All states › Texas › Lindale › Colonial Nursing & Rehabilitation Center
508 Pierce St Lindale, TX 75771 · Smith County
All 2 nursing homes in Lindale, TX (2 take Medicaid)
CMS certification number 675563 · See this home on Medicare Care Compare
Is Colonial Nursing & Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Colonial Nursing & Rehabilitation Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.47 hours per resident per day at Colonial Nursing & Rehabilitation Center, above the Texas median of 3.30 (US median: 3.72). About 0.26 of those hours are from registered nurses. On weekends it falls to 3.24 hours, 6% below its all-week average.
About this nursing home
Paying for care at Colonial Nursing & Rehabilitation Center: Medicare and Medicaid
Colonial Nursing & Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on March 18, 2026 and found 5 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 25 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 25 citations at Colonial Nursing & Rehabilitation Center across 7 inspection dates, 8 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on December 27, 2024 (complaint inspection). The most common areas cited were resident assessment and care planning (7) and nursing and physician services (4). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level K, December 27, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.
July 27, 2026 · 2 citations · includes complaint inspection
DReasonably accommodate the needs and preferences of each resident.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
March 18, 2026 · 5 citations
EProvide enough food/fluids to maintain a resident's health.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure each resident receives an accurate assessment.
BEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
November 25, 2025 · 1 citation · includes complaint inspection
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
January 8, 2025 · 9 citations
FHave 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.
FRequest a waiver if it can't meet the nurse staffing requirements.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEnsure each resident receives an accurate assessment.
DEnsure 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.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure medication error rates are not 5 percent or greater.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
December 27, 2024 · 3 citations, includes immediate jeopardy · includes complaint inspection
KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
KDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
July 10, 2024 · 2 citations · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
December 12, 2023 · 3 citations
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EHave 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.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Questions to ask on a tour of Colonial Nursing & Rehabilitation Center
- Inspectors cited the home at the immediate-jeopardy level on December 27, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on December 27, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $247,572 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Dec 27, 2024 | Fine | $247,572 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 3/5 |
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Location
Hospitals near Colonial Nursing & Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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12.6 mi
University of Texas Health Science Center at Tyler TylerEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 33m for patients treated and sent home
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13.3 mi
Trinity Mother Frances Syst TylerEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 1h 42m for patients treated and sent home
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13.6 mi
East Texas Medical Center TylerEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 36m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Colonial Nursing & Rehabilitation Center › All nursing homes in Lindale ›
Compare Colonial Nursing & Rehabilitation Center with the 3 closest homes side by side ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.