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Nursing home report

HERITAGE HOUSE OF MARSHALL HEALTH & REHABILITATION

MARSHALL, TX · Medicare-certified · 125 beds

Needs attention
For-profitChain member
2 of 5 overall

2 of 5 stars overall. Staffing is very weak at 1 of 5 stars, reported nurse staffing is below the federal benchmark (3.74 vs 4.1 hours per resident per day), and the home has had $67,706 in fines in the last 24 months plus a recent federal penalty. Health inspections are 3 of 5 stars and quality measures are 2 of 5 stars.

Facility ratings

Health inspections

Staffing

3.7441 hrs/resident/day

Quality measures

Last inspection: February 19, 2026Penalties, last 24 months: $67,706recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7441.

Staffing detail

Registered nurses
0.29
Licensed practical nurses
1.21
Nurse aides
2.25
Weekend nursing
3.23

Hours per resident per day.

Total staff turnover: 95%
Registered nurse turnover: 86%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

15.2%Improving

Residents with a fall causing major injury

0.9%Worsening

Residents with pressure ulcers (bedsores)

5%Improving

Residents with a urinary tract infection

0.9%Worsening

Residents who lost too much weight

4.3%Steady

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

26.5%Worsening

Residents whose ability to walk got worse

27%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

16.2%Worsening

Short-stay residents newly given an antipsychotic

0%Steady

Residents with a long-term catheter

0.5%Steady

Residents with new or worsening incontinence

15.2%Improving

Residents with depressive symptoms

5%Worsening

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

100%Steady

Short-stay residents given the seasonal flu vaccine

100%Steady

Short-stay residents given the pneumonia vaccine

100%Steady

What the inspectors found

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited June 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: J

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited January 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: E

The home failed to protect residents’ right to organize and take part in resident and family groups. Cited June 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 565 — 42 CFR §483.10 — S/S: E

The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited June 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 641 — 42 CFR §483.20(g) — S/S: E

The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited June 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 698 — 42 CFR §483.25(l) — 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 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $67,706 was recorded.

Penalties & enforcement

On record with Medicare: 1 fine · $67,706 in total fines.

  • Federal fine

    Jun 26, 2024

    $67,706

Operator & ownership

Ownership
For profit - Individual
Chain
Part of SOUTHWEST LTC · 13 homes · 3.2 stars avg
Occupancy
63.3 residents on an average day (51% of 125 beds)
Resident voice
Resident council
Medicare history
Certified for 17 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.