Colonial Nursing & Rehabilitation Center
508 PIERCE ST, Lindale, TX, 75771
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Individual
- Certified beds
- 90 · avg 65 residents/day
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $247,572 total
State licensing & capacity
- License number
- 147366
- Service type
- Medicare/medicaid
- Licensed capacity
- 90 beds
- Bed type breakdown
- 35 Medicare-only · 55 Medicaid/Medicare
- Current license effective
- March 31, 2023
- Current license expires
- March 31, 2026
- Initial license date
- September 3, 1986
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hopkins County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Benevolent Healthcare Partners, Llc
- Administrator
- Misty Cottongame
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (2 on record)
- Michael Brent Smith
W-2 Managing Employee · since 2023
- Hopkins County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2017
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 18)
- D0755·Nov 25, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0880·Jan 8, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0842·Jan 8, 2025
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F0812·Jan 8, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0759·Jan 8, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0755·Jan 8, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F0731·Jan 8, 2025
Nursing and Physician Services Deficiencies
Request a waiver if it can't meet the nurse staffing requirements.
- F0727·Jan 8, 2025
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Federal penalties
By year
- 20241 fine · $248K
Most recent events
- Dec 27, 2024Fine · $248K
Fire-safety citations
2 Life-Safety-Code citations on file. Most recent: Dec 12, 2023. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Colonial Nursing & Rehabilitation Center is a 90-bed nursing home in Lindale, Texas, licensed since 1986 and currently operating at about 73% of capacity. CMS rates it 2 stars overall, with a 1-star staffing rating and a single fine of $247,572. Quality-of-care measures rate 5 stars on short-stay outcomes and 4 stars for long-stay residents — a sharp contrast to the staffing and inspection scores.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier, shared by roughly 38% of Texas nursing homes. Each resident receives about 195 minutes of nursing care per day, including just 21 minutes from a registered nurse. That is 46 minutes per day below the level at a 4-star-staffing facility in Texas. Residents here also require more hands-on care than at a typical facility — less mobile or medically complex on average — so those 195 minutes stretch thinner than the number alone suggests.
CMS recorded one fine totaling $247,572. The state median fine across Texas nursing homes is about $20,699, and 30% of facilities have no fines at all. A single penalty of this size is uncommon in scale.
The facility is operating at roughly 73% of its 90 licensed beds — about 65 residents on an average day. That level of vacancy, paired with a 1-star staffing rating and a large fine, is a pattern that warrants direct questions on the tour.
Quality-of-care measures rate 5 stars for short-stay residents and 4 stars for long-stay residents — the highest and second-highest tiers. Those scores come from clinical outcome data such as rates of falls, pressure injuries, and hospital readmissions, and they sit well above what the staffing and inspection ratings would predict.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
What the $247,572 fine covered
CMS recorded one fine totaling $247,572 — ask what deficiency triggered it and what specific changes followed the citation.
Registered nurse hours each day
CMS data shows 21 minutes of RN time per resident per day; ask how many RNs are on the floor during day, evening, and overnight shifts.
Why beds are running at 73% capacity
The facility averages about 65 residents in 90 licensed beds — ask whether that reflects a staffing decision, a discharge pattern, or something else.
How quality scores stay high with low staffing
Short-stay quality measures rate 5 stars despite a 1-star staffing rating; ask how care plans are monitored and by whom when RN hours are limited.
Resident Council access and frequency
The facility has a Resident Council but no Family Council — ask how often the council meets and how family members can raise concerns in its absence.
Management company's role in daily operations
Benevolent Healthcare Partners manages the facility under a Hospital District license — ask who sets staffing levels and how the management contract works in practice.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.