508 Pierce St., Lindale, TX 75771 · Smith County · (903) 352-3727
90 certified beds, about 60 residents a day · For profit - Individual · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675563 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 18, 2026, inspectors cited 5 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 25 health citations since December 2023, 3 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 1 fine totaling $247,572 in the last three years; the largest was $247,572, and the latest is dated December 27, 2024.
Nurses and nurse aides worked 3.51 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.30 of those hours.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 25 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident had the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for 2 of 5 residents (Resident #1 and Resident #2) reviewed for resident rights. The facility failed to ensure Resident #1's call light and water were within reach on 7/27/26. The facility failed to ensure Resident #2's call light was within reach on 7/27/26. These failures could place residents at risk for a delay in assistance and a decreased quality of life.
Inspectors wroteBased on interviews and record review, the facility failed to ensure in accordance with professional standards of practices, the medical records on each resident were accurately documented for 1 of 5 residents (Resident #3) reviewed for medical records. The facility failed to ensure Resident #3's admission Assessment completed on 7/13/26 by LVN B accurately reflected the number of falls she had in the past 3 months. This failure could place residents at risk for not receiving the proper fall precautions and investigation of injuries not being accurate.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents maintain acceptable parameters of nutritional status, such as usual body weight or desirable body weight range and electrolyte balance, unless the resident's clinical condition demonstrates that this is not possible or resident preferences indicate otherwise for 3 of 8 residents reviewed for nutritional status (Resident #9, #25, and #31). The facility failed to implement the RD's 02/21/2026 nutritional recommendations for Resident #9 who experienced a significant weight loss of 6.5% (6 lbs.) from 01/02/2026 to 02/10/2026. The facility failed to ensure the physician's orders included the amount of liquid nutritional supplement to be administered to Resident #25 and Resident #31. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medical records, in accordance with accepted professional standards and practices, were complete and accurately documented for 4 of 6 residents (Residents #9, #25, #31,and #55) reviewed for medical records accuracy The facility failed to ensure the administration of nutritional supplements was documented in the clinical records for Resident #55, Resident # 9, Resident #25, and Resident #31. The facility failed to ensure physician orders included complete instructions for the administration of a liquid nutritional supplement (Med Pass) for Resident #9, Resident #25, Resident #31, and Resident #55. The facility failed to ensure the physician's orders for liquid nutritional supplements were transcribed into the MARs. These failures could place residents at risk for incomplete clinical records.
Inspectors wroteBased on observation, interview, and record review, the facility failed to protect and promote the rights of each resident for 6 of 11 residents (Residents #14, #35, and 4 other unidentified Residents) reviewed for dignity and respect. CNA-A and CNA-B were observed eating their personal lunch in the secure unit dining area where Resident #14, Resident #35, and four unidentified Residents were sitting and waiting for their lunch to be served. This failure could place residents who reside in the secured unit of the facility at risk of not being treated with courtesy, consideration, and respect.
Inspectors wroteBased on interview and record review, the facility failed to ensure an accurate MDS was completed for 1 of 5 residents (Resident #35) reviewed for MDS assessment accuracy. The facility failed to complete an MDS assessment that accurately reflected Resident #35's health status. This failure could place residents at risk of not receiving appropriate care and services to maintain the highest level of well-being.
Inspectors wroteBased on interview and record review, the facility failed to ensure an MDS was electronically transmitted to the CMS System within 14 days after completion of the assessment for 5 of 24 residents reviewed for assessments. (Residents # 15, 20, 41,42 and 62) The facility did not transmit an admission MDS assessment within 14 days into the CMS system as required. This failure could place residents at risk of not having records completed and submitted in a timely manner as required.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all drugs and biological were stored in locked compartments under proper temperature controls and permitted only by authorized personnel to have access to the keys for 1 of 3 nurse medication storage carts (A Hall) reviewed for storage of medication and biologicals. The facility failed to ensure 15 tablets of APAP/Codeine 300-30mg (medication used for moderate to severe pain) was not, the medication expired on 11/01/25, and had been expired for 10 days, and were not removed from use. This failure could place residents at risk of adverse reactions to medications, misappropriation of medications, and not receiving therapeutic effects of medication.
Inspectors wroteBased on interview and record review, the facility failed to use the service of an RN for 8 consecutive hours 7 days a week. The facility did not have RN coverage on the following dates: 12/2/24 - 12/9/24, 12/13/24-12/18/24, 12/20/24-12/22/24, 12/25/24, and 12/28/24 - 1/6/2025. This failure has the potential to affect the residents in the facility and place them at risk of not having staff with advance care skills available to assist in their care needs.
Inspectors wroteBased on interview and record review, the facility failed to designate a registered nurse (RN) to serve as the DON on a full-time basis since 11/3/2024 The facility did not have a DON from 11/3/2024 to currant date. This failure could place residents at risk of lack of nursing oversight and a higher level of care.
Inspectors wroteBased on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in the facility's only kitchen observed for kitchen sanitation. A 16 oz. bag of tortilla chips was opened and not re-sealed. DA A checked the sanitizing of the dish machine using quaternary ammonia test strips instead of chlorine test strips. The dish machine log January 2025 had been pre-filled with results for the noon check (01/06/25) when the noon meal had not occurred. The results indicated temperatures but no sanitizing conditions for any date. The dish machine log for December 2024 and January 2025 had blanks where washing temperatures and sanitizing results had not been documented. In the walk in cooler 2-46 oz. nectar thick iced teas, 1-46 oz. nectar thick orange juice, and 1-46 oz. [...]
Inspectors wroteBased on interview and record review the facility failed to ensure accurate assessments were completed for 3 of 15 residents (Residents #16, #52, and #53) reviewed for accuracy of assessments. The facility failed to ensure Residents #16, #52, and #53's MDS assessment was accurately coded for Preadmission Screening and Resident Review (PASRR). These failures could place residents at risk for not receiving the appropriate care and services to maintain the highest level of well-being.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents fed by enteral means received the appropriate treatment and services to prevent complications for the facility's only resident with an enteral device (Resident #34). The facility failed to ensure LVN D followed the facility's policy for administration of medications through an enteral tube (gastrostomy tube, G-Tube). This failure could place the resident at risk for clogging and/or damage of the gastrostomy tube and possible leakage of medications, formula, and/or water into the abdominal cavity.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to meet the needs of each resident for 2 of 4 residents (Resident #34 and Resident #50) reviewed for pharmacy services. The facility failed to ensure Resident #34's physician orders included accurate and complete instructions for the administration of medications via the enteral route. The facility failed to ensure Resident #50's Cyanocobalamin (Vitamin B12) Oral Tablet 2500 mcg daily was available for administration resulting in MA B performing mathematical calculations and making substitutions with the doses of the same medication on hand in the facility. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the medication error rate was not 5 percent or greater. The facility had a medication error rate of 7% based on 2 errors out of 26 opportunities which involved 1 of 4 residents (Resident #34) observed for medication administration. LVN D failed to ensure a delayed-release medication (releases the medication in the intestine to prevent break-down of the medication by stomach acids) was not crushed. LVN D crushed and mixed Resident #34's morning medications (and administered them via the gastrostomy tube route in a single administration. These failures could place residents who receive medications via the gastrostomy tube route at risk for non-therapeutic responses and/or potential adverse effects of the mediations with a possible decline in health status.
Inspectors wroteBased on interview and record review, the facility failed to ensure medical records, in accordance with accepted professional standards and practices, were complete and accurately documented for 1 of 5 Residents (Resident #41) reviewed for medical records accuracy. The facility failed to insure Resident #41's OOHDNR code status was accurately reflected in the facility's code status book, on the Resident's face sheet and in the physician orders and care plan. This failure could place residents at risk for receiving resuscitation actions against their declared instructions.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 4 residents (Residents #34) reviewed for infection control. LVN D failed to don appropriate PPE prior to administering medications through a gastrostomy tube (also called a G-Tube, enteral tube, or feeding tube). This failure could place residents at risk of exposure and/or possible transmission of communicable diseases and infections.
Inspectors wroteBased on observation, record review and interview the facility failed to ensure residents had the right to be free from abuse and neglect for 5 of 11 residents reviewed for abuse and neglect. (Resident #1 #2, #4, #5, and #8) 1. The facility failed to ensure Resident #2 was free from abuse after Resident #2 indicated MA B physically assaulted her on 11/9/24. The facility failed to address the abuse, report/investigate the allegations of abuse or suspend the alleged perpetrator. 2. The facility failed to provide assistance and supervision for Resident #1 between the hours of 12:20 am and 5:30 am on 6/2/24. Resident #1 rolled out of bed and was not checked on during this time. 3. The facility failed to ensure residents were free from abuse from Resident #7. a. Resident #7 was in Resident #8's room and was found touching Resident #8's genital area. Resident #8 had no pants on. b. [...]
Inspectors wroteBased on observation, record review, and interview the facility failed implement their abuse policy to ensure residents had the right to be free from abuse and neglect, allegations were investigated, 7 of 11 residents reviewed for abuse and neglect. (Resident #1, #2, # 3, #4, #5, #7, and #8) 1. The facility failed to ensure Resident #2 was free from abuse after Resident #2 indicated MA B physically assaulted her on 11/9/24. The facility failed to address the abuse, report/investigate the allegations of abuse or suspend the alleged perpetrator. 2. The facility failed to provide assistance and supervision for Resident #1 between the hours of 12:20 am and 5:30 am on 6/2/24. Resident #1 rolled out of bed and was not checked on during this time. 3. The facility failed to ensure residents were free from abuse from Resident #7. a. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident received adequate supervision and assistive devices to prevent accidents for 1 of 11 residents reviewed for accidents. (Resident #6) The facility failed to ensure CNA D prevented Resident #6 from failing during a mechanical lift transfer by transferring the resident alone. This facility failure could place residents at risk of injuries including lacerations and bruising to the forehead.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents were secure during transportation to prevent accidents for 1 of 3 residents reviewed for accidents. (Resident # 12) The facility did not ensure a wheelchair was secured while transporting Resident #12 which caused . Resident #12 to slide out of the wheelchair during transportation from the hospital. This failure could place residents who travel in the facility van at risk of injuries.
Inspectors wroteBased on interview and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate dispensing and administering of all drugs and biologicals to meet the needs of each resident for 1 of 5 residents reviewed for pharmacy services (Resident #24) 1. The facility failed to keep a record receipt of Resident #24's-controlled medication Hydrocodone. The failures could place residents at risk of inadequate pain control, not receiving the intended therapeutic dose to alleviate moderate to severe pain as ordered and not having accurate records of medication administration which could result in diminished health and well-being.
Inspectors wroteBased on interview, and record review, the facility failed to have sufficient nursing staff to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, for 1 of 4 quarters for 2023 (Quarter 3) reviewed for nursing services. *The facility did not have sufficient staff according to the PBJ report for Quarter 3 2023 (April 1 through June 30). This failure could place residents at risk of diminished quality of life and quality of care.
Inspectors wroteBased on interview and record review, the facility failed to ensure they had an RN for 8 consecutive hours 7 days a week for 1 of 4 quarters of 2023 (Quarter 3) PBJ reports reviewed for RN coverage. The facility did not have RN coverage from April 1st through June 5th and 2 weekends in June 2023. This failure could place residents at risk of lack of nursing oversight and a higher level of care.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure individuals with mental health disorders were provided an accurate Preadmission Screening and Resident Review (PASRR) Level 1 Screening for 1 of 6 residents reviewed for PASRR (Resident #32). The facility failed to ensure Resident #32 had an accurate PASRR Level 1 Screening indicating a diagnosis of mental illness on 07/25/2023. This failure could place residents at risk of not receiving needed individualized care, and specialized services to meet their needs.
3 fire safety citations on file: 2 on March 18, 2026, 1 on December 12, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| December 27, 2024 | Fine | $247,572 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.51 | 3.39 | 3.86 |
| Registered nurses | 0.30 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.27 | 2.98 | 3.42 |
| Nurse aides | 2.35 | ||
| Licensed practical nurses | 0.85 | ||
| Nursing staff turnover (share who left in a year) | not reported | 55.3% | 45.8% |
| Registered nurse turnover | not reported | 54.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.84 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.60 on weekdays and 3.27 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.25 in July to September 2025 to 3.51 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.51 | 0.30 | 3.60 | 3.27 | 2.2% | 2 of 90 | 60 |
| Oct to Dec 2025 | 3.19 | 0.26 | 3.26 | 3.01 | 3.0% | 6 of 92 | 70 |
| Jul to Sep 2025 | 3.25 | 0.35 | 3.42 | 2.82 | 3.0% | 3 of 92 | 65 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.5 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.5 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.4 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.0 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.1 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.1 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.0 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Colonial Nursing & Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
52.7% this home
No different from the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 40 eligible stays.
10.7% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 65 eligible stays.
10.8% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 48 eligible stays.
73.9% this home
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 23 residents counted.
0.0% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 39 residents counted.
0.0% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 39 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 7 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: HOPKINS COUNTY HOSPITAL DISTRICT.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hopkins County Hospital District | 5% or greater direct ownership interest | Organization | 100% | 03/31/2017 |
| Smith, Michael | Corporate officer | Individual | 12/01/2021 | |
| Smith, Michael | Operational/managerial control | Individual | 12/01/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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