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Medicare-certifiedSkilled Nursing

Heritage House of Marshall Health & Rehabilitation

(903) 935-6700

About Heritage House of Marshall Health & Rehabilitation

Heritage House of Marshall Health & Rehabilitation provides compassionate skilled nursing and rehabilitation services to Marshall, Texas residents. Our experienced team focuses on recovery, comfort, and helping each person regain independence through personalized care plans and therapeutic support.

Community at a glance

Capacity

125 residents

Location

Marshall, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

5915 ELYSIAN FIELDS ROAD, Marshall, Texas 75672

(903) 935-6700

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on July 29, 2025, state inspectors cited 5 health deficiencies (the Texas average is 9.4).

Nurses and nurse aides spend 3 hours 18 minutes with each resident a day, about the same as the Texas average.

Medicare fined Heritage House of Marshall Health & Rehabilitation once in the last three years, $67,706 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 18 minutes
Registered nurse time per resident, per day11 minutesBelow the Texas average
Nursing staff who left in the past year92%Above the Texas average

1 administrator has left the home in the past year.

Inspections

33 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

April 23, 2026 · Complaint investigation · 1 citation

  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 6, 2026

February 19, 2026 · Complaint investigation · 1 citation

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Mar 18, 2026
December 2, 2025 · Complaint investigation · 1 citation+
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 20, 2026
July 29, 2025 · Standard inspection · 2 citations+
  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 9, 2025
  • Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 9, 2025
April 9, 2025 · Complaint investigation · 3 citations+
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Apr 10, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 10, 2025
  • Protect each resident from the wrongful use of the resident's belongings or money.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Feb 27, 2025
January 29, 2025 · Complaint investigation · 1 citation+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Jan 30, 2025
June 26, 2024 · Standard inspection · 20 citations+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareCorrected Jun 27, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jun 28, 2024
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jun 27, 2024
  • Honor the resident's right to organize and participate in resident/family groups in the facility.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jul 20, 2024
  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jun 27, 2024
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jun 27, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 27, 2024
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 28, 2024
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 27, 2024
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 2, 2024
  • PASARR screening for Mental disorders or Intellectual Disabilities

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 2, 2024
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 27, 2024
  • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 27, 2024
  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 28, 2024
  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 20, 2024
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 27, 2024
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 28, 2024
  • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 27, 2024
  • Ensure the activities program is directed by a qualified professional.

    Minimal harm or risk, widespread (level C)Quality of Life and CareCorrected Jun 30, 2024
  • Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Minimal harm or risk, a pattern (level B)Resident Assessment and Care PlanningCorrected Jun 27, 2024
June 12, 2024 · Complaint investigation · 3 citations+
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 13, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 13, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 13, 2024
May 26, 2024 · Complaint investigation · 1 citation+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected May 28, 2024

Fines and payment denials

1 fine totaling $67,706 in the last three years.

  • June 26, 2024Fine: $67,706

About the home, per Medicare

Ownership
For profit - Individual
Legal business name
Nacogdoches County Hospital District
Medicare-certified beds
125
Average residents per day
67
Accepts
Medicare and Medicaid
First certified
July 10, 2008
Inside a hospital
Yes
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
676187

Location

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5915 ELYSIAN FIELDS ROADMarshall, TX 75672

7 other communities within 10 miles

Senior living near Marshall

Questions about Heritage House of Marshall Health & Rehabilitation

How did Heritage House of Marshall Health & Rehabilitation do on its last inspection?+

State inspectors visited on July 29, 2025 and cited 5 health deficiencies, 3 of them from complaint investigations. The Texas average is 9.4.

How much nursing care does each resident get at Heritage House of Marshall Health & Rehabilitation?+

Nurses and aides spend 3 hours 18 minutes with each resident per day, including 11 minutes from registered nurses. 92% of nursing staff left over the past year.

Has Heritage House of Marshall Health & Rehabilitation been fined by Medicare?+

Yes. Medicare fined Heritage House of Marshall Health & Rehabilitation once in the last three years, totaling $67,706.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Marshall Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026