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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $30,933 was recorded.
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.