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Nursing home report

Heritage House Of Marshall Health And Rehab Center

Registered name: HERITAGE HOUSE OF MARSHALL HEALTH & REHABILITATION

MARSHALL, TX · Medicare-certified · 125 beds

In good standing
For-profitChain member
Data as of July 1, 2026
2 of 5 overall

Heritage House Of Marshall Health And Rehab Center has a 2-star overall rating, with a 1-star staffing rating and 2-star quality measures rating. Reported nurse staffing is 3.29 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months; recent inspection areas cited pressure ulcer care, pharmaceutical services, and resident/family groups.

Facility ratings

Health inspections

Staffing

3.2949 hrs/resident/day

Quality measures

Last inspection: April 23, 2026Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2949.

Staffing detail

Registered nurses
0.18
Licensed practical nurses
1.19
Nurse aides
1.93
Weekend nursing
2.81

Hours per resident per day.

Total staff turnover: 92%
Registered nurse turnover: 83%

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

18.5%3.6%Improving

Residents with a fall causing major injury

0%0%No change

Residents with pressure ulcers (bedsores)

4.2%2.6%Improving

Residents with a urinary tract infection

0%3.9%Worsening

Residents who lost too much weight

2.3%2.3%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

14%26.2%Worsening

Residents whose ability to walk got worse

18.4%13%Improving

Long-stay residents on antianxiety or sleep medication

15.6%15.6%No change

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

15.5%6.9%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

100%100%No change

Short-stay residents given the seasonal flu vaccine

100%

Short-stay residents given the pneumonia vaccine

100%100%No change

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. 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 1 health deficiency.

    See what inspectors found
  6. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  7. 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 · 2.8 stars avg
Occupancy
66.7 residents on an average day (53% of 125 beds)
Resident voice
Resident council
Medicare history
Certified for 18 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.