GoodStanding

Nursing home report

CHEROKEE TRAILS NURSING HOME

RUSK, TX · Medicare-certified · 140 beds

Needs attention
Government-runChain member
2 of 5 overall

2 of 5 stars overall for CHEROKEE TRAILS NURSING HOME in Rusk, TX. Key concerns are a 1-star health inspection rating, 2-star staffing, nurse staffing below the federal benchmark (3.00 vs 4.1 hours per resident per day), and $30,933 in fines in the last 24 months with a recent federal penalty.

Facility ratings

Health inspections

Staffing

2.9963 hrs/resident/day

Quality measures

Last inspection: February 11, 2026Penalties, last 24 months: $30,933recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9963.

Staffing detail

Registered nurses
0.50
Licensed practical nurses
0.70
Nurse aides
1.79
Weekend nursing
2.69

Hours per resident per day.

Total staff turnover: 72%
Registered nurse turnover: 57%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

0%4.8%Worsening

Residents with a fall causing major injury

2.1%2.1%No change

Residents with pressure ulcers (bedsores)

2.2%2.4%No change

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

6.8%4.8%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

7%17.1%Worsening

Residents whose ability to walk got worse

8.4%4.8%Improving

Long-stay residents on antianxiety or sleep medication

27.3%26.2%Improving

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

20.9%5.1%Improving

Residents with depressive symptoms

0%0%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

41.7%60.4%Improving

Short-stay residents given the pneumonia vaccine

18.9%

What the inspectors found

The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited July 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: K

The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited July 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 919 — 42 CFR §483.90 — S/S: K

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to protect residents from abuse and neglect by others. Cited July 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: J

The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited July 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 607 — 42 CFR §483.12 — S/S: J

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $30,933 was recorded.

  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $85,329 in total fines.

  • Federal fine

    Sep 25, 2024

    $30,933
  • Federal fine

    Jul 27, 2023

    $54,396

Operator & ownership

Ownership
Government - Hospital district
Chain
Part of ADVANCED HEALTHCARE SOLUTIONS · 30 homes · 3 stars avg
Occupancy
52.1 residents on an average day (37% of 140 beds)
Resident voice
Resident council
Medicare history
Certified for 25 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.