Texas › Cherokee County › Rusk
Cherokee Trails Nursing Home
330 E. Bagley Rd., Rusk, TX 75785
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 140 beds, Cherokee Trails Nursing Home serves Rusk in Cherokee County, Texas and has taken Medicare and Medicaid residents since 2000.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 2 and quality measures 4.
Inspectors recorded 38 health deficiencies across the three most recent survey cycles (8, 11, 19 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 27.1 per 100 beds, about the same as the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $31K.
Reported nurse staffing is 3.2 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 65.3%.
Compared with county, state and nation
| Measure | This facility | Cherokee Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 38 | 34 | 25 | 28.7 |
| Citations per 100 beds | 27.1 | 27.1 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 65.3% | 65.3% | 52.1% | 45.8% |
| Fines listed | $30,933 | $30,933 | $16,801 | — |
County and state figures are medians across facilities (6 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 May 2026, 19 Mar 2025.
Severity mix: J ×1 D ×12 E ×21 F ×3 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 14 Jun 2026 |
| 20 May 2026 | F0761 | Ensure 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. | E | Standard survey | 14 Jun 2026 |
| 20 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 21 Jun 2026 |
| 20 May 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 14 Jun 2026 |
| 20 May 2026 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 14 Jun 2026 |
| 20 May 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 14 Jun 2026 |
| 20 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 14 Jun 2026 |
| 11 Feb 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 13 Feb 2026 |
| 19 Mar 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 28 Apr 2025 |
| 19 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 28 Apr 2025 |
| 19 Mar 2025 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | Standard survey | 28 Apr 2025 |
| 19 Mar 2025 | F0946 | Provide training in compliance and ethics. | E | Standard survey | 28 Apr 2025 |
| 19 Mar 2025 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Standard survey | 28 Apr 2025 |
| 19 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 28 Apr 2025 |
| 19 Mar 2025 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | Standard survey | 28 Apr 2025 |
| 19 Mar 2025 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Standard survey | 28 Apr 2025 |
| 19 Mar 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 28 Apr 2025 |
| 25 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 26 Sep 2024 |
| 25 Sep 2024 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | E | Complaint investigation | 26 Sep 2024 |
| 7 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 7 Mar 2024 |
| 7 Feb 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Complaint investigation | 7 Mar 2024 |
| 7 Feb 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint investigation | 7 Mar 2024 |
| 7 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 7 Mar 2024 |
| 7 Feb 2024 | F0926 | Have policies on smoking. | E | Complaint investigation | 7 Mar 2024 |
| 7 Feb 2024 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Complaint investigation | 7 Mar 2024 |
| 7 Feb 2024 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | Complaint investigation | 7 Mar 2024 |
| 7 Feb 2024 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | Complaint investigation | 7 Mar 2024 |
| 7 Feb 2024 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Complaint investigation | 7 Mar 2024 |
| 7 Feb 2024 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Complaint investigation | 7 Mar 2024 |
| 7 Feb 2024 | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | Complaint investigation | 7 Mar 2024 |
| 7 Feb 2024 | F0946 | Provide training in compliance and ethics. | E | Complaint investigation | 7 Mar 2024 |
| 7 Feb 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Complaint investigation | 7 Mar 2024 |
| 7 Feb 2024 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Complaint investigation | 7 Mar 2024 |
| 7 Feb 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint investigation | 7 Mar 2024 |
| 7 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 7 Mar 2024 |
| 7 Feb 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Complaint investigation | 7 Mar 2024 |
| 7 Feb 2024 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Complaint investigation | 7 Mar 2024 |
| 7 Feb 2024 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Complaint investigation | 7 Mar 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 25 Sep 2024 | Fine | $30,933 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 65.3%, RNs 66.7%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.8% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.5% | 3.0% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.4% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.1% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, hospital district. Legal business name: Baylor County Hospital District.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Baylor County Hospital District | 5% or greater direct ownership interest | 100% | 06/01/2023 |
| Cherokee Trails Hc LLC | Operational/managerial control | NOT APPLICABLE | 06/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Cherokee County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Jacksonville | Jacksonville | 53 | 5 | 5 | 4 | 11 | 20.8 | — | 25 Feb 2026 |
| Legacy At Jacksonville | Jacksonville | 101 | 3 | 4 | 1 | 12 | 11.9 | $27K | 1 Jun 2026 |
| The Arbors Healthcare and Rehabilitation Center | Rusk | 110 | 2 | 3 | 1 | 25 | 22.7 | — | 1 Jul 2026 |
| Twin Oaks Health & Rehabilitation Center | Jacksonville | 116 | 2 | 3 | 1 | 34 | 29.3 | $174K | 31 Dec 2025 |
| Wells LTC Nursing & Rehabilitationabuse iconSFF Candidate | Wells | 90 | 1 | 1 | 3 | 38 | 42.2 | $94K | 23 Jun 2026 |
All 6 facilities in Cherokee County
Questions and answers
How many deficiencies has Cherokee Trails Nursing Home been cited for?
38 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Cherokee Trails Nursing Home been fined?
Yes. CMS lists fines totalling $31K in the period covered.
How does staffing at Cherokee Trails Nursing Home compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Cherokee Trails Nursing Home?
Ownership type is government, hospital district. Organisations in the CMS ownership record include Baylor County Hospital District and Cherokee Trails Hc LLC. Individual owners and managers are not listed on this site.
When was Cherokee Trails Nursing Home last inspected?
The most recent survey or investigation in the CMS record is dated 20 May 2026; the most recent standard health survey was 20 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.