Nursing HomeInspections

Heritage House of Marshall Health & Rehabilitation

Nursing home in Marshall, TX

Medicare & Medicaid certified2★ overall (CMS)

Call (903) 935-6700Send a messageMap ↗

Public-record details

Address
5915 Elysian Fields Road, Marshall, TX 75672
Phone
(903) 935-6700
Listed under
For-profit
Medicare CCN
676187
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measures rating
2 of 5
Certified beds
125
Average residents per day
67
Ownership
For-profit, individual
Legal business name
Nacogdoches County Hospital District
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 10, 2008
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
Yes
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 676187. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 29, 2025. CMS lists 49 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 11, 2023 to Apr 23, 2026): 11 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Apr 23, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 19, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 2, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 29, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 29, 2025Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 9, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 9, 2025Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 9, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 29, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Jun 26, 2024Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning		B
Potential for minimal harm, pattern
Jun 26, 2024Ensure the activities program is directed by a qualified professional.
Quality of Life and Care		C
Potential for minimal harm, widespread
Jun 26, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 49. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $67,706 in the last three years.

Jun 26, 2024Fine: $67,706

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.29 hours
Registered nurse (RN) time per resident per day
0.18 hours
Nurse aide time per resident per day
1.93 hours
Total nurse staffing on weekends
2.81 hours
Nursing staff turnover (yearly)
92%
RN turnover (yearly)
83%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Marshall

Marshall Manor Nursing & Rehabilitation Center1007 S Washington Ave · Marshall, TX 75670 · (903) 935-7971 · Government-owned26 health citations in 3 inspection cycles · last standard inspection May 7, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)Marshall Manor West207 W Merritt St · Marshall, TX 75670 · (903) 938-3793 · Government-owned31 health citations in 3 inspection cycles · last standard inspection Feb 4, 2026 · $13,995 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)

All 3 in Marshall →