Texas › Kaufman County › Terrell
Terrell Healthcare Center
204 W Nash, Terrell, TX 75160
Special Focus Facility
Overallnot rated
Health inspectionnot rated
Staffingnot rated
Quality measuresnot rated
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 94 beds, Terrell Healthcare Center serves Terrell in Kaufman County, Texas and has taken Medicare and Medicaid residents since 2001.
CMS gives it no overall rating; the health inspection rating is —, staffing — and quality measures —.
Inspectors recorded 93 health deficiencies across the three most recent survey cycles (26, 16, 51 by cycle, most recent first), 11 of them at the actual-harm or immediate-jeopardy level. That is 98.9 per 100 beds, more than the state median of 22.5.
CMS lists 4 penalties in the period covered: fines totalling $339K and 1 payment denial.
Reported nurse staffing is 3.5 hours per resident per day (0.6 RN), close to the Texas median of 3.3; nursing staff turnover is 50.8%.
CMS flags that the facility is a Special Focus Facility.
93health deficiencies, 3 survey cycles11 at actual harm or worse
$339Kfines listed by CMS4 penalties in period
3.5nurse hours per resident per daystate median 3.3
66%occupancy (residents ÷ beds)62 residents a day
Compared with county, state and nation
| Measure | This facility | Kaufman Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | — | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 93 | 41 | 25 | 28.7 |
| Citations per 100 beds | 98.9 | 36.7 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.6 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 50.8% | 59.5% | 52.1% | 45.8% |
| Fines listed | $339,046 | $79,953 | $16,801 | — |
County and state figures are medians across facilities (8 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: 3 Apr 2026, 3 Dec 2025.
Severity mix: J ×3 K ×7 G ×1 D ×54 E ×26 F ×2
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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 3 Apr 2026 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 10 Apr 2026 |
| 3 Apr 2026 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 10 Apr 2026 |
| 3 Apr 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard survey | 26 Apr 2026 |
| 3 Apr 2026 | 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. | E | Standard survey | 10 Apr 2026 |
| 3 Apr 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 | 10 Apr 2026 |
| 3 Apr 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 10 Apr 2026 |
| 3 Apr 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 | 10 Apr 2026 |
| 3 Apr 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 10 Apr 2026 |
| 3 Apr 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 10 Apr 2026 |
| 3 Apr 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 10 Apr 2026 |
| 3 Apr 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 10 Apr 2026 |
| 3 Apr 2026 | F0659 | Provide care by qualified persons according to each resident's written plan of care. | D | Standard survey | 10 Apr 2026 |
| 3 Apr 2026 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 10 Apr 2026 |
| 3 Apr 2026 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 10 Apr 2026 |
| 3 Apr 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Apr 2026 |
| 3 Apr 2026 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 10 Apr 2026 |
| 3 Apr 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 10 Apr 2026 |
| 3 Apr 2026 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 10 Apr 2026 |
| 3 Apr 2026 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 10 Apr 2026 |
| 3 Apr 2026 | 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 | Standard survey | 10 Apr 2026 |
| 3 Apr 2026 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 10 Apr 2026 |
| 3 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Apr 2026 |
| 5 Mar 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 | Complaint investigation | 6 Mar 2026 |
| 5 Mar 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 6 Mar 2026 |
| 5 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 6 Mar 2026 |
| 3 Dec 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 10 Dec 2025 |
| 3 Dec 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 10 Dec 2025 |
| 3 Dec 2025 | 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 | 10 Dec 2025 |
| 3 Dec 2025 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 10 Dec 2025 |
| 3 Dec 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 19 Dec 2025 |
| 3 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Dec 2025 |
| 3 Dec 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 10 Dec 2025 |
| 3 Dec 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 10 Dec 2025 |
| 3 Dec 2025 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 10 Dec 2025 |
| 3 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 10 Dec 2025 |
| 3 Dec 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Dec 2025 |
| 3 Dec 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 | 10 Dec 2025 |
| 3 Dec 2025 | F0926 | Have policies on smoking. | D | Standard survey | 10 Dec 2025 |
| 19 Nov 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Complaint investigation | 20 Nov 2025 |
| 17 Jul 2025 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | Complaint investigation | 18 Jul 2025 |
| 17 Jul 2025 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Complaint investigation | 18 Jul 2025 |
| 17 Jul 2025 | F0946 | Provide training in compliance and ethics. | D | Complaint investigation | 18 Jul 2025 |
| 29 Mar 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 30 Mar 2025 |
| 29 Mar 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | Complaint investigation | 30 Mar 2025 |
| 29 Mar 2025 | F0610 | Respond appropriately to all alleged violations. | K | Complaint investigation | 30 Mar 2025 |
| 29 Mar 2025 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | K | Standard survey | 30 Mar 2025 |
| 29 Mar 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | Complaint investigation | 30 Mar 2025 |
| 29 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 30 Mar 2025 |
| 29 Mar 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 30 Mar 2025 |
| 29 Mar 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 | 30 Mar 2025 |
| 29 Mar 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. | E | Standard survey | 30 Mar 2025 |
| 29 Mar 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | E | Standard survey | 30 Mar 2025 |
| 29 Mar 2025 | 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 | 30 Mar 2025 |
| 29 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 Mar 2025 |
| 29 Mar 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 30 Mar 2025 |
| 29 Mar 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 30 Mar 2025 |
| 29 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. | D | Standard survey | 30 Mar 2025 |
| 29 Mar 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 30 Mar 2025 |
| 29 Mar 2025 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 30 Mar 2025 |
| 29 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 30 Mar 2025 |
| 29 Mar 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 30 Mar 2025 |
| 29 Mar 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 30 Mar 2025 |
| 29 Mar 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 30 Mar 2025 |
| 29 Mar 2025 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 30 Mar 2025 |
| 29 Mar 2025 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Standard survey | 30 Mar 2025 |
| 29 Mar 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 30 Mar 2025 |
| 29 Mar 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 | 30 Mar 2025 |
| 20 Mar 2024 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | J | Complaint investigation | 21 Mar 2024 |
| 20 Mar 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | E | Complaint investigation | 23 Apr 2024 |
| 20 Mar 2024 | 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 | 23 Apr 2024 |
| 15 Feb 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 | 16 Feb 2024 |
| 15 Feb 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | Complaint investigation | 16 Feb 2024 |
| 15 Feb 2024 | F0926 | Have policies on smoking. | K | Complaint investigation | 16 Feb 2024 |
| 15 Feb 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 16 Feb 2024 |
| 15 Feb 2024 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Complaint investigation | 16 Feb 2024 |
| 15 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. | E | Complaint investigation | 16 Feb 2024 |
| 15 Feb 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Complaint investigation | 16 Feb 2024 |
| 15 Feb 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 | Complaint investigation | 16 Feb 2024 |
| 15 Feb 2024 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | Complaint investigation | 16 Feb 2024 |
| 15 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 16 Feb 2024 |
| 15 Feb 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Complaint investigation | 16 Feb 2024 |
| 15 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 16 Feb 2024 |
| 15 Feb 2024 | F0679 | Provide activities to meet all resident's needs. | D | Complaint investigation | 16 Feb 2024 |
| 15 Feb 2024 | F0680 | Ensure the activities program is directed by a qualified professional. | D | Complaint investigation | 16 Feb 2024 |
| 15 Feb 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 16 Feb 2024 |
| 15 Feb 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 | 16 Feb 2024 |
| 15 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 16 Feb 2024 |
| 4 Dec 2023 | 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 | 21 Dec 2023 |
| 4 Dec 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 21 Dec 2023 |
| 4 Dec 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 21 Dec 2023 |
| 4 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 21 Dec 2023 |
| 4 Dec 2023 | F0791 | Provide or obtain dental services for each resident. | D | Complaint investigation | 21 Dec 2023 |
| 4 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 21 Dec 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 29 Mar 2025 | Fine | $91,910 | |
| 20 Mar 2024 | Payment denial | — | 4 days |
| 20 Mar 2024 | Fine | $103,109 | |
| 15 Feb 2024 | Fine | $144,027 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 50.8%, RNs 70.0%; 3 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 | 18.5% | 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 | 1.2% | 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 | 16.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.4% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.0% | 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: Eastland Memorial Hospital District. Chain: Nexion Health (51 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Eastland Memorial Hospital District | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 04/01/2018 |
| Nexion Health At Terrell, Inc. | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 04/01/2018 |
| Nexion Health At Terrell, Inc. | Operational/managerial control | NOT APPLICABLE | 04/01/2018 |
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 Kaufman County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Mabank Nursing Center | Mabank | 90 | 3 | 3 | 3 | 33 | 36.7 | $31K | 21 May 2026 |
| Ridgecrest Healthcare and Rehabilitation Center | Forney | 116 | 3 | 3 | 4 | 31 | 26.7 | — | 14 May 2026 |
| Avir At Kaufman | Kaufman | 115 | 2 | 3 | 1 | 41 | 35.7 | $8K | 9 Feb 2026 |
| Kemp Care Center | Kemp | 124 | 2 | 2 | 1 | 41 | 33.1 | $256K | 2 Jul 2025 |
| Sunflower Park Health Care | Kaufman | 92 | 2 | 1 | 1 | 52 | 56.5 | $191K | 7 Jan 2026 |
| Windsor Rehabilitation and Healthcare | Terrell | 108 | 2 | 2 | 2 | 39 | 36.1 | — | 27 Feb 2026 |
| Countryview Nursing & Rehabilitationabuse icon | Terrell | 115 | 1 | 1 | 2 | 51 | 44.3 | $80K | 15 Aug 2025 |
All 8 facilities in Kaufman County
Questions and answers
How many deficiencies has Terrell Healthcare Center been cited for?
93 health deficiencies across the three most recent survey cycles, 11 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Terrell Healthcare Center been fined?
Yes. CMS lists fines totalling $339K in the period covered, plus 1 payment denial.
How does staffing at Terrell Healthcare 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 Terrell Healthcare Center?
It is part of the Nexion Health chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Eastland Memorial Hospital District, Nexion Health At Terrell, Inc. and Nexion Health At Terrell, Inc.. Individual owners and managers are not listed on this site.
When was Terrell Healthcare Center last inspected?
The most recent survey or investigation in the CMS record is dated 3 Apr 2026; the most recent standard health survey was 3 Apr 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.