The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited September 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: J
Nursing home report
HERITAGE PLAZA NURSING CENTER
TEXARKANA, TX · Medicare-certified · 95 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
HERITAGE PLAZA NURSING CENTER has an overall 2-star rating, with 2-star health inspection and staffing ratings but a stronger 4-star quality measures rating. It reported 3.15 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has had $86,337 in fines in the last 24 months plus a recent federal penalty and citations related to abuse/neglect prevention, food/fluids, and accident hazards.
Facility ratings
Health inspections
Staffing
3.1458 hrs/resident/day
Quality measures
Last inspection: September 10, 2025Penalties, last 24 months: $86,337recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1458.
Staffing detail
- Registered nurses
- 0.41
- Licensed practical nurses
- 1.04
- Nurse aides
- 1.70
- Weekend nursing
- 2.64
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 38%
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
18.2%3.2%Improving
Residents with a fall causing major injury
2.5%4.4%Worsening
Residents with pressure ulcers (bedsores)
2.5%5.3%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
6.1%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.2%10.8%Worsening
Residents whose ability to walk got worse
—11.8%—
Long-stay residents on antianxiety or sleep medication
15.2%5.1%Improving
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
0%2.5%Worsening
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
—97.4%—
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 home failed to provide enough food and fluids to keep residents healthy. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2025 — 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 ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — 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
- PENALTY
A federal fine of $9,110 was recorded.
- PENALTY
A federal fine of $14,015 was recorded.
- 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 $77,227 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $89,633 in total fines.
- $9,110
Federal fine
Aug 18, 2025
- $77,227
Federal fine
Sep 4, 2024
- $3,296
Federal fine
Oct 13, 2023
Operator & ownership
Recent ownership change · Mar 31, 2017
Now operated by Fannin County Hospital Authority, previously Heritage Snf LP.
- Ownership
- For profit - Corporation
- Chain
- Part of STONEGATE SENIOR LIVING · 24 homes · 2.4 stars avg
- Occupancy
- 46.2 residents on an average day (49% of 95 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 30 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.