All states › Texas › Rusk › Cherokee Trails Nursing Home
330 E. Bagley Rd. Rusk, TX 75785 · Cherokee County
All 2 nursing homes in Rusk, TX (2 take Medicaid)
CMS certification number 675835 · See this home on Medicare Care Compare
Is Cherokee Trails Nursing Home 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 Cherokee Trails Nursing Home 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 3.15 hours per resident per day at Cherokee Trails Nursing Home, below the Texas median of 3.30 (US median: 3.72). About 0.35 of those hours are from registered nurses. On weekends it falls to 2.86 hours, 9% below its all-week average. 61.4% 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. 2 administrators left in the past year.
About this nursing home
Paying for care at Cherokee Trails Nursing Home: Medicare and Medicaid
Cherokee Trails Nursing Home 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 May 20, 2026 and found 7 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 38 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 38 citations at Cherokee Trails Nursing Home across 5 inspection dates, 22 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on September 25, 2024 (complaint inspection). The most common areas cited were administration (11) and nutrition and dietary (5). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, September 25, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.
May 20, 2026 · 7 citations
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
DEnsure each resident receives an accurate assessment.
DProvide and implement an infection prevention and control program.
February 11, 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.
March 19, 2025 · 9 citations
EHonor 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.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
EProvide training in compliance and ethics.
EProvide behavior health training consistent with the requirements and as determined by a facility assessment.
DProvide and implement an infection prevention and control program.
DDevelop, implement, and/or maintain an effective training program for all new and existing staff members.
DGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
CPost nurse staffing information every day.
September 25, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEmploy staff that are licensed, certified, or registered in accordance with state laws.
February 7, 2024 · 19 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EProvide and implement an infection prevention and control program.
EHave policies on smoking.
EDevelop, implement, and/or maintain an effective training program for all new and existing staff members.
EDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
EEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
EGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
EConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
EInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
EProvide training in compliance and ethics.
EEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
EProvide behavior health training consistent with the requirements and as determined by a facility assessment.
DHonor 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.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
DEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
DHave a policy regarding use and storage of foods brought to residents by family and other visitors.
Questions to ask on a tour of Cherokee Trails Nursing Home
- Inspectors cited the home at the immediate-jeopardy level on September 25, 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 March 19, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 61.4% 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 36% 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 $30,933 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Sep 25, 2024 | Fine | $30,933 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 2/5 | 4/5 |
| August 2026 | 2/5 | 2/5 | 2/5 | 4/5 |
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Location
Hospitals near Cherokee Trails Nursing Home
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 1.6 mi
-
11.0 mi
Mother Frances Hospital Jacksonville JacksonvilleEmergency roomMedian ER visit 1h 36m for patients treated and sent home
-
13.0 mi
East Texas Medical Center Jacksonville JacksonvilleEmergency roomMedian ER visit 1h 30m 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
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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.