C

CEDAR CREEK NURSING AND REHABILITATION CENTER

159 MONTAGUE AVE, BANDERA, TX 78003
Score: 57 / 100

Cedar Creek Nursing And Rehabilitation Center is an average performer in CMS ratings, earning a C grade with a score of 57/100. Located in Bandera, Texas, the facility meets baseline standards across most quality metrics.

With 3.29 total nurse hours per resident per day, Cedar Creek Nursing And Rehabilitation Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent inspections identified 34 deficiencies at Cedar Creek Nursing And Rehabilitation Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.29 3.8 Below Average
Registered Nurses (RN) 0.44 0.7 Below Average
Licensed Practical Nurses (LPN) 1.19 0.7 Above Average
Certified Nursing Assistants (CNA) 1.66 2.4 Below Average
Weekend Total Nursing 2.67 3.8 Below Average
Weekend RN Hours 0.86 0.7 Above Average

🔍 Inspection & Deficiency History

34
Total Deficiencies
Dec 20, 2025
Most Recent Inspection
🟠 34 Moderate
View recent deficiencies (5 shown)
  • Tag 0755 Severity E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Dec 20, 2025 · Pharmacy Service Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Dec 20, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0583 Severity D
    Keep residents' personal and medical records private and confidential.
    Dec 20, 2025 · Resident Rights Deficiencies
  • Tag 0761 Severity D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Dec 20, 2025 · Pharmacy Service Deficiencies
  • Tag 0813 Severity D
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    Dec 20, 2025 · Nutrition and Dietary Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.0% 4.5% Better
Falls with major injury 7.2% 3.0% Worse
On antipsychotic medication 9.6% 14.5% Better
Urinary tract infections 1.7% 2.5% Better
ADL decline (daily activities) 26.5% 14.0% Worse
Excessive weight loss 5.6% 7.5% Better
New/worsened incontinence 16.5% 45.0% Better

How This Grade Was Calculated

This facility's grade of C is based on a score of 57 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
62
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 6, 2025
Deficiencies (Cycle 1)
16