Starfile

Starfile / Texas

HERITAGE HOUSE OF MARSHALL HEALTH & REHABILITATION

5915 ELYSIAN FIELDS ROAD, MARSHALL, TX 75672 · CCN 676187

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★★☆☆ 3
Quality measures
★★★☆☆ 3
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Individual
Certified beds
125
Avg residents/day
68.6
Phone
9039356700

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityTexas avgNational avgvs state
12025-07-2969.19.5-3.1 better
22024-06-26259.49.8+15.6 worse
32023-05-11168.19.3+7.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Quality of life and care1
Resident assessment and care planning1
Resident rights2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.4957.9%
RN staffing (reported)0.2975.0%
Total nurse staffing (adjusted)3.48

Fines & penalties

Total fines
$67,706
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
SOUTHWEST LTC
Facilities in chain
13
Chain avg overall
3.30 / 5

Inspection citations (47)1 immediate jeopardy

  1. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-02 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  2. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-07-29 · Health · corrected 2025-09-09

    Potential for more than minimal harm

  3. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-07-29 · Health · corrected 2025-09-09

    Potential for more than minimal harm

  4. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-09 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  5. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-04-09 · Health · corrected 2025-02-27

    Potential for more than minimal harm

  6. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-04-09 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  7. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-29 · Health · corrected 2025-01-30

    Potential for more than minimal harm

  8. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-06-26 · Health · corrected 2024-07-20

    Potential for more than minimal harm

  9. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-06-26 · Health · corrected 2024-07-20

    Potential for more than minimal harm

  10. BF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-06-26 · Health · corrected 2024-06-27

    Potential for minimal harm

  11. EF0641Ensure each resident receives an accurate assessment.2024-06-26 · Health · corrected 2024-06-27

    Potential for more than minimal harm

  12. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-06-26 · Health · corrected 2024-08-02

    Potential for more than minimal harm

  13. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-06-26 · Health · corrected 2024-08-02

    Potential for more than minimal harm

  14. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-06-26 · Health · corrected 2024-06-27

    Potential for more than minimal harm

  15. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-26 · Health · corrected 2024-06-27

    Potential for more than minimal harm

  16. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-06-26 · Health · corrected 2024-06-27

    Potential for more than minimal harm

  17. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-26 · Health · corrected 2024-06-28

    Potential for more than minimal harm

  18. CF0680Ensure the activities program is directed by a qualified professional.2024-06-26 · Health · corrected 2024-06-30

    Potential for minimal harm

  19. JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-06-26 · Health · corrected 2024-06-27

    Immediate jeopardy

  20. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-26 · Health · corrected 2024-06-27

    Potential for more than minimal harm

  21. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-06-26 · Health · corrected 2024-06-28

    Potential for more than minimal harm

  22. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-06-26 · Health · corrected 2024-06-27

    Potential for more than minimal harm

  23. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-06-26 · Health · corrected 2024-06-27

    Potential for more than minimal harm

  24. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-06-26 · Health · corrected 2024-06-28

    Potential for more than minimal harm

  25. DF0758Implement 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.2024-06-26 · Health · corrected 2024-06-27

    Potential for more than minimal harm

  26. DF0760Ensure that residents are free from significant medication errors.2024-06-26 · Health · corrected 2024-06-27

    Potential for more than minimal harm

  27. EF0880Provide and implement an infection prevention and control program.2024-06-26 · Health · corrected 2024-06-28

    Potential for more than minimal harm

  28. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-06-12 · Health · corrected 2024-06-13

    Potential for more than minimal harm

  29. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-12 · Health · corrected 2024-06-13

    Potential for more than minimal harm

  30. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-12 · Health · corrected 2024-06-13

    Potential for more than minimal harm

  31. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-05-26 · Health · corrected 2024-05-28

    Potential for more than minimal harm

  32. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-05-11 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  33. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-05-11 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  34. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-05-11 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  35. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-05-11 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  36. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-05-11 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  37. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-05-11 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  38. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-05-11 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  39. CF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-05-11 · Health · corrected 2023-06-23

    Potential for minimal harm

  40. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-05-11 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  41. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-11 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  42. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-05-11 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  43. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-05-11 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  44. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-05-11 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  45. DF0758Implement 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.2023-05-11 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  46. EF0881Implement a program that monitors antibiotic use.2023-05-11 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  47. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-05-11 · Health · corrected 2023-06-23

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
SOUTHWEST LTC MARSHALL LTDOrganizationOPERATIONAL/MANAGERIAL CONTROL2017-04-01
LINDSEY, LYNNIndividualOPERATIONAL/MANAGERIAL CONTROL2022-01-01
THURMAN, LINDAIndividualW-2 MANAGING EMPLOYEE2022-09-01

Other facilities in MARSHALL

NameOverallBeds
MARSHALL MANOR WEST★★★☆☆118
MARSHALL MANOR NURSING & REHABILITATION CENTER★★☆☆☆179

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.