Cherokee Trails Nursing Home
330 E Bagley Rd, Rusk, TX, 75785
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Advanced Healthcare Solutions
- Certified beds
- 140 · avg 52 residents/day
- Total nursing staff turnover
- 71.9% — higher than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 57.1% — near the Texas averageTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $85,329 total
Medicare certification
- CMS Certification Number
- 675835
- Certified beds
- 140 beds · avg 52 residents/day
- Ownership type
- Government - Hospital district
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Baylor County Hospital District
- Chain affiliation
- Advanced Healthcare Solutions
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Advanced Healthcare Solutions chain — 30 facilities. Chain-wide average overall rating 3.0 / 5.
Disclosed owners (5 on record)
- Ari Silberstein
Operational/managerial Control · since 2023
- Baylor County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2023
- Cherokee Trails hc Llc
Operational/managerial Control · since 2023
- Leslie Hardin
Corporate Officer · since 2023
- Paula d Lyons
W-2 Managing Employee · since 2023
Recent change of ownership
June 2023 (3 years ago) · acquired from Cherokee Trails Nursing Home
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 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 40)
- D0550·Feb 11, 2026Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E0949·Mar 19, 2025
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- E0946·Mar 19, 2025
Administration Deficiencies
Provide training in compliance and ethics.
- D0943·Mar 19, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- E0941·Mar 19, 2025
Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- D0940·Mar 19, 2025
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- D0880·Mar 19, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- C0732·Mar 19, 2025
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Federal penalties
By year
- 20241 fine · $31K
- 20231 fine · $54K
Most recent events
- Sep 25, 2024Fine · $31K
- Jul 27, 2023Fine · $54K
Largest single fine on record: $54K.
Fire-safety citations
20 Life-Safety-Code citations on file. Most recent: Mar 19, 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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Cherokee Trails Nursing Homeinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.