Countryview Nursing & Rehabilitation
1900 NORTH FRANCES STREET, Terrell, TX, 75160-1215
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 Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Creative Solutions In Healthcare
- Certified beds
- 115 · avg 45 residents/day
- Total nursing staff turnover
- 55.6% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 5 fines · $94,108 total
State licensing & capacity
- License number
- 312203
- Service type
- Medicare/medicaid
- Licensed capacity
- 115 beds
- Bed type breakdown
- 60 Medicare-only · 55 Medicaid/Medicare
- Current license effective
- October 1, 2024
- Current license expires
- October 1, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Terrell I Enterprises, Llc
- Administrator
- Rebecca Holderread
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (17 on record)
- Honor x Enterprises, LlcHolding
Adp of The Snf · since 2025
- Christopher Eamiguel
Adp of The Snf · since 2024
- Clark r Sanderson
Corporate Director · since 2024
- Dion Tankersley
Operational/managerial Control · since 2024
- Erin Holt
Managing Control - Governing Body · since 2024
- Fannin County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2024
+ 11 additional owners on the federal record.
Recent change of ownership
October 2024 (1 year ago) · acquired from Countryview Nursing & Rehabilitation
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, 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 51)
- D0880·Aug 15, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Aug 15, 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.
- E0761·Aug 15, 2025
Pharmacy Service Deficiencies
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.
- D0755·Aug 15, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0689·Aug 15, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- K0600·Aug 15, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F0585·Aug 15, 2025
Resident Rights Deficiencies
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.
- K0600·Apr 23, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Federal penalties
By year
- 20252 fines · $61K
- 20241 fine · $16K
- 20232 fines · $16K
Most recent events
- Aug 15, 2025Fine · $42K
- Apr 23, 2025Fine · $20K
- Jul 11, 2024Fine · $16K
- Oct 12, 2023Fine · $8,193
- Oct 12, 2023Fine · $8,190
Largest single fine on record: $42K.
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Aug 15, 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
Countryview Nursing & Rehabilitation is a 115-bed nursing home in Terrell, Kaufman County, accepting Medicare and Medicaid. CMS rates it 1 star overall, with a 1-star health inspection rating. CMS has substantiated findings of resident abuse or neglect within the past 36 months, and five fines totaling $94,108 have been issued. The facility is currently operating at about 39% of its licensed beds — roughly 45 residents in a building licensed for 115.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 3 stars. Each resident receives about 228 minutes of nursing care per day — 13 minutes less than at a 4-star-staffing facility in Texas. Staff hours per resident actually exceed what a typical resident mix would require, meaning the residents here need less hands-on care than average, so the raw minutes stretch further than they would elsewhere.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. That finding is part of what drives the 1-star health inspection rating.
Five CMS fines have been issued totaling $94,108. The statewide median fine total is about $20,699, and roughly 30% of Texas nursing homes have no fines at all — this facility's total is more than four times the state median.
One administrator has turned over in the past year — one level above typical, which can affect continuity of care coordination.
The facility is operating at roughly 39% of its licensed 115 beds, with about 45 residents on a given day. Paired with the safety flags and fine history, the low occupancy reflects a pattern beyond routine vacancy.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Substantiated abuse findings explained
CMS has recorded substantiated abuse or neglect findings here in the past 36 months — ask what specific incidents occurred and what policy changes followed.
Five fines totaling $94,108
Ask what each of the five cited violations involved and which, if any, remain under a corrective plan today.
Why occupancy is at 39%
With roughly 45 residents in a 115-bed building, ask whether the low census reflects referral declines, bed closures, or something else.
Administrator transition this year
One administrator has left in the past year — ask who is currently in the role, how long they have been in place, and who oversees daily operations.
Resident Council scope and access
A Resident Council meets here but no Family Council — ask how families can formally raise concerns and how often resident feedback reaches management.
Management company's role on site
The facility is licensed under Fannin County Hospital Authority but managed by Terrell I Enterprises — ask which entity sets care policy and who a family escalates complaints to.
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.