Home›Browse›Texas›Rusk›Cherokee Trails Nursing Home

Nursing homeFAID #14295

Cherokee Trails Nursing Home

330 E. Bagley Rd., RUSK, TX, 75785

(903) 683-5438

140 licensed beds

★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

330 E. Bagley Rd.

Rusk, TX 75785

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Public record summary

What we can show you for free.

Bed capacity

140

CMS facility ID

675835

Care type

Nursing home

County

Cherokee

Facility name

Cherokee Trails Nursing Home

Street address

330 E. Bagley Rd.

City / state / ZIP

Rusk, TX 75785

Phone

(903) 683-5438

About this facility — Cherokee Trails Nursing Home

Cherokee Trails Nursing Home is a Medicare/Medicaid-certified skilled nursing facility in Rusk, Texas. It is licensed for 140 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 4 senior care facilities in Rusk and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Cherokee Trails Nursing Home 66 times across 9 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $30,933 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

Government - Hospital district

Registered owners & officers

Baylor County Hospital District

Direct owner — 100% stake — since 2023

Cherokee Trails Hc Llc

Operational control — since 2023

Hardin, Leslie

Officer — since 2023

Lyons, Paula

Managing employee — since 2023

Silberstein, Ari

Operational control — since 2023

Regulatory standing

Licensed / certified since

2000-08-01

CMS overall rating

2 of 5 stars

Health deficiencies

8 at the last standard inspection

Federal fines

$30,933 total

Last standard inspection

2026-05-20

Nurse staffing

3.2 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$310 per day (≈ $9,420/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

88% Medicaid · 4% Medicare · 8% private/other

Occupancy

36% (fiscal year 2024)

Vs. state median

12% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

140

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.

2026-05-20Health inspection7 citations

F-0640

D · No harm found

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2026-06-14

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-06-14

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-06-14

F-0761

E · No harm found

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.

Corrected 2026-06-14

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-06-21

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-06-14

F-0921

E · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2026-06-14

2026-02-11Health inspectionComplaint-triggered1 citation

F-0550

D · No harm foundFrom a complaint

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

Corrected 2026-02-13

6 earlier / fire-safety inspections (58 citations)

2025-03-19Health inspection9 citations

F-0584

E · No harm found

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.

Corrected 2025-04-28

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-04-28

F-0732

C · No harm found

Post nurse staffing information every day.

Corrected 2025-04-28

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-04-28

F-0940

D · No harm found

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2025-04-28

F-0941

E · No harm found

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Corrected 2025-04-28

F-0943

D · No harm found

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2025-04-28

F-0946

E · No harm found

Provide training in compliance and ethics.

Corrected 2025-04-28

F-0949

E · No harm found

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Corrected 2025-04-28

2024-09-25Health inspectionComplaint-triggered2 citations

F-0689

J · Immediate jeopardyFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-09-26

F-0839

E · No harm foundFrom a complaint

Employ staff that are licensed, certified, or registered in accordance with state laws.

Corrected 2024-09-26

2024-02-07Health inspectionComplaint-triggered19 citations

F-0584

D · No harm foundFrom a complaint

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.

Corrected 2024-03-07

F-0695

D · No harm foundFrom a complaint

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-03-07

F-0805

D · No harm foundFood safetyFrom a complaint

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-03-07

F-0808

D · No harm foundFood safetyFrom a complaint

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.

Corrected 2024-03-07

F-0812

F · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-03-07

F-0813

D · No harm foundFood safetyFrom a complaint

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2024-03-07

F-0851

F · No harm foundFrom a complaint

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-03-07

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-03-07

F-0925

F · No harm foundFrom a complaint

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-03-07

F-0926

E · No harm foundFrom a complaint

Have policies on smoking.

Corrected 2024-03-07

F-0940

E · No harm foundFrom a complaint

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2024-03-07

F-0941

E · No harm foundFrom a complaint

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Corrected 2024-03-07

F-0942

E · No harm foundFrom a complaint

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Corrected 2024-03-07

F-0943

E · No harm foundFrom a complaint

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2024-03-07

F-0944

E · No harm foundFrom a complaint

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Corrected 2024-03-07

F-0945

E · No harm foundFrom a complaint

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Corrected 2024-03-07

F-0946

E · No harm foundFrom a complaint

Provide training in compliance and ethics.

Corrected 2024-03-07

F-0947

E · No harm foundFrom a complaint

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2024-03-07

F-0949

E · No harm foundFrom a complaint

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Corrected 2024-03-07

2026-05-20Fire-safety inspection12 citations

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-07-01

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2026-07-01

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-07-01

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2026-07-01

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-07-01

K-0351

E · No harm found

Install an approved automatic sprinkler system.

Corrected 2026-07-01

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-07-01

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-07-01

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2026-07-01

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2026-07-01

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-07-01

2025-03-19Fire-safety inspection8 citations

K-0293

F · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2025-04-28

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-04-28

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2025-04-28

K-0347

E · No harm found

Properly provide smoke detection systems in areas open to corridors.

Corrected 2025-04-28

K-0351

E · No harm found

Install an approved automatic sprinkler system.

Corrected 2025-04-28

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-28

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2025-04-28

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

2024-02-07Fire-safety inspection8 citations

K-0222

D · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-03-20

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-03-20

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-03-20

K-0372

D · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-03-20

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-03-20

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-03-20

K-0929

D · No harm found

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2024-03-20

Federal penalties

2024-09-25Fine$30,933

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675835.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 66 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered