Heritage House of Marshall Health & Rehabilitation
5915 Elysian Fields Road · Marshall, TX · 75672 · 9039356700
125 certified beds For profit - Individual Chain: Southwest Ltc Hospital-based
- 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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
95% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 3 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.74 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 3.23 | ≈ weekday level |
| Nursing turnover / year | 95% | median 45% |
| Fines (3-yr window) | 1 · $67,706 |
Inspection citations (49 in the current record)
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Potential for harm · D April 23, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 6, 2026 · Resident Rights
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Potential for harm · D February 19, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 18, 2026 · Pharmacy Service
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Potential for harm · D December 2, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D July 29, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected September 9, 2025 · Resident Rights
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Potential for harm · D July 29, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected September 9, 2025 · Quality of Life and Care
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Potential for harm · D April 9, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 10, 2025 · Resident Rights
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Potential for harm · D April 9, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected February 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 9, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 29, 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 January 30, 2025 · Pharmacy Service
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Immediate jeopardy · J June 26, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 27, 2024 · Quality of Life and Care
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Potential for harm · E June 26, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected July 20, 2024 · Resident Rights
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Potential for harm · D June 26, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected July 20, 2024 · Resident Rights
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Potential for harm · E June 26, 2024
Ensure each resident receives an accurate assessment.
Corrected June 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 26, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected August 2, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 26, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected August 2, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 26, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 26, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 26, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected June 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 26, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 28, 2024 · Quality of Life and Care
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Potential for harm · D June 26, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 27, 2024 · Quality of Life and Care
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Potential for harm · D June 26, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 28, 2024 · Quality of Life and Care
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Potential for harm · E June 26, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected June 27, 2024 · Quality of Life and Care
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Potential for harm · E June 26, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 27, 2024 · Pharmacy Service
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Potential for harm · D June 26, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected June 28, 2024 · Pharmacy Service
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Potential for harm · D June 26, 2024
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.
Corrected June 27, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 26, 2024 | Fine | $67,706 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676187 · certified since July 10, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.