Terrell Healthcare Center, Terrell, Texas

93
Citations from health inspectionsTexas average: 28 a home: 11
Residents harmed or put in dangerTexas average: 2.3 a home: $339,046
Fines from the federal governmentTexas average: $44,141 a home: No rating given
Overall rating in starsTexas average: 2.7

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

Nine inspection visits produced 93 citations. Residents were in immediate danger in 10 findings. Residents were found hurt in one case. Federal fines came to $339,046 (three fines). Once, Medicare stopped paying for new admissions.

This home is a Special Focus Facility. Homes that have done poorly on past inspections are put on this list by CMS, and they get extra attention.

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Quick Look at the Record

The home's overall star rating: No rating is given while the home stays on the Special Focus list
Rating for health inspections: No rating is given while the home stays on the Special Focus list
Rating for staffing: No rating is given while the home stays on the Special Focus list
Rating for quality of care: No rating is given while the home stays on the Special Focus list
Nurse time for each resident: 3.52 hours each dayThe Texas average is 3.39 hours
Time from registered nurses: 0.62 hours each dayThe Texas average is 0.43 hours
Nursing staff who left during one year: 50.8%against the Texas average of 55.3%
Beds that are certified: 94
Ownership: Corporation (for profit)
Chain: Nexion Health, with 51 homes
Street address: 204 W Nash, Terrell, Texas 75160
County: Kaufman

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

22 citations dated April 3, 2026

F882 Qualified Infection Prevention Leader: risk of harm, no one found hurt, widespread.
F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
F849 Arrange Hospice Care When Needed: risk of harm, no one found hurt, one or a few residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
F808 Doctor Ordered Special Diets: risk of harm, no one found hurt, one or a few residents.
F806 Food That Meets Allergies and Preferences: risk of harm, no one found hurt, one or a few residents.
F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
F770 Timely Quality Laboratory Services: risk of harm, no one found hurt, one or a few residents.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
F699 Trauma Informed and Culturally Respectful Care: risk of harm, no one found hurt, one or a few residents.
F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, a pattern, several residents.
F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
F676 Help Residents Keep Daily Living Abilities: risk of harm, no one found hurt, one or a few residents.
F659 Qualified Staff Follow Care Plan: risk of harm, no one found hurt, one or a few residents.
F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, a pattern, several residents.
F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
F583 Keep Resident Records Private: risk of harm, no one found hurt, a pattern, several residents.
F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents.
F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.

Three citations dated March 5, 2026

F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

13 citations dated Dec. 3, 2025

F926 Smoking Policies: risk of harm, no one found hurt, one or a few residents.
F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
F802 Enough Kitchen Support Staff: risk of harm, no one found hurt, a pattern, several residents.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, a pattern, several residents.
F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
F698 Dialysis Care: risk of harm, no one found hurt, a pattern, several residents.
F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, one or a few residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.

One citation dated Nov. 19, 2025

F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Three citations dated July 17, 2025

F946 Compliance and Ethics Training: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F944 Staff Training on Quality Improvement Program: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F942 Staff Training on Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

25 citations dated March 29, 2025

F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
F806 Food That Meets Allergies and Preferences: risk of harm, no one found hurt, one or a few residents.
F802 Enough Kitchen Support Staff: risk of harm, no one found hurt, one or a few residents.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents.
F740 Behavioral Health Care and Services: immediate danger to residents, a pattern, several residents.
F699 Trauma Informed and Culturally Respectful Care: risk of harm, no one found hurt, a pattern, several residents.
F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
F697 Pain Management: residents were harmed, one or a few residents.
F694 Safe Fluids Given Through a Vein: risk of harm, no one found hurt, one or a few residents.
F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents.
F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, a pattern, several residents.
F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
F661 Share Information at Planned Discharge: risk of harm, no one found hurt, one or a few residents.
F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents.
F610 Investigating Abuse Allegations: immediate danger to residents, a pattern, several residents, found on a complaint visit.
F609 Reporting Suspected Abuse: immediate danger to residents, one or a few residents, found on a complaint visit.
F607 Policies to Prevent Abuse, Neglect, and Theft: immediate danger to residents, a pattern, several residents, found on a complaint visit.
F600 Freedom From Abuse and Neglect: immediate danger to residents, a pattern, several residents, found on a complaint visit.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents.
F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents.

Three citations dated March 20, 2024

F661 Share Information at Planned Discharge: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F660 Discharge Planning That Meets Resident Goals: immediate danger to residents, one or a few residents, found on a complaint visit.
F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

17 citations dated Feb. 15, 2024

F926 Smoking Policies: immediate danger to residents, a pattern, several residents, found on a complaint visit.
F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F838 Facility Wide Assessment of Needed Resources: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F680 Qualified Activities Director: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F607 Policies to Prevent Abuse, Neglect, and Theft: immediate danger to residents, a pattern, several residents, found on a complaint visit.
F600 Freedom From Abuse and Neglect: immediate danger to residents, a pattern, several residents, found on a complaint visit.
F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F576 Private Access to Communication Methods: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Six citations dated Dec. 4, 2023

F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F791 Dental Services for Residents: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Payment Denials and Fines

Date	Penalty	Amount
March 29, 2025	Fine	$91,910
March 20, 2024	Fine	$103,109
March 20, 2024	Payment denial for new admissions	four days
Feb. 15, 2024	Fine	$144,027

Ownership and Management of the Home

The home is run by Nexion Health at Terrell, Inc. (operational or managerial control).
The direct owner is Eastland Memorial Hospital District.
The direct owner is Nexion Health at Terrell, Inc..

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 675879. Other homes in Texas.