Terrell Healthcare Center

204 W Nash, Terrell, TX 75160 · (972) 563-7668
For profit - Corporation · 94 certified beds

Terrell Healthcare Center is a Special Focus Facility, so Medicare doesn't rate it. Its last standard inspection, in April 2026, found 22 citations (the Texas average is 9.4). It was fined 3 times in the last three years, $339,046 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on April 3, 2026 found 22 citations. What an inspection citation means

• Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.April 3, 2026 · F0882 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Keep residents' personal and medical records private and confidential.April 3, 2026 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.April 3, 2026 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.April 3, 2026 · F0690 · 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.April 3, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.April 3, 2026 · F0804 · 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.April 3, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.April 3, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are fully informed and understand their health status, care and treatments.April 3, 2026 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Reasonably accommodate the needs and preferences of each resident.April 3, 2026 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.April 3, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care by qualified persons according to each resident's written plan of care.April 3, 2026 · F0659 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.April 3, 2026 · F0676 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.April 3, 2026 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.April 3, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care or services that was trauma informed and/or culturally competent.April 3, 2026 · F0699 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.April 3, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely, quality laboratory services/tests to meet the needs of residents.April 3, 2026 · F0770 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.April 3, 2026 · F0806 · 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.April 3, 2026 · F0808 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.April 3, 2026 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.April 3, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 37 citations.

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.March 5, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.March 5, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.March 5, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.November 19, 2025 · F0644 · 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.July 17, 2025 · F0942 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.July 17, 2025 · F0944 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide training in compliance and ethics.July 17, 2025 · F0946 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 29, 2025 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.March 29, 2025 · F0607 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 29, 2025 · F0609 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Respond appropriately to all alleged violations.March 29, 2025 · F0610 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.March 20, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Plan the resident's discharge to meet the resident's goals and needs.March 20, 2024 · F0660 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.March 20, 2024 · F0661 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.February 15, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure residents have reasonable access to and privacy in their use of communication methods.February 15, 2024 · F0576 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.February 15, 2024 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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 15, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.February 15, 2024 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 15, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.February 15, 2024 · F0607 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.February 15, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide activities to meet all resident's needs.February 15, 2024 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure the activities program is directed by a qualified professional.February 15, 2024 · F0680 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.February 15, 2024 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.February 15, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.February 15, 2024 · 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.February 15, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.February 15, 2024 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.February 15, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Have policies on smoking.February 15, 2024 · F0926 · Level of harm: Immediate jeopardy to resident health or safety · 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.December 4, 2023 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.December 4, 2023 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.December 4, 2023 · F0677 · 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.December 4, 2023 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide or obtain dental services for each resident.December 4, 2023 · F0791 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.December 4, 2023 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $91,910March 29, 2025
• Fine of $103,109March 20, 2024
• Fine of $144,027February 15, 2024
• Medicare payment denial for 4 daysStarting April 19, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home