Cedar Hollow Rehabilitation Center — nursing home in Sherman, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 142 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: 121.5 CMS, MDS-derived
CMS Certification Number: 676488
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 12, 2020
Ownership type: Government - Hospital district
Operator (legal business name): Hamilton County Hospital District
CMS chain: Hamilton County Hospital District 10 facilities
Phone: (903) 771-2000
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

13

latest Aug 20, 2026

Citations

34

30 health · 4 fire

Harm or worse

5

3 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J3	K·	L·
Actual harm	G2	H·	I·
Potential harm	D16	E9	F4
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

2

$31,673

Payment denials

0

Latest

Dec 30, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 676488
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 142
First approved: Jun 12, 2020
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
Aug 20, 2026	Health	Health Complaint	1	Actual harm	—	Open →
Aug 7, 2026	Health	Health Complaint	2	Actual harm	1	Open →
Jun 12, 2026	Health	Health Complaint	1	Potential harm	—	Open →
May 7, 2026	Fire safety	Fire Safety Standard	0	No citations	—	Open →
May 7, 2026	Health	Health Standard	2	Potential harm	—	Open →
Jan 14, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Dec 30, 2025	Health	Health Complaint	4	Immediate jeopardy	—	Open →
Mar 6, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Mar 6, 2025	Health	Health Complaint, Health Standard	10	Potential harm	—	Open →
Dec 12, 2024	Health	Health Complaint	2	Potential harm	—	Open →
May 10, 2024	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Feb 1, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Feb 1, 2024	Health	Health Complaint, 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
Dec 30, 2025	Civil money penalty (fine)	$14,901	—	676488\|Fine\|136551
May 10, 2024	Civil money penalty (fine)	$16,772	—	676488\|Fine\|112823

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J3	K·	L·
Actual harm	G2	H·	I·
Potential harm	D16	E9	F4
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 20, 2026	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Aug 24, 2026	Complaint
Aug 7, 2026	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	G · Actual harm Isolated	Past non-compliance Jun 26, 2026	Complaint
Aug 7, 2026	F-0620	Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Plan of correction, not yet verified Aug 8, 2026	Complaint
Jun 12, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jun 14, 2026	Complaint
May 7, 2026	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 8, 2026
May 7, 2026	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	D · Potential harm Isolated	Corrected May 8, 2026
Jan 14, 2026	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 Jan 17, 2026	Complaint
Dec 30, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Past non-compliance Dec 1, 2025	Complaint
Dec 30, 2025	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 Dec 1, 2025	Complaint
Dec 30, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 2, 2026	Complaint
Dec 30, 2025	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 2, 2026	Complaint
Mar 6, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 28, 2025
Mar 6, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 28, 2025
Mar 6, 2025	F-0565	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Mar 28, 2025	Complaint
Mar 6, 2025	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 28, 2025	Complaint
Mar 6, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 28, 2025	Complaint
Mar 6, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 28, 2025	Complaint
Mar 6, 2025	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	E · Potential harm Pattern	Corrected Mar 28, 2025	Complaint
Mar 6, 2025	F-0694	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 28, 2025	Complaint
Mar 6, 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 Mar 28, 2025
Mar 6, 2025	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	E · Potential harm Pattern	Corrected Mar 28, 2025	Complaint
Mar 6, 2025	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	E · Potential harm Pattern	Corrected Mar 28, 2025	Complaint
Mar 6, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Mar 28, 2025	Complaint
Dec 12, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Dec 28, 2024	Complaint
Dec 12, 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	D · Potential harm Isolated	Corrected Dec 28, 2024	Complaint
May 10, 2024	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Past non-compliance May 9, 2024	Complaint
Feb 1, 2024	K-0343	Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 22, 2024
Feb 1, 2024	K-0929	Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 14, 2024
Feb 1, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 23, 2024
Feb 1, 2024	F-0693	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 20, 2024
Feb 1, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 20, 2024
Feb 1, 2024	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 12, 2024
Feb 1, 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 Feb 7, 2024
Feb 1, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Feb 23, 2024	Complaint

“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 staffing3.42

State avg 3.42US avg 3.90

Registered nurse (RN)0.26

State avg 0.44US avg 0.69

Licensed practical nurse1.03

State avg 0.94US avg 0.86

Nurse aide2.13

State avg 2.03US avg 2.35

Weekend total nurse3.02

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.46 (case-mix index 1.38).

Staff turnover

Total nursing staff turnover48.7%

State avg 50.8%US avg 45.3%

Registered nurse turnover54.5%

State avg 49.8%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: May 7, 2026
Cycle 1 health score: 112
Total weighted score: 110

Operating entity

Hamilton County Hospital District

CMS legal business name of the certified provider. Operates 61 facilities.

VerifiedLinked by exact legal name

CMS chain

Hamilton County Hospital District

10 facilities in 1 states. CMS chain ID 589.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.7

Ownership disclosures

Disclosures

16

Organizations

4

Individuals

10

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
Dkp Investments, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2023
Go Operations 7 LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2023
Slm Investments LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2023
Lauren Golden	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2023
Shawn Golden	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2023
Bethney Jones	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2023
Danny Prince	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2023
Randolph Torres Ramos	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2020
Grady Hooper	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 1, 2023
Go Operations 7 LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 22, 2025
Go Properties 7 LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2023
Slm Investments LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2023
Lauren Golden	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2023
Bethney Jones	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2023
Danny Prince	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2023
Randolph Torres Ramos	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2020

Other facilities operated by Hamilton County Hospital District

All 60 →

Facility	Beds	Last inspection	Citations (window)	Fines
Avir at the Lakes 424 N Tarpey Rd, Texas City, TX 77591 CCN 455490	109	Dec 4, 2025	401 IJ	$8,410
Mcallen Nursing Center 600 N Cynthia St, Mcallen, TX 78501 CCN 455560	122	Aug 5, 2026	412 IJ5 open	$17k
Sulphur Springs Health and Rehabilitation 411 Airport Rd, Sulphur Springs, TX 75482 CCN 455579	128	Jun 24, 2026	581 IJ	$44k
Riverside Oaks 3103 E. Airline Drive, Victoria, TX 77901 CCN 455726	108	Apr 16, 2026	33	—
Advanced Health & Rehab Center of Garland 1201 Colonel Dr., Garland, TX 75043 CCN 455731SFF Candidate	139	Jun 4, 2026	584 IJ	$183k
Pecan Creek Healthcare Center 910 E Pierson St, Hamilton, TX 76531 CCN 455954	76	Jun 11, 2026	192 open	—
Avir at Kaufman 3001 S Houston St, Kaufman, TX 75142 CCN 455962	115	Feb 9, 2026	491 IJ	$8,021
Clarksville Nursing Center 300 East Baker St., Clarksville, TX 75426 CCN 455985	132	Apr 14, 2026	33	—

Same chain in Texas

All 9 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Avir at the Lakes 424 N Tarpey Rd, Texas City, TX 77591 CCN 455490	109	Dec 4, 2025	401 IJ	$8,410
Lake Hills Healthcare Center 1514 Indian Creek Rd., Brownwood, TX 76801 CCN 675017	94	Jul 10, 2026	291 IJ1 harm	$22k
Colonial Manor Advanced Rehab & Healthcare 1100 W Minnesota Rd, Pharr, TX 78577 CCN 675044	123	Aug 12, 2026	441 IJ1 harm2 open	$55k
Rosenberg Health & Rehabilitation Center 1419 Mahlmann St., Rosenberg, TX 77471 CCN 675046	124	Jun 10, 2026	397 IJ1 harm	$97k
Avir at Hillview 1110 Rice St, Goldthwaite, TX 76844 CCN 675388	52	Jan 15, 2026	14	—
Avante Rehabilitation Center 225 N Sowers Rd, Irving, TX 75061 CCN 675908	120	Aug 25, 2026	266 IJ	$17k
Goldthwaite Health & Rehab Center 1207 S Reynolds St, Goldthwaite, TX 76844 CCN 676086	94	May 14, 2026	273 IJ1 open	$33k
Riverside Nursing and Rehabilitation Center 6801 E Riverside Dr, Austin, TX 78741 CCN 676246Abuse icon	122	Apr 12, 2026	401 IJ3 harm	$11k

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: 5011 North US Hwy 75, Sherman, TX 75090
ZIP: 75090
County: Grayson County FIPS 48181
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Focused Care at Sherman 817 W Center, Sherman, TX 75090 CCN 675089	5 km	116	Jul 28, 2026	678 IJ	$120k
Texoma Healthcare Center 1000 US Highway 82 East, Sherman, TX 75090 CCN 455573	9.3 km	179	Aug 19, 2026	602 IJ6 open	$16k
Avir at Sherman 1000 Sara Swamy Drive, Sherman, TX 75090 CCN 676120	10.4 km	132	Aug 5, 2026	49	—
Meadowbrook Care Center 632 Windsor Way, Van Alstyne, TX 75495 CCN 675151	18 km	60	May 5, 2026	251 IJ	$14k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	676488	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	676488	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

Record-level source links for CCN 676488

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