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

Heritage House of Marshall Health & Rehabilitation Center

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

5915 Elysian Fields Road, Marshall, TX 75672125 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 33 Google reviews

5
4
3
2
1

Watch Heritage House of Marshall Health & 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.

5/ 10
high 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)
  • High staff turnover (58%)
  • High RN turnover (75%)

Below average in Texas · Critically understaffed (RN) · Above average staffing · Below chain average · $67,706 in fines

Source: Medicare data

What this means for your family

The facility shows a significant upward trend in quality, with recent reviews highlighting an immaculate building and a very caring staff. However, because older reviews contain serious allegations of neglect and physical abuse, you should perform your own unannounced visits to verify current care standards.

Google Reviews

Google Reviews

33 reviews analyzed
Families considering Heritage House can expect a facility that is widely praised for its clean, modern environment and a staff that is described as warm, professional, and caring. While recent reviews are overwhelmingly positive, older reviews contain serious allegations regarding neglect and unprofessional conduct that should be investigated.

Quality Themes

Tap a score for details
FoodN/AStaff9.0Clean9.0ActivitiesN/AMedsN/AMemoryN/ACommsN/AValue5.0

Strengths

  • Friendly and professional staff
  • Clean and well-maintained facility
  • Positive atmosphere for rehabilitation
  • Caring and attentive nursing

Concerns

  • Historical allegations of neglect and physical abuse (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02017(1)3.02018(2)1.02020(2)1.02021(1)4.42022(11)4.82023(14)1.02025(1)

Distribution

5
15
4
1
3
0
2
0
1
4

How They Respond to Reviews

27%response rate
Good

The owner responds to reviews by addressing the reviewer by name and acknowledging specific details mentioned in the feedback. The responses consistently reinforce the facility's commitment to care and cleanliness.

Questions for Your Tour

  • 1I noticed some wonderful comments about how clean and well-maintained the facility is; what are your current protocols for daily housekeeping and sanitization?
  • 2We are looking for a place where my loved one will feel safe and well-attended to; what specific steps has the facility taken recently to improve staffing levels and ensure consistent care?
  • 3How does the nursing team handle medical emergencies or changes in health status during the overnight hours?
  • 4It's great to see that many people find the atmosphere here very positive for rehabilitation; could you tell us more about the specific therapy programs available for residents?
  • 5What kind of daily activities or social events are organized to help residents stay engaged and connected with one another?
  • 6I saw that the management team is active in responding to feedback; how does the facility use resident and family input to address concerns and improve care?

Personalized based on this facility's data


Key Review Excerpts

I am EXTREMELY impressed with my visit at Heritage House! Facility is immaculate and modern. All staff I encountered were very friendly, helpful, and genuine. They treat my loved one and fellow clients like royalty.

Visitor · 2023★★★★★

My mother in law has been for a month for rehab everyone there has been very helpful and friendly..mommas coming home..

Rehab patient's family · 2022★★★★★

I notice all the good reviews were posted about a year ago. I cannot believe anyone found it professional or caring. My mother doesn't get her bath about half the time; her bed goes unmade unless we make it. And her room goes days without being cleaned.

Long-term resident's family · 2020☆☆☆☆
Source: 33 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.29hrs
39%
Registered nurses for medical care
Total Nursing
3.74hrs
91%
All nurses + aides combined
Staff Turnover
95%
Lower is better (< 30% = good)
RN Turnover
86%
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 · 34 measures

Medicare Rating
2/ 5
Better Than Avg

20

measures

Worse Than Avg

6

measures

Mixed Results

8

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility27.0%
Worse than Avg
Here
27.0%
US
15.3%
TX
14.9%
Harrison
16.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility27.0%
Worse than Avg
Here
27.0%
US
15.3%
TX
14.9%
Harrison
16.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility26.5%
Worse than Avg
Here
26.5%
US
14.4%
TX
16.1%
Harrison
16.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility26.5%
Worse than Avg
Here
26.5%
US
14.4%
TX
16.1%
Harrison
16.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility16.2%
Better than Avg
Here
16.2%
US
19.5%
TX
18.4%
Harrison
25.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility16.2%
Better than Avg
Here
16.2%
US
19.5%
TX
18.4%
Harrison
25.3%
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%
Harrison
79.6%
💉

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%
Harrison
79.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Harrison
84.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Harrison
84.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Harrison
1.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Harrison
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
1penalties
Well below state avg (9.1)
14 complaint-triggered
$67,706 in fines

Heritage House has a concerning pattern of recurring deficiencies across multiple areas, with families filing 10 complaint-triggered reports. The facility consistently struggles with medication management, care planning and resident assessment, and protection from abuse and neglect. While all deficiencies show correction dates, the same issues repeatedly appear across surveys from 2023 through 2025, suggesting ongoing systemic problems rather than isolated incidents.

Feb 19, 2026Complaint
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.

Dec 2, 2025Complaint
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.

Jul 29, 2025Routine
4
0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

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.

0582MinorCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0694MinorCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Apr 9, 2025Complaint
6
0550MinorCorrected

Resident Rights Deficiencies

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

0602Minor

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

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.

0550MinorCorrected

Resident Rights Deficiencies

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

0602Minor

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

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.

Jan 29, 2025Complaint
1
0755ModerateCorrected

Pharmacy Service Deficiencies

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

Jun 26, 2024Routine
21
0686SevereCorrected

Quality of Life and Care Deficiencies

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

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0565ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0641ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0698ModerateCorrected

Quality of Life and Care Deficiencies

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

0755ModerateCorrected

Pharmacy Service Deficiencies

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

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0582MinorCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0645MinorCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0655MinorCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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.

0661MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0677MinorCorrected

Quality of Life and Care Deficiencies

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

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.

0757MinorCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0758MinorCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0760MinorCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0680MinorCorrected

Quality of Life and Care Deficiencies

Ensure the activities program is directed by a qualified professional.

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.

Federal Penalties

Fine

Jun 26, 2024

$67,706

Ownership & Operations

Who Operates This Facility

Owner / Operator

Nacogdoches County Hospital District

Organization Type

for profit

Management Company

SOUTHWEST LTC MARSHALL LTD

Administrator

SHERRILL SLAYTON

Chain Affiliation

Chain Name

Southwest Ltc

Chain Size

13 facilities nationwide

Chain avg rating: 3.4/5 · Rank 6 of 7

Ownership & Management

Key personnel

Thurman, LindaW-2 Managing EmployeeSouthwest Ltc Marshall LtdManagerLindsey, LynnManager
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 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Call