Cherokee Trails Nursing Home
330 E Bagley Rd · Rusk, TX · 75785 · 9036835438
140 certified beds Government - Hospital district Chain: Advanced Healthcare Solutions
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $30,933 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
6 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Total nurse staffing below 3.0 hours per resident-day
3.00 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
72% 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: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.00 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 2.69 | ≈ weekday level |
| Nursing turnover / year | 72% | median 45% |
| Fines (3-yr window) | 2 · $85,329 |
Inspection citations (40 in the current record)
-
Potential for harm · D February 11, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 13, 2026 · Resident Rights
-
Potential for harm · E March 19, 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 April 28, 2025 · Resident Rights
-
Potential for harm · E March 19, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 28, 2025 · Quality of Life and Care
-
Potential for harm · D March 19, 2025
Provide and implement an infection prevention and control program.
Corrected April 28, 2025 · Infection Control
-
Potential for harm · D March 19, 2025
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected April 28, 2025 · Administration
-
Potential for harm · E March 19, 2025
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected April 28, 2025 · Administration
-
Potential for harm · D March 19, 2025
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected April 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E March 19, 2025
Provide training in compliance and ethics.
Corrected April 28, 2025 · Administration
-
Potential for harm · E March 19, 2025
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected April 28, 2025 · Administration
-
No harm found · C March 19, 2025
Post nurse staffing information every day.
Corrected April 28, 2025 · Nursing and Physician Services
-
Immediate jeopardy · J September 25, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 26, 2024 · Quality of Life and Care
-
Potential for harm · E September 25, 2024 · found via complaint
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected September 26, 2024 · Administration
-
Potential for harm · D February 7, 2024 · found via complaint
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 7, 2024 · Resident Rights
-
Potential for harm · D February 7, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 7, 2024 · Quality of Life and Care
-
Potential for harm · D February 7, 2024 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected March 7, 2024 · Nutrition and Dietary
-
Potential for harm · D February 7, 2024 · found via complaint
Ensure 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.
Corrected March 7, 2024 · Nutrition and Dietary
-
Potential for harm · F February 7, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 7, 2024 · Nutrition and Dietary
-
Potential for harm · D February 7, 2024 · found via complaint
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected March 7, 2024 · Nutrition and Dietary
-
Potential for harm · F February 7, 2024 · found via complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected March 7, 2024 · Administration
-
Potential for harm · E February 7, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 7, 2024 · Infection Control
-
Potential for harm · F February 7, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected March 7, 2024 · Environmental
-
Potential for harm · E February 7, 2024 · found via complaint
Have policies on smoking.
Corrected March 7, 2024 · Environmental
-
Potential for harm · E February 7, 2024 · found via complaint
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected March 7, 2024 · Administration
-
Potential for harm · E February 7, 2024 · found via complaint
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected March 7, 2024 · Administration
-
Potential for harm · E February 7, 2024 · found via complaint
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected March 7, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 25, 2024 | Fine | $30,933 |
| July 27, 2023 | Fine | $54,396 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675835 · certified since August 1, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.