Texas › Bowie County › Texarkana
Heritage Plaza Nursing Center
600 W 52nd St, Texarkana, TX 75501
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.
Heritage Plaza Nursing Center, in Texarkana, Texas, is certified for 95 beds under for-profit, corporation ownership and belongs to the Stonegate Senior Living chain.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 3, staffing 2 and quality measures 4.
Inspectors recorded 40 health deficiencies across the three most recent survey cycles (9, 19, 12 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 42.1 per 100 beds, more than the state median of 22.5.
CMS lists 3 penalties in the period covered: fines totalling $90K.
Reported nurse staffing is 3.1 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 57.4%.
Compared with county, state and nation
| Measure | This facility | Bowie Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 40 | 40 | 25 | 28.7 |
| Citations per 100 beds | 42.1 | 45.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 57.4% | 61.7% | 52.1% | 45.8% |
| Fines listed | $89,633 | $89,633 | $16,801 | — |
County and state figures are medians across facilities (7 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: 2 Jun 2026, 23 Apr 2025.
Severity mix: J ×1 G ×2 D ×29 E ×7 F ×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 |
|---|---|---|---|---|---|
| 2 Jun 2026 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | E | Standard survey | 19 Jun 2026 |
| 2 Jun 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 19 Jun 2026 |
| 2 Jun 2026 | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard survey | 19 Jun 2026 |
| 2 Jun 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 19 Jun 2026 |
| 2 Jun 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 19 Jun 2026 |
| 2 Jun 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 19 Jun 2026 |
| 2 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 19 Jun 2026 |
| 10 Sep 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint investigation | 11 Sep 2025 |
| 18 Aug 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 | 11 Sep 2025 |
| 23 Apr 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 | 14 May 2025 |
| 23 Apr 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 | 14 May 2025 |
| 23 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 14 May 2025 |
| 23 Apr 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 14 May 2025 |
| 23 Apr 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 14 May 2025 |
| 23 Apr 2025 | F0680 | Ensure the activities program is directed by a qualified professional. | D | Standard survey | 14 May 2025 |
| 23 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 14 May 2025 |
| 23 Apr 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 14 May 2025 |
| 23 Apr 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 14 May 2025 |
| 4 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 12 Mar 2025 |
| 4 Mar 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 12 Mar 2025 |
| 4 Mar 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 11 Apr 2025 |
| 4 Mar 2025 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Complaint investigation | 12 Mar 2025 |
| 2 Nov 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 8 Nov 2024 |
| 4 Sep 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint investigation | 17 Apr 2024 |
| 4 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 12 Sep 2024 |
| 4 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 12 Sep 2024 |
| 4 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 12 Sep 2024 |
| 4 Sep 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 12 Sep 2024 |
| 6 Mar 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 13 Mar 2024 |
| 6 Mar 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard survey | 13 Mar 2024 |
| 6 Mar 2024 | 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 | 13 Mar 2024 |
| 6 Mar 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 13 Mar 2024 |
| 6 Mar 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 | Standard survey | 13 Mar 2024 |
| 6 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 13 Mar 2024 |
| 6 Mar 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 13 Mar 2024 |
| 6 Mar 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 13 Mar 2024 |
| 6 Mar 2024 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 13 Mar 2024 |
| 14 Feb 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 28 Feb 2024 |
| 14 Feb 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 28 Feb 2024 |
| 13 Oct 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 15 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 18 Aug 2025 | Fine | $9,110 | |
| 4 Sep 2024 | Fine | $77,227 | |
| 13 Oct 2023 | Fine | $3,296 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 57.4%, RNs 37.5%; 0 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 | 5.7% | 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 | 2.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.8% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.3% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.6% | 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, corporation. Legal business name: Fannin County Hospital Authority. Chain: Stonegate Senior Living (24 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fannin County Hospital Authority | 5% or greater direct ownership interest | 100% | 03/31/2017 |
| Umb Bank National Association | 5% or greater mortgage interest | NOT APPLICABLE | 09/23/2021 |
| Pf Heritage SNF Ops, LLC | Operational/managerial control | NOT APPLICABLE | 09/23/2021 |
| Stonegate Senior Living, LP | Operational/managerial control | NOT APPLICABLE | 06/22/2022 |
| Lifetime Wellness, Ltd. | Adp of the snf | NOT APPLICABLE | 09/23/2021 |
| Martus Financial Services, Inc. | Adp of the snf | NOT APPLICABLE | 12/31/2023 |
| Pf Heritage SNF Ops, LLC | Adp of the snf | NOT APPLICABLE | 12/04/2025 |
| Pharmerica Drug Systems LLC | Adp of the snf | NOT APPLICABLE | 08/27/2017 |
| Preservation Freehold Company | Adp of the snf | NOT APPLICABLE | 09/23/2021 |
| Rehab Pro LP | Adp of the snf | NOT APPLICABLE | 09/23/2021 |
| Sanctuary LTC, LLC | Adp of the snf | NOT APPLICABLE | 09/23/2021 |
| Stonegate Senior Living, LP | Adp of the snf | NOT APPLICABLE | 12/04/2025 |
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 Bowie County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Cornerstone Retirement Community | Texarkana | 40 | 4 | 3 | 5 | 19 | 47.5 | $40K | 13 May 2026 |
| The Villa At Texarkana | Texarkana | 106 | 3 | 4 | 1 | 30 | 28.3 | — | 30 Jun 2026 |
| Avir At Citizens Trail | Texarkana | 114 | 1 | 1 | 2 | 52 | 45.6 | $121K | 20 Nov 2025 |
| Avir At Cowhorn Creekabuse iconSFF Candidate | Texarkana | 76 | 1 | 1 | 1 | 65 | 85.5 | $30K | 13 Apr 2026 |
| Avir At Texarkanaabuse icon | Texarkana | 110 | 1 | 1 | 4 | 33 | 30.0 | $142K | 30 Apr 2026 |
| Reunion Plaza Senior Care and Rehabilitation Cente | Texarkana | 129 | 1 | 1 | 1 | 90 | 69.8 | $269K | 25 Jun 2026 |
All 7 facilities in Bowie County
Questions and answers
How many deficiencies has Heritage Plaza Nursing Center been cited for?
40 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 Heritage Plaza Nursing Center been fined?
Yes. CMS lists fines totalling $90K in the period covered.
How does staffing at Heritage Plaza Nursing Center compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Heritage Plaza Nursing Center?
It is part of the Stonegate Senior Living chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Fannin County Hospital Authority, Pf Heritage SNF Ops, LLC and Stonegate Senior Living, LP. Individual owners and managers are not listed on this site.
When was Heritage Plaza Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 2 Jun 2026; the most recent standard health survey was 2 Jun 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.