Heritage House of Marshall Health & Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 33 Google reviews
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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
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 detailsStrengths
- 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
Distribution
How They Respond to Reviews
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.”
“My mother in law has been for a month for rehab everyone there has been very helpful and friendly..mommas coming home..”
“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.”
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 · 34 measures
20
measures
6
measures
8
measures
Residents whose walking got worse
Residents whose walking got worse
Residents needing more daily help over time
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint1
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, 2025Complaint1
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, 2025Routine4
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Apr 9, 2025Complaint6
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
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, 2025Complaint1
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, 2024Routine21
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
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
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.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
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
Nacogdoches County Hospital District
for profit
SOUTHWEST LTC MARSHALL LTD
SHERRILL SLAYTON
Chain Affiliation
Southwest Ltc
13 facilities nationwide
Chain avg rating: 3.4/5 · Rank 6 of 7
Ownership & Management
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
33 reviews from families & visitors
Official Website
Visit heritagehousemarshall.com
Medicare data downloads
Original nursing home datasets
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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.
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Marshall Manor West
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