Nursing HomeInspections

Shiner Nursing and Rehabilitation Center

Nursing home in Shiner, TX

Medicare & Medicaid certified3★ overall (CMS)

Call (361) 594-3353Send a messageMap ↗

Public-record details

Address
1213 North Avenue B, Shiner, TX 77984
Phone
(361) 594-3353
Listed under
For-profit, No fines in 3 years
Medicare CCN
675938
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
95
Average residents per day
43
Ownership
For-profit, individual
Legal business name
West Wharton County Hospital District
Chain
Creative Solutions in Healthcare (149 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 9, 2002
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675938. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 20, 2026. CMS lists 29 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 27, 2023 to Mar 20, 2026): 2 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 20, 2026Keep residents' personal and medical records private and confidential.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 20, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 20, 2026Develop 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		D
Potential for more than minimal harm, isolated
Mar 20, 2026Provide 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		D
Potential for more than minimal harm, isolated
Mar 20, 2026Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Nursing and Physician Services		D
Potential for more than minimal harm, isolated
Mar 20, 2026Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Mar 20, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 20, 2026Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Mar 20, 2026Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Mar 20, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Mar 20, 2026Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
May 19, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 29. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.13 hours
Registered nurse (RN) time per resident per day
0.37 hours
Nurse aide time per resident per day
2.02 hours
Total nurse staffing on weekends
2.79 hours
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.