See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Colonial Nursing & Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

508 Pierce St, Lindale, TX 7577190 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 68 Google reviews

5
4
3
2
1

Watch Colonial Nursing & Rehabilitation Center

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

4/ 10
moderate Risk

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)

Below average in Texas · Critically understaffed (RN) · $247,572 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice for rehabilitation, with multiple families praising the physical therapy and nursing staff's compassion. However, if you are choosing this for long-term care, please verify their protocols for responding to call lights and ensure you have a plan for communicating with the facility during weekends and after-hours.

Google Reviews

Google Reviews

68 reviews analyzed
Families considering Colonial Nursing & Rehabilitation Center will find a highly praised rehabilitation and nursing team, with many reviewers highlighting the compassion of the therapy and nursing staff. While many praise the cleanliness and food, some families have reported significant concerns regarding slow response times to call lights and difficulty reaching staff via phone during off-hours.

Quality Themes

Tap a score for details
Food8.0Staff9.0Clean7.0Activities9.0MedsN/AMemory5.0Comms7.0ValueN/A

Strengths

  • Compassionate and attentive nursing and therapy staff
  • Effective and professional rehabilitation services
  • Clean and well-maintained resident rooms
  • Engaging daily activities for residents

Concerns

  • Slow response times to call lights/patient needs (mentioned by 2 reviewers)
  • Difficulty contacting the facility via phone after hours/weekends (mentioned by 2 reviewers)
  • Occasional issues with facility odor (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'19(7)'21(2)'23(11)'25(18)'26(2)

Distribution

5
41
4
3
3
1
2
1
1
8

How They Respond to Reviews

73%response rate
Good

The owner provides highly personalized responses that frequently use the reviewer's name and reference specific staff members or family members mentioned. While most responses are celebratory of positive feedback, they also attempt to address negative reviews with explanations or requests for further communication.

Questions for Your Tour

  • 1We noticed how much the management values feedback through their responses to reviews; how does the team use resident and family input to improve daily care?
  • 2What specific steps are being taken to increase the number of staff members available on the floor during evening and weekend shifts?
  • 3How does the nursing team ensure that call lights are answered promptly, especially during busy periods or overnight?
  • 4What kind of daily activities or social programs are available to keep residents engaged and active in the community?
  • 5In the event of a medical emergency during the weekend or after hours, what is the protocol for contacting the on-call medical team?
  • 6What measures are currently in place to ensure the facility remains fresh and well-ventilated for the comfort of all residents?

Personalized based on this facility's data


Key Review Excerpts

Colonial has been amazing with the care of my mother. This is her second stay for skilled nursing care for her and both times the staff have all been very attentive, and kind to my mother.

Long-term resident's family · 2025★★★★★

The staff is extremely communicative, caring and helpful. Siri, my mother‘s nurse has given me peace of mind that my mother is being well cared for.

Long-term resident's family · 2025★★★★★

I entered De Angela's name in my phone just to save it and she called me back instantly and helped me with my situation. I haven't even got my father in the facility yet and I'm already impressed with the follow through and willingness to actually help.

Prospective resident's family · 2025★★★★★
Source: 68 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.26hrs
35%
Registered nurses for medical care
Total Nursing
3.19hrs
78%
All nurses + aides combined

Both 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 · 17 measures

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

3

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Smith
3.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility18.0%
Worse than Avg
Here
18.0%
US
15.4%
TX
9.4%
Smith
12.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
93.4%
TX
96.9%
Smith
95.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.2%
Better than Avg
Here
11.2%
US
14.4%
TX
16.1%
Smith
16.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.0%
Better than Avg
Here
10.0%
US
15.3%
TX
14.9%
Smith
15.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility23.6%
Mixed vs Avgs
Here
23.6%
US
19.5%
TX
18.4%
Smith
24.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility99.0%
Better than Avg
Here
99.0%
US
79.7%
TX
88.0%
Smith
73.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
81.8%
TX
89.2%
Smith
82.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
TX
1.5%
Smith
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
1penalties
Near state avg (9.1)
6 complaint-triggered
$247,572 in fines

Families have filed multiple complaints against this facility, resulting in serious deficiencies including abuse protection failures in December 2024. The facility has recurring problems with nursing staffing levels, medication management, and safety hazards across multiple surveys from 2022-2025. While all violations show correction dates, the pattern of repeated issues in core care areas like staffing and pharmacy services, combined with complaint-driven investigations, suggests ongoing quality concerns.

Mar 18, 2026Routine
7
0692ModerateCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0842ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0363MinorCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372MinorCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0640MinorCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Nov 25, 2025Complaint
1
0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Jan 8, 2025Routine
18
0727ModerateCorrected

Nursing and Physician Services Deficiencies

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.

0731ModerateCorrected

Nursing and Physician Services Deficiencies

Request a waiver if it can't meet the nurse staffing requirements.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0727ModerateCorrected

Nursing and Physician Services Deficiencies

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.

0731ModerateCorrected

Nursing and Physician Services Deficiencies

Request a waiver if it can't meet the nurse staffing requirements.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0641ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0641ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0693MinorCorrected

Quality of Life and Care Deficiencies

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.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0759MinorCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0842MinorCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0693MinorCorrected

Quality of Life and Care Deficiencies

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.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0759MinorCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0842MinorCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Dec 27, 2024Complaint
3
0600SevereCorrected

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.

0607SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0689ModerateCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jul 10, 2024Complaint
2
0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Dec 12, 2023Routine
8
0725ModerateCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0727ModerateCorrected

Nursing and Physician Services Deficiencies

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.

0725ModerateCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0727ModerateCorrected

Nursing and Physician Services Deficiencies

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.

0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0374MinorCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0374MinorCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Federal Penalties

Fine

Dec 27, 2024

$247,572

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hopkins County Hospital District

Organization Type

for profit

Management Company

BENEVOLENT HEALTHCARE PARTNERS, LLC

Administrator

MISTY COTTONGAME

Ownership & Management

Owners

Hopkins County Hospital District

Owner · Organization

100%

Key personnel

Smith, MichaelW-2 Managing EmployeeSmith, MichaelOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Call