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Nursing home report

CHEROKEE TRAILS NURSING HOME

RUSK, TX · Medicare-certified · 140 beds

Needs attention
Government-run
Data as of September 1, 2026
2 of 5 overall

2 out of 5 stars overall. Health inspection and staffing are both 2 stars, quality measures are 4 stars, reported nurse staffing is 3.22 hours per resident per day versus the 4.1-hour federal benchmark, and the home has had $30,933 in fines in the last 24 months with a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.2244 hrs/resident/day

Quality measures

Last inspection: May 20, 2026Penalties, last 24 months: $30,933recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2244.

Staffing detail

Registered nurses
0.36
Licensed practical nurses
1.00
Nurse aides
1.86
Weekend nursing
2.81

Hours per resident per day.

Total staff turnover: 65%
Registered nurse turnover: 67%

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

8%10%Worsening

Residents with a fall causing major injury

3.9%2%Improving

Residents with pressure ulcers (bedsores)

2%4.4%Worsening

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

0%7.9%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

6.7%15%Worsening

Residents whose ability to walk got worse

12%3.8%Improving

Long-stay residents on antianxiety or sleep medication

28.3%25%Improving

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

14%12.6%Improving

Residents with depressive symptoms

0%2.2%Worsening

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

45.1%51%Improving

Short-stay residents given the pneumonia vaccine

—7.7%—

What the inspectors found

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 home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to submit complete and accurate staffing information based on verifiable records. Cited February 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 851 — 42 CFR §483.70 — S/S: F

The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited February 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 925 — 42 CFR §483.90 — S/S: F

The home failed to properly label and securely store medications and biologicals. Cited May 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 761 — 42 CFR §483.45(g) — S/S: E

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 7 health deficiencies.

    See what inspectors found
  3. STAFFING

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

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found
  6. PENALTY

    A federal fine of $30,933 was recorded.

  7. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $30,933 in total fines.

  • Federal fine

    Sep 25, 2024

    $30,933

Operator & ownership

Recent ownership change · Jun 1, 2023

Now operated by Baylor County Hospital District, previously Rusk Nursing & Rehab Center LLC.

Ownership
Government - Hospital district
Occupancy
50.1 residents on an average day (36% of 140 beds)
Medicare history
Certified for 26 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.