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Nursing home report

Terrell Healthcare Center

Terrell, TX · Medicare-certified · 94 beds

Needs attention
Special Focus FacilityFor-profitChain member
Data as of July 1, 2026
Not yet rated

Overall rating: not rated. Terrell Healthcare Center is a Special Focus Facility (SFF) with nurse staffing below the federal benchmark (3.52 vs 4.1 hours per resident per day) and $91,910 in fines in the last 24 months; recent citations included abuse, neglect, and response-to-allegations issues.

Facility ratings

Health inspections

Staffing

3.5182 hrs/resident/day

Quality measures

Last inspection: April 3, 2026Penalties, last 24 months: $91,910special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5182.

Staffing detail

Registered nurses
0.62
Licensed practical nurses
0.79
Nurse aides
2.11
Weekend nursing
3.15

Hours per resident per day.

Total staff turnover: 51%
Registered nurse turnover: 70%

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

5.4%9.1%Worsening

Residents with a fall causing major injury

0%1.7%Worsening

Residents with pressure ulcers (bedsores)

1.1%4.8%Worsening

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

7%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

22.6%21.3%Improving

Residents whose ability to walk got worse

26.8%

Long-stay residents on antianxiety or sleep medication

30%33.9%Worsening

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

15.1%10.4%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

93.7%

Long-stay residents given the pneumonia vaccine

100%95%Worsening

Short-stay residents given the seasonal flu vaccine

88.9%

Short-stay residents given the pneumonia vaccine

95.8%55%Worsening

What the inspectors found

The nursing home failed to protect residents from abuse and neglect by others. Cited March 2025 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: K

The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited March 2025 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 607 — 42 CFR §483.12 — S/S: K

The home failed to respond appropriately to all reported abuse or neglect concerns. Cited March 2025 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 610 — 42 CFR §483.12 — S/S: K

The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited March 2025 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 740 — 42 CFR §483.40 — S/S: K

The nursing home failed to have policies to keep smoking safe and properly managed. Cited February 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 926 — 42 CFR §483.90 — S/S: K

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 22 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 13 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $91,910 was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $339,046 in total fines · 1 payment denial.

  • Federal fine

    Mar 29, 2025

    $91,910
  • Medicare/Medicaid payment denial

    Mar 20, 2024

    4 days
  • Federal fine

    Mar 20, 2024

    $103,109
  • Federal fine

    Feb 15, 2024

    $144,027

Operator & ownership

Recent ownership change · Apr 1, 2018

Now operated by Eastland Memorial Hospital District, previously Nexion Health at Terrell, INC..

Ownership
For profit - Corporation
Chain
Part of NEXION HEALTH · 53 homes · 2.3 stars avg
Occupancy
61.9 residents on an average day (66% of 94 beds)
Resident voice
Resident council
Medicare history
Certified for 25 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.