Heritage House of Marshall Health & Rehabilitation
A nursing home in Marshall, Texas 75672
5915 Elysian Fields Road, Marshall, Texas 75672. (903) 935-6700.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 5 health citations at the latest inspection cycle Texas average: 9.6
- 3.22 nurse hours per resident per day Texas average: 3.42
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
5 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Jul 29, 2025.
Most serious in three years: immediate jeopardy to health or safety (J), at a standard inspection on Jun 26, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
33 citations in 8 months of the last 36. Last cited Apr 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 33 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 11 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Apr 23, 2026: complaint inspection1 citation
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Feb 19, 2026: complaint inspection1 citation
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Dec 2, 2025: complaint inspection1 citation
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Jul 29, 2025: standard inspection2 citations
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Apr 9, 2025: complaint inspection3 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Protect each resident from the wrongful use of the resident’s belongings or money.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jan 29, 2025: complaint inspection1 citation
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jun 26, 2024: standard inspection20 citations
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Honor the resident’s right to organize and participate in resident/family groups in the facility.
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Ensure each resident receives an accurate assessment.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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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.
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Ensure that residents are free from significant medication errors.
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Provide and implement an infection prevention and control program.
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Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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Ensure the activities program is directed by a qualified professional.
Jun 12, 2024: complaint inspection3 citations
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 26, 2024: complaint inspection1 citation
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jul 10, 2008.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, individual.
- 125 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $67,706 in all.
- No Medicare payment denials in the last three years.
- 11 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jun 26, 2024 | Fine | $67,706 |
Who does the caring?
3.22 nurse hours per resident per day
The Texas average is 3.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Texas average |
|---|---|---|
| Nurse hours per resident per day | 3.22 | 3.42 |
| Of which registered nurses | 0.21 | 0.44 |
| At weekends | 2.75 | 2.99 |
| Nursing staff turnover | 87.3% | 50.8% |
| Registered nurse turnover | 88.9% | 49.8% |
| Administrators who left | 3 | Not given |
Who owns it?
- Southwest LTC Marshall Ltd runs it.
- 7 owners or officers are people: Lynn Lindsey (runs it (operational or managerial control), 100%); Linda Thurman (managing employee (on the payroll), 100%); Sean Hightower (other role (CMS gives no detail), 20%); Lisa A King (other role (CMS gives no detail), 20%); Fred Grover (other role (CMS gives no detail), 20%); Wes Mcknight (other role (CMS gives no detail), 20%); Justin Sowell (other role (CMS gives no detail), 20%).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Southwest LTC Marshall Ltd | Runs it (operational or managerial control) | 100% | Apr 1, 2017 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (Texas average 3.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 25.2 miles, this one had the 12th most health citations at the latest inspection cycle (5; the middle value was 12).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Heritage House of Marshall Health & Rehabilitation This nursing home | 5 | |
| Marshall Manor Nursing & Rehabilitation Center | 4.1 | 9 |
| Marshall Manor West | 4.2 | 14 |
| Avir at Jefferson | 18.8 | 16 |
| Whispering Pines Lodge | 23.3 | 15 |
| Panola County Nursing & Rehabilitation | 23.3 | 12 |
| Treviso Transitional Care | 24.0 | 17 |
| Briarcliff Skilled Nursing Facility | 24.1 | 7 |
| Highland Pines Nursing Home | 24.6 | 8 |
| Avir at Carthage | 24.7 | 9 |
| Longview Hill Nursing and Rehabilitation Center | 24.8 | 12 |
| Avir at Longview | 25.2 | 26 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.