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Nursing HomeMedicaid Investigative

Countryview Nursing & Rehabilitation

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

1900 North Frances Street, Terrell, TX 75160115 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 28 Google reviews

5
4
3
2
1
Countryview Nursing & Rehabilitation Nursing Home in Terrell, TX — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • High staff turnover (56%)

Bottom 25% in Texas · Below recommended RN staffing · Above average staffing · Worst in CREATIVE SOLUTIONS IN HEALTHCARE chain · $94,108 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility is an excellent choice for patients requiring intensive physical rehabilitation, as their therapy team receives exceptional praise. However, if your loved one requires specialized memory care for advanced Alzheimer's, you should interview the staff specifically about their training and protocols for managing behavioral symptoms.

Google Reviews

Google Reviews

28 reviews analyzed
Families looking for rehabilitation services will find a highly-regarded therapy department, with multiple reviewers specifically praising the physical therapists' ability to restore patient mobility. While the facility is frequently noted for its clean, welcoming, and home-like atmosphere, there is a significant documented concern regarding the management of Alzheimer's and memory care patients.

Quality Themes

Tap a score for details
Food8.0Staff9.0Clean9.0Activities7.0MedsN/AMemory1.0CommsN/AValueN/A

Strengths

  • Exceptional physical therapy and rehab team
  • Clean and well-maintained environment
  • Welcoming and professional nursing staff
  • Home-like and comfortable atmosphere

Concerns

  • Inadequate management of Alzheimer's/memory care patients

Rating Trends

Tap a year to see what changed

234'17(8)'20(2)'22(8)'24(2)'26(6)

Distribution

5
23
4
0
3
0
2
1
1
4

How They Respond to Reviews

7%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard wonderful things about your physical therapy and rehab team; could you tell us more about how they work with residents to regain their independence?
  • 2What specific protocols and specialized training do you have in place to ensure the safety and engagement of residents in your memory care unit?
  • 3How does the nursing staff manage medical emergencies or sudden changes in a resident's health during the overnight hours?
  • 4Since the facility is described as having a very clean and home-like atmosphere, how do you involve residents in keeping their living spaces feeling comfortable and personalized?
  • 5What kind of daily activities or social programs are available to help residents stay connected with each other and the community?
  • 6How does the management team communicate with families regarding any updates to care plans or facility changes?

Personalized based on this facility's data


Key Review Excerpts

When I brought him he was bed bound. By the time he left these super hero’s had him able to transfer to and from a wheelchair as well as taking care of his basic needs on his own.

Rehab patient's family · 2026★★★★★

The food was above average for the limited number of nursing homes I've seen.

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

They don’t understand how to deal with these patients and after only 1 week, called to say that they needed to transfer mom to a lockdown unit so that she could be with “people of her kind.”

Memory care family member · 2023☆☆☆☆
Source: 28 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.43hrs
58%
Registered nurses for medical care
Total Nursing
3.36hrs
82%
All nurses + aides combined
Staff Turnover
97%
Lower is better (< 30% = good)

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 · 16 measures

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

1

measures

Mixed Results

5

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%
Kaufman
3.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility3.7%
Better than Avg
Here
3.7%
US
15.4%
TX
9.4%
Kaufman
7.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Kaufman
91.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.8%
Better than Avg
Here
12.8%
US
19.5%
TX
18.4%
Kaufman
19.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Kaufman
95.9%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
TX
3.2%
Kaufman
2.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Kaufman
84.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Kaufman
0.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
5penalties
Near state avg (9.1)
13 complaint-triggered
$94,108 in fines

Countryview has serious recurring problems with abuse protection that families have repeatedly reported to authorities, including multiple complaint-triggered deficiencies for failing to prevent abuse and properly investigate incidents. The facility shows persistent issues with medication management, resident safety and accident prevention, and infection control across multiple surveys. While the facility states corrections have been made, the pattern of repeated problems in critical care areas, especially abuse protection spanning from 2023 to 2025, raises significant concerns about consistent quality care.

Aug 15, 2025Routine
15
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.

0585ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0039ModerateCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0324ModerateCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

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.

0761ModerateCorrected

Pharmacy Service Deficiencies

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.

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.

0222ModerateCorrected

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.

0374ModerateCorrected

Smoke Deficiencies

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

0755MinorCorrected

Pharmacy Service Deficiencies

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

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211MinorCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0351MinorCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Apr 23, 2025Complaint
2
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.

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.

Jul 30, 2024Routine
22
0804ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0809ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

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.

0698ModerateCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0222ModerateCorrected

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.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0679MinorCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0553MinorCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0583MinorCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

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.

0690MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0692MinorCorrected

Quality of Life and Care Deficiencies

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

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0726MinorCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0755MinorCorrected

Pharmacy Service Deficiencies

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

0803MinorCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0807MinorCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

0808MinorCorrected

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.

0840MinorCorrected

Administration Deficiencies

Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

0849MinorCorrected

Administration Deficiencies

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.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Jul 30, 2024Complaint
2
0607MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Jul 11, 2024Complaint
1
0689SevereCorrected

Quality of Life and Care Deficiencies

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

Nov 14, 2023Complaint
5
0755Severe

Pharmacy Service Deficiencies

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

0760Severe

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

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.

0761ModerateCorrected

Pharmacy Service Deficiencies

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.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Federal Penalties

Fine

Aug 15, 2025

$27,193

Fine

Apr 23, 2025

$19,630

Fine

Jul 11, 2024

$16,340

Fine

Oct 12, 2023

$8,190

Fine

Oct 12, 2023

$8,193

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fannin County Hospital Authority

Organization Type

for profit

Management Company

TERRELL I ENTERPRISES, LLC

Administrator

REBECCA HOLDERREAD

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 123 of 148 (Worst)

Ownership & Management

Owners

Fannin County Hospital Authority

Owner · Organization

100%

Key personnel

Holt, ErinManaging Control - Governing BodyKeeton, WendyManaging Control - Governing BodyKissling, MonicaManaging Control - Governing BodyMcbean, PatriciaManaging Control - Governing BodySanderson, ClarkManaging Control - Governing Body
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 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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