Terrell Healthcare Center
204 WEST NASH STREET, Terrell, TX, 75160-2607
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.
Special Focus Facility
CMS has designated this facility a Special Focus Facility — one of a small group nationwide with a persistent pattern of substandard care requiring more frequent federal oversight. SFFs are inspected roughly every six months. Ask for the most recent inspection summary and corrective-action plan before deciding.
Source: CMS Care Compare.
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Nexion Health
- Certified beds
- 94 · avg 61 residents/day
- Total nursing staff turnover
- 46.3% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 12.5% — lower than most Texas nursing homesTexas 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)
- 3 fines · $339,046 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 149844
- Service type
- Medicare/medicaid
- Licensed capacity
- 94 beds
- Bed type breakdown
- 8 Medicare-only · 86 Medicaid/Medicare
- Current license effective
- April 1, 2024
- Current license expires
- April 1, 2027
- Initial license date
- May 4, 1979
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Eastland Memorial Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Nexion Health At Terrell, Inc
- Administrator
- Gerald Ego
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Nexion Health chain — 52 facilities across 3 states. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (9 on record)
- John Oswald
Operational/managerial Control · since 2022
- Laban Wright
Corporate Officer · since 2021
- Daniel Pierce
Operational/managerial Control · since 2021
- Brian Lee
Operational/managerial Control · since 2018
- Eastland Memorial Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2018
- Francis Kirley
Operational/managerial Control · since 2018
+ 3 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 79)
- D0926·Dec 3, 2025
Environmental Deficiencies
Have policies on smoking.
- E0880·Dec 3, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0804·Dec 3, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E0802·Dec 3, 2025
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E0761·Dec 3, 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.
- E0759·Dec 3, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0755·Dec 3, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0698·Dec 3, 2025
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Federal penalties
By year
- 20251 fine · $92K
- 20242 fines · $247K · 1 payment denial
Most recent events
- Mar 29, 2025Fine · $92K
- Mar 20, 2024Payment denial · 4 days · starting Apr 19, 2024
- Mar 20, 2024Fine · $103K
- Feb 15, 2024Fine · $144K
Largest single fine on record: $144K.
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Dec 3, 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
Terrell Healthcare Center is a 94-bed Medicare- and Medicaid-certified nursing home in Terrell, Kaufman County, Texas, licensed continuously since 1979. The licensee is Eastland Memorial Hospital District, with day-to-day management by Nexion Health at Terrell, Inc. The current state license runs through April 2027. No CMS Care Compare data is linked to this facility at this time, so federal inspection and staffing ratings are not available through this record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
CMS inspection and rating history
This facility has no linked CMS Care Compare record — ask staff to show you the most recent state inspection report and explain any deficiencies cited.
Nexion Health management role
Day-to-day operations are run by Nexion Health at Terrell, separate from the hospital-district licensee — ask how decisions about staffing and care are divided between the two.
Staffing levels and nurse hours
With no CMS staffing data available, ask how many hours of nursing care each resident receives on a typical day, and how shifts are covered when staff call out.
Bed availability and waitlist
The facility is licensed for 94 beds — ask how many are currently occupied and whether a waitlist exists for the specific room type you need.
Resident and family councils
Ask whether an active Resident Council or Family Council meets regularly, and how residents and families currently raise concerns with management.
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.