Colonial Nursing & Rehabilitation Center
508 Pierce St · Lindale, TX · 75771 · 9033523727
90 certified beds For profit - Individual
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
Red flags
2 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.
$247,572 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.26 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.19 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.26 | 0.55–0.75 |
| Weekend hours / resident-day | 3.01 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $247,572 |
Inspection citations (23 in the current record)
-
Potential for harm · D March 18, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 27, 2026 · Resident Rights
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Potential for harm · D March 18, 2026
Ensure each resident receives an accurate assessment.
Corrected March 27, 2026 · Resident Assessment and Care Planning
-
Potential for harm · E March 18, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected March 27, 2026 · Quality of Life and Care
-
Potential for harm · E March 18, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 27, 2026 · Resident Assessment and Care Planning
-
No harm found · B March 18, 2026
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected March 27, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D November 25, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 1, 2025 · Pharmacy Service
-
Potential for harm · E January 8, 2025
Ensure each resident receives an accurate assessment.
Corrected February 21, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D January 8, 2025
Ensure 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.
Corrected February 21, 2025 · Quality of Life and Care
-
Potential for harm · F January 8, 2025
Have 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.
Corrected February 21, 2025 · Nursing and Physician Services
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Potential for harm · F January 8, 2025
Request a waiver if it can't meet the nurse staffing requirements.
Corrected February 21, 2025 · Nursing and Physician Services
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Potential for harm · D January 8, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 21, 2025 · Pharmacy Service
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Potential for harm · D January 8, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected February 21, 2025 · Pharmacy Service
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Potential for harm · F January 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 21, 2025 · Nutrition and Dietary
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Potential for harm · D January 8, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 21, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D January 8, 2025
Provide and implement an infection prevention and control program.
Corrected February 21, 2025 · Infection Control
-
Immediate jeopardy · K December 27, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K December 27, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G December 27, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 28, 2024 · Quality of Life and Care
-
Potential for harm · D July 10, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 24, 2024 · Quality of Life and Care
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Potential for harm · D July 10, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 24, 2024 · Pharmacy Service
-
Potential for harm · D December 12, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · E December 12, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected January 2, 2024 · Nursing and Physician Services
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Potential for harm · E December 12, 2023
Have 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.
Corrected January 2, 2024 · Nursing and Physician Services
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 27, 2024 | Fine | $247,572 |
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 675563 · certified since January 25, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.