Cleveland Health Care Center
903 E Houston St, Cleveland, TX 77327 · Liberty County · 142 certified beds · avg 83 residents/day · certified since Sep 26, 1991
Part of chain: HEALTH SERVICES MANAGEMENT (16 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Aug 28, 2023 · F-0656 · triggered by a complaint
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 29, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Aug 28, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 29, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 29, 2024 · F-0690 · triggered by a complaint
The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Why it matters: Poor continence and catheter care leads to infections, skin breakdown, and loss of dignity.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 14, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 17, 2026 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jun 17, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 17, 2026 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jun 17, 2026 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Dec 31, 2025 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Apr 30, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Aug 29, 2024 | ▲ G · Actual harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. · from a complaint |
| Mar 13, 2024 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Mar 13, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 13, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Aug 28, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Aug 28, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 28, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 2 | J ▲ |
| 2024 | 5 | 1 | G ▲ |
| 2025 | 2 | 0 | D |
| 2026 | 4 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $30,198.
| Date | Type | Amount / length |
|---|---|---|
| Aug 29, 2024 | Fine | $16,801 |
| Aug 28, 2023 | Fine | $13,397 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.32 | 3.46 | 3.95 | top 9% in Texas; top 28% in the U.S. |
| Registered Nurse hours | 0.16 | 0.44 | 0.69 | bottom 3% in Texas; bottom 1% in the U.S. |
| Weekend total nurse staffing | 3.81 | 3.04 | 3.50 | top 10% in Texas; top 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.12 | 0.34 | 0.48 | bottom 4% in Texas; bottom 2% in the U.S. |
| Total nursing staff turnover (%) | 39.4 | 55.3 | 45.8 | top 19% in Texas; top 35% in the U.S. |
| RN turnover (%) | 60.0 | 54.6 | 42.9 | bottom 42% in Texas; bottom 22% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.83, RN 0.14, weekend 3.38. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Baxter, Kevin | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/05/2025 |
| Cherlo, Sreenivasulu | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Cleveland Realty, LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/01/2024 |
| Cleveland Realty, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Hampton, Tamra | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Hampton, Tamra | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Health Services Management, INC. | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/01/2024 |
| Health Services Management, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Hsmtx/Cleveland, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Hsmtx/Cleveland, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/05/2025 |
| Murrell, Edward | Individual | Corporate Director | NOT APPLICABLE | 06/01/2024 |
| White, Joshua | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Woodland Park Nursing & Rehab | 10.9 mi | Shepherd, TX | ★☆☆☆☆ | 1/5 | |
| The Heights on Valley Ranch | 18.6 mi | Porter, TX | ★★★★☆ | 4/5 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 455952.