Hereford Nursing & Rehabilitation
Strong Medicare quality ratings; families often praise responsive communication regarding medical questions. Still worth an in-person visit.
based on 7 Google reviews

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What this means for your family
While recent reviews suggest the facility is responsive to medication inquiries and maintains clean rooms, the history of severe allegations regarding neglect and physical injury is deeply concerning. Families should conduct an in-person inspection and specifically ask about protocols for medical emergencies and staff attentiveness during shift changes.
Google Reviews
Google Reviews
7 reviews analyzed“Families can expect responsive communication regarding medication and cleanliness from the staff, as noted by recent visitors. However, there are serious allegations regarding patient neglect, physical bruising, and lack of responsiveness to medical emergencies that must be addressed.”
Quality Themes
Tap a score for detailsStrengths
- Responsive communication regarding medical questions
- Cleanliness of rooms and bathrooms
- Caring and accommodating staff members
Concerns
- Allegations of patient neglect and physical injury
- Poor food quality (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
Questions for Your Tour
- 1I've heard great things about how responsive your team is to medical questions; how do you ensure that communication stays consistent between the nursing staff and our family?
- 2Since cleanliness is such a priority for us, could you show us how the daily cleaning schedule for the resident rooms and bathrooms is managed?
- 3We want to make sure our loved one is well-nourished; could you tell us more about the menu variety and how you handle special dietary needs or meal quality?
- 4What specific protocols do you have in place to ensure resident safety and prevent any accidental injuries during daily care?
- 5How do you handle medical emergencies or urgent changes in health status during the overnight hours?
- 6What kind of daily activities or social outings are available to help residents stay engaged and connected with one another?
Personalized based on this facility's data
Key Review Excerpts
“I have found the staff to quite receptive our questions and concerns. If I ask a question about medication and etcetera, they are going to get back to me within the day.”
“They have bad attitude when asked to do something for the patients. Also my grandma somehow ended up with bruises in her back and hands. They didn’t shower her and she smelled bad when we visited her.”
“If we had not called his chance of surving that night were slim. Since then doctors have found so many health issues due to neglect.”
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 · 16 measures
12
measures
3
measures
1
measures
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a concerning pattern with 15 deficiencies across three surveys, including recent issues in abuse prevention, infection control, and food safety that appear to recur across multiple inspections. The most recent 2025 survey revealed serious problems with policies to prevent abuse and neglect, while infection control and dietary deficiencies have persisted since 2023. All violations have correction dates from the provider, but the recurring nature of key safety issues warrants careful consideration during your visit.
Aug 7, 2025Routine7
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 18, 2024Routine5
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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.
Jun 9, 2023Routine3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Ownership & Operations
Who Operates This Facility
Terrel I Investments, LLC
for profit
LLANO ESTACADO HEALTHCARE, LLC
MARCUS PEHL
Ownership & Management
Owners
Terrel, Aaron
Owner
Terrel, Audra
Owner
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
7 reviews from families & visitors
Official Website
Visit herefordnursing.com
Medicare data downloads
Original nursing home datasets
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