Nursing home · Top rated by CMS
Sterling County Nursing Home
309 Fifth St, Sterling City, TX 76951 · Map
Government - County · 44 certified beds
Sterling County Nursing Home is a Medicare-certified nursing home in Sterling City, Texas. CMS rates it 5 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 5.26 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Sep 11, 2025 cited 4 deficiencies.
- 1 fine totaling $7,443In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Sterling County Nursing Home 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) | 5.26 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.60 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.57 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 58.3% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 4.0 | 9.1 | 9.5 | below 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.
- Every deficiency from the September 11, 2025 inspection was corrected by October 10, 2025
Penalties in CMS records: 1 fine totaling $7,443, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Sterling County Nursing Home
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
Keep all essential equipment working safely.
Environmental Deficiencies · Sep 11, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 11, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Sep 11, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Sep 11, 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 · Aug 8, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 8, 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 · Aug 8, 2024 · Full report (PDF) - Potential for harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · Aug 8, 2024 · Full report (PDF) - Actual 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 · Jun 22, 2023 - 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 · Jun 22, 2023 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 22, 2023 - Potential for harm
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Environmental Deficiencies · Jun 22, 2023
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
- 309 Fifth St
Sterling City, TX 76951 - CMS certification #
- 675880
- Ownership
- Government - County
- Certified beds
- 44
- Avg residents/day
- 22.2
- Provider type
- Medicare and Medicaid
- First certified
- 2001-06-18
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Sterling County Nursing Home using Google Maps.
Other public records
- Website says Nurse 24 hours a day, works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What Sterling County Nursing Home says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
We offer a range of services to meet the needs of our residents, including 24-hour nursing care, rehabilitation services, and memory care.
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
From skilled nursing and rehabilitation to memory care and hospice, our team is here to provide the support and care that you or your loved one needs.
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Mitchell County Hospital District, Colorado City. 33.7 miles away, straight line. Location approximate.
- Nearest Medicare nursing home
- Robert Lee Care Center, Robert Lee. 29.0 miles away, straight line.
- Nearest home health agency office
- Centerwell Home Health, Colorado City. 38.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 39.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 76951 as rural (rural area).
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 76951.
- Nearest geriatric medicine practice
- Texas Tech University Health Sciences Center Odessa, Midland. 66.5 miles away, straight line. 3 geriatric medicine doctors 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
- FEMA has a flood map for this community (effective August 1, 1987), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- Wildfire risk to homes
- In Sterling City, TX, risk to homes is greater than 99% of communities in Texas and 98% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding very low, wildfire relatively high, tornado relatively moderate, heat wave relatively low, 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 | See above |
| 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 | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Sterling County Nursing Home a good nursing home?
CMS gives Sterling County Nursing Home an overall rating of 5 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Sterling County Nursing Home staffed?
Sterling County Nursing Home reports 5.26 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Sterling County Nursing Home had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Sterling County Nursing Home have?
Sterling County Nursing Home is certified for 44 beds.