Colonial Nursing & Rehabilitation Center
Open-data reference.
Colonial Nursing & Rehabilitation Center is a for profit - individual facility in Lindale, TX with 90 certified beds and a 2-star overall CMS rating. The facility has 18 deficiency records on file. Total penalties: $248K.
508 Pierce St, Lindale, TX 75771
Phone: 9033523727
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 675563
- Ownership
- For profit - Individual
- Provider Type
- Medicare and Medicaid
- Beds
- 90
- Residents
- 65
- In Hospital
- No
- County
- Smith
- Last Inspection
- Jan 8, 2025
Staffing Data
- RN Hours
- 0.35 (nat'l avg: 0.68)
- LPN Hours
- 0.77
- CNA Hours
- 2.13
- Total Nursing Hours
- 3.25 (nat'l avg: 3.89)
- PT Hours
- 0.02
What the CMS Record Reveals About Colonial Nursing & Rehabilitation Center
Colonial Nursing & Rehabilitation Center operates 90 certified beds in Lindale, TX with approximately 65 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (1★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 18 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $248K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.25 total nursing hours per resident day (national average 3.89), with RN coverage at 0.35 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "For profit - Individual" ownership and operating as a "Medicare and Medicaid" provider, Colonial Nursing & Rehabilitation Center falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (18 most recent)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Dec 1, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Feb 21, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Feb 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Feb 21, 2025
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Feb 21, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Feb 21, 2025
Request a waiver if it can't meet the nurse staffing requirements.
Category: Nursing and Physician Services Deficiencies
Corrected: Feb 21, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Category: Nursing and Physician Services Deficiencies
Corrected: Feb 21, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 21, 2025
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Feb 21, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 28, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Dec 28, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Dec 28, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Aug 24, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 24, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Category: Nursing and Physician Services Deficiencies
Corrected: Jan 2, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category: Nursing and Physician Services Deficiencies
Corrected: Jan 2, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 12, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.9% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 3.2% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.5% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.5% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 99.5% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.0% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 27.4% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 99.0% | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.3% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 14.9% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.8% | Yes |
Penalty History 1 penalties totaling $248K
| Date | Type | Amount |
|---|---|---|
| Dec 27, 2024 | Fine | $248K |
Nearby Nursing Homes in TX
Accel at College Station
College Station, TX
ACCEL AT WILLOW BEND
PLANO, TX
Advanced Health & Rehab Center of Garland
Garland, TX
Advanced Rehabilitation & Healthcare of Burleson
Burleson, TX
ADVANCED REHABILITATION & HEALTHCARE OF LIVE OAK
LIVE OAK, TX
ADVANCED REHABILITATION AND HEALTHCARE OF ATHENS
ATHENS, TX
Understanding Nursing Home Data
Related Data from Other Sources
Doctors Nearby
Find physicians and specialists in Lindale, TX on PlainDoctor
Hospitals Nearby
Hospital quality ratings and safety data for Lindale, TX on PlainHospital
Medicare Plans
Compare Medicare plans and coverage options near Lindale, TX on PlainMedicare
County Health Data
Health outcomes, access, and quality metrics for Smith on PlainHealth
Frequently Asked Questions
What is the overall CMS rating for Colonial Nursing & Rehabilitation Center?
What are the staffing levels at Colonial Nursing & Rehabilitation Center?
How many beds does Colonial Nursing & Rehabilitation Center have?
Does Colonial Nursing & Rehabilitation Center have any deficiencies on record?
Has Colonial Nursing & Rehabilitation Center received any fines or penalties?
Who owns Colonial Nursing & Rehabilitation Center?
When was Colonial Nursing & Rehabilitation Center last inspected?
What quality measures are tracked for Colonial Nursing & Rehabilitation Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.