For profit - Corporation · 95 certified beds · CMS number 675561

Heritage Plaza Nursing Center, Texarkana, TX

CMS records 40 health deficiencies at Heritage Plaza Nursing Center in Texarkana, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 2, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 3 fines totaling $89,633 in the last three years.

Inspections and deficiencies

CMS findings for Heritage Plaza Nursing Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Heritage Plaza Nursing Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (8 deficiencies)

Standard inspection Jun 2, 2026. CMS counts 8 health deficiencies and 3 fire safety deficiencies in this cycle.

Jun 2, 2026 · Standard inspection

7 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 19, 2026

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 19, 2026

F698 · Dialysis care

Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 19, 2026

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 19, 2026

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 19, 2026

F646 · Reporting changes for PASARR residents

Requirement cited (CMS): Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 19, 2026

F635 · Doctor's orders at admission

Requirement cited (CMS): Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 19, 2026

Sep 10, 2025 · Complaint inspection

1 deficiency, highest G

F692 · Nutrition and hydration

Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Sep 11, 2025
Previous cycle: 20 deficiencies (standard inspection Apr 23, 2025)

Standard inspection Apr 23, 2025. CMS counts 20 health deficiencies and 1 fire safety deficiency in this cycle.

Aug 18, 2025 · 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 Sep 11, 2025

Apr 23, 2025 · Standard inspection

9 deficiencies, highest F

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 May 14, 2025

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date May 14, 2025

F699 · Trauma-informed, culturally competent care

Requirement cited (CMS): Provide care or services that was trauma informed and/or culturally competent.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 14, 2025

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 May 14, 2025

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 May 14, 2025

F680 · Qualified activities director

Requirement cited (CMS): Ensure the activities program is directed by a qualified professional.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 14, 2025

F679 · Activities program

Requirement cited (CMS): Provide activities to meet all resident's needs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 14, 2025

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 14, 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 May 14, 2025

Mar 4, 2025 · Complaint inspection

4 deficiencies, highest D

F691 · Ostomy care

Requirement cited (CMS): Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 12, 2025

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 Apr 11, 2025

F558 · Accommodating individual needs and preferences

Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 12, 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 Mar 12, 2025

Nov 2, 2024 · 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 Nov 8, 2024

Sep 4, 2024 · Complaint inspection

5 deficiencies, highest J

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
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Sep 12, 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 Sep 12, 2024

F607 · Abuse prevention policies

Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection), Apr 17, 2024

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 Sep 12, 2024

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 Sep 12, 2024
Earlier cycle: 12 deficiencies (standard inspection Mar 6, 2024)

Standard inspection Mar 6, 2024. CMS counts 12 health deficiencies and 3 fire safety deficiencies in this cycle.

Mar 6, 2024 · Standard inspection

9 deficiencies, highest E

F813 · Food brought in by visitors

Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 13, 2024

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 13, 2024

F697 · Pain management

Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 13, 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 Mar 13, 2024

F679 · Activities program

Requirement cited (CMS): Provide activities to meet all resident's needs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 13, 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 Mar 13, 2024

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 13, 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 Mar 13, 2024

F561 · Making everyday choices

Requirement cited (CMS): Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 13, 2024

Feb 14, 2024 · Complaint inspection

2 deficiencies, highest D

F686 · Pressure ulcer prevention and care

Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 28, 2024

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 28, 2024

Oct 13, 2023 · Complaint inspection

1 deficiency, highest D

F623 · Written notice before a move

Requirement cited (CMS): Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 15, 2023

Tags cited in more than one inspection

8 tags cited on more than one inspection date at Heritage Plaza Nursing Center; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F550 Dignity and the right to exercise rights3Apr 23, 2025; Mar 4, 2025; Sep 4, 2024
F584 Safe, clean, homelike surroundings2Apr 23, 2025; Mar 6, 2024
F600 Freedom from abuse and neglect2Mar 4, 2025; Sep 4, 2024
F656 Comprehensive person-centered care plan2Jun 2, 2026; Nov 2, 2024
F679 Activities program2Apr 23, 2025; Mar 6, 2024
F689 Accident prevention and supervision2Apr 23, 2025; Sep 4, 2024
F690 Bladder, bowel, and catheter care2Apr 23, 2025; Mar 6, 2024
F880 Infection prevention and control program2Jun 2, 2026; Apr 23, 2025

Fines and payment denials

DateTypeAmount / length
Aug 18, 2025Fine$9,110
Sep 4, 2024Fine$77,227
Oct 13, 2023Fine$3,296

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.15 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.41 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.64 h
Nursing staff turnover
57.4% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
3 of 5
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measure rating
4 of 5

CMS figures for Heritage Plaza Nursing Center, copied as published; Texas medians are ours.

Facility details

Address
600 W 52ND St, Texarkana, TX 75501
Phone
(903) 792-6700
County
Bowie
Accepts
Medicare and Medicaid
Ownership
For profit - Corporation
Chain (CMS)
Stonegate Senior Living
Certified beds
95
Average residents per day
46.2
In Medicare/Medicaid since
Nov 15, 1995
Inside a hospital
No
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 do staff learn about and respect each resident's personal routines and choices? (F550, cited 3 times)
  • How often are rooms cleaned and bed linens changed? (F584, cited 2 times)
  • How does the home screen, train, and supervise staff to protect residents? (F600, cited 2 times)
  • How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)

Other nursing homes in Texarkana and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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