D
Avir at Cisco
37/100 score
Not reported RN staffing
2 deficiencies
RISING STAR NURSING CENTER
411 S MILLER, RISING STAR, TX 76471
- Provider number (CCN)
- 675832
- Certification
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified beds
- 60
- Phone
- (254) 643-6700
- CMS data as of
- July 1, 2026
B
What the records show
CMS rates RISING STAR NURSING CENTER 4 out of 5 stars overall, with 4 of 5 for health inspections, 3 of 5 for staffing, 4 of 5 for quality measures. Federal inspectors cited 13 health deficiencies across the last three survey cycles, most recently surveyed in 2025. CMS lists no fines or payment denials for this facility in the covered period.
Reviews, Ratings and Official Records
This page reviews RISING STAR NURSING CENTER using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.
At or above the 2024 benchmark — above average inspection record.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.66 — At or above the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
13
Outstanding
0
Actual harm or worse (G–L)
0
|
|
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
|
Overall: ★★★★☆ (4/5)
Health inspection: ★★★★☆ (4/5)
Quality: ★★★★☆ (4/5)
Staffing: ★★★☆☆ (3/5)
|
|
NursingHomeGrade Score
|
76/100 |
Loaded into NursingHomeGrade on August 7, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.
Staffing Compared With State and National Levels
| This facility | 0.66 hrs |
|---|---|
| TX median | 0.38 hrs |
| National average | 0.69 hrs |
Total nursing staff turnover: 48.6%
Staffing figures are the values CMS published in its file processed July 1, 2026, drawn from payroll-based journal reporting.
Inspection Records Covered
- Most recent standard health survey: December 5, 2025.
- Citations shown below span 3 recorded inspection cycles.
- Survey dates on file range from June 22, 2023 to December 5, 2025.
Source records: CMS Care Compare profile for provider 675832 ↗ · the federal files we load and when.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
13 deficiencies found. 13 corrected. None involved actual harm.
Most recent inspection (December 5, 2025)
D
Potential harm — isolated
F0726
Status: Corrected
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies — Deficient, Provider has date of correction, corrected December 9, 2025
E
Potential harm — pattern
F0740
Status: Corrected
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected December 9, 2025
E
Potential harm — pattern
F0656
Status: Corrected
Develop 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 Deficiencies — Deficient, Provider has date of correction, corrected December 9, 2025
Inspection cycle 2 (August 9, 2024)
E
Potential harm — pattern
F0880
Status: Corrected
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected August 30, 2024
E
Potential harm — pattern
F0686
Status: Corrected
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected August 30, 2024
E
Potential harm — pattern
F0695
Status: Corrected
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected August 30, 2024
D
Potential harm — isolated
F0655
Status: Corrected
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected August 30, 2024
D
Potential harm — isolated
F0657
Status: Corrected
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected August 30, 2024
D
Potential harm — isolated
F0842
Status: Corrected
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected August 30, 2024
Inspection cycle 3 (June 22, 2023)
D
Potential harm — isolated
F0880
Status: Corrected
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected July 11, 2023
E
Potential harm — pattern
F0727
Status: Corrected
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies — Deficient, Provider has date of correction, corrected June 23, 2023
E
Potential harm — pattern
F0812
Status: Corrected
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected July 10, 2023
E
Potential harm — pattern
F0700
Status: Corrected
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected July 7, 2023
Fines and Enforcement Actions
CMS lists no fines and no payment denials for RISING STAR NURSING CENTER in the enforcement records covering the last three years, as published in the file processed July 1, 2026.
Ownership and Contact Information
- Facility name
- RISING STAR NURSING CENTER
- Legal business name
- MCCULLOCH COUNTY HOSPITAL DISTRICT
- Address
- 411 S MILLER, RISING STAR, TX 76471
- Phone
- (254) 643-6700
- Provider number (CCN)
- 675832
- Ownership type
- For profit - Limited Liability company
- Medicare/Medicaid certified since
- April 28, 2000
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- July 1, 2026
The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.
How We Stay Independent
NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.
Learn about our data methodology →Nearby facilities in RISING STAR
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Sources and Methodology
- CMS Provider Information (file processed July 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
- CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
- CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗
The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.
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