Heritage House Of Marshall Health & Rehabilitation Center
5915 ELYSIAN FIELDS ROAD, Marshall, TX, 75672
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 · Chain: Southwest Ltc
- Certified beds
- 125 · avg 69 residents/day
- Total nursing staff turnover
- 57.9% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 75% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $67,706 total
State licensing & capacity
- License number
- 147819
- Service type
- Medicare/medicaid
- Licensed capacity
- 125 beds
- Bed type breakdown
- 26 Medicare-only · 99 Medicaid/Medicare
- Current license effective
- April 1, 2023
- Current license expires
- April 1, 2026
- Initial license date
- July 10, 2008
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Nacogdoches County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Southwest Ltc Marshall Ltd
- Administrator
- Sherrill Slayton
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Southwest Ltc chain — 13 facilities across 2 states. Chain-wide average overall rating 3.3 / 5.
Disclosed owners (8 on record)
- Linda Thurman
W-2 Managing Employee · 100% · since 2022
- Fred Grover
Other · 20% · since 2022
- Justin Sowell
Other · 20% · since 2022
- Lynn Lindsey
Operational/managerial Control · 100% · since 2022
- Sean Hightower
Other · 20% · since 2022
- Wes Mcknight
Other · 20% · since 2022
+ 2 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, 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 47)
- D0656·Dec 2, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0694·Jul 29, 2025
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D0582·Jul 29, 2025
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D0609·Apr 9, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0602·Apr 9, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- D0550·Apr 9, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E0755·Jan 29, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0880·Jun 26, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal penalties
By year
- 20241 fine · $68K
Most recent events
- Jun 26, 2024Fine · $68K
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Jul 29, 2025. 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
Heritage House of Marshall Health & Rehabilitation Center is a 125-bed Medicare/Medicaid nursing home in Marshall, TX, managed by Southwest LTC. CMS rates it 2 stars overall. Staffing earns 1 star — the lowest tier — and two administrators have turned over in the past year. One CMS fine totaling $67,706 has been issued. The facility is operating at roughly 55% of its licensed beds.
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 about 38% of Texas nursing homes. Each resident receives approximately 209 minutes of nursing care per day, about 32 minutes less than what residents at a 4-star-staffing facility in Texas receive. Residents here also require more hands-on care than at a typical facility — less mobile or more medically complex on average — so those 209 minutes stretch thinner than the number alone suggests.
RN turnover is high: roughly 8 in 10 registered nurses left in the past year. A long-stay resident will likely go through multiple primary nurses over the course of a year.
Two administrators have left in the past year. Residents and direct-care staff typically feel leadership instability in daily operations.
CMS recorded one fine totaling $67,706. The state median fine across Texas nursing homes that receive any fine is about $20,699, so this single penalty is more than three times the statewide midpoint. About 30% of Texas nursing homes have received no fines at all.
The facility is operating at roughly 55% of its 125 licensed beds — about 69 residents on an average day. Paired with the staffing and turnover signals above, low occupancy at a nursing home can reflect reduced referrals from hospitals or discharge planners.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Administrator continuity since transitions
Two administrators have left in the past year — ask who is currently in the role, how long they have been in place, and whether the position is expected to remain stable.
RN coverage on evenings and weekends
With RN turnover at roughly 8 in 10 over the past year, ask how many registered nurses are on duty during nights and weekends and how open shifts are covered.
Context behind the $67,706 fine
CMS issued one fine totaling $67,706 — ask what deficiency triggered it, what corrective steps were taken, and whether the deficiency has been cleared.
Why occupancy is near half capacity
The facility averages about 69 residents against 125 licensed beds — ask what is driving that and whether it affects staffing levels or available services.
Resident Council meeting frequency
The facility has a Resident Council but no Family Council — ask how often the Resident Council meets and how families can raise concerns outside of that channel.
Management company's day-to-day role
Southwest LTC manages the facility while Nacogdoches County Hospital District holds the license — ask which entity sets staffing budgets and responds to care complaints.
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.