Nursing homes › Texas › Terrell Healthcare Center
204 W Nash, Terrell, TX 75160 · (972) 563-7668 · 94 certified beds
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Per CMS filings, this facility is affiliated with Nexion Health, a group operating 51 facilities in 3 states. Group record: average rating 2.2/5, 5 abuse citation icons, 2 facilities on the Special Focus list, $2,560,999 in federal fines.
Total nurse staffing: 3.52 (Texas median: 3.27). RN hours: 0.62. Weekend total: 3.15. Nursing staff turnover: 51%.
In the downloaded CMS dataset: 93 deficiency citations, including 10 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-03 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Health | corrected 2026-04-10 |
| 2026-04-03 | Keep residents' personal and medical records private and confidential. | E | Health | corrected 2026-04-10 |
| 2026-04-03 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Health | corrected 2026-04-26 |
| 2026-04-03 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Health | corrected 2026-04-10 |
| 2026-04-03 | 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. | E | Health | corrected 2026-04-10 |
| 2026-04-03 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2026-04-10 |
| 2026-04-03 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-04-10 |
| 2026-04-03 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2026-04-10 |
| 2026-04-03 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2026-04-10 |
| 2026-04-03 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2026-04-10 |
| 2026-04-03 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2026-04-10 |
| 2026-04-03 | Provide care by qualified persons according to each resident's written plan of care. | D | Health | corrected 2026-04-10 |
| 2026-04-03 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2026-04-10 |
| 2026-04-03 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Health | corrected 2026-04-10 |
| 2026-04-03 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-04-10 |
| 2026-04-03 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2026-04-10 |
| 2026-04-03 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2026-04-10 |
| 2026-04-03 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Health | corrected 2026-04-10 |
| 2026-04-03 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Health | corrected 2026-04-10 |
| 2026-04-03 | 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. | D | Health | corrected 2026-04-10 |
| 2026-04-03 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Health | corrected 2026-04-10 |
| 2026-04-03 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-04-10 |
| 2026-03-05 | 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. | E | complaint | corrected 2026-03-06 |
| 2026-03-05 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-03-06 |
| 2026-03-05 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-03-06 |
| 2025-12-03 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Health | corrected 2025-12-10 |
| 2025-12-03 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2025-12-10 |
| 2025-12-03 | 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. | E | Health | corrected 2025-12-10 |
| 2025-12-03 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Health | corrected 2025-12-10 |
| 2025-12-03 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2025-12-19 |
| 2025-12-03 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-12-10 |
| 2025-12-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-12-10 |
| 2025-12-03 | Provide activities to meet all resident's needs. | D | Health | corrected 2025-12-10 |
| 2025-12-03 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Health | corrected 2025-12-10 |
| 2025-12-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-12-10 |
| 2025-12-03 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-12-10 |
| 2025-12-03 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-12-10 |
| 2025-12-03 | Have policies on smoking. | D | Health | corrected 2025-12-10 |
| 2025-11-19 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | complaint | corrected 2025-11-20 |
| 2025-07-17 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | complaint | corrected 2025-07-18 |
| Date | Type | Amount |
|---|---|---|
| 2025-03-29 | Fine | $91,910 |
| 2024-03-20 | Fine | $103,109 |
| 2024-03-20 | Payment Denial | 4 days payment denial |
| 2024-02-15 | Fine | $144,027 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| EASTLAND MEMORIAL HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 04/01/2018 |
| NEXION HEALTH AT TERRELL, INC. | 5% Or Greater Direct Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 04/01/2018 |
| WRIGHT, LABAN | Corporate Officer | Individual | NOT APPLICABLE | since 11/10/2021 |
| NEXION HEALTH AT TERRELL, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2018 |
| FALLON, JOHN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2018 |
| KIRLEY, FRANCIS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2018 |
| LEE, BRIAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2018 |
| OSWALD, JOHN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/22/2022 |
| PIERCE, DANIEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/16/2021 |
| RINER, MEERA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2018 |
How to cite this page: CareRecords, “Terrell Healthcare Center — compliance, penalty and ownership record” (CCN 675879), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/terrell-healthcare-center-terrell-tx/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675879. Corrections: data@carerecords.org.