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Nursing HomeMedicaid

Crossroads Nursing & Rehabilitation

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

611 Rose Marie Boulevard, Hearne, TX 7785980 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 41 Google reviews

5
4
3
2
1

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What this means for your family

This facility has a long history of being a beloved, family-like environment with excellent activities. However, you should be extremely cautious and perform an unannounced visit to check for cleanliness and hygiene, as recent reports of neglect and poor sanitation are a significant departure from their historical reputation.

Google Reviews

Google Reviews

41 reviews analyzed
Families often praise Crossroads for its compassionate, family-like atmosphere and engaging resident activities. However, recent reviews have raised serious alarms regarding hygiene standards, such as unpleasant odors and unclean restrooms, as well as inconsistent communication from nursing staff.

Quality Themes

Tap a score for details
FoodN/AStaff6.0Clean3.0Activities9.0MedsN/AMemoryN/AComms4.0ValueN/A

Strengths

  • Compassionate and caring nursing staff
  • Engaging resident activities and events
  • Family-oriented and welcoming atmosphere
  • Skilled rehabilitation and therapy team

Concerns

  • Poor facility cleanliness and hygiene (mentioned by 2 reviewers)
  • Inadequate communication from nursing staff (mentioned by 2 reviewers)
  • Neglect regarding resident hygiene/care (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.4'18(16)3.74.8'20(8)5.05.0'23(2)1.02.8'25(4)2.5'26(4)

Distribution

5
25
4
2
3
0
2
0
1
5

How They Respond to Reviews

17%response rate
Generic

The owner primarily uses a repetitive, templated response to address serious allegations of neglect and unsanitary conditions. While they occasionally attempt to clarify identity in cases of mistaken location, the core response strategy relies on a standardized script.

Questions for Your Tour

  • 1We've heard wonderful things about the compassionate nursing staff and the engaging activities here; could you tell us more about what a typical day of social events looks like for residents?
  • 2Since we want to ensure our loved one is always well-attended to, what specific steps are being taken to improve communication between the nursing team and family members?
  • 3How does the facility manage daily hygiene and cleanliness routines to ensure every resident feels comfortable and well-cared for?
  • 4Could you walk us through the protocol for handling medical emergencies or sudden changes in health during the overnight hours?
  • 5We noticed the facility has a very welcoming, family-oriented atmosphere; how often are family members encouraged to participate in resident events?
  • 6With the rehabilitation team being a noted strength, how do you coordinate therapy schedules with a resident's daily routine?

Personalized based on this facility's data


Key Review Excerpts

The staff is caring and compassionate and the residents are always smiling!

Long-term resident's family · 2026★★★★★

Every room reeks of urine, they don’t clean the residents restrooms, the floors are always sticky all throughout the building, extremely unclean, the nurses are extremely lazy and unprofessional.

Long-term resident's family · 2024☆☆☆☆

My aunt only lived there a few months but we visited almost every day and saw first hand how well the residents were cared for day in and day out.

Long-term resident's family · 2023★★★★★
Source: 41 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.32hrs
42%
Registered nurses for medical care
Total Nursing
2.97hrs
72%
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
5/ 5
Better Than Avg

13

measures

Worse Than Avg

2

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.2%
Better than Avg
Here
5.2%
US
15.4%
TX
9.4%
Robertson
13.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.9%
Better than Avg
Here
1.9%
US
12.1%
TX
2.5%
Robertson
10.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility20.5%
Worse than Avg
Here
20.5%
US
19.4%
TX
14.2%
Robertson
11.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Robertson
92.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility9.0%
Mixed vs Avgs
Here
9.0%
US
15.3%
TX
14.9%
Robertson
6.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility17.4%
Better than Avg
Here
17.4%
US
19.5%
TX
18.4%
Robertson
23.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Robertson
70.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.2%
Better than Avg
Here
99.2%
US
81.8%
TX
89.2%
Robertson
72.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.5%
Worse than Avg
Here
1.5%
US
1.6%
TX
1.5%
Robertson
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
Above state avg (9.1)
9 complaint-triggered

Families have filed nine complaint reports against this facility, raising concerns about ongoing care issues. The facility shows recurring problems with care planning, accident prevention and safety measures, and medication management that persist across multiple surveys from 2023 through 2025. While the facility corrects deficiencies when cited, the repeated violations in these critical care areas suggest systemic challenges that families should carefully consider.

Dec 4, 2025Routine
9
0679ModerateCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0759ModerateCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

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.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0761MinorCorrected

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.

0222MinorCorrected

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.

Sep 3, 2025Complaint
3
0580MinorCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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.

Nov 20, 2024Complaint
1
0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Sep 10, 2024Routine
4
0550MinorCorrected

Resident Rights Deficiencies

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

0580MinorCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0686MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 20, 2024Complaint
1
0695MinorCorrected

Quality of Life and Care Deficiencies

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

May 24, 2024Complaint
2
0686ModerateCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0583MinorCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fannin County Hospital Authority

Organization Type

for profit

Management Company

HEARNE I ENTERPRISES, LLC

Administrator

SHANIKA SMITH

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 72 of 148

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

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