Cuero Nursing And Rehabilitation Center
Cuero, De Witt County, Texas · CCN 675110 · Non-profit (Corporation) · part of Wellsential Health (67 facilities, chain average 2.7 stars)
CMS rates Cuero Nursing And Rehabilitation Center 4 of 5 overall as of August 2026. 120 certified beds, 97 residents a day on average. 23 citations on record from the current inspection cycles, 2 at immediate jeopardy; 1 fine totalling $16,801.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 2 of 5 |
Staffing
| Total nurse staffing | 3.03405 hours per resident per day |
|---|---|
| Registered nurses | 0.21848 hours per resident per day |
| Weekend total | 2.61784 hours per resident per day |
| Nursing staff turnover | 24.5% (registered nurses 40%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-23 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-26 |
| 2026-01-23 | 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 · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-26 |
| 2026-01-23 | 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 · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-26 |
| 2026-01-23 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · tag F0813 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-26 |
| 2026-01-23 | 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 · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-26 |
| 2025-07-10 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-14 |
| 2025-07-10 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-14 |
| 2025-07-10 complaint survey |
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 · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-14 |
| 2025-07-10 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-14 |
| 2024-10-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-10-25 |
| 2024-10-18 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-25 |
| 2024-10-18 | 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 · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-25 |
| 2024-10-18 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-25 |
| 2024-09-28 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2024-01-26 |
| 2024-09-28 complaint survey |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · tag F0805 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2024-01-27 |
| 2024-09-28 complaint survey |
Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2024-07-04 |
| 2024-09-28 complaint survey |
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 · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-04 |
| 2023-09-15 complaint survey |
Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-10-05 |
| 2023-09-15 complaint survey |
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · tag F0640 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-05 |
| 2023-09-15 complaint survey |
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 · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-05 |
| 2023-09-15 complaint survey |
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 · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-05 |
| 2023-09-15 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-05 |
| 2023-09-15 complaint survey |
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 · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-05 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-28 | Fine | $16,801 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Citizens Medical Center County Of Victoria Organization | 5% or greater direct ownership interest | 100% | 2014-03-01 |
| 1300 East Broadway Street LLC Organization | adp of the snf | — | 2014-03-01 |
| Citizens Medical Center County Of Victoria Organization | adp of the snf | — | 2025-03-26 |
| Regency Ihs Clinical Consulting, LLC Organization | adp of the snf | — | 2014-03-01 |
| Regency Ihs Master Tenant LLC Organization | adp of the snf | — | 2014-03-01 |
| Regency Ihs Of Cuero LLC Organization | adp of the snf | — | 2025-03-26 |
| Regency Ihs Rehab LLC Organization | adp of the snf | — | 2014-03-01 |
| Regency Integrated Health Services LLC Organization | adp of the snf | — | 2025-03-26 |
| Regency Ihs Of Cuero LLC Organization | direct ownership interest | — | 2014-03-01 |
| Csv Rhea Management Holdco, LLC Organization | indirect ownership interest | — | 2014-03-01 |
| Dwd Tx Holdings LLC Organization | indirect ownership interest | — | 2014-03-01 |
| Jack And Nancy Dwyer Workforce Development Center Inc. Organization | indirect ownership interest | — | 2014-03-01 |
| Reg Hg Opco 1, LLC Organization | indirect ownership interest | — | 2014-03-01 |
| Reg Hg Opco LLC Organization | indirect ownership interest | — | 2014-03-01 |
| Reg Operator Holdco LLC Organization | indirect ownership interest | — | 2014-03-01 |
| Regency Texas Holdings LLC Organization | indirect ownership interest | — | 2014-03-01 |
| Citizens Medical Center County Of Victoria Organization | operational/managerial control | — | 2014-03-01 |
| Regency Ihs Of Cuero LLC Organization | operational/managerial control | — | 2014-03-01 |
| Regency Integrated Health Services LLC Organization | operational/managerial control | — | 2014-03-01 |
| Dekowski, Donovan Individual | adp of the snf | — | 2014-03-01 |
| Villanueva, Anthony Individual | adp of the snf | — | 2024-06-10 |
| Willers, Gary Individual | adp of the snf | — | 2025-01-01 |
| Olson, Michael Individual | corporate officer | — | 2015-11-12 |
| Baird, Daniel Individual | managing control - governing body | — | 2021-04-13 |
| Carvajal, Antonio Individual | managing control - governing body | — | 2024-05-16 |
| Clapp, Barbara Individual | managing control - governing body | — | 2021-06-01 |
| Cortese, Daren Individual | managing control - governing body | — | 2021-08-10 |
| Gibson, Patricia Individual | managing control - governing body | — | 2021-08-01 |
| Gonzales, Veronica Individual | managing control - governing body | — | 2024-05-16 |
| Gorouhi, Fariborz Individual | managing control - governing body | — | 2023-07-01 |
| Guerra, Luis Individual | managing control - governing body | — | 2009-01-01 |
| Holm, Paul Individual | managing control - governing body | — | 2007-01-01 |
| Kaufman, Nicole Individual | managing control - governing body | — | 2021-08-10 |
| Mandelbaum, Elliot Individual | managing control - governing body | — | 2025-01-01 |
| Marshall, Russell Individual | managing control - governing body | — | 2014-04-23 |
| Neumann, James Individual | managing control - governing body | — | 2016-05-31 |
| Olson, Michael Individual | managing control - governing body | — | 2015-11-12 |
| Thomas, Ashlie Individual | managing control - governing body | — | 2023-07-01 |
| Dekowski, Donovan Individual | operational/managerial control | — | 2014-03-01 |
| Villanueva, Anthony Individual | operational/managerial control | — | 2024-06-10 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Cuero Nursing And Rehabilitation Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in De Witt County.