PlainNursing
CMS Nursing Home Compare · August 2026

Terrell Healthcare Center

204 W Nash, Terrell, TX 75160

Terrell Healthcare Center, a 94-bed for profit - corporation nursing facility in Terrell, TX, holds no current CMS overall rating - not currently rated against the 3.0-star national average, with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 9725637668

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N/A
CMS overall · nat'l 3.0
3.52
Below average · nurse hrs/day · nat'l 3.86
50
Inspection findings
$339K
Federal penalties (3)

The verdict

Terrell Healthcare Center, a 94-bed for profit - corporation nursing facility in Terrell, TX, holds no current CMS overall rating - not currently rated against the 3.0-star national average, with nurse staffing below the national norm. No recent finding reached the actual-harm level.

N/A
CMS overall · national 3.0
3.52
Nurse hrs/resident-day · national 3.86
50
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

N/A

Staffing

N/A

Quality Measures

N/A

Long-Stay Quality

N/A

Facility Information

Provider Number
675879
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
94
Residents
62
In Hospital
No
County
Kaufman
Last Inspection
Apr 3, 2026
Special Focus
SFF

Staffing Data

How the 3.52 total nursing hours per resident-day are staffed:

RN Hours
0.62 (nat'l avg: 0.69)
LPN Hours
0.79
CNA Hours
2.11
Total Nursing Hours
3.52 (nat'l avg: 3.86)
PT Hours
0.07
Nursing Turnover
50.8%
RN Turnover
70.0%

What the CMS Record Reveals About Terrell Healthcare Center

Terrell Healthcare Center operates 94 certified beds in Terrell, TX with approximately 62 residents currently in care, and carries a CMS overall rating of no current rating.

The inspection file contains 50 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider has been fined 3 times by CMS, for a combined $339K. Per resident day, this facility reports 3.52 total nursing hours (national average 3.86) and 0.62 RN hours. This facility is currently an active CMS Special Focus Facility, a small, published list reserved for providers with a persistent pattern of serious quality problems that puts them under enhanced federal oversight.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Terrell Healthcare Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 50.8% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.

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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D - Isolated - Minimal harm Apr 3, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Apr 3, 2026 Tag: 0849

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.

Category: Administration Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Apr 3, 2026 Tag: 0808

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Apr 3, 2026 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Apr 3, 2026 Tag: 0770

Provide timely, quality laboratory services/tests to meet the needs of residents.

Category: Administration Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Apr 3, 2026 Tag: 0755

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: Apr 10, 2026

D - Isolated - Minimal harm Apr 3, 2026 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Apr 3, 2026 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Apr 3, 2026 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Apr 3, 2026 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Apr 3, 2026 Tag: 0659

Provide care by qualified persons according to each resident's written plan of care.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Apr 3, 2026 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Apr 3, 2026 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Apr 3, 2026 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Apr 3, 2026 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Apr 10, 2026

E - Pattern - Minimal harm Apr 3, 2026 Tag: 0812

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: Apr 10, 2026

E - Pattern - Minimal harm Apr 3, 2026 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 10, 2026

E - Pattern - Minimal harm Apr 3, 2026 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 10, 2026

E - Pattern - Minimal harm Apr 3, 2026 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 10, 2026

E - Pattern - Minimal harm Apr 3, 2026 Tag: 0644

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: Apr 26, 2026

E - Pattern - Minimal harm Apr 3, 2026 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Apr 10, 2026

F - Widespread - Minimal harm Apr 3, 2026 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: Apr 10, 2026

D - Isolated - Minimal harm Mar 5, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 6, 2026

D - Isolated - Minimal harm Mar 5, 2026 Tag: 0755

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: Mar 6, 2026

E - Pattern - Minimal harm Mar 5, 2026 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Mar 6, 2026

D - Isolated - Minimal harm Dec 3, 2025 Tag: 0926

Have policies on smoking.

Category: Environmental Deficiencies

Corrected: Dec 10, 2025

D - Isolated - Minimal harm Dec 3, 2025 Tag: 0755

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 10, 2025

D - Isolated - Minimal harm Dec 3, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 10, 2025

D - Isolated - Minimal harm Dec 3, 2025 Tag: 0689

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 10, 2025

D - Isolated - Minimal harm Dec 3, 2025 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 10, 2025

D - Isolated - Minimal harm Dec 3, 2025 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 10, 2025

D - Isolated - Minimal harm Dec 3, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 10, 2025

E - Pattern - Minimal harm Dec 3, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 10, 2025

E - Pattern - Minimal harm Dec 3, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 19, 2025

E - Pattern - Minimal harm Dec 3, 2025 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 10, 2025

E - Pattern - Minimal harm Dec 3, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Dec 10, 2025

E - Pattern - Minimal harm Dec 3, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Dec 10, 2025

E - Pattern - Minimal harm Dec 3, 2025 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 10, 2025

E - Pattern - Minimal harm Nov 19, 2025 Tag: 0644

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: Nov 20, 2025

D - Isolated - Minimal harm Jul 17, 2025 Tag: 0946

Provide training in compliance and ethics.

Category: Administration Deficiencies

Corrected: Jul 18, 2025

D - Isolated - Minimal harm Jul 17, 2025 Tag: 0944

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Category: Administration Deficiencies

Corrected: Jul 18, 2025

D - Isolated - Minimal harm Jul 17, 2025 Tag: 0942

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Category: Resident Rights Deficiencies

Corrected: Jul 18, 2025

D - Isolated - Minimal harm Mar 29, 2025 Tag: 0842

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: Mar 30, 2025

D - Isolated - Minimal harm Mar 29, 2025 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 30, 2025

D - Isolated - Minimal harm Mar 29, 2025 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 30, 2025

D - Isolated - Minimal harm Mar 29, 2025 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Mar 30, 2025

D - Isolated - Minimal harm Mar 29, 2025 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 30, 2025

D - Isolated - Minimal harm Mar 29, 2025 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 30, 2025

D - Isolated - Minimal harm Mar 29, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 30, 2025

D - Isolated - Minimal harm Mar 29, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 30, 2025

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 18.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 16.5% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.4% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 7.0% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.3% No
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 0.4% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 31.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 93.7% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 14.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 79.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 88.9% No

Penalty History 3 penalties totaling $339K

Date Type Amount
Mar 29, 2025 Fine $92K
Mar 20, 2024 Fine $103K
Mar 20, 2024 Payment Denial -
Feb 15, 2024 Fine $144K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Terrell Healthcare Center, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Terrell Healthcare Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 94 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What are the staffing levels at Terrell Healthcare Center?
Terrell Healthcare Center reports 3.52 total nursing hours per resident day (national average: 3.86). RN hours are 0.62 per resident day (national average: 0.69). Nursing staff turnover is 50.8%.
How many beds does Terrell Healthcare Center have?
Terrell Healthcare Center has 94 certified beds with approximately 62 residents. The facility is located at 204 W Nash, Terrell, TX 75160.
Does Terrell Healthcare Center have any deficiencies on record?
Yes, Terrell Healthcare Center has 50 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Terrell Healthcare Center received any fines or penalties?
Yes, Terrell Healthcare Center has received 3 penalties totaling $339K.
Who owns Terrell Healthcare Center?
Terrell Healthcare Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Terrell Healthcare Center last inspected?
The most recent health inspection for Terrell Healthcare Center was on Apr 3, 2026.
What quality measures are tracked for Terrell Healthcare Center?
Terrell Healthcare Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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