Cherokee Trails Nursing Home
330 E. Bagley Rd., Rusk, TX 75785 · (903) 683-5438
Government - Hospital district · 140 certified beds
Cherokee Trails Nursing Home has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2026, found 7 citations (the Texas average is 9.4). It was fined 1 time in the last three years, $30,933 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on May 20, 2026 found 7 citations. What an inspection citation means
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 20, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.May 20, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 20, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.May 20, 2026 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.May 20, 2026 · F0640 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.May 20, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.May 20, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 22 citations.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.February 11, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 25, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Employ staff that are licensed, certified, or registered in accordance with state laws.September 25, 2024 · F0839 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.February 7, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.February 7, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.February 7, 2024 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.February 7, 2024 · F0808 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 7, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Have a policy regarding use and storage of foods brought to residents by family and other visitors.February 7, 2024 · F0813 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.February 7, 2024 · F0851 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.February 7, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.February 7, 2024 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Have policies on smoking.February 7, 2024 · F0926 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop, implement, and/or maintain an effective training program for all new and existing staff members.February 7, 2024 · F0940 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.February 7, 2024 · F0941 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.February 7, 2024 · F0942 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.February 7, 2024 · F0943 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.February 7, 2024 · F0944 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.February 7, 2024 · F0945 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide training in compliance and ethics.February 7, 2024 · F0946 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.February 7, 2024 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide behavior health training consistent with the requirements and as determined by a facility assessment.February 7, 2024 · F0949 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $30,933September 25, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.22 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.36 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 1.00 | 0.95 | 0.86 |
| Nurse aides | 1.86 | 2.01 | 2.32 |
| Total nursing staff turnover | 65.3% | 55.3% | 45.8% |
About this home
| Ownership | Government - Hospital district |
| Certified beds | 140 |
| Average residents per day | 50.1 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- The Arbors Healthcare and Rehabilitation Center Rusk · ★★★★★ 2 out of 5 stars
- Avir at Jacksonville Jacksonville · ★★★★★ 5 out of 5 stars
- Legacy at Jacksonville Jacksonville · ★★★★★ 3 out of 5 stars
- Wells LTC Nursing & Rehabilitation Wells · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Cherokee Trails Nursing Home on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.