Terrell Healthcare Center
204 W Nash, Terrell, TX 75160 · CCN 675879
SFF
Ratings
- Overall
- — —
- Health inspection
- — —
- Quality measures
- — —
- Staffing
- — —
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 94
- Avg residents/day
- 61.3
- Phone
- 9725637668
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-03 | 17 | 9.1 | 9.5 | +7.9 worse |
| 2 | 2025-03-29 | 28 | 9.4 | 9.8 | +18.6 worse |
| 3 | 2024-02-15 | 34 | 8.1 | 9.3 | +25.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 5 |
| Resident assessment and care planning | 2 |
| Resident rights | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 3 |
| Environmental | 1 |
| Administration | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.15 | 46.3% |
| RN staffing (reported) | 0.56 | 12.5% |
| Total nurse staffing (adjusted) | 4.47 | — |
Fines & penalties
- Total fines
- $339,046
- Number of fines
- 3
- Number of penalties
- 4
- Payment denials
- 1
Chain
- Chain
- NEXION HEALTH
- Facilities in chain
- 52
- Chain avg overall
- 2.30 / 5
Inspection citations (79)11 immediate jeopardy2 actual harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-03 · Health · corrected 2025-12-10
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2025-12-03 · Health · corrected 2025-12-10
Potential for more than minimal harm
- DF0688Provide 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.2025-12-03 · Health · corrected 2025-12-10
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-03 · Health · corrected 2025-12-10
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-12-03 · Health · corrected 2025-12-10
Potential for more than minimal harm
- EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-12-03 · Health · corrected 2025-12-10
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-03 · Health · corrected 2025-12-10
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2025-12-03 · Health · corrected 2025-12-10
Potential for more than minimal harm
- EF0761Ensure 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.2025-12-03 · Health · corrected 2025-12-10
Potential for more than minimal harm
- EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2025-12-03 · Health · corrected 2025-12-10
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-12-03 · Health · corrected 2025-12-19
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-12-03 · Health · corrected 2025-12-10
Potential for more than minimal harm
- DF0926Have policies on smoking.2025-12-03 · Health · corrected 2025-12-10
Potential for more than minimal harm
- EF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-11-19 · Health · corrected 2025-11-20
Potential for more than minimal harm
- DF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2025-07-17 · Health · corrected 2025-07-18
Potential for more than minimal harm
- DF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-07-17 · Health · corrected 2025-07-18
Potential for more than minimal harm
- DF0946Provide training in compliance and ethics.2025-07-17 · Health · corrected 2025-07-18
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-03-29 · Health · corrected 2025-03-30
Potential for more than minimal harm
- DF0578Honor 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.2025-03-29 · Health · corrected 2025-03-30
Potential for more than minimal harm
- DF0584Honor 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.2025-03-29 · Health · corrected 2025-03-30
Potential for more than minimal harm
- KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-29 · Health · corrected 2025-03-30
Immediate jeopardy
- KF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-03-29 · Health · corrected 2025-03-30
Immediate jeopardy
- JF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-29 · Health · corrected 2025-03-30
Immediate jeopardy
- KF0610Respond appropriately to all alleged violations.2025-03-29 · Health · corrected 2025-03-30
Immediate jeopardy
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-03-29 · Health · corrected 2025-03-30
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2025-03-29 · Health · corrected 2025-03-30
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-29 · Health · corrected 2025-03-30
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-29 · Health · corrected 2025-03-30
Immediate jeopardy
- EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-03-29 · Health · corrected 2025-03-30
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-03-29 · Health · corrected 2025-03-30
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-03-29 · Health · corrected 2025-03-30
Potential for more than minimal harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2025-03-29 · Health · corrected 2025-03-30
Actual harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-03-29 · Health · corrected 2025-03-30
Potential for more than minimal harm
- EF0699Provide care or services that was trauma informed and/or culturally competent.2025-03-29 · Health · corrected 2025-03-30
Potential for more than minimal harm
- KF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-03-29 · Health · corrected 2025-03-30
Immediate jeopardy
- 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.2025-03-29 · Health · corrected 2025-03-30
Potential for more than minimal harm
- EF0761Ensure 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.2025-03-29 · Health · corrected 2025-03-30
Potential for more than minimal harm
- DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2025-03-29 · Health · corrected 2025-03-30
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-03-29 · Health · corrected 2025-03-30
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-29 · Health · corrected 2025-03-30
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-29 · Health · corrected 2025-03-30
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-03-29 · Health · corrected 2025-03-30
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-03-20 · Health · corrected 2024-04-23
Potential for more than minimal harm
- JF0660Plan the resident's discharge to meet the resident's goals and needs.2024-03-20 · Health · corrected 2024-03-21
Immediate jeopardy
- EF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-03-20 · Health · corrected 2024-04-23
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- EF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- EF0584Honor 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.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- EF0585Honor 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.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-02-15 · Health · corrected 2024-02-16
Immediate jeopardy
- KF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-02-15 · Health · corrected 2024-02-16
Immediate jeopardy
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0680Ensure the activities program is directed by a qualified professional.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-15 · Health · corrected 2024-02-16
Actual harm
- KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-15 · Health · corrected 2024-02-16
Immediate jeopardy
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- EF0761Ensure 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.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- EF0838Conduct 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.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-02-15 · Health · corrected 2024-02-16
Potential for more than minimal harm
- KF0926Have policies on smoking.2024-02-15 · Health · corrected 2024-02-16
Immediate jeopardy
- DF0584Honor 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.2023-12-04 · Health · corrected 2023-12-21
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-12-04 · Health · corrected 2023-12-21
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-12-04 · Health · corrected 2023-12-21
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-04 · Health · corrected 2023-12-21
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2023-12-04 · Health · corrected 2023-12-21
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-12-04 · Health · corrected 2023-12-21
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| EASTLAND MEMORIAL HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2018-04-01 |
| NEXION HEALTH AT TERRELL, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2018-04-01 |
| NEXION HEALTH AT TERRELL, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 |
| FALLON, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 |
| KIRLEY, FRANCIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 |
| LEE, BRIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 |
| OSWALD, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-03-22 |
| PIERCE, DANIEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-03-16 |
| RINER, MEERA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 |
| WRIGHT, LABAN | Individual | CORPORATE OFFICER | — | 2021-11-10 |
| WRIGHT, LABAN | Individual | W-2 MANAGING EMPLOYEE | — | 2021-11-10 |
Other facilities in Terrell
| Name | Overall | Beds |
|---|---|---|
| Countryview Nursing & Rehabilitation | ★☆☆☆☆ | 115 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.