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Terrell Healthcare Center

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204 W Nash, Terrell, TX 75160 (opens Google Maps) · Kaufman County · (972) 563-7668· 94 certified beds · avg 62 residents/day · certified since Aug 1, 2001 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

SFF

What Special Focus status means →

Part of chain: NEXION HEALTH (51 facilities, chain avg rating 2.2★)

—/5

Health inspection rating (on-site)

inspected Apr 3, 2026

11

Serious findings on record

most recent Mar 29, 2025

$339,046

Fines, last 3 years

3.56

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: —/5 · CMS overall rating: —/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy) — showing 10 of 11

▲ Immediate jeopardy, pattern · Mar 29, 2025 · 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 (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Mar 30, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, pattern · Mar 29, 2025 · F-0607 · triggered by a complaint

The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.

Why it matters: Without working prevention policies, mistreatment is more likely to happen and less likely to be caught.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Mar 30, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, pattern · Mar 29, 2025 · F-0610 · triggered by a complaint

The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.

Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Mar 30, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, pattern · Mar 29, 2025 · F-0740

The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.

Why it matters: A resident's untreated mental health needs can worsen and take a toll on their physical health too.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Mar 30, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Mar 29, 2025 · F-0609 · triggered by a complaint

The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.

Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Mar 30, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Mar 29, 2025 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Mar 30, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Mar 20, 2024 · F-0660 · triggered by a complaint

The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving.

Why it matters: Poor discharge planning can send a resident home or elsewhere without the support, equipment, or follow-up care they need.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Mar 21, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, pattern · Feb 15, 2024 · 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 (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Feb 16, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, pattern · Feb 15, 2024 · F-0607 · triggered by a complaint

The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.

Why it matters: Without working prevention policies, mistreatment is more likely to happen and less likely to be caught.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Feb 16, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, pattern · Feb 15, 2024 · F-0926 · triggered by a complaint

The facility did not have policies on smoking.

Why it matters: Without clear smoking rules, residents face fire hazards and unwanted secondhand smoke.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Feb 16, 2024 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 93 inspection findings. Open the full record below to read every finding.

Apr 3, 2026F · Potential for more than minimal harm, widespread
The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. F-0882
Apr 3, 2026E · Potential for more than minimal harm, pattern
The facility did not keep residents' personal and medical information private and confidential. F-0583
Apr 3, 2026E · Potential for more than minimal harm, pattern
The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. F-0644

View all 93 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Apr 3, 2026	F · Potential for more than minimal harm, widespread	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882
Apr 3, 2026	E · Potential for more than minimal harm, pattern	The facility did not keep residents' personal and medical information private and confidential. · F-0583
Apr 3, 2026	E · Potential for more than minimal harm, pattern	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644
Apr 3, 2026	E · Potential for more than minimal harm, pattern	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Apr 3, 2026	E · Potential for more than minimal harm, pattern	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Apr 3, 2026	E · Potential for more than minimal harm, pattern	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Apr 3, 2026	E · Potential for more than minimal harm, pattern	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Apr 3, 2026	D · Potential for more than minimal harm, isolated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Apr 3, 2026	D · Potential for more than minimal harm, isolated	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552
Apr 3, 2026	D · Potential for more than minimal harm, isolated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558
Apr 3, 2026	D · Potential for more than minimal harm, isolated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Apr 3, 2026	D · Potential for more than minimal harm, isolated	The facility did not make sure care was delivered by qualified people following each resident's written care plan — the individualized document that spells out exactly what care that resident is supposed to receive. · F-0659
Apr 3, 2026	D · Potential for more than minimal harm, isolated	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · F-0676
Apr 3, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688
Apr 3, 2026	D · Potential for more than minimal harm, isolated	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. · F-0695
Apr 3, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. · F-0699
Apr 3, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Apr 3, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide timely, quality laboratory tests to meet residents' needs. · F-0770
Apr 3, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · F-0806
Apr 3, 2026	D · Potential for more than minimal harm, isolated	The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. · F-0808
Apr 3, 2026	D · Potential for more than minimal harm, isolated	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · F-0849
Apr 3, 2026	D · Potential for more than minimal harm, isolated	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. · F-0880
Mar 5, 2026	E · Potential for more than minimal harm, pattern	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint · F-0761
Mar 5, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Mar 5, 2026	D · Potential for more than minimal harm, isolated	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. · from a complaint · F-0880
Dec 3, 2025	E · Potential for more than minimal harm, pattern	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Dec 3, 2025	E · Potential for more than minimal harm, pattern	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759
Dec 3, 2025	E · Potential for more than minimal harm, pattern	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Dec 3, 2025	E · Potential for more than minimal harm, pattern	The facility did not have enough support staff to safely and effectively run its food and nutrition service. · F-0802
Dec 3, 2025	E · Potential for more than minimal harm, pattern	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Dec 3, 2025	E · Potential for more than minimal harm, pattern	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. · F-0880
Dec 3, 2025	D · Potential for more than minimal harm, isolated	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. · F-0656
Dec 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679
Dec 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688
Dec 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Dec 3, 2025	D · Potential for more than minimal harm, isolated	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. · F-0695
Dec 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Dec 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not have policies on smoking. · F-0926
Nov 19, 2025	E · Potential for more than minimal harm, pattern	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint · F-0644
Jul 17, 2025	D · Potential for more than minimal harm, isolated	The facility did not educate its staff on residents' rights and the facility's responsibilities toward residents. Staff can only respect rights they've been taught about. · from a complaint · F-0942
Jul 17, 2025	D · Potential for more than minimal harm, isolated	The facility did not give all staff the required training on its quality improvement program — the internal system for finding problems and making care better. · from a complaint · F-0944
Jul 17, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide its staff with training in compliance and ethics — teaching employees the laws and ethical standards that govern how residents must be treated. · from a complaint · F-0946
Mar 29, 2025	▲ K · Immediate jeopardy, pattern	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 · F-0600
Mar 29, 2025	▲ K · Immediate jeopardy, pattern	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint · F-0607
Mar 29, 2025	▲ K · Immediate jeopardy, pattern	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610
Mar 29, 2025	▲ K · Immediate jeopardy, pattern	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · F-0740
Mar 29, 2025	▲ J · Immediate jeopardy, isolated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Mar 29, 2025	▲ J · Immediate jeopardy, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Mar 29, 2025	▲ G · Actual harm, isolated	The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697
Mar 29, 2025	F · Potential for more than minimal harm, widespread	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Mar 29, 2025	E · Potential for more than minimal harm, pattern	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Mar 29, 2025	E · Potential for more than minimal harm, pattern	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. · F-0699
Mar 29, 2025	E · Potential for more than minimal harm, pattern	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Mar 29, 2025	E · Potential for more than minimal harm, pattern	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. · F-0880
Mar 29, 2025	D · Potential for more than minimal harm, isolated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558
Mar 29, 2025	D · Potential for more than minimal harm, isolated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Mar 29, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Mar 29, 2025	D · Potential for more than minimal harm, isolated	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644
Mar 29, 2025	D · Potential for more than minimal harm, isolated	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · F-0661
Mar 29, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
Mar 29, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Mar 29, 2025	D · Potential for more than minimal harm, isolated	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · F-0694
Mar 29, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Mar 29, 2025	D · Potential for more than minimal harm, isolated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Mar 29, 2025	D · Potential for more than minimal harm, isolated	The facility did not have enough support staff to safely and effectively run its food and nutrition service. · F-0802
Mar 29, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · F-0806
Mar 29, 2025	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Mar 20, 2024	▲ J · Immediate jeopardy, isolated	The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint · F-0660
Mar 20, 2024	E · Potential for more than minimal harm, pattern	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · from a complaint · F-0661
Mar 20, 2024	D · Potential for more than minimal harm, isolated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint · F-0623
Feb 15, 2024	▲ K · Immediate jeopardy, pattern	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 · F-0600
Feb 15, 2024	▲ K · Immediate jeopardy, pattern	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint · F-0607
Feb 15, 2024	▲ K · Immediate jeopardy, pattern	The facility did not have policies on smoking. · from a complaint · F-0926
Feb 15, 2024	E · Potential for more than minimal harm, pattern	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550
Feb 15, 2024	E · Potential for more than minimal harm, pattern	The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. · from a complaint · F-0576
Feb 15, 2024	E · Potential for more than minimal harm, pattern	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584
Feb 15, 2024	E · Potential for more than minimal harm, pattern	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint · F-0585
Feb 15, 2024	E · Potential for more than minimal harm, pattern	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint · F-0761
Feb 15, 2024	E · Potential for more than minimal harm, pattern	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · from a complaint · F-0838
Feb 15, 2024	E · Potential for more than minimal harm, pattern	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. · from a complaint · F-0880
Feb 15, 2024	D · Potential for more than minimal harm, isolated	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. · from a complaint · F-0582
Feb 15, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Feb 15, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint · F-0679
Feb 15, 2024	D · Potential for more than minimal harm, isolated	The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. · from a complaint · F-0680
Feb 15, 2024	D · Potential for more than minimal harm, isolated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint · F-0726
Feb 15, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Feb 15, 2024	D · Potential for more than minimal harm, isolated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812
Dec 4, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584
Dec 4, 2023	D · Potential for more than minimal harm, isolated	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint · F-0644
Dec 4, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Dec 4, 2023	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Dec 4, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · from a complaint · F-0791
Dec 4, 2023	D · Potential for more than minimal harm, isolated	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. · from a complaint · F-0880

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (13 → 22).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

6

0

2024

20

4

2025

42

7

2026

25

0

All bars start at zero. Exact values and supporting details remain below.

Year	Citations	Serious (G–L)	Worst severity that year
2023	6	0	D
2024	20	4	K ▲
2025	42	7	K ▲
2026	25	0	F

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)

How to file a complaint about care →

3 fines totaling $339,046, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

Date	Type	Amount / length
Mar 29, 2025	Fine	$91,910
Mar 20, 2024	Fine	$103,109
Mar 20, 2024	Payment Denial	4 days from Apr 19, 2024
Feb 15, 2024	Fine	$144,027

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityTexas averageU.S. average

Total nurse staffing (hours per resident per day)

3.56

3.46

3.95

Registered Nurse hours

0.62

0.44

0.69

Weekend total nurse staffing

3.19

3.04

3.50

All bars start at zero. Exact values and supporting details remain below.

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.56	3.46	3.95	top 32% in Texas; bottom 40% in the U.S.
Registered Nurse hours	0.62	0.44	0.69	top 14% in Texas; top 45% in the U.S.
Weekend total nurse staffing	3.19	3.04	3.50	top 30% in Texas; bottom 41% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.36	0.34	0.48	top 33% in Texas; bottom 44% in the U.S.
Total nursing staff turnover (%)	50.8	55.3	45.8	top 47% in Texas; bottom 35% in the U.S.
RN turnover (%)	70.0	54.6	42.9	bottom 29% in Texas; bottom 12% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.52, RN 0.62, weekend 3.15.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.52 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: —/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: —/5 · long-stay residents: —/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Terrell Healthcare Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Eastland Memorial Hospital District	Organization	5% or Greater Direct Ownership Interest	—	04/01/2018
Nexion Health at Terrell, INC.	Organization	5% or Greater Direct Ownership Interest	—	04/01/2018
Fallon, John	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2018
Kirley, Francis	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2018
Lee, Brian	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2018
Nexion Health at Terrell, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2018
Oswald, John	Individual	Operational/Managerial Control	NOT APPLICABLE	03/22/2022
Pierce, Daniel	Individual	Operational/Managerial Control	NOT APPLICABLE	03/16/2021
Riner, Meera	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2018
Wright, Laban	Individual	W-2 Managing Employee	NOT APPLICABLE	11/10/2021
Wright, Laban	Individual	Corporate Officer	NOT APPLICABLE	11/10/2021

All 11 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Nexion Health — 51 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Village Creek Rehabilitation and Nursing Center — Lumberton, TX · overall 1/5
Whispering Springs Rehabilitation and Healthcare C — Carrizo Springs, TX · overall 5/5
Willow Park Rehabilitation and Care Center — Willow Park, TX · overall 2/5
Willow Park Rehabilitation Health Care Center — Clifton, TX · overall 1/5abuse
Claiborne Healthcare Center — Shreveport, LA · overall 1/5
Gonzales Healthcare Center — Gonzales, LA · overall 1/5
Kaplan Healthcare Center — Kaplan, LA · overall 2/5
Many Healthcare and Rehabilitation Center — Many, LA · overall 2/5

Listed by state, then facility name — not a ranking. Showing 8 of the 50 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"What mental health services do you provide on-site, and who delivers them?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you prepare residents and families for discharge, and what support do you arrange for after they leave?"
"What are your smoking rules, and how do you keep residents who smoke — and everyone around them — safe?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 51% total nursing staff turnover here — who on the care team has been with you longest?"
"CMS lists this facility under its Special Focus program — what is being done differently, and by when?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 18 within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Countryview Nursing & Rehabilitation	1.5 mi	Terrell, TX	★☆☆☆☆	1/5	abuse
Windsor Rehabilitation and Healthcare	2.4 mi	Terrell, TX	★★☆☆☆	2/5
Ridgecrest Healthcare and Rehabilitation Center	9.7 mi	Forney, TX	★★★☆☆	3/5
Sunflower Park Health Care	10.4 mi	Kaufman, TX	★★☆☆☆	1/5
Avir at Kaufman	11.5 mi	Kaufman, TX	★★☆☆☆	3/5
Broadmoor Medical Lodge	14.4 mi	Rockwall, TX	★★★☆☆	3/5
Highland Meadows	14.6 mi	Rockwall, TX	★★★★☆	4/5
Crestwood Health and Rehabilitation Center	16.8 mi	Wills Point, TX	★★★★★	5/5
Rockwall Nursing Care Center	16.8 mi	Rockwall, TX	★★★☆☆	2/5
Cheyenne Medical Lodge	17.3 mi	Mesquite, TX	★★★★★	4/5
The Manor at Seagoville	18.0 mi	Seagoville, TX	★★★☆☆	3/5
Royse City Medical Lodge	18.2 mi	Royse City, TX	★★★☆☆	4/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Kaufman, TX — 8 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Kemp Care Center — Kemp, TX · overall 2/5
Mabank Nursing Center — Mabank, TX · overall 3/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Terrell →

Facility data as of CMS processing date 2026-08-01. CCN 675879.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Terrell Healthcare Center

204 W Nash, Terrell, TX 75160 · (972) 563-7668

Health inspection rating —/5 · CMS overall —/5 · SFF· Fines (3y): $339,046

Most serious findings on record:

▲ Mar 29, 2025 (F-0600, Immediate jeopardy, pattern): 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.
▲ Mar 29, 2025 (F-0607, Immediate jeopardy, pattern): The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
▲ Mar 29, 2025 (F-0610, Immediate jeopardy, pattern): The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "What mental health services do you provide on-site, and who delivers them?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you prepare residents and families for discharge, and what support do you arrange for after they leave?"
☐ "What are your smoking rules, and how do you keep residents who smoke — and everyone around them — safe?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 51% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "CMS lists this facility under its Special Focus program — what is being done differently, and by when?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675879 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)