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Nursing HomeMedicaid

Terrell Healthcare Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

204 West Nash Street, Terrell, TX 7516094 bedsLicensed & Active
Google rating
4.6/5

based on 105 Google reviews

5
4
3
2
1
Terrell Healthcare Center Nursing Home in Terrell, TX — Street View
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What this means for your family

This facility's strong physical therapy program and exceptionally caring nursing staff make it a great choice for rehabilitation and long-term care. However, families should be prepared to take a more active role in coordinating with doctors, as some reviewers have noted difficulties with the facility's responsiveness to phone calls and medical scheduling.

Google Reviews

Google Reviews

105 reviews analyzed
Families considering Terrell Healthcare Center can expect a highly compassionate, family-oriented environment where staff members are frequently praised for treating residents like their own kin. While the facility is noted for its excellent therapy programs and attentive nursing, some families have reported serious concerns regarding communication during medical emergencies and difficulty reaching staff via phone.

Quality Themes

Tap a score for details
Food9.0Staff9.0Clean8.0Activities8.0MedsN/AMemoryN/AComms4.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Effective physical therapy and rehab programs
  • Warm, family-oriented atmosphere
  • Clean and well-maintained environment

Concerns

  • Difficulty with phone communication and responsiveness (mentioned by 2 reviewers)
  • Delays in medical coordination/doctor appointments (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(2)'18(3)'20(2)'22(11)'24(25)'26(10)

Distribution

5
87
4
6
3
0
2
0
1
8

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about how compassionate and attentive the nursing staff is here; how do you foster that family-oriented atmosphere for the residents?
  • 2How does the facility coordinate with outside doctors to ensure there are no delays in scheduled medical appointments or specialist visits?
  • 3If we need to reach the nursing station or a supervisor quickly with a question about our loved one, what is the best way to ensure a timely response?
  • 4Can you tell us more about the physical therapy and rehab programs available for residents looking to regain their strength?
  • 5What kind of daily activities or social events are organized to keep the residents engaged and connected with one another?
  • 6In the event of a medical emergency during the night, what are the specific protocols the on-site team follows?

Personalized based on this facility's data


Key Review Excerpts

The aides takes extremely good care of me I never have to worry about having an aide around. Yeah I never have to worry about an aide being around they have call lights available here but I don't even need a call lights because they are here before you ever hit the call light.

Resident · 2026★★★★★

The pt program is really good. They have helped my 51 year old mom walk again.

Family member · 2025★★★★★

My experience is the team really cares for her and addresses my concerns immediately. She has adapted well there and even have friends.

Long-term resident's family · 2025★★★★★
Source: 105 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.53hrs
70%
Registered nurses for medical care
Total Nursing
3.96hrs
97%
All nurses + aides combined
Staff Turnover
55%
Lower is better (< 30% = good)
RN Turnover
67%
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 · 17 measures

Better Than Avg

9

measures

Worse Than Avg

3

measures

Mixed Results

5

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility30.8%
Worse than Avg
Here
30.8%
US
19.5%
TX
18.4%
Kaufman
17.6%
😔

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 Facility6.3%
Better than Avg
Here
6.3%
US
15.4%
TX
9.4%
Kaufman
6.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.2%
Better than Avg
Here
99.2%
US
93.4%
TX
96.9%
Kaufman
96.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility93.7%
Mixed vs Avgs
Here
93.7%
US
95.5%
TX
98.0%
Kaufman
92.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility17.6%
Worse than Avg
Here
17.6%
US
14.4%
TX
16.1%
Kaufman
15.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility88.9%
Better than Avg
Here
88.9%
US
79.7%
TX
88.0%
Kaufman
78.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility91.4%
Better than Avg
Here
91.4%
US
81.8%
TX
89.2%
Kaufman
85.1%
💊

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

29deficiencies
4penalties
41 complaint-triggered
$339,046 in fines

Families have filed multiple complaints triggering significant abuse and neglect investigations, most recently in March 2025, indicating serious concerns about resident protection and safety. The facility shows recurring problems with resident safety measures, medication management, and care planning across multiple surveys. While all violations are marked as corrected, the persistent pattern of abuse-related complaints and safety deficiencies suggests ongoing challenges in maintaining consistent quality care standards.

Apr 3, 2026Routine
23
0882ModerateCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

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.

0583ModerateCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0644ModerateCorrected

Resident Assessment and Care Planning Deficiencies

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

0690ModerateCorrected

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.

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.

0804ModerateCorrected

Nutrition and Dietary Deficiencies

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

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.

0550MinorCorrected

Resident Rights Deficiencies

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

0552MinorCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0659MinorCorrected

Resident Assessment and Care Planning Deficiencies

Provide care by qualified persons according to each resident's written plan of care.

0676MinorCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0688MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0695MinorCorrected

Quality of Life and Care Deficiencies

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

0699MinorCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0755MinorCorrected

Pharmacy Service Deficiencies

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

0770MinorCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

0806MinorCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

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.

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 5, 2026Complaint
3
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.

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.

Dec 3, 2025Routine
32
0698ModerateCorrected

Quality of Life and Care Deficiencies

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

0759ModerateCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

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.

0802ModerateCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0804ModerateCorrected

Nutrition and Dietary Deficiencies

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

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0362ModerateCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0698ModerateCorrected

Quality of Life and Care Deficiencies

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

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.

0802ModerateCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0804ModerateCorrected

Nutrition and Dietary Deficiencies

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

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0362ModerateCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0759ModerateCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

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.

0679MinorCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0688MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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.

0695MinorCorrected

Quality of Life and Care Deficiencies

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

0755MinorCorrected

Pharmacy Service Deficiencies

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

0926MinorCorrected

Environmental Deficiencies

Have policies on smoking.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0755MinorCorrected

Pharmacy Service Deficiencies

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

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.

0679MinorCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0688MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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.

0695MinorCorrected

Quality of Life and Care Deficiencies

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

0926MinorCorrected

Environmental Deficiencies

Have policies on smoking.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Nov 19, 2025Complaint
1
0644ModerateCorrected

Resident Assessment and Care Planning Deficiencies

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

Jul 17, 2025Complaint
3
0942MinorCorrected

Resident Rights Deficiencies

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

0944MinorCorrected

Administration Deficiencies

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

0946MinorCorrected

Administration Deficiencies

Provide training in compliance and ethics.

Mar 29, 2025Routine
42
0740SevereCorrected

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

0740SevereCorrected

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

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.

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.

0697ModerateCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0697ModerateCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

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.

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.

0690ModerateCorrected

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.

0699ModerateCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

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.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0690ModerateCorrected

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.

0699ModerateCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

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.

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.

0578MinorCorrected

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.

0584MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

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.

0692MinorCorrected

Quality of Life and Care Deficiencies

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

0694MinorCorrected

Quality of Life and Care Deficiencies

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

0698MinorCorrected

Quality of Life and Care Deficiencies

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

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.

0802MinorCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0806MinorCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0842MinorCorrected

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.

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0578MinorCorrected

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.

0584MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

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.

0692MinorCorrected

Quality of Life and Care Deficiencies

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

0694MinorCorrected

Quality of Life and Care Deficiencies

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

0698MinorCorrected

Quality of Life and Care Deficiencies

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

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.

0802MinorCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0806MinorCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0842MinorCorrected

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.

Federal Penalties

Fine

Mar 29, 2025

$91,910

Fine

Mar 20, 2024

$103,109

Payment Denial

Mar 20, 2024

4-day denial

Fine

Feb 15, 2024

$144,027

Ownership & Operations

Who Operates This Facility

Owner / Operator

Eastland Memorial Hospital District

Organization Type

for profit

Management Company

NEXION HEALTH AT TERRELL, INC

Administrator

GERALD EGO

Chain Affiliation

Chain Name

Nexion Health

Chain Size

52 facilities nationwide

Ownership & Management

Owners

Eastland Memorial Hospital District

Owner · Organization

Nexion Health at Terrell, INC.

Owner · Organization

Key personnel

Wright, LabanW-2 Managing EmployeeWright, LabanOfficer / DirectorNexion Health at Terrell, INC.ManagerFallon, JohnManagerKirley, FrancisManager
Source: Medicare provider data

Contact

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References & Resources

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