CEDAR CREEK NURSING AND REHABILITATION CENTER
159 MONTAGUE AVE, BANDERA, TX 78003 · CCN 675929
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 62
- Avg residents/day
- 32.3
- Phone
- 8304603767
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-07 | 16 | 9.1 | 9.5 | +6.9 worse |
| 2 | 2024-02-07 | 15 | 9.4 | 9.8 | +5.6 worse |
| 3 | 2022-12-09 | 3 | 8.1 | 9.3 | -5.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 2 |
| Resident rights | 2 |
| Nutrition and dietary | 5 |
| Pharmacy service | 3 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.29 | 51.9% |
| RN staffing (reported) | 0.44 | 50.0% |
| Total nurse staffing (adjusted) | 3.93 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- CREATIVE SOLUTIONS IN HEALTHCARE
- Facilities in chain
- 149
- Chain avg overall
- 2.70 / 5
Inspection citations (34)
- DF0583Keep residents' personal and medical records private and confidential.2025-12-21 · Health · corrected 2026-01-06
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-21 · Health · corrected 2026-01-06
Potential for more than minimal harm
- DF0761Ensure 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.2025-12-21 · Health · corrected 2026-01-06
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-21 · Health · corrected 2026-01-06
Potential for more than minimal harm
- DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2025-12-21 · Health · corrected 2026-01-06
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-03-07 · Health · corrected 2025-03-10
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-07 · Health · corrected 2025-03-10
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-07 · Health · corrected 2025-03-10
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-07 · Health · corrected 2025-03-10
Potential for more than minimal harm
- DF0761Ensure 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.2025-03-07 · Health · corrected 2025-03-10
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-03-07 · Health · corrected 2025-03-10
Potential for more than minimal harm
- EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2025-03-07 · Health · corrected 2025-03-10
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-07 · Health · corrected 2025-03-10
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-07 · Health · corrected 2025-03-10
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-03-07 · Health · corrected 2025-03-10
Potential for more than minimal harm
- DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-03-07 · Health · corrected 2025-03-14
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2025-02-12 · Health · corrected 2025-02-13
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-02-12 · Health · corrected 2025-02-13
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-12 · Health · corrected 2025-02-13
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-12 · Health · corrected 2025-02-13
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-02-12 · Health · corrected 2025-02-13
Potential for more than minimal harm
- FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-02-12 · Health · corrected 2025-02-13
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-06 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-07 · Health · corrected 2024-02-27
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-07 · Health · corrected 2024-02-27
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-07 · Health · corrected 2024-02-27
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2024-02-07 · Health · corrected 2024-02-27
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2024-02-07 · Health · corrected 2024-02-27
Potential for more than minimal harm
- DF0761Ensure 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.2024-02-07 · Health · corrected 2024-02-27
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-07 · Health · corrected 2024-02-27
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2024-02-07 · Health · corrected 2024-02-27
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-12-18 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-12-18 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-18 · Health · corrected 2024-01-12
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HONOR X ENTERPRISES, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2013-02-01 |
| BLAKE, GARY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2013-01-23 |
| BLAKE, MALISA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2013-01-23 |
| CREATIVE SOLUTIONS IN HEALTHCARE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-02-01 |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-02-01 |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-02-01 |
| HUGGINS, LINDA | Individual | W-2 MANAGING EMPLOYEE | — | 2013-02-01 |
Other facilities in BANDERA
| Name | Overall | Beds |
|---|---|---|
| AVIR AT BANDERA | ★★★☆☆ | 118 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.