Heritage House Of Marshall Health & Rehabilitation has received an F grade based on CMS data, with a score of 33/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Marshall facility should carefully review its inspection history and quality metrics.
Staffing at Heritage House Of Marshall Health & Rehabilitation is near the national average, with 3.49 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 47 deficiencies at Heritage House Of Marshall Health & Rehabilitation, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.49 | 3.8 | Average |
| Registered Nurses (RN) | 0.29 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.20 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.00 | 2.4 | Below Average |
| Weekend Total Nursing | 2.95 | 3.8 | Below Average |
| Weekend RN Hours | 0.26 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Dec 1, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0582 Severity DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Jul 28, 2025 · Resident Rights Deficiencies
- Tag 0694 Severity DProvide for the safe, appropriate administration of IV fluids for a resident when needed.Jul 28, 2025 · Quality of Life and Care Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Apr 8, 2025 · Resident Rights Deficiencies
- Tag 0602 Severity DProtect each resident from the wrongful use of the resident's belongings or money.Apr 8, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.9% | 4.5% | Worse |
| Falls with major injury | 0.8% | 3.0% | Better |
| On antipsychotic medication | 17.6% | 14.5% | Worse |
| Urinary tract infections | 0.4% | 2.5% | Better |
| ADL decline (daily activities) | 24.9% | 14.0% | Worse |
| Excessive weight loss | 3.2% | 7.5% | Better |
| New/worsened incontinence | 17.5% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $67,706
How This Grade Was Calculated
This facility's grade of F is based on a score of 33 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -6 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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