All states › Texas › Terrell › Terrell Healthcare Center
204 W Nash Terrell, TX 75160 · Kaufman County
All 3 nursing homes in Terrell, TX (3 take Medicaid)
CMS certification number 675879 · See this home on Medicare Care Compare
Is Terrell Healthcare 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 Terrell Healthcare Center as of October 2026.
CMS has not given it an overall rating yet.
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 3.35 hours per resident per day at Terrell Healthcare Center, about the same as the Texas median of 3.30 (US median: 3.72). About 0.49 of those hours are from registered nurses. On weekends it falls to 2.86 hours, 14% below its all-week average. 56.5% of nursing staff left within a year (Texas median 50.2%). 3 administrators left in the past year.
About this nursing home
Paying for care at Terrell Healthcare Center: Medicare and Medicaid
Terrell Healthcare 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 April 3, 2026 and found 22 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 93 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 93 citations at Terrell Healthcare Center across 9 inspection dates, 37 of them from complaint investigations. 10 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on March 29, 2025 (complaint inspection). The most common areas cited were quality of life and care (25) and resident rights (15). 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, March 29, 2025). 6 citations were under CMS's abuse, neglect and exploitation rules.
April 3, 2026 · 22 citations
FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
EKeep residents' personal and medical records private and confidential.
ECoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
DReasonably accommodate the needs and preferences of each resident.
DEnsure each resident receives an accurate assessment.
DProvide care by qualified persons according to each resident's written plan of care.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide care or services that was trauma informed and/or culturally competent.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
DProvide and implement an infection prevention and control program.
March 5, 2026 · 3 citations · includes complaint inspection
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.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DProvide and implement an infection prevention and control program.
December 3, 2025 · 13 citations
EProvide safe, appropriate dialysis care/services for a resident who requires such services.
EEnsure medication error rates are not 5 percent or greater.
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.
EProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProvide and implement an infection prevention and control program.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide activities to meet all resident's needs.
DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DHave policies on smoking.
November 19, 2025 · 1 citation · includes complaint inspection
ECoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
July 17, 2025 · 3 citations · includes complaint inspection
DEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
DConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
DProvide training in compliance and ethics.
March 29, 2025 · 25 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.
KRespond appropriately to all alleged violations.
KEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
JTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GProvide safe, appropriate pain management for a resident who requires such services.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
EProvide care or services that was trauma informed and/or culturally competent.
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.
EProvide and implement an infection prevention and control program.
DReasonably accommodate the needs and preferences of each resident.
DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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.
DProvide enough food/fluids to maintain a resident's health.
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
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.
DProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
March 20, 2024 · 3 citations, includes immediate jeopardy · includes complaint inspection
JPlan the resident's discharge to meet the resident's goals and needs.
EEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
February 15, 2024 · 17 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.
KHave policies on smoking.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EEnsure residents have reasonable access to and privacy in their use of communication methods.
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.
EHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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.
EConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
EProvide and implement an infection prevention and control program.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide activities to meet all resident's needs.
DEnsure the activities program is directed by a qualified professional.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
December 4, 2023 · 6 citations · includes complaint inspection
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.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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 or obtain dental services for each resident.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Terrell Healthcare Center
- Inspectors cited the home at the immediate-jeopardy level on March 29, 2025 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 March 29, 2025. How are staff trained, and how are concerns reported?
- Several administrators left in the past year. What has changed for residents since then?
- 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
4 penalties in the last three years, including $339,046 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Mar 29, 2025 | Fine | $91,910 |
| Mar 20, 2024 | Fine | $103,109 |
| Mar 20, 2024 | Payment Denial | 4 days of payments denied |
| Feb 15, 2024 | Fine | $144,027 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | — | — | — | — |
| August 2026 | — | — | — | — |
Location
Hospitals near Terrell Healthcare Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.8 mi
-
10.3 mi
Texas Health Presbyterian Hospital Kaufman KaufmanEmergency roomMedian ER visit 2h 29m for patients treated and sent home
-
14.9 mi
Texas Health Presbyterian Hospital Rockwall RockwallEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 3h 5m 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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Affiliation comes from CMS's affiliated-entity data, October 2026. All 51 Nexion Health nursing homes ›
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.