Colonial Nursing & Rehabilitation Center
508 Pierce St · Lindale, TX · 75771 · 9033523727
90 certified beds For profit - Individual
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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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
2 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.
$247,572 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.26 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.19 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.26 | 0.55–0.75 |
| Weekend hours / resident-day | 3.01 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $247,572 |
Inspection citations (23 in the current record)
-
Potential for harm · D March 18, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 27, 2026 · Resident Rights
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Potential for harm · D March 18, 2026
Ensure each resident receives an accurate assessment.
Corrected March 27, 2026 · Resident Assessment and Care Planning
-
Potential for harm · E March 18, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected March 27, 2026 · Quality of Life and Care
-
Potential for harm · E March 18, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 27, 2026 · Resident Assessment and Care Planning
-
No harm found · B March 18, 2026
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected March 27, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D November 25, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 1, 2025 · Pharmacy Service
-
Potential for harm · E January 8, 2025
Ensure each resident receives an accurate assessment.
Corrected February 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 8, 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.
Corrected February 21, 2025 · Quality of Life and Care
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Potential for harm · F January 8, 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.
Corrected February 21, 2025 · Nursing and Physician Services
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Potential for harm · F January 8, 2025
Request a waiver if it can't meet the nurse staffing requirements.
Corrected February 21, 2025 · Nursing and Physician Services
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Potential for harm · D January 8, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 21, 2025 · Pharmacy Service
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Potential for harm · D January 8, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected February 21, 2025 · Pharmacy Service
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Potential for harm · F January 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 21, 2025 · Nutrition and Dietary
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Potential for harm · D January 8, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 8, 2025
Provide and implement an infection prevention and control program.
Corrected February 21, 2025 · Infection Control
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Immediate jeopardy · K December 27, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K December 27, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G December 27, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 28, 2024 · Quality of Life and Care
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Potential for harm · D July 10, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 24, 2024 · Quality of Life and Care
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Potential for harm · D July 10, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 24, 2024 · Pharmacy Service
-
Potential for harm · D December 12, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · E December 12, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected January 2, 2024 · Nursing and Physician Services
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Potential for harm · E December 12, 2023
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.
Corrected January 2, 2024 · Nursing and Physician Services
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 27, 2024 | Fine | $247,572 |
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 675563 · certified since January 25, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.