nursing home in Rusk, TX
Cherokee Trails Nursing Home
330 E. Bagley Rd., Rusk, TX 75785 · (903) 683-5438
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Cherokee Trails Nursing Home at a glance
Cherokee Trails Nursing Home is a 140-bed government nursing home in Rusk, Texas (Cherokee County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.2 hours of nursing care per day (0.4 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (May 20, 2026) found 8 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $30,933.
Nursing staff turnover is 65.3% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 140
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- August 1, 2000
- Resident/family council
- None
- County
- Cherokee County
- CMS Certification Number
- 675835
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.22 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.36 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.86 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.81 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 65.3% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 66.7% | 54.6% | 42.9% | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 8 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 108.8 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $30,933 | $44,141 | $30,972 | Average |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 140 | 113 | 107 | |
| Average residents per day | 50 | 76 | 86 | |
| Occupancy | 35.8% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.5% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.8% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 8.1% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 11.8% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 10.4% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 4.2% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.1% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 26.6% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 10.9% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 54.5% | 96.6% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 7.7% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 38 health deficiencies and 28 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 20, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 1, 2026 |
| May 20, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected July 1, 2026 |
| May 20, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected July 1, 2026 |
| May 20, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected July 1, 2026 |
| May 20, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected July 1, 2026 |
| May 20, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected July 1, 2026 |
| May 20, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected July 1, 2026 |
| May 20, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected July 1, 2026 |
| May 20, 2026 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected July 1, 2026 |
| May 20, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected July 1, 2026 |
| May 20, 2026 Fire safety | 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. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected July 1, 2026 |
| May 20, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | No revisit needed |
| May 20, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected June 14, 2026 |
| May 20, 2026 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected June 14, 2026 |
| May 20, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected June 14, 2026 |
| May 20, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 21, 2026 |
| May 20, 2026 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | D Potential harm, isolated | Corrected June 14, 2026 |
| May 20, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected June 14, 2026 |
| May 20, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 14, 2026 |
| February 11, 2026 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected February 13, 2026 |
| March 19, 2025 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected April 28, 2025 |
| March 19, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected April 28, 2025 |
| March 19, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected April 28, 2025 |
| March 19, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected April 28, 2025 |
| March 19, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected April 28, 2025 |
| March 19, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected April 28, 2025 |
| March 19, 2025 Fire safety | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Tag K0347 | E Potential harm, pattern | Corrected April 28, 2025 |
| March 19, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Deficient, Provider has no plan of correction |
| March 19, 2025 Standard | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Tag F0949 | E Potential harm, pattern | Corrected April 28, 2025 |
| March 19, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected April 28, 2025 |
| March 19, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected April 28, 2025 |
| March 19, 2025 Standard | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · Tag F0941 | E Potential harm, pattern | Corrected April 28, 2025 |
| March 19, 2025 Standard | Provide training in compliance and ethics. Administration Deficiencies · Tag F0946 | E Potential harm, pattern | Corrected April 28, 2025 |
| March 19, 2025 Standard | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943 | D Potential harm, isolated | Corrected April 28, 2025 |
| March 19, 2025 Standard | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Tag F0940 | D Potential harm, isolated | Corrected April 28, 2025 |
| March 19, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 28, 2025 |
| March 19, 2025 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected April 28, 2025 |
| September 25, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected September 26, 2024 |
| September 25, 2024 Complaint | Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · Tag F0839 | E Potential harm, pattern | Corrected September 26, 2024 |
| February 7, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected March 20, 2024 |
| February 7, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected March 20, 2024 |
| February 7, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected March 20, 2024 |
| February 7, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected March 20, 2024 |
| February 7, 2024 Fire safety | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0929 | D Potential harm, isolated | Corrected March 20, 2024 |
| February 7, 2024 Fire safety | 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. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected March 20, 2024 |
| February 7, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected March 20, 2024 |
| February 7, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Waiver has been granted |
| February 7, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected March 7, 2024 |
| February 7, 2024 Complaint | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected March 7, 2024 |
| February 7, 2024 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | F Potential harm, widespread | Corrected March 7, 2024 |
| February 7, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 7, 2024 |
| February 7, 2024 Complaint | Provide training in compliance and ethics. Administration Deficiencies · Tag F0946 | E Potential harm, pattern | Corrected March 7, 2024 |
| February 7, 2024 Complaint | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Infection Control Deficiencies · Tag F0945 | E Potential harm, pattern | Corrected March 7, 2024 |
| February 7, 2024 Complaint | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Tag F0944 | E Potential harm, pattern | Corrected March 7, 2024 |
| February 7, 2024 Complaint | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Tag F0949 | E Potential harm, pattern | Corrected March 7, 2024 |
| February 7, 2024 Complaint | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943 | E Potential harm, pattern | Corrected March 7, 2024 |
| February 7, 2024 Complaint | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · Tag F0942 | E Potential harm, pattern | Corrected March 7, 2024 |
| February 7, 2024 Complaint | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · Tag F0941 | E Potential harm, pattern | Corrected March 7, 2024 |
| February 7, 2024 Complaint | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | E Potential harm, pattern | Corrected March 7, 2024 |
| February 7, 2024 Complaint | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Tag F0940 | E Potential harm, pattern | Corrected March 7, 2024 |
| February 7, 2024 Complaint | Have policies on smoking. Environmental Deficiencies · Tag F0926 | E Potential harm, pattern | Corrected March 7, 2024 |
| February 7, 2024 Complaint | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813 | D Potential harm, isolated | Corrected March 7, 2024 |
| February 7, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected March 7, 2024 |
| February 7, 2024 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 7, 2024 |
| February 7, 2024 Complaint | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | D Potential harm, isolated | Corrected March 7, 2024 |
| February 7, 2024 Complaint | 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. Nutrition and Dietary Deficiencies · Tag F0808 | D Potential harm, isolated | Corrected March 7, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $30,933 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 25, 2024 | Fine | $30,933 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BAYLOR COUNTY HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 06/01/2023 |
| HARDIN, LESLIE Individual | corporate officer | NOT APPLICABLE | 06/01/2023 |
| CHEROKEE TRAILS HC LLC Organization | operational/managerial control | NOT APPLICABLE | 06/01/2023 |
| SILBERSTEIN, ARI Individual | operational/managerial control | NOT APPLICABLE | 06/01/2023 |
| LYONS, PAULA Individual | w-2 managing employee | NOT APPLICABLE | 06/01/2023 |
Other nursing homes near Cherokee Trails Nursing Home
The Arbors Healthcare and Rehabilitation Center
1884 Loop 343 West, Rusk, TX 75785 · 2.5 mi
For-profit · 110 beds · Part of Creative Solutions in Healthcare
★★★★★2Below averageLegacy at Jacksonville
810 Bellaire Street, Jacksonville, TX 75766 · 11.9 mi
For-profit · 101 beds · Part of Southwest LTC
★★★★★3AverageAvir at Jacksonville
305 Bonita St, Jacksonville, TX 75766 · 12.6 mi
For-profit · 53 beds · Part of Avir Health Group
- New owner (last 12 months)
★★★★★5Much above averageTwin Oaks Health & Rehabilitation Center
1123 North Bolton Street, Jacksonville, TX 75766 · 14.2 mi
For-profit · 116 beds · Part of Creative Solutions in Healthcare
★★★★★2Below averageWells LTC Nursing & Rehabilitation
46 May Street, Wells, TX 75976 · 24.8 mi
For-profit · 90 beds · Part of Gulf Coast LTC Partners
- Special Focus candidate
- Abuse citation
★★★★★1Much below averageBluebonnet Point Wellness
151 Heritage Springs Drive, Bullard, TX 75757 · 27.3 mi
For-profit · 119 beds · Part of Creative Solutions in Healthcare
★★★★★1Much below average
Frequently asked questions
What is Cherokee Trails Nursing Home's rating?
Cherokee Trails Nursing Home has 2 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Cherokee Trails Nursing Home receive?
Its most recent standard health inspection found 8 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Cherokee Trails Nursing Home accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Cherokee Trails Nursing Home?
It is government - hospital district. The ownership section on this page lists the owners and managers reported to CMS.
Where is Cherokee Trails Nursing Home and how do I contact it?
Cherokee Trails Nursing Home is at 330 E. Bagley Rd., Rusk, TX 75785. Phone: (903) 683-5438.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.