Nursing home
Shiner Nursing and Rehabilitation Center
1213 N Ave B, Shiner, TX 77984 · Map
For profit - Corporation · Part of Creative Solutions In Healthcare (149 facilities) · 95 certified beds
Shiner Nursing and Rehabilitation Center is a Medicare-certified nursing home in Shiner, Texas. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.08 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Dec 13, 2024 cited 12 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Shiner Nursing and Rehabilitation Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.08 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.21 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.96 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 54.0% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 12.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Shiner Nursing and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · May 19, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · May 19, 2025 · Full report (PDF) - Potential for harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Dec 13, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 13, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Dec 13, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Dec 13, 2024 · Full report (PDF) - Potential for harm
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 · Dec 13, 2024 · Full report (PDF) - Potential for harm
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 · Dec 13, 2024 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Dec 13, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 13, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Dec 13, 2024 · Full report (PDF) - Potential for harm
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 · Dec 13, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1213 N Ave B
Shiner, TX 77984 - CMS certification #
- 675938
- Ownership
- For profit - Corporation
- Certified beds
- 95
- Avg residents/day
- 46.5
- Provider type
- Medicare and Medicaid
- First certified
- 2002-10-09
- Chain
- Creative Solutions In Healthcare (149 facilities)
- Setting
- Rural
Part of Creative Solutions In Healthcare
Creative Solutions In Healthcare operates 149 nursing facilities across the United States. View all Creative Solutions In Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Shiner Nursing and Rehabilitation Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Yoakum Community Hospital, Yoakum. 9.2 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Yoakum Nursing and Rehabilitation Center, Yoakum. 9.3 miles away, straight line.
- Nearest home health agency office
- Memorial Hospital Home Health Agency, Gonzales. 17.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Quality Pharmacy. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 77984 as rural (rural area).
- Hospice
- 7 Medicare hospices tell CMS they serve ZIP code 77984.
- Nearest geriatric medicine practice
- Tmc Provider Group PLLC, Austin. 63.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very high. By hazard: hurricane relatively high, inland flooding very high, wildfire relatively low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Shiner Nursing and Rehabilitation Center a good nursing home?
CMS gives Shiner Nursing and Rehabilitation Center an overall rating of 3 out of 5 stars, including 2/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Shiner Nursing and Rehabilitation Center staffed?
Shiner Nursing and Rehabilitation Center reports 3.08 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Shiner Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 12 deficiencies.
How many beds does Shiner Nursing and Rehabilitation Center have?
Shiner Nursing and Rehabilitation Center is certified for 95 beds.