Heritage Trails Nursing and Rehabilitation Center
301 Lincoln Park Dr, Cleburne, TX 76033 · Johnson County · 122 certified beds · avg 89 residents/day · certified since May 26, 1998
Part of chain: EDURO HEALTHCARE (34 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Sep 19, 2024 · F-0678 · triggered by a complaint
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 20, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Sep 19, 2024 · F-0842 · triggered by a complaint
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Why it matters: Incomplete or sloppy records can lead to care mistakes, and unprotected information violates residents' privacy.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 20, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 21, 2023 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 10, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (12)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 8, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Sep 19, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint |
| Sep 19, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Jul 11, 2024 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jul 11, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 11, 2024 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Jul 11, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 1, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| Apr 17, 2024 | F · Potential for harm, facility-wide | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · from a complaint |
| Nov 21, 2023 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| May 25, 2023 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| May 25, 2023 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 1 | G ▲ |
| 2024 | 8 | 2 | J ▲ |
| 2025 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
7 fines totaling $67,124.
| Date | Type | Amount / length |
|---|---|---|
| Sep 19, 2024 | Fine | $24,500 |
| Feb 12, 2024 | Fine | $4,938 |
| Jan 22, 2024 | Fine | $14,434 |
| Jan 8, 2024 | Fine | $4,140 |
| Jan 2, 2024 | Fine | $3,496 |
| Dec 11, 2023 | Fine | $8,391 |
| Nov 21, 2023 | Fine | $7,225 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.88 | 3.46 | 3.95 | bottom 16% in Texas; bottom 10% in the U.S. |
| Registered Nurse hours | 0.57 | 0.44 | 0.69 | top 17% in Texas; bottom 48% in the U.S. |
| Weekend total nurse staffing | 2.50 | 3.04 | 3.50 | bottom 16% in Texas; bottom 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.34 | 0.48 | bottom 40% in Texas; bottom 23% in the U.S. |
| Total nursing staff turnover (%) | 53.2 | 55.3 | 45.8 | bottom 47% in Texas; bottom 29% in the U.S. |
| RN turnover (%) | 44.4 | 54.6 | 42.9 | top 37% in Texas; bottom 45% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.76, RN 0.55, weekend 2.40. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Maverick County Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/01/2022 |
| Bewsey, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Cleburne Nursing and Rehab Center LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Martinez, Alma | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Colonial Manor Nursing Center | 1.5 mi | Cleburne, TX | ★★★☆☆ | 2/5 | abuse |
| Ridgeview Rehabilitation and Skilled Nursing | 1.9 mi | Cleburne, TX | ★★★★☆ | 4/5 | |
| Town Hall Estates Keene INC | 5.7 mi | Keene, TX | ★★★☆☆ | 4/5 | |
| Alvarado Meadows Nursing & Rehabilitation | 12.0 mi | Alvarado, TX | ★★★☆☆ | 3/5 | |
| Advanced Rehabilitation & Healthcare of Burleson | 12.6 mi | Burleson, TX | ★★☆☆☆ | 2/5 | |
| 600 Maple Ave. | 13.9 mi | Burleson, TX | ★★★☆☆ | 4/5 | |
| Grandview Nursing and Rehabilitation Center | 14.1 mi | Grandview, TX | ★★★★★ | 4/5 | |
| Crowley Nursing and Rehabilitation | 16.0 mi | Crowley, TX | ★★★★★ | 4/5 | |
| Allegiant Wellness and Rehab | 16.8 mi | Crowley, TX | ★★★★★ | 5/5 | |
| Park Bend Rehabilitation and Healthcare Center | 17.4 mi | Burleson, TX | ★★☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 675748.