Nursing home
Terrell Healthcare Center
204 W Nash, Terrell, TX 75160 · Map
For profit - Limited Liability company · Part of Nexion Health (52 facilities) · 94 certified beds
Terrell Healthcare Center is a Medicare-certified nursing home in Terrell, Texas. Nurse staffing is 4.15 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Dec 3, 2025 cited 17 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.
- Special Focus FacilityCMS has identified this facility for enhanced oversight.
- 3 fines totaling $339,046In CMS records: 4 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Terrell Healthcare Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.15 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.56 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.80 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 46.3% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 17.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the April 3, 2026 inspection was corrected by April 26, 2026
Penalties in CMS records: 3 fines totaling $339,046, 4 total penalties, 1 Medicare payment denial.
What inspectors found at Terrell Healthcare Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · Apr 3, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 3, 2026 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Apr 3, 2026 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Apr 3, 2026 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Apr 3, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Apr 3, 2026 · Full report (PDF) - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Apr 3, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 3, 2026 · Full report (PDF) - Potential for harm
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.
Administration Deficiencies · Apr 3, 2026 · Full report (PDF) - Potential for harm
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.
Nutrition and Dietary Deficiencies · Apr 3, 2026 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Apr 3, 2026 · Full report (PDF) - Potential for harm
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · Apr 3, 2026 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 204 W Nash
Terrell, TX 75160 - CMS certification #
- 675879
- Ownership
- For profit - Limited Liability company
- Certified beds
- 94
- Avg residents/day
- 61.3
- Provider type
- Medicare and Medicaid
- First certified
- 2001-08-01
- Chain
- Nexion Health (52 facilities)
- Setting
- Urban
Part of Nexion Health
Nexion Health operates 52 nursing facilities across the United States. View all Nexion Health facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Terrell Healthcare Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Texas Health Presbyterian Hospital Kaufman, Kaufman. 11.8 miles away, straight line. Location approximate.
- Nearest Medicare nursing home
- Countryview Nursing & Rehabilitation, Terrell. 1.5 miles away, straight line.
- Nearest home health agency office
- American Home Care, Terrell. 0.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Brookshire's Pharmacy. 1.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75160 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Fmc Dialysis Services Terrell, Terrell, 0.3 miles away, straight line (CMS rating 2 of 5 stars)
Fresenius Medical Care Kaufman, Kaufman, 11.8 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 62 Medicare hospices tell CMS they serve ZIP code 75160.
American Home Hospice Inc, office in Terrell, 0.1 miles away, straight line
Alinea Family Hospice Care LLC, office in Terrell, 0.2 miles away, straight line (CMS family survey rating 4 of 5 stars)
Always Accurate Home Healthcare And Hospice LLC, office in Kaufman, 10.3 miles away, straight line - Nearest geriatric medicine practice
- Vmd Primary Providers North Texas PLLC, Garland. 25.5 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire relatively low, tornado relatively high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
Looking for assisted living or memory care instead?
Frequently asked questions
How is Terrell Healthcare Center staffed?
Terrell Healthcare Center reports 4.15 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Terrell Healthcare Center had inspection problems?
Its most recent CMS inspection cited 17 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Terrell Healthcare Center have?
Terrell Healthcare Center is certified for 94 beds.