For profit - Individual · 125 certified beds · CMS number 676187
Heritage House of Marshall Health & Rehabilitation, Marshall, TX
CMS records 49 health deficiencies at Heritage House of Marshall Health & Rehabilitation in Marshall, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 29, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists 1 fine totaling $67,706 in the last three years.
- 49deficiencies, 3 cycles (TX median 25)
- 5in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $67,706fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Heritage House of Marshall Health & Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Heritage House of Marshall Health & Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (5 deficiencies)
Standard inspection Jul 29, 2025. CMS counts 5 health deficiencies and 2 fire safety deficiencies in this cycle.
Apr 23, 2026 · Complaint inspection
1 deficiency, highest D
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 6, 2026
Feb 19, 2026 · Complaint inspection
1 deficiency, highest D
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 18, 2026
Dec 2, 2025 · Complaint inspection
1 deficiency, highest D
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 20, 2026
Jul 29, 2025 · Standard inspection
2 deficiencies, highest D
F694 · IV fluid administration
Requirement cited (CMS): Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 9, 2025
F582 · Notice of covered and extra charges
Requirement cited (CMS): Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 9, 2025
Previous cycle: 24 deficiencies (standard inspection Jun 26, 2024)
Standard inspection Jun 26, 2024. CMS counts 24 health deficiencies and 1 fire safety deficiency in this cycle.
Apr 9, 2025 · Complaint inspection
3 deficiencies, highest D
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 10, 2025
F602 · Protecting residents' money and belongings
Requirement cited (CMS): Protect each resident from the wrongful use of the resident's belongings or money.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Past non-compliance (fixed before the inspection), Feb 27, 2025
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 10, 2025
Jan 29, 2025 · Complaint inspection
1 deficiency, highest E
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 30, 2025
Jun 26, 2024 · Standard inspection
20 deficiencies, highest J
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 28, 2024
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 27, 2024
F758 · Psychotropic drug safeguards
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 27, 2024
F757 · Avoiding unnecessary drugs
Requirement cited (CMS): Ensure each resident’s drug regimen must be free from unnecessary drugs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 28, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 27, 2024
F698 · Dialysis care
Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 27, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 28, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 27, 2024
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jun 27, 2024
F680 · Qualified activities director
Requirement cited (CMS): Ensure the activities program is directed by a qualified professional.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Jun 30, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 28, 2024
F661 · Discharge summary
Requirement cited (CMS): Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 27, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 27, 2024
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 27, 2024
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 2, 2024
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 2, 2024
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 27, 2024
F640 · Submitting assessment data on time
Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- Severity
- B No actual harm, potential for minimal harm, pattern
- Status
- Correction date Jun 27, 2024
F582 · Notice of covered and extra charges
Requirement cited (CMS): Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 20, 2024
F565 · Resident and family councils
Requirement cited (CMS): Honor the resident's right to organize and participate in resident/family groups in the facility.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 20, 2024
Earlier cycle: 20 deficiencies (standard inspection May 11, 2023)
Standard inspection May 11, 2023. CMS counts 20 health deficiencies and 1 fire safety deficiency in this cycle.
Jun 12, 2024 · Complaint inspection
3 deficiencies, highest D
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 13, 2024
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 13, 2024
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 13, 2024
May 26, 2024 · Complaint inspection
1 deficiency, highest D
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 28, 2024
May 11, 2023 · Standard inspection
16 deficiencies, highest E
F883 · Flu and pneumonia vaccines
Requirement cited (CMS): Develop and implement policies and procedures for flu and pneumonia vaccinations.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 23, 2023
F881 · Antibiotic stewardship
Requirement cited (CMS): Implement a program that monitors antibiotic use.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 23, 2023
F758 · Psychotropic drug safeguards
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 23, 2023
F756 · Monthly pharmacist medication review
Requirement cited (CMS): Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 23, 2023
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 23, 2023
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 23, 2023
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 23, 2023
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 23, 2023
F640 · Submitting assessment data on time
Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Jun 23, 2023
F638 · Quarterly assessment reviews
Requirement cited (CMS): Assure that each resident’s assessment is updated at least once every 3 months.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 23, 2023
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 23, 2023
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 23, 2023
F582 · Notice of covered and extra charges
Requirement cited (CMS): Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 23, 2023
F565 · Resident and family councils
Requirement cited (CMS): Honor the resident's right to organize and participate in resident/family groups in the facility.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 23, 2023
F552 · Being informed about health and treatment
Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 23, 2023
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 23, 2023
Tags cited in more than one inspection
10 tags cited on more than one inspection date at Heritage House of Marshall Health & Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F755 Pharmacy services and a consultant pharmacist | 5 | Feb 19, 2026; Jan 29, 2025; Jun 26, 2024; May 26, 2024; May 11, 2023 |
| F550 Dignity and the right to exercise rights | 3 | Apr 23, 2026; Apr 9, 2025; May 11, 2023 |
| F582 Notice of covered and extra charges | 3 | Jul 29, 2025; Jun 26, 2024; May 11, 2023 |
| F609 Reporting suspected abuse and crimes | 3 | Apr 9, 2025; Jun 12, 2024; May 11, 2023 |
| F656 Comprehensive person-centered care plan | 3 | Dec 2, 2025; Jun 26, 2024; May 11, 2023 |
| F565 Resident and family councils | 2 | Jun 26, 2024; May 11, 2023 |
| F640 Submitting assessment data on time | 2 | Jun 26, 2024; May 11, 2023 |
| F655 Baseline care plan within 48 hours | 2 | Jun 26, 2024; May 11, 2023 |
| F689 Accident prevention and supervision | 2 | Jun 26, 2024; Jun 12, 2024 |
| F758 Psychotropic drug safeguards | 2 | Jun 26, 2024; May 11, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jun 26, 2024 | Fine | $67,706 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.29 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.18 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.81 h
- Nursing staff turnover
- 91.7% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 2 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 2 of 5
CMS figures for Heritage House of Marshall Health & Rehabilitation, copied as published; Texas medians are ours.
Facility details
- Address
- 5915 Elysian Fields Road, Marshall, TX 75672
- Phone
- (903) 935-6700
- County
- Harrison
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 125
- Average residents per day
- 66.7
- In Medicare/Medicaid since
- Jul 10, 2008
- Inside a hospital
- Yes
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 5 times)
- How do staff learn about and respect each resident's personal routines and choices? (F550, cited 3 times)
- Which services and supplies are included in the daily rate, and which are billed separately? (F582, cited 3 times)
- Who at the home is responsible for reporting incidents to the state? (F609, cited 3 times)
Other nursing homes in Marshall
- Marshall Manor West
Marshall · 31 deficiencies - Marshall Manor Nursing & Rehabilitation Center
Marshall · 25 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.