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Nursing HomeMedicaid

The Arbors Healthcare and Rehabilitation Center

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

1884 Loop 343 West, Rusk, TX 75785110 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 55 Google reviews

5
4
3
2
1

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What this means for your family

While the facility has a long history of being praised for its cleanliness and friendly atmosphere, recent reviews indicate serious risks regarding medical neglect and hygiene. If you choose this facility, you must closely monitor medication administration and daily hygiene care, as multiple families have reported significant failures in these areas.

Google Reviews

Google Reviews

55 reviews analyzed
Families often praise the facility for its exceptionally clean, modern building and a staff that treats residents like family. However, recent reviews have raised serious alarms regarding medical neglect, including failure to manage pain and severe skin issues like bedsores, as well as concerns regarding financial management and communication.

Quality Themes

Tap a score for details
Food9.0Staff7.0Clean9.0Activities8.0Meds1.0MemoryN/AComms3.0Value2.0

Strengths

  • Clean and well-maintained facility
  • Compassionate and friendly staff
  • High-quality dining and food variety
  • Engaging activities for residents

Concerns

  • Medical neglect and inadequate pain management (mentioned by 2 reviewers)
  • Poor hygiene and failure to assist with basic needs (mentioned by 2 reviewers)
  • Financial mismanagement and billing disputes

Rating Trends

Tap a year to see what changed

2344.92018(14)5.02019(9)3.02020(2)2.02022(4)3.92024(7)2.72025(3)4.92026(16)

Distribution

5
45
4
0
3
1
2
1
1
7
15 reviews posted between Jan 6, 2026Jan 7, 2026 · 15 were 5-star
10 reviews posted between Jun 14, 2018Jun 15, 2018 · 9 were 5-star

How They Respond to Reviews

13%response rate
Generic

The owner uses highly repetitive, templated responses that follow a strict formula. While they acknowledge the reviewer by name, they fail to address the specific, serious allegations (such as bedsores or financial mismanagement) and instead redirect all issues to a single phone number.

Questions for Your Tour

  • 1We've heard wonderful things about the food variety here; could you tell us more about how the dining program works and how much input residents have in their meals?
  • 2Since we want to ensure our loved one is always comfortable, what specific protocols do you have in place for managing pain and ensuring medication is administered accurately and on time?
  • 3How does the nursing team approach daily personal care and hygiene to ensure every resident's basic needs are met with dignity?
  • 4What is the process for communicating important medical updates or changes in condition to family members to ensure we are always in the loop?
  • 5We'd love to hear more about the daily activity calendar—what are some of the most popular social events or engaging programs currently available for residents?
  • 6In the event of a medical emergency during the night or over the weekend, how is the clinical response handled by the on-site staff?

Personalized based on this facility's data


Key Review Excerpts

The staff are caring and supportive and have made this transition for her care comfortable for my entire family. Kiesha is a doll and takes care of any issues we have quickly and professionally.

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

I was admitted on day 3 of my total knee replacement and received NO pain medication for 12 hour, no ice, elevation, or any care for days!

Rehab patient · 2025☆☆☆☆

The Arbors Healthcare and Rehabilitation Center is beautiful, clean, warm and inviting place. They have great caring staff and lots of fun activities.

Visitor · 2018★★★★★
Source: 55 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.28hrs
38%
Registered nurses for medical care
Total Nursing
3.01hrs
73%
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
4/ 5
Better Than Avg

12

measures

Worse Than Avg

2

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility8.6%
Better than Avg
Here
8.6%
US
19.5%
TX
18.4%
Cherokee
23.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Cherokee
3.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility5.8%
Better than Avg
Here
5.8%
US
14.4%
TX
16.1%
Cherokee
16.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility23.8%
Worse than Avg
Here
23.8%
US
15.3%
TX
14.9%
Cherokee
15.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Cherokee
92.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility11.6%
Mixed vs Avgs
Here
11.6%
US
15.4%
TX
9.4%
Cherokee
18.6%
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%
Cherokee
74.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Cherokee
81.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Cherokee
2.5%
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)
4 complaint-triggered

This facility has recurring issues across multiple areas, with families filing four complaints that triggered federal investigations. The most persistent problems involve fire safety and building maintenance, infection control, and care planning, with many deficiencies repeating across surveys from 2023 to 2026. While all violations show correction dates, the pattern of recurring issues in critical areas like safety systems and infection control suggests ongoing operational challenges that families should carefully consider.

Jan 14, 2026Routine
16
0037ModerateCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

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.

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.

0351ModerateCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0511ModerateCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0552MinorCorrected

Resident Rights Deficiencies

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

0605MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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.

0693MinorCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0730MinorCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211MinorCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0345MinorCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Nov 18, 2025Complaint
1
0550MinorCorrected

Resident Rights Deficiencies

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

Feb 19, 2025Complaint
3
0755ModerateCorrected

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.

0921MinorCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Oct 9, 2024Routine
11
0004ModerateCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0037ModerateCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0345ModerateCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

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.

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0926MinorCorrected

Environmental Deficiencies

Have policies on smoking.

0211MinorCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0321MinorCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0372MinorCorrected

Smoke Deficiencies

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

Sep 13, 2023Routine
5
0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0919MinorCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0321MinorCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Ownership & Operations

Who Operates This Facility

Owner / Operator

West Wharton County Hospital District

Organization Type

for profit

Management Company

RUSK I ENTERPRISES, LLC

Administrator

SHERYL L SMITH

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 50 of 148

Ownership & Management

Key personnel

Huggins, LindaW-2 Managing EmployeeMak, DavidOfficer / DirectorRusk I Enterprises LLCManagerBlake, GaryManagerBlake, MalisaManager
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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