Texas·Henderson County·Malakoff

Cedar Lake Nursing Center in Malakoff, Henderson County, Texas

Malakoff, Henderson County, Texas 75148

Status Medicare and Medicaid certifiedMedicare CCN 675898
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
1611 W Royall Blvd.
Malakoff, TX 75148
Open map (OpenStreetMap)
Phone
(903) 489-1702
HHSC facility ID
004363
License number
311791

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 staffing4.01 hours3.42 hours n=1,152
Registered nurse0.40 hours0.44 hours
LPN0.94 hours0.95 hours
Nurse aide2.67 hours2.03 hours
Weekend nurse staffing3.61 hours2.99 hours

0.59 hours above this site’s computed Texas average.

Total nursing staff turnover
— (Texas average computed on this site: 50.8%, n=1,096)
RN turnover
—
Average residents per day
52.4
Certified beds (CMS)
90
0

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 28.0% · Q2 20.0% · Q3 36.7% · Q4 17.1% · Period 2025Q3-2026Q2 · Measure code 401

Long Stay25.2%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 7.9% · Q2 5.6% · Q3 4.9% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 410

Long Stay4.3%Yes, as published by CMS
Percentage of long-stay residents whose ability to walk independently worsened
Quarterly scores

Q1 — (CMS footnote 9) · Q2 — (CMS footnote 9) · Q3 — (CMS footnote 9) · Q4 — (CMS footnote 9) · Period 2025Q3-2026Q2 · Measure code 451

Long Stay19.2%Yes, as published by CMS
Percentage of long-stay residents with pressure ulcers
Quarterly scores

Q1 6.8% · Q2 5.6% · Q3 5.2% · Q4 4.7% · Period 2025Q3-2026Q2 · Measure code 479

Long Stay5.6%Yes, as published by CMS
Percentage of long-stay residents who received an antipsychotic medication
Quarterly scores

Q1 18.2% · Q2 9.5% · Q3 8.0% · Q4 12.5% · Period 2025Q3-2026Q2 · Measure code 481

Long Stay12.0%Yes, as published by CMS
Percentage of long-stay residents who lose too much weight
Quarterly scores

Q1 17.9% · Q2 20.0% · Q3 12.5% · Q4 8.8% · Period 2025Q3-2026Q2 · Measure code 404

Long Stay14.3%No, as published by CMS
Percentage of long-stay residents who have depressive symptoms
Quarterly scores

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

Long Stay0.0%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 20.7% · Q2 29.6% · Q3 27.3% · Q4 29.7% · Period 2025Q3-2026Q2 · Measure code 452

Long Stay27.0%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 15.1% · Q2 11.2% · Q3 23.3% · Q4 7.6% · Period 2025Q3-2026Q2 · Measure code 480

Long Stay14.2%No, as published by CMS
Percentage of short-stay residents who newly received an antipsychotic medication
Quarterly scores

Q1 0.0% · Q2 13.6% · Q3 5.4% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 434

Short Stay3.8%Yes, as published by CMS
Percentage of short-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 430

Short Stay100.0%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

8 health citations in the CMS file. Highest scope/severity letter in the file: D — Isolated, potential for more than minimal harm.

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
2025 — 2 citations

Tag 0880D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: September 10, 2025

CMS records a correction date (September 30, 2025)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0812D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: September 10, 2025

CMS records a correction date (September 30, 2025)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

2024 — 3 citations

Tag 0842D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: August 7, 2024

CMS records a correction date (September 7, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0812F

F — Widespread, potential for more than minimal harm

Standard survey

Survey date: August 7, 2024

CMS records a correction date (September 7, 2024)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0641D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: August 7, 2024

CMS records a correction date (September 7, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

2023 — 3 citations

Tag 0812E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: July 12, 2023

CMS records a correction date (July 31, 2023)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0803E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: July 12, 2023

CMS records a correction date (July 31, 2023)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0576E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: July 12, 2023

CMS records a correction date (July 31, 2023)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

License and identity (HHSC)

License effective
January 1, 2024
License expires
January 1, 2027
Initial license date
September 1, 1971
Facility licensed
Yes
Facility certified (HHSC)
Yes
Service type
MEDICARE/MEDICAID
Total licensed capacity
90 beds
Bed mix (HHSC)
Licensed only 0; Medicaid only 0; Medicare only 10; Medicare/Medicaid 80; ICF/IID 0
Alzheimer capacity
0
Administrator
Douglas Humble
Management company
Rusk Nursing & Rehab Center 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 - Limited Liability company · Affiliated / chain name in the file: FANNIN COUNTY HOSPITAL DISTRICT (5 facilities in the chain, as listed)

CMS ownership records
NameRoleTypeShareAssociated
FANNIN COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 01/01/2024
SANDERSON, CLARKCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2024
CEDAR LAKE WELLNESS & REHABILITATION LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/01/2026
GARETZ, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2026
HUMBLE, DOUGLASOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2026
SANNER, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2024
DAVIDOVICH, NIVINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 07/25/2026
STERNSHEIN, JENNIFERINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 07/25/2026
1611 W ROYALL BLVD TX LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2026
HUMBLE, DOUGLASADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2026
SANNER, DAVIDADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2024
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.