Nursing homeFAID #14322
Terrell Healthcare Center
204 W NASH, TERRELL, TX, 75160
(972) 563-7668
94 licensed beds
Public record summary
What we can show you for free.
Bed capacity
94
CMS facility ID
675879
Care type
Nursing home
County
Kaufman
Facility name
Terrell Healthcare Center
Street address
204 W NASH
City / state / ZIP
Terrell, TX 75160
Phone
(972) 563-7668
About this facility — Terrell Healthcare Center
Terrell Healthcare Center is a Medicare/Medicaid-certified skilled nursing facility in Terrell, Texas. It is licensed for 94 beds — below the median for skilled nursing facilities in Texas (120 beds).
It is one of 9 senior care facilities in Terrell 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 Terrell Healthcare Center 98 times across 14 inspections in the last three years, including 10 food-safety citations, and CMS has imposed $339,046 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
Parent company
Nexion Health
Ownership type
For profit - Corporation
Registered owners & officers
Eastland Memorial Hospital District
Direct owner — since 2018
Fallon, John
Operational control — since 2018
Kirley, Francis
Operational control — since 2018
Lee, Brian
Operational control — since 2018
Nexion Health At Terrell, Inc.
Direct owner · Operational control — since 2018
Oswald, John
Operational control — since 2022
Pierce, Daniel
Operational control — since 2021
Riner, Meera
Operational control — since 2018
Wright, Laban
Managing employee · Officer — since 2021
Regulatory standing
Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2001-08-01
Health deficiencies
26 at the last standard inspection
Federal fines
$339,046 total
Last standard inspection
2026-04-03
Nurse staffing
3.5 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$243 per day (≈ $7,390/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
80% Medicaid · 3% Medicare · 17% private/other
Occupancy
65% (fiscal year 2023)
Vs. state median
12% below the TX median of $277/day — full state cost breakdown
Services & coverage
Licensed beds
94
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 10 food-safety citations on its three-year record — flagged below among the inspections.
2026-04-03Health inspection22 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-04-10
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-04-10
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-04-10
F-0583
E · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2026-04-10
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-04-10
F-0644
E · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2026-04-26
F-0659
D · No harm found
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2026-04-10
F-0676
D · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2026-04-10
F-0688
D · No harm found
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.
Corrected 2026-04-10
F-0690
E · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-04-10
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-04-10
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2026-04-10
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-04-10
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 2026-04-10
F-0770
D · No harm found
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2026-04-10
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-04-10
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2026-04-10
F-0808
D · No harm foundFood safety
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 2026-04-10
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 2026-04-10
F-0849
D · No harm found
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.
Corrected 2026-04-10
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-04-10
F-0882
F · No harm found
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2026-04-10
2026-03-05Health inspectionComplaint-triggered3 citations
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-03-06
F-0761
E · No harm foundFrom a complaint
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 2026-03-06
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-03-06
10 earlier / fire-safety inspections (73 citations)
2025-12-03Health inspection13 citations
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-10
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2025-12-10
F-0688
D · No harm found
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.
Corrected 2025-12-10
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-10
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-12-10
F-0698
E · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-12-10
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-12-10
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-12-10
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 2025-12-10
F-0802
E · No harm foundFood safety
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2025-12-10
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-12-19
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-12-10
F-0926
D · No harm found
Have policies on smoking.
Corrected 2025-12-10
2025-11-19Health inspectionComplaint-triggered1 citation
F-0644
E · No harm foundFrom a complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-11-20
2025-07-17Health inspectionComplaint-triggered3 citations
F-0942
D · No harm foundFrom a complaint
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected 2025-07-18
F-0944
D · No harm foundFrom a complaint
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2025-07-18
F-0946
D · No harm foundFrom a complaint
Provide training in compliance and ethics.
Corrected 2025-07-18
2025-03-29Health inspectionComplaint-triggered25 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-03-30
F-0578
D · No harm found
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-03-30
F-0584
D · 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 2025-03-30
F-0600
K · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-30
F-0607
K · Immediate jeopardyFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-03-30
F-0609
J · Immediate jeopardyFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-30
F-0610
K · Immediate jeopardyFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-03-30
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-03-30
F-0661
D · No harm found
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2025-03-30
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-03-30
F-0689
J · Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-30
F-0690
E · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-03-30
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-03-30
F-0694
D · No harm found
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-03-30
F-0697
G · Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-03-30
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-03-30
F-0699
E · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-03-30
F-0740
K · Immediate jeopardy
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-03-30
F-0758
D · No harm found
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.
Corrected 2025-03-30
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 2025-03-30
F-0802
D · No harm foundFood safety
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2025-03-30
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-03-30
F-0812
F · 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 2025-03-30
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-03-30
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-03-30
2024-03-20Health inspectionComplaint-triggered3 citations
F-0623
D · No harm foundFrom a complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-04-23
F-0660
J · Immediate jeopardyFrom a complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-03-21
F-0661
E · No harm foundFrom a complaint
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-04-23
2024-02-15Health inspectionComplaint-triggered17 citations
F-0550
E · 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 2024-02-16
F-0576
E · No harm foundFrom a complaint
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2024-02-16
F-0582
D · No harm foundFrom a complaint
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-02-16
F-0584
E · 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 2024-02-16
F-0585
E · No harm foundFrom a complaint
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.
Corrected 2024-02-16
F-0600
K · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-02-16
F-0607
K · Immediate jeopardyFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-02-16
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-02-16
F-0679
D · No harm foundFrom a complaint
Provide activities to meet all resident's needs.
Corrected 2024-02-16
F-0680
D · No harm foundFrom a complaint
Ensure the activities program is directed by a qualified professional.
Corrected 2024-02-16
F-0726
D · No harm foundFrom a complaint
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.
Corrected 2024-02-16
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-02-16
F-0761
E · No harm foundFrom a complaint
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 2024-02-16
F-0812
D · 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 2024-02-16
F-0838
E · No harm foundFrom a complaint
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.
Corrected 2024-02-16
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-02-16
F-0926
K · Immediate jeopardyFrom a complaint
Have policies on smoking.
Corrected 2024-02-16
2023-12-04Health inspectionComplaint-triggered6 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 2023-12-21
F-0644
D · No harm foundFrom a complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-12-21
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-21
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-21
F-0791
D · No harm foundFrom a complaint
Provide or obtain dental services for each resident.
Corrected 2023-12-21
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2023-12-21
2026-06-03Fire-safety inspectionComplaint-triggered1 citation
E-0006
F · No harm foundFrom a complaint
Conduct risk assessment and an All-Hazards approach.
Corrected 2026-06-04
2026-04-03Fire-safety inspection1 citation
K-0222
F · 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 2026-04-04
2025-12-03Fire-safety inspection3 citations
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-12-05
K-0362
E · No harm found
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-12-05
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-12-05
Federal penalties
2025-03-29Fine$91,910
2024-03-20Fine$103,109
2024-02-15Fine$144,027
2024-03-20Medicare payment denial — 4 days
Total fines$339,046
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 675879.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 98 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 onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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