilitation Center 1200 E Lane St, Laredo, TX 78043 CCN 455528	188	Jul 28, 2026	583 IJ	$50k
Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave, Corpus Christi, TX 78405 CCN 455575Abuse icon	176	Jul 16, 2026	371 IJ4 harm	$19k
Heritage Park Rehabilitation and Skilled Nursing C 2806 Real St, Austin, TX 78722 CCN 455599	197	Feb 20, 2026	523 IJ2 harm1 open	$56k
Windsor Nursing and Rehabilitation Center of Mcall 900 S 12th St, Mcallen, TX 78501 CCN 455662	110	Dec 3, 2025	211 harm	$24k
Longview Hill Nursing and Rehabilitation Center 3201 N Fourth St, Longview, TX 75605 CCN 455684	198	Mar 18, 2026	683 IJ1 harm	$225k
Monument Hill Nursing and Rehabilitation Center 120 State Loop 92, La Grange, TX 78945 CCN 455715	104	Aug 6, 2026	311 IJ	$8,281
Spindletop Hill Nursing and Rehabilitation Center 1020 S 23rd St, Beaumont, TX 77707 CCN 455757	148	Aug 5, 2026	443 IJ	$83k
Town and Country Nursing and Rehabilitation Center 625 N Main St, Boerne, TX 78006 CCN 455796	126	Jul 31, 2026	763 IJ	$151k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1310 E Broadway, Cuero, TX 77954
ZIP: 77954
County: DeWitt County FIPS 48123
Assigned by point in polygon Inferred
State: Texas
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Whispering Oaks Rehab & Nursing 105 Hospital Dr, Cuero, TX 77954 CCN 675134	3.3 km	98		Aug 7, 2026	371 IJ	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	675110	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	675110	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	675110	county_fips County assigned by locating CMS coordinates in Census county boundaries (the CMS county name did not match the Census code list).	Inferred	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 675110

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction