All states › Texas › Marshall › Heritage House of Marshall Health & Rehabilitation
5915 Elysian Fields Road Marshall, TX 75672 · Harrison County
All 3 nursing homes in Marshall, TX (3 take Medicaid)
CMS certification number 676187 · See this home on Medicare Care Compare
Is Heritage House of Marshall Health & Rehabilitation 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 Heritage House of Marshall Health & Rehabilitation as of October 2026.
CMS rates it 2 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 3.22 hours per resident per day at Heritage House of Marshall Health & Rehabilitation, about the same as the Texas median of 3.30 (US median: 3.72). About 0.21 of those hours are from registered nurses. On weekends it falls to 2.75 hours, 15% below its all-week average. 87.3% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 3 administrators left in the past year.
About this nursing home
Paying for care at Heritage House of Marshall Health & Rehabilitation: Medicare and Medicaid
Heritage House of Marshall Health & Rehabilitation 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.
This home is located in a hospital.
Health inspections
The most recent standard inspection was on July 29, 2025 and found 2 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 49 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 49 citations at Heritage House of Marshall Health & Rehabilitation across 10 inspection dates, 11 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 26, 2024. The most common areas cited were resident assessment and care planning (12) and pharmacy service (10). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level J, June 26, 2024). 6 citations were under CMS's abuse, neglect and exploitation rules.
April 23, 2026 · 1 citation · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
February 19, 2026 · 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.
December 2, 2025 · 1 citation · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
July 29, 2025 · 2 citations
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
April 9, 2025 · 3 citations · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProtect each resident from the wrongful use of the resident's belongings or money.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
January 29, 2025 · 1 citation · includes complaint inspection
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
June 26, 2024 · 20 citations, includes immediate jeopardy
JProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EEnsure each resident receives an accurate assessment.
EProvide safe, appropriate dialysis care/services for a resident who requires such services.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EProvide and implement an infection prevention and control program.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DPASARR screening for Mental disorders or Intellectual Disabilities
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DImplement 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.
DEnsure that residents are free from significant medication errors.
CEnsure the activities program is directed by a qualified professional.
BEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
June 12, 2024 · 3 citations · includes complaint inspection
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 26, 2024 · 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.
May 11, 2023 · 16 citations
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide safe and appropriate respiratory care for a resident when needed.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EImplement a program that monitors antibiotic use.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DAssure that each resident’s assessment is updated at least once every 3 months.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DImplement 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.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
CEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Questions to ask on a tour of Heritage House of Marshall Health & Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on June 26, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 9, 2025. 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?
- Nursing staff turnover was 87.3% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- The home averages about 51% of its beds filled. Are any units closed?
- 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 $67,706 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jun 26, 2024 | Fine | $67,706 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 3/5 | 1/5 | 3/5 |
| August 2026 | 2/5 | 3/5 | 1/5 | 2/5 |
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Location
Hospitals near Heritage House of Marshall Health & Rehabilitation
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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4.2 mi
Good Shepherd Medical Center Marshall MarshallEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 26m for patients treated and sent home
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23.4 mi
UT Health Carthage - First Physicians Clinic CarthageEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 1h 33m for patients treated and sent home
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24.6 mi
Longview Regional Medical Center LongviewEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 15m 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 Heritage House of Marshall Health & Rehabilitation › All nursing homes in Marshall ›
Compare Heritage House of Marshall Health & Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Marshall Manor Nursing & Rehabilitation Center · Marshall · 4 stars · 4.1 mi
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.