HERITAGE HOUSE OF MARSHALL HEALTH & REHABILITATION
HERITAGE HOUSE OF MARSHALL HEALTH & REHABILITATION is a 125-bed nursing home in MARSHALL, Texas. CMS has certified it for Medicare and Medicaid since 2008-07-10. It averages 66.7 residents a day.
What harm was found in the violations cited at HERITAGE HOUSE OF MARSHALL HEALTH & REHABILITATION?
CMS lists 49 health-inspection deficiencies for HERITAGE HOUSE OF MARSHALL HEALTH & REHABILITATION since 2023-05-11, 33 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-04-23.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-23 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2026-02-19 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-12-02 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2025-07-29 | F0582, F0694 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D |
| 2025-04-09 | F0550, F0602, F0609 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Protect each resident from the wrongful use of the resident's belongings or money. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-01-29 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2024-06-26 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J |
| 2024-06-26 | F0565, F0641, F0698, F0755, F0880 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Ensure each resident receives an accurate assessment. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program. | E |
| 2024-06-26 | F0582, F0644, F0645, F0655, F0656, F0661, F0677, F0689, F0690, F0757, F0758, F0760 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / PASARR screening for Mental disorders or Intellectual Disabilities / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure that residents are free from significant medication errors. | D |
| 2024-06-26 | F0680 | Ensure the activities program is directed by a qualified professional. | C |
| 2024-06-26 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B |
| 2024-06-12 | F0607, F0609, F0689 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-05-26 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2023-05-11 | F0565, F0656, F0695, F0755, F0881 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Implement a program that monitors antibiotic use. | E |
| 2023-05-11 | F0550, F0552, F0582, F0600, F0609, F0638, F0655, F0756, F0758, F0883 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Assure that each resident’s assessment is updated at least once every 3 months. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2023-05-11 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | C |
Why was HERITAGE HOUSE OF MARSHALL HEALTH & REHABILITATION fined?
| Date | Type | Amount |
|---|---|---|
| 2024-06-26 | Fine | $67,706 |
How is HERITAGE HOUSE OF MARSHALL HEALTH & REHABILITATION staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.29488 | 3.38539 |
| Total nursing staff turnover (%) | 91.7 | 55.3 |
| Average number of residents per day | 66.7 | 75.8 |
Who owns HERITAGE HOUSE OF MARSHALL HEALTH & REHABILITATION?
HERITAGE HOUSE OF MARSHALL HEALTH & REHABILITATION is registered with CMS as For profit - Individual, operates under the legal business name NACOGDOCHES COUNTY HOSPITAL DISTRICT.
| Role | Owner | Association date |
|---|---|---|
| W-2 MANAGING EMPLOYEE | THURMAN, LINDA | since 09/01/2022 |
| OPERATIONAL/MANAGERIAL CONTROL | SOUTHWEST LTC MARSHALL LTD, LINDSEY, LYNN | since 01/01/2022 |
Were you or a family member harmed at HERITAGE HOUSE OF MARSHALL HEALTH & REHABILITATION?