Heritage Plaza Nursing Center
600 W 52nd St · Texarkana, TX · 75501 · 9037926700
95 certified beds For profit - Corporation Chain: Stonegate Senior Living
Why this verdict
- Federal penalties on record: $86,337 in fines in the last 24 months.
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.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$86,337 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.73 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
67% 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: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.73 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 2.38 | ≈ weekday level |
| Nursing turnover / year | 67% | median 45% |
| Fines (3-yr window) | 3 · $89,633 |
Inspection citations (43 in the current record)
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Actual harm · G September 10, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected September 11, 2025 · Quality of Life and Care
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Potential for harm · D August 18, 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 September 11, 2025 · Pharmacy Service
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Potential for harm · D April 23, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 14, 2025 · Resident Rights
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Potential for harm · E April 23, 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 May 14, 2025 · Resident Rights
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Potential for harm · D April 23, 2025
Provide activities to meet all resident's needs.
Corrected May 14, 2025 · Quality of Life and Care
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Potential for harm · D April 23, 2025
Ensure the activities program is directed by a qualified professional.
Corrected May 14, 2025 · Quality of Life and Care
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Potential for harm · D April 23, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 14, 2025 · Quality of Life and Care
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Potential for harm · D April 23, 2025
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 May 14, 2025 · Quality of Life and Care
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Potential for harm · D April 23, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected May 14, 2025 · Quality of Life and Care
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Potential for harm · F April 23, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 14, 2025 · Nutrition and Dietary
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Potential for harm · E April 23, 2025
Provide and implement an infection prevention and control program.
Corrected May 14, 2025 · Infection Control
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Potential for harm · D March 4, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 12, 2025 · Resident Rights
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Potential for harm · D March 4, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected March 12, 2025 · Resident Rights
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Potential for harm · D March 4, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 4, 2025 · found via complaint
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected March 12, 2025 · Quality of Life and Care
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Potential for harm · D November 2, 2024 · 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 November 8, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · J September 4, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G September 4, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 12, 2024 · Quality of Life and Care
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Potential for harm · D September 4, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 12, 2024 · Resident Rights
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Potential for harm · D September 4, 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 September 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 4, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 6, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 13, 2024 · Resident Rights
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Potential for harm · E March 6, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected March 13, 2024 · Resident Rights
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Potential for harm · D March 6, 2024
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 13, 2024 · Resident Rights
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Potential for harm · D March 6, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 13, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 18, 2025 | Fine | $9,110 |
| September 4, 2024 | Fine | $77,227 |
| October 13, 2023 | Fine | $3,296 |
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 675561 · certified since November 15, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.