Texas·Grayson County·Sherman

Texoma Healthcare Center in Sherman, Grayson County, Texas

Sherman, Grayson County, Texas 75090

Status Medicare and Medicaid certifiedMedicare CCN 455573
HHSC license rosteras of November 9, 2026CMS nursing home filerelease October 28, 2026; processing date October 1, 2026CMS processing date for this home October 1, 2026

Location and contact

Address
1000 US Highway 82 East
Sherman, TX 75090
Open map (OpenStreetMap)
Phone
(903) 893-9636
HHSC facility ID
004346
License number
147202

Medicare ratings

Star ratings below are copied from the CMS Provider Information file (official release October 28, 2026; processing date October 1, 2026). They are not assigned by NursingCareLookup. See how to read ratings and CMS Five-Star documentation.

Staffing hours

Hours are the facility’s reported nurse staffing hours per resident per day from the CMS file. The Texas average is computed on this site from Texas rows in that same file that include a numeric value. It is not copied from another website. Method: Methodology.

Staffing hours per resident per day
MeasureThis facilityTexas average (this site)
Total nurse staffing3.00 hours3.42 hours n=1,152
Registered nurse0.46 hours0.44 hours
LPN0.95 hours0.95 hours
Nurse aide1.60 hours2.03 hours
Weekend nurse staffing2.49 hours2.99 hours

0.41 hours below this site’s computed Texas average.

Total nursing staff turnover
58.1% (Texas average computed on this site: 50.8%, n=1,096)
RN turnover
53.3%
Average residents per day
84.9
Certified beds (CMS)
179

Penalties in the CMS Provider Information file: 1 finetotaling $16,441; 1 total penalties. These are the figures CMS published in this release. Confirm current figures on Medicare.gov.

Fines and payment denials

Individual fines and payment denials below come from the CMS Penalties file (official release October 28, 2026; processing date October 1, 2026). Dates and amounts are copied as published. They can lag later actions or successful appeals. Confirm current figures on Medicare.gov.

CMS fines and payment denials
DateTypeFine amountPayment denial
June 18, 2025Fine · Fine ID 134370$16,441—

MDS quality measures

These figures are the four-quarter averages published in the CMS MDS Quality Measures file (official release October 28, 2026; measure period 2025Q3-2026Q2; processing date October 1, 2026). They are not a grade this site assigned. A “used in Five-Star” flag is the published CMS field that says whether that measure feeds the quality-measure star rating. Quarterly scores are collapsed under each measure. Official definitions are on the CMS Five-Star page.

CMS MDS quality measures, four-quarter averages
MeasureStayFour-quarter averageUsed in Five-Star QM rating
Percentage of long-stay residents whose need for help with daily activities has increased
Quarterly scores

Q1 19.5% · Q2 16.9% · Q3 36.7% · Q4 45.0% · Period 2025Q3-2026Q2 · Measure code 401

Long Stay28.6%Yes, as published by CMS
Percentage of long-stay residents with a catheter inserted and left in their bladder
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 406

Long Stay0.0%Yes, as published by CMS
Percentage of long-stay residents with a urinary tract infection
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 407

Long Stay0.0%Yes, as published by CMS
Percentage of long-stay residents experiencing one or more falls with major injury
Quarterly scores

Q1 5.6% · Q2 3.6% · Q3 3.6% · Q4 2.6% · Period 2025Q3-2026Q2 · Measure code 410

Long Stay3.9%Yes, as published by CMS
Percentage of long-stay residents whose ability to walk independently worsened
Quarterly scores

Q1 17.3% · Q2 22.1% · Q3 20.1% · Q4 13.3% · Period 2025Q3-2026Q2 · Measure code 451

Long Stay18.1%Yes, as published by CMS
Percentage of long-stay residents with pressure ulcers
Quarterly scores

Q1 5.7% · Q2 5.4% · Q3 5.7% · Q4 3.6% · Period 2025Q3-2026Q2 · Measure code 479

Long Stay5.2%Yes, as published by CMS
Percentage of long-stay residents who received an antipsychotic medication
Quarterly scores

Q1 8.0% · Q2 4.5% · Q3 11.4% · Q4 13.0% · Period 2025Q3-2026Q2 · Measure code 481

Long Stay9.2%Yes, as published by CMS
Percentage of long-stay residents who lose too much weight
Quarterly scores

Q1 1.3% · Q2 0.0% · Q3 1.6% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 404

Long Stay0.7%No, as published by CMS
Percentage of long-stay residents who have depressive symptoms
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 408

Long Stay0.4%No, as published by CMS
Percentage of long-stay residents who were physically restrained
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 409

Long Stay0.0%No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
Quarterly scores

Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 415

Long Stay100.0%No, as published by CMS
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Quarterly scores

Q1 25.0% · Q2 20.0% · Q3 18.2% · Q4 15.6% · Period 2025Q3-2026Q2 · Measure code 452

Long Stay20.0%No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
Quarterly scores

Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 454

Long Stay100.0%No, as published by CMS
Percentage of long-stay residents with new or worsened bowel or bladder incontinence
Quarterly scores

Q1 22.7% · Q2 18.2% · Q3 13.3% · Q4 9.7% · Period 2025Q3-2026Q2 · Measure code 480

Long Stay16.2%No, as published by CMS
Percentage of short-stay residents who newly received an antipsychotic medication
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 434

Short Stay0.0%Yes, as published by CMS
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
Quarterly scores

Q1 98.1% · Q2 100.0% · Q3 100.0% · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 430

Short Stay99.5%No, as published by CMS
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
Quarterly scores

Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 472

Short Stay100.0%No, as published by CMS

Inspection citations

48 health citations in the CMS file (39 from complaint surveys). Highest scope/severity letter in the file: J — Isolated, immediate jeopardy. 6 not recorded as corrected.

The list below is drawn from the CMS Health Deficiencies file. We show the tag, a plain-language reading of the scope and severity letter, whether the survey was a standard or complaint survey, the survey date, and whether CMS recorded a correction. We do not reprint the official deficiency narrative here. Read that text on TULIP or Medicare.gov. A facility may appeal a finding; a successful appeal can alter or remove a citation.

Scope and severity letters (A–L)

CMS assigns one letter from a grid of scope (how widely a problem was found) and severity (how serious the harm was or could be). The short labels below are our wording of that grid, not a different rating system.

Scope and severity letters used in CMS health citations
SeverityIsolatedPatternWidespread
Potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harmGHI
Immediate jeopardyJKL
2026 — 20 citations

Tag 0880D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 19, 2026

CMS records a correction date (August 20, 2026)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0690D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 19, 2026

CMS records a correction date (August 20, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0880D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 11, 2026

CMS records a correction date (August 25, 2026)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0677D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 11, 2026

CMS records a correction date (August 25, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0761D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: July 27, 2026

CMS records no plan of correction

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0695E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: July 27, 2026

CMS records no plan of correction

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0694D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: July 27, 2026

CMS records no plan of correction

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0689E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: July 27, 2026

CMS records no plan of correction

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0657D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: July 27, 2026

CMS records no plan of correction

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0550D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: July 27, 2026

CMS records no plan of correction

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0695E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: July 11, 2026

CMS records a correction date (July 12, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0684D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: July 11, 2026

CMS records a correction date (July 12, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0585D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: June 16, 2026

CMS records a correction date (June 17, 2026)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0880E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: March 19, 2026

CMS records a correction date (March 20, 2026)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0812E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: March 19, 2026

CMS records a correction date (March 20, 2026)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0761D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: March 19, 2026

CMS records a correction date (March 20, 2026)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0755E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: March 19, 2026

CMS records a correction date (March 20, 2026)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0687E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: March 19, 2026

CMS records a correction date (March 20, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0812E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: January 21, 2026

CMS records a correction date (January 22, 2026)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0658D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: January 21, 2026

CMS records a correction date (January 22, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

2025 — 9 citations

Tag 0908E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: December 9, 2025

CMS records a correction date (December 10, 2025)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0880D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: December 9, 2025

CMS records a correction date (December 10, 2025)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0925E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: June 18, 2025

CMS records a correction date (June 20, 2025)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0812D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: June 18, 2025

CMS records a correction date (June 20, 2025)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0761D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: June 18, 2025

CMS records a correction date (June 20, 2025)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0656E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: June 18, 2025

CMS records a correction date (June 20, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0637D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: June 18, 2025

CMS records a correction date (June 20, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0600J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: June 18, 2025

Past non-compliance, as recorded by CMS (June 18, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0550J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: June 18, 2025

Past non-compliance, as recorded by CMS (June 18, 2025)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

2024 — 10 citations

Tag 0812E

E — Pattern, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: November 20, 2024

CMS records a correction date (November 21, 2024)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0806E

E — Pattern, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: November 20, 2024

CMS records a correction date (November 21, 2024)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0755D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: November 20, 2024

CMS records a correction date (November 21, 2024)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0693D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: November 20, 2024

CMS records a correction date (November 21, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0686E

E — Pattern, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: November 20, 2024

CMS records a correction date (November 21, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0679E

E — Pattern, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: November 20, 2024

CMS records a correction date (November 21, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0677D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: November 20, 2024

CMS records a correction date (November 21, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0580D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 13, 2024

CMS records a correction date (November 19, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0755D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 1, 2024

CMS records a correction date (August 2, 2024)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0677E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: August 1, 2024

CMS records a correction date (August 2, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

2023 — 9 citations

Tag 0761D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: December 6, 2023

CMS records a correction date (December 13, 2023)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0656D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: December 6, 2023

CMS records a correction date (December 13, 2023)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0583E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: December 6, 2023

CMS records a correction date (December 13, 2023)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0921E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: October 12, 2023

CMS records a correction date (November 7, 2023)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0812E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: October 12, 2023

CMS records a correction date (October 13, 2023)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0761D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: October 12, 2023

CMS records a correction date (October 13, 2023)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0695D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: October 12, 2023

CMS records a correction date (October 13, 2023)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0690D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: October 12, 2023

CMS records a correction date (October 13, 2023)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0557D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: October 12, 2023

CMS records a correction date (October 13, 2023)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

License and identity (HHSC)

License effective
March 31, 2026
License expires
March 31, 2029
Initial license date
September 1, 1971
Facility licensed
Yes
Facility certified (HHSC)
Yes
Service type
MEDICARE/MEDICAID
Total licensed capacity
179 beds
Bed mix (HHSC)
Licensed only 0; Medicaid only 0; Medicare only 73; Medicare/Medicaid 106; ICF/IID 0
Alzheimer capacity
0
Administrator
Katlyn Cantrell
Management company
Sherman I Enterprises, LLC

Ownership

Ownership below comes from the CMS file when a row joined on this home’s Medicare number. HHSC also records an owner and entity type; those appear after the CMS data. The HHSC entity type “HOSPITAL DISTRICT/AUTHORITY” is very common in the state roster and may not describe day-to-day control. It is not used as a headline here.

CMS ownership type: For profit - Corporation · Affiliated / chain name in the file: CREATIVE SOLUTIONS IN HEALTHCARE (150 facilities in the chain, as listed)

CMS ownership records
NameRoleTypeShareAssociated
FANNIN COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 03/31/2017
HOLT, ERINMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 02/25/2020
KEETON, WENDYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/29/2012
KISSLING, MONICAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 06/21/2017
MCBEAN, PATRICIAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 08/30/2021
SANDERSON, CLARKMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/29/2012
TROMPLER, KELLYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 02/22/2022
HUGGINS, LINDACORPORATE DIRECTORIndividualNOT APPLICABLEsince 11/01/2022
WILLIG, ZACHARYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2025
SANDERSON, CLARKCORPORATE OFFICERIndividualNOT APPLICABLEsince 10/29/2012
SHERMAN I ENTERPRISES, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 11/01/2022
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/01/2022
5 more CMS ownership records
Additional CMS ownership records
NameRoleTypeShareAssociated
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/01/2022
SHERMAN I ENTERPRISES, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2022
BLAKE, GARYADP OF THE SNFIndividualNOT APPLICABLEsince 11/01/2022
CLEMENS, ERINADP OF THE SNFIndividualNOT APPLICABLEsince 04/13/2025
WATSON, NATHANADP OF THE SNFIndividualNOT APPLICABLEsince 04/13/2025
HHSC owner fields
Owner (HHSC)
Fannin County Hospital Authority
Type of entity (HHSC)
HOSPITAL DISTRICT/AUTHORITY

Public data compiled by NursingCareLookup, not an endorsement or a recommendation, and not medical or legal advice. This site is not affiliated with HHSC, CMS, or Medicare. Figures can lag events at the facility, including surveys, corrections, and successful appeals (an appeal can alter or remove a citation). Verify current facts on TULIP and Medicare.gov, and visit in person before you decide. HHSC roster as of November 9, 2026 (America/Chicago). CMS file: official release October 28, 2026; processing date October 1, 2026.