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.
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
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 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
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.