Terrell Healthcare Center

Special Focus Facility · Kaufman · TX · For profit - Corporation · NEXION HEALTH chain · 94 certified beds · CCN 675879 · EASTLAND MEMORIAL HOSPITAL DISTRICT


Terrell Healthcare Center operates 94 certified beds in Terrell, Texas. Its Medicare and Medicaid certification dates to 2001-08-01. It averages 61.9 residents a day.

What harm was found in the violations cited at Terrell Healthcare Center?

CMS lists 93 health-inspection deficiencies for Terrell Healthcare Center, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-04-03.

Survey dateTagDeficiencySeverity
2026-04-03F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2026-04-03F0583, F0644, F0690, F0761, F0804, F0812Keep residents' personal and medical records private and confidential. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / 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 drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2026-04-03F0550, F0552, F0558, F0641, F0659, F0676, F0688, F0695, F0699, F0755, F0770, F0806, F0808, F0849, F0880Honor 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. / Reasonably accommodate the needs and preferences of each resident. / Ensure each resident receives an accurate assessment. / Provide care by qualified persons according to each resident's written plan of care. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide safe and appropriate respiratory care for a resident when needed. / Provide care or services that was trauma informed and/or culturally competent. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Provide and implement an infection prevention and control program.D
2026-03-05F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E
2026-03-05F0755, F0880Provide 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.D
2025-12-03F0698, F0759, F0761, F0802, F0804, F0880Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure medication error rates are not 5 percent or greater. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program.E
2025-12-03F0656, F0679, F0688, F0689, F0695, F0755, F0926Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide activities to meet all resident's needs. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Have policies on smoking.D
2025-11-19F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.E
2025-07-17F0942, F0944, F0946Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Provide training in compliance and ethics.D
2025-03-29F0600, F0607, F0610, F0740Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Respond appropriately to all alleged violations. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services.K
2025-03-29F0609, F0689Timely 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.J
2025-03-29F0697Provide safe, appropriate pain management for a resident who requires such services.G
2025-03-29F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-03-29F0690, F0699, F0761, F0880Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide care or services that was trauma informed and/or culturally competent. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Provide and implement an infection prevention and control program.E
2025-03-29F0558, F0578, F0584, F0644, F0661, F0677, F0692, F0694, F0698, F0758, F0802, F0806, F0842Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / 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. / Provide enough food/fluids to maintain a resident's health. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-03-20F0660Plan the resident's discharge to meet the resident's goals and needs.J
2024-03-20F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.E
2024-03-20F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D
2024-02-15F0600, F0607, F0926Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Have policies on smoking.K
2024-02-15F0550, F0576, F0584, F0585, F0761, F0838, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure residents have reasonable access to and privacy in their use of communication methods. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. / Provide and implement an infection prevention and control program.E
2024-02-15F0582, F0677, F0679, F0680, F0726, F0755, F0812Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Ensure the activities program is directed by a qualified professional. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2023-12-04F0584, F0644, F0677, F0689, F0791, F0880Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / 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 or obtain dental services for each resident. / Provide and implement an infection prevention and control program.D

Why was Terrell Healthcare Center fined 3 times?

DateTypeAmount
2025-03-29Fine$91,910
2024-03-20Fine$103,109
2024-02-15Fine$144,027

Has Terrell Healthcare Center had payment denied by Medicare?

Payment denial startLength in days
2024-04-194

How is Terrell Healthcare Center staffed?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.518223.38539
Total nursing staff turnover (%)50.855.3
Average number of residents per day61.975.8

Who owns Terrell Healthcare Center, and what chain is it in?

Terrell Healthcare Center is registered with CMS as For profit - Corporation, operates under the legal business name EASTLAND MEMORIAL HOSPITAL DISTRICT and belongs to the NEXION HEALTH chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTEASTLAND MEMORIAL HOSPITAL DISTRICT, NEXION HEALTH AT TERRELL, INC.since 04/01/2018
W-2 MANAGING EMPLOYEEWRIGHT, LABANsince 11/10/2021
CORPORATE OFFICERWRIGHT, LABANsince 11/10/2021
OPERATIONAL/MANAGERIAL CONTROLNEXION HEALTH AT TERRELL, INC., FALLON, JOHN, KIRLEY, FRANCIS, LEE, BRIAN, OSWALD, JOHN, PIERCE, DANIEL, RINER, MEERAsince 03/16/2021

Were you or a family member harmed at Terrell Healthcare Center?