Terrell Healthcare Center
204 W Nash · Terrell, TX · 75160 · 9725637668
94 certified beds For profit - Corporation Chain: Nexion Health
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $91,910 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
10 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
6 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.
$91,910 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
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: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 3.96 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 3.79 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 3 · $339,046 |
Inspection citations (93 in the current record)
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Potential for harm · D April 3, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 10, 2026 · Resident Rights
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Potential for harm · D April 3, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 10, 2026 · Resident Rights
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Potential for harm · D April 3, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected April 10, 2026 · Resident Rights
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Potential for harm · E April 3, 2026
Keep residents' personal and medical records private and confidential.
Corrected April 10, 2026 · Resident Rights
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Potential for harm · D April 3, 2026
Ensure each resident receives an accurate assessment.
Corrected April 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · E April 3, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected April 26, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 3, 2026
Provide care by qualified persons according to each resident's written plan of care.
Corrected April 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 3, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected April 10, 2026 · Quality of Life and Care
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Potential for harm · D April 3, 2026
Provide 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.
Corrected April 10, 2026 · Quality of Life and Care
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Potential for harm · E April 3, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 10, 2026 · Quality of Life and Care
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Potential for harm · D April 3, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 10, 2026 · Quality of Life and Care
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Potential for harm · D April 3, 2026
Provide care or services that was trauma informed and/or culturally competent.
Corrected April 10, 2026 · Quality of Life and Care
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Potential for harm · D April 3, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 10, 2026 · Pharmacy Service
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Potential for harm · E April 3, 2026
Ensure 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.
Corrected April 10, 2026 · Pharmacy Service
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Potential for harm · D April 3, 2026
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected April 10, 2026 · Administration
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Potential for harm · E April 3, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 10, 2026 · Nutrition and Dietary
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Potential for harm · D April 3, 2026
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected April 10, 2026 · Nutrition and Dietary
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Potential for harm · D April 3, 2026
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 April 10, 2026 · Nutrition and Dietary
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Potential for harm · E April 3, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 10, 2026 · Nutrition and Dietary
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Potential for harm · D April 3, 2026
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected April 10, 2026 · Administration
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Potential for harm · D April 3, 2026
Provide and implement an infection prevention and control program.
Corrected April 10, 2026 · Infection Control
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Potential for harm · F April 3, 2026
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected April 10, 2026 · Infection Control
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Potential for harm · D March 5, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 6, 2026 · Pharmacy Service
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Potential for harm · E March 5, 2026 · found via complaint
Ensure 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.
Corrected March 6, 2026 · Pharmacy Service
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Potential for harm · D March 5, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 6, 2026 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 29, 2025 | Fine | $91,910 |
| March 20, 2024 | Fine | $103,109 |
| March 20, 2024 | Payment Denial | 4 days |
| February 15, 2024 | Fine | $144,027 |
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.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675879 · certified since August 1, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.