nursing home in Marshall, TX

Heritage House of Marshall Health & Rehabilitation

5915 Elysian Fields Road, Marshall, TX 75672 · (903) 935-6700

★★★★★2
Below average
CMS overall star rating
  • Health inspections★★★★★3
  • Staffing★★★★★1
  • Quality measures★★★★★2

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Heritage House of Marshall Health & Rehabilitation at a glance

Heritage House of Marshall Health & Rehabilitation is a 125-bed for-profit nursing home in Marshall, Texas (Harrison 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 3.3 hours of nursing care per day (0.2 of them from registered nurses), close to the state average of 3.4 hours.

Its most recent standard health inspection (July 29, 2025) found 5 health citations. The Texas average is 9.4.

Federal regulators fined it 1 time in the past three years, totaling $67,706.

Nursing staff turnover is 91.7% per year (state average 55.3%).

Facility details

Type
Nursing home
Ownership
For Profit - Individual
Beds
125
Certified for
Medicare and Medicaid
Medicare-certified since
July 10, 2008
Resident/family council
Resident
County
Harrison County
CMS Certification Number
676187

Ratings

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)2 / 52.7 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)3 / 52.8 / 52.8 / 5Average
Staffing rating ⓘ (higher is better)1 / 51.9 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)2 / 53.7 / 53.6 / 5Worse
Long-stay quality rating (higher is better)2 / 54 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)2 / 53.2 / 53.3 / 5Worse

Staffing

This facility3.29 hrsTexas average3.39 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.29 hrs3.39 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.18 hrs0.43 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.93 hrs2.01 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.81 hrs2.98 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)91.7%55.3%45.8%Worse
Registered nurse turnover (yearly) (lower is better)83.3%54.6%42.9%Worse
Administrators who left in the past year (lower is better)111Worse

Inspections

This facility5Texas average9U.S. average9
Health citations in the most recent inspection: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)599Better
Citations from complaint investigations (latest cycle) (lower is better)343Worse
Weighted health inspection score ⓘ (lower is better)63.810280.6Better

Penalties

This facility1Texas average1U.S. average1
Fines in the past 3 years: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$67,706$44,141$30,972Worse
All federal penalties in the past 3 years (lower is better)121Average

Size

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Certified beds125113107
Average residents per day677686
Occupancy53.4%67.6%80.9%

Long-stay residents

This facility0.9%Texas average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)0.9%3.3%3.2%Better
Long-stay residents with pressure ulcers (lower is better)3.9%3.8%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)10.7%9.6%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)1.8%0.8%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)0.5%0.3%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)26.4%15.8%13.9%Worse
Long-stay residents whose walking worsened (lower is better)29%14%14.1%Worse
Long-stay residents who lose too much weight (lower is better)3.3%3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)5.2%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)16%18%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)10%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)100%96.6%93.6%Better

Short-stay residents

This facility0%Texas average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0%1.5%1.6%Better
Short-stay residents given a flu vaccine (higher is better)100%88%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)100%88.9%82%Better

Inspection citations

State inspectors cited this home for 49 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".

DateCitationSeverityStatus
April 23, 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 May 6, 2026
February 19, 2026
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected March 18, 2026
December 2, 2025
Complaint
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 · Tag F0656
D
Potential harm, isolated
Corrected January 20, 2026
July 29, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected September 11, 2025
July 29, 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 September 9, 2025
July 29, 2025
Standard
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0694
D
Potential harm, isolated
Corrected September 9, 2025
July 29, 2025
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
D
Potential harm, isolated
Corrected September 9, 2025
April 9, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected April 10, 2025
April 9, 2025
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 April 10, 2025
April 9, 2025
Complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602
D
Potential harm, isolated
Corrected February 27, 2025
January 29, 2025
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected January 30, 2025
June 26, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected August 2, 2024
June 26, 2024
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
J
Immediate jeopardy, isolated
Corrected June 27, 2024
June 26, 2024
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected June 27, 2024
June 26, 2024
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
E
Potential harm, pattern
Corrected June 27, 2024
June 26, 2024
Standard
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Tag F0565
E
Potential harm, pattern
Corrected July 20, 2024
June 26, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected June 28, 2024
June 26, 2024
Standard
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
E
Potential harm, pattern
Corrected June 27, 2024
June 26, 2024
Standard
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 · Tag F0655
D
Potential harm, isolated
Corrected June 27, 2024
June 26, 2024
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected June 27, 2024
June 26, 2024
Standard
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 · Tag F0758
D
Potential harm, isolated
Corrected June 27, 2024
June 26, 2024
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected June 28, 2024
June 26, 2024
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected June 28, 2024
June 26, 2024
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
D
Potential harm, isolated
Corrected June 27, 2024
June 26, 2024
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected June 28, 2024
June 26, 2024
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
D
Potential harm, isolated
Corrected July 20, 2024
June 26, 2024
Standard
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · Tag F0661
D
Potential harm, isolated
Corrected June 27, 2024
June 26, 2024
Standard
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 · Tag F0656
D
Potential harm, isolated
Corrected June 27, 2024
June 26, 2024
Standard
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Tag F0644
D
Potential harm, isolated
Corrected August 2, 2024
June 26, 2024
Standard
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Tag F0645
D
Potential harm, isolated
Corrected August 2, 2024
June 26, 2024
Standard
Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies · Tag F0680
C
No harm, widespread
Corrected June 30, 2024
June 26, 2024
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
B
No harm, pattern
Corrected June 27, 2024
June 12, 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
D
Potential harm, isolated
Corrected June 13, 2024
June 12, 2024
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected June 13, 2024
June 12, 2024
Complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
D
Potential harm, isolated
Corrected June 13, 2024
May 26, 2024
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected May 28, 2024
May 11, 2023
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected August 18, 2023
May 11, 2023
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
E
Potential harm, pattern
Corrected June 23, 2023
May 11, 2023
Standard
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Tag F0881
E
Potential harm, pattern
Corrected June 23, 2023
May 11, 2023
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected June 23, 2023
May 11, 2023
Standard
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 · Tag F0656
E
Potential harm, pattern
Corrected June 23, 2023
May 11, 2023
Standard
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Tag F0565
E
Potential harm, pattern
Corrected June 23, 2023
May 11, 2023
Standard
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 June 23, 2023
May 11, 2023
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected June 23, 2023
May 11, 2023
Standard
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 · Tag F0655
D
Potential harm, isolated
Corrected June 23, 2023
May 11, 2023
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected June 23, 2023
May 11, 2023
Standard
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · Tag F0638
D
Potential harm, isolated
Corrected June 23, 2023
May 11, 2023
Standard
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected June 23, 2023
May 11, 2023
Standard
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected June 23, 2023
May 11, 2023
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
D
Potential harm, isolated
Corrected June 23, 2023
May 11, 2023
Standard
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 · Tag F0758
D
Potential harm, isolated
Corrected June 23, 2023
May 11, 2023
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected June 23, 2023
May 11, 2023
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
C
No harm, widespread
Corrected June 23, 2023

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 $67,706 in fines.

DatePenaltyAmount / length
June 26, 2024Fine$67,706

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
LINDSEY, LYNN
Individual
operational/managerial controlNOT APPLICABLE01/01/2022
SOUTHWEST LTC MARSHALL LTD
Organization
operational/managerial controlNOT APPLICABLE04/01/2017
THURMAN, LINDA
Individual
w-2 managing employeeNOT APPLICABLE09/01/2022

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    ★★★★★4Above average
  2. Marshall Manor West

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    ★★★★★3Average
  3. Avir at Jefferson

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    ★★★★★2Below average
  4. Whispering Pines Lodge

    2131 Alpine Road, Longview, TX 75601 · 23.3 mi

    For-profit · 116 beds · Part of Creative Solutions in Healthcare

    • Special Focus candidate
    • Abuse citation
    ★★★★★1Much below average
  5. Panola County Nursing & Rehabilitation

    501 Cottage Rd, Carthage, TX 75633 · 23.3 mi

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  6. Treviso Transitional Care

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Frequently asked questions

What is Heritage House of Marshall Health & Rehabilitation's rating?

Heritage House of Marshall Health & Rehabilitation 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 Heritage House of Marshall Health & Rehabilitation receive?

Its most recent standard health inspection found 5 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.

Does Heritage House of Marshall Health & Rehabilitation 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 Heritage House of Marshall Health & Rehabilitation?

It is for profit - individual. The ownership section on this page lists the owners and managers reported to CMS.

Where is Heritage House of Marshall Health & Rehabilitation and how do I contact it?

Heritage House of Marshall Health & Rehabilitation is at 5915 Elysian Fields Road, Marshall, TX 75672. Phone: (903) 935-6700.

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.