Starfile

Starfile / Texas

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.

CycleInspection dateThis facilityTexas avgNational avgvs state
12025-12-03179.19.5+7.9 worse
22025-03-29289.49.8+18.6 worse
32024-02-15348.19.3+25.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care5
Resident assessment and care planning2
Resident rights1
Nutrition and dietary2
Pharmacy service3
Environmental1
Administration2
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.1546.3%
RN staffing (reported)0.5612.5%
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

  1. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-03 · Health · corrected 2025-12-10

    Potential for more than minimal harm

  2. DF0679Provide activities to meet all resident's needs.2025-12-03 · Health · corrected 2025-12-10

    Potential for more than minimal harm

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. EF0759Ensure medication error rates are not 5 percent or greater.2025-12-03 · Health · corrected 2025-12-10

    Potential for more than minimal harm

  9. 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

  10. 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

  11. 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

  12. EF0880Provide and implement an infection prevention and control program.2025-12-03 · Health · corrected 2025-12-10

    Potential for more than minimal harm

  13. DF0926Have policies on smoking.2025-12-03 · Health · corrected 2025-12-10

    Potential for more than minimal harm

  14. 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

  15. 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

  16. 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

  17. DF0946Provide training in compliance and ethics.2025-07-17 · Health · corrected 2025-07-18

    Potential for more than minimal harm

  18. DF0558Reasonably accommodate the needs and preferences of each resident.2025-03-29 · Health · corrected 2025-03-30

    Potential for more than minimal harm

  19. 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

  20. 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

  21. 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

  22. KF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-03-29 · Health · corrected 2025-03-30

    Immediate jeopardy

  23. 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

  24. KF0610Respond appropriately to all alleged violations.2025-03-29 · Health · corrected 2025-03-30

    Immediate jeopardy

  25. 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

  26. 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

  27. 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

  28. 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

  29. 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

  30. DF0692Provide enough food/fluids to maintain a resident's health.2025-03-29 · Health · corrected 2025-03-30

    Potential for more than minimal harm

  31. 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

  32. GF0697Provide safe, appropriate pain management for a resident who requires such services.2025-03-29 · Health · corrected 2025-03-30

    Actual harm

  33. 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

  34. 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

  35. 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

  36. 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

  37. 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

  38. 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

  39. 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

  40. 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

  41. 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

  42. EF0880Provide and implement an infection prevention and control program.2025-03-29 · Health · corrected 2025-03-30

    Potential for more than minimal harm

  43. 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

  44. JF0660Plan the resident's discharge to meet the resident's goals and needs.2024-03-20 · Health · corrected 2024-03-21

    Immediate jeopardy

  45. 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

  46. 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

  47. DF0558Reasonably accommodate the needs and preferences of each resident.2024-02-15 · Health · corrected 2024-02-16

    Potential for more than minimal harm

  48. 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

  49. 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

  50. 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

  51. 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

  52. 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

  53. KF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-02-15 · Health · corrected 2024-02-16

    Immediate jeopardy

  54. 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

  55. 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

  56. 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

  57. 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

  58. DF0679Provide activities to meet all resident's needs.2024-02-15 · Health · corrected 2024-02-16

    Potential for more than minimal harm

  59. DF0680Ensure the activities program is directed by a qualified professional.2024-02-15 · Health · corrected 2024-02-16

    Potential for more than minimal harm

  60. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-15 · Health · corrected 2024-02-16

    Actual harm

  61. 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

  62. 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

  63. 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

  64. 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

  65. 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

  66. 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

  67. 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

  68. 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

  69. 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

  70. 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

  71. 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

  72. EF0880Provide and implement an infection prevention and control program.2024-02-15 · Health · corrected 2024-02-16

    Potential for more than minimal harm

  73. KF0926Have policies on smoking.2024-02-15 · Health · corrected 2024-02-16

    Immediate jeopardy

  74. 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

  75. 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

  76. 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

  77. 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

  78. DF0791Provide or obtain dental services for each resident.2023-12-04 · Health · corrected 2023-12-21

    Potential for more than minimal harm

  79. DF0880Provide and implement an infection prevention and control program.2023-12-04 · Health · corrected 2023-12-21

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
EASTLAND MEMORIAL HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST2018-04-01
NEXION HEALTH AT TERRELL, INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST2018-04-01
NEXION HEALTH AT TERRELL, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL2018-04-01
FALLON, JOHNIndividualOPERATIONAL/MANAGERIAL CONTROL2018-04-01
KIRLEY, FRANCISIndividualOPERATIONAL/MANAGERIAL CONTROL2018-04-01
LEE, BRIANIndividualOPERATIONAL/MANAGERIAL CONTROL2018-04-01
OSWALD, JOHNIndividualOPERATIONAL/MANAGERIAL CONTROL2022-03-22
PIERCE, DANIELIndividualOPERATIONAL/MANAGERIAL CONTROL2021-03-16
RINER, MEERAIndividualOPERATIONAL/MANAGERIAL CONTROL2018-04-01
WRIGHT, LABANIndividualCORPORATE OFFICER2021-11-10
WRIGHT, LABANIndividualW-2 MANAGING EMPLOYEE2021-11-10

Other facilities in Terrell

NameOverallBeds
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.