Cherokee Trails Nursing Home
330 E Bagley Rd · Rusk, TX · 75785 · 9036835438
140 certified beds Government - Hospital district Chain: Advanced Healthcare Solutions
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $30,933 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
6 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Total nurse staffing below 3.0 hours per resident-day
3.00 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
72% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.00 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 2.69 | ≈ weekday level |
| Nursing turnover / year | 72% | median 45% |
| Fines (3-yr window) | 2 · $85,329 |
Inspection citations (40 in the current record)
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Potential for harm · D February 11, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 13, 2026 · Resident Rights
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Potential for harm · E March 19, 2025
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.
Corrected April 28, 2025 · Resident Rights
-
Potential for harm · E March 19, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · D March 19, 2025
Provide and implement an infection prevention and control program.
Corrected April 28, 2025 · Infection Control
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Potential for harm · D March 19, 2025
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected April 28, 2025 · Administration
-
Potential for harm · E March 19, 2025
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected April 28, 2025 · Administration
-
Potential for harm · D March 19, 2025
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected April 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 19, 2025
Provide training in compliance and ethics.
Corrected April 28, 2025 · Administration
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Potential for harm · E March 19, 2025
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected April 28, 2025 · Administration
-
No harm found · C March 19, 2025
Post nurse staffing information every day.
Corrected April 28, 2025 · Nursing and Physician Services
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Immediate jeopardy · J September 25, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 26, 2024 · Quality of Life and Care
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Potential for harm · E September 25, 2024 · found via complaint
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected September 26, 2024 · Administration
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Potential for harm · D February 7, 2024 · found via complaint
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.
Corrected March 7, 2024 · Resident Rights
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Potential for harm · D February 7, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 7, 2024 · Quality of Life and Care
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Potential for harm · D February 7, 2024 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected March 7, 2024 · Nutrition and Dietary
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Potential for harm · D February 7, 2024 · found via complaint
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.
Corrected March 7, 2024 · Nutrition and Dietary
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Potential for harm · F February 7, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 7, 2024 · Nutrition and Dietary
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Potential for harm · D February 7, 2024 · found via complaint
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected March 7, 2024 · Nutrition and Dietary
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Potential for harm · F February 7, 2024 · found via complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected March 7, 2024 · Administration
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Potential for harm · E February 7, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 7, 2024 · Infection Control
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Potential for harm · F February 7, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected March 7, 2024 · Environmental
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Potential for harm · E February 7, 2024 · found via complaint
Have policies on smoking.
Corrected March 7, 2024 · Environmental
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Potential for harm · E February 7, 2024 · found via complaint
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected March 7, 2024 · Administration
-
Potential for harm · E February 7, 2024 · found via complaint
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected March 7, 2024 · Administration
-
Potential for harm · E February 7, 2024 · found via complaint
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected March 7, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 25, 2024 | Fine | $30,933 |
| July 27, 2023 | Fine | $54,396 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675835 · certified since August 1, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.