Texas › Smith County › Lindale
Colonial Nursing & Rehabilitation Center
508 Pierce St, Lindale, TX 75771
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.
Colonial Nursing & Rehabilitation Center, in Lindale, Texas, is certified for 90 beds under for-profit, individual ownership.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 3.
Inspectors recorded 23 health deficiencies across the three most recent survey cycles (6, 12, 5 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 25.6 per 100 beds, about the same as the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $248K.
Reported nurse staffing is 3.5 hours per resident per day (0.3 RN), close to the Texas median of 3.3.
Compared with county, state and nation
| Measure | This facility | Smith Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 23 | 23 | 25 | 28.7 |
| Citations per 100 beds | 25.6 | 20.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | — | 56.3% | 52.1% | 45.8% |
| Fines listed | $247,572 | $31,256 | $16,801 | — |
County and state figures are medians across facilities (17 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: 18 Mar 2026, 8 Jan 2025.
Severity mix: K ×2 G ×1 D ×11 E ×5 F ×3 B ×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 |
|---|---|---|---|---|---|
| 18 Mar 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 27 Mar 2026 |
| 18 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 27 Mar 2026 |
| 18 Mar 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 27 Mar 2026 |
| 18 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 27 Mar 2026 |
| 18 Mar 2026 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard survey | 27 Mar 2026 |
| 25 Nov 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 1 Dec 2025 |
| 8 Jan 2025 | F0727 | 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. | F | Standard survey | 21 Feb 2025 |
| 8 Jan 2025 | F0731 | Request a waiver if it can't meet the nurse staffing requirements. | F | Standard survey | 21 Feb 2025 |
| 8 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Feb 2025 |
| 8 Jan 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 21 Feb 2025 |
| 8 Jan 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 21 Feb 2025 |
| 8 Jan 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 21 Feb 2025 |
| 8 Jan 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 21 Feb 2025 |
| 8 Jan 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 21 Feb 2025 |
| 8 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 21 Feb 2025 |
| 27 Dec 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 28 Dec 2024 |
| 27 Dec 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | Complaint investigation | 28 Dec 2024 |
| 27 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 28 Dec 2024 |
| 10 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 24 Aug 2024 |
| 10 Jul 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 24 Aug 2024 |
| 12 Dec 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 2 Jan 2024 |
| 12 Dec 2023 | F0727 | 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. | E | Standard survey | 2 Jan 2024 |
| 12 Dec 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 12 Jan 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 27 Dec 2024 | Fine | $247,572 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; — 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 | 8.5% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 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 | 8.5% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.4% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.1% | 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: for-profit, individual.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Hopkins County Hospital District | 5% or greater direct ownership interest | 100% | 03/31/2017 |
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 Smith County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Meadow Lake Health Center | Tyler | 20 | 5 | 5 | 3 | 4 | 20.0 | — | 19 May 2025 |
| The Center At Grande | Tyler | 96 | 5 | 5 | 1 | 9 | 9.4 | — | 20 May 2026 |
| Reunion Plaza Healthcare & Rehabilitation | Tyler | 99 | 4 | 5 | 1 | 5 | 5.1 | — | 7 Aug 2025 |
| The Waterton Healthcare & Rehabilitation | Tyler | 92 | 4 | 4 | 2 | 10 | 10.9 | $23K | 6 May 2026 |
| Oak Brook Health Care Center | Whitehouse | 120 | 3 | 4 | 1 | 12 | 10.0 | — | 17 Jun 2026 |
| The Heights of Tyler | Tyler | 120 | 3 | 4 | 1 | 21 | 17.5 | $14K | 24 Mar 2026 |
| Avir At Azalea Heights | Tyler | 120 | 2 | 3 | 1 | 25 | 20.8 | $28K | 30 Apr 2026 |
| Avir At Petal Hillabuse icon | Tyler | 120 | 2 | 2 | 2 | 31 | 25.8 | $31K | 13 May 2026 |
All 17 facilities in Smith County
Questions and answers
How many deficiencies has Colonial Nursing & Rehabilitation Center been cited for?
23 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Colonial Nursing & Rehabilitation Center been fined?
Yes. CMS lists fines totalling $248K in the period covered.
How does staffing at Colonial Nursing & Rehabilitation Center compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Colonial Nursing & Rehabilitation Center?
Ownership type is for-profit, individual. Organisations in the CMS ownership record include Hopkins County Hospital District. Individual owners and managers are not listed on this site.
When was Colonial Nursing & Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 18 Mar 2026; the most recent standard health survey was 18 Mar 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.