Cherokee Trails Nursing Home
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 27 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (9 vs median 8.0)
- High staff turnover (76%)
Below average in Texas · Below recommended RN staffing · Very high staff turnover · Below chain average · $85,329 in fines
What this means for your family
This facility is highly regarded for its compassionate nursing staff and excellent dietary services, making it a strong candidate for long-term care. However, families should verify the level of assistance provided for daily hygiene tasks, as one resident reported difficulty receiving help with showers.
Google Reviews
Google Reviews
27 reviews analyzed“Families can expect a highly compassionate nursing and memory care team, with several reviewers specifically praising the administrator and nursing aides for their attentiveness. While the facility is noted for its clean environment and excellent dietary department, some reviewers mention the building is older and one individual raised a concern regarding assistance with personal hygiene.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Excellent dietary and nutrition services
- Clean and welcoming environment
- Strong leadership and administration
Concerns
- Aging facility infrastructure
- Issues with assistance for personal hygiene/showers
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner uses templated or overly brief responses that often fail to acknowledge the specific details of the review. Responses to positive feedback range from generic professional templates to short, one-line acknowledgments.
Questions for Your Tour
- 1We've heard wonderful things about the nutrition and dietary services here; could you tell us more about how meals are planned and served?
- 2Since we value strong leadership, could you tell us a bit about the administration team and how they support the nursing staff?
- 3What specific protocols are in place to ensure residents receive consistent assistance with personal hygiene and showering needs?
- 4How does the facility manage medical emergencies or changes in health status during the overnight hours?
- 5What kind of daily activities or social programs are available to keep the residents engaged and active?
- 6Are there any upcoming plans or improvements scheduled for the facility's infrastructure or building maintenance?
Personalized based on this facility's data
Key Review Excerpts
“While our overall experience with the facility has not been perfect, the care our Mimi has received from Nurse Misty and Nurse Aide Carolyn has been truly exceptional.”
“The new Administrator Sharima is awesome. She truly cares about the patients. She truly listens and does everything she can to fix any and all situations.”
“My mother has been here since July and she’s gained weight thanks to the great dietary department!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 15 measures
11
measures
3
measures
1
measures
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents with depression symptoms
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning patterns with families filing multiple complaints leading to 27 deficiencies across safety, staff training, and environmental conditions. Recurring issues include accident prevention problems appearing in three separate surveys, repeated violations of residents' rights to safe environments, and ongoing fire safety and building maintenance deficiencies. While the facility has corrected most violations when cited, the persistence of safety hazards and the volume of family-reported concerns suggest potential ongoing care quality issues that warrant careful evaluation during any visit.
Feb 11, 2026Complaint1
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Mar 19, 2025Routine17
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration Deficiencies
Provide training in compliance and ethics.
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Sep 25, 2024Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
Feb 7, 2024Complaint19
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Have policies on smoking.
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Resident Rights Deficiencies
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Administration Deficiencies
Provide training in compliance and ethics.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies
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.
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Feb 7, 2024Routine8
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Jul 27, 2023Complaint6
Resident Rights Deficiencies
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.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Federal Penalties
Fine
Sep 25, 2024
$30,933
Fine
Jul 27, 2023
$54,396
Ownership & Operations
Who Operates This Facility
Baylor County Hospital District
nonprofit
CHEROKEE TRAILS HC LLC
PAULA LYONS
Chain Affiliation
Advanced Healthcare Solutions
30 facilities nationwide
Chain avg rating: 3.2/5 · Rank 21 of 30
Ownership & Management
Owners
Baylor County Hospital District
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
27 reviews from families & visitors
Official Website
Visit cherokeetrailsnh.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.