Terrell Healthcare Center
204 W Nash, Terrell, TX, 75160
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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.
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 - Corporation · Chain: Nexion Health
- Certified beds
- 94 · avg 61 residents/day
- Total nursing staff turnover
- 55% — near the Texas averageTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $339,046 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 675879
- Certified beds
- 94 beds · avg 61 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Eastland Memorial Hospital District
- Chain affiliation
- Nexion Health
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Nexion Health chain — 52 facilities across 3 states. Chain-wide average overall rating 2.4 / 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 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 93)
- F0882·Apr 3, 2026
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D0880·Apr 3, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0849·Apr 3, 2026
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- E0812·Apr 3, 2026
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0808·Apr 3, 2026
Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- D0806·Apr 3, 2026
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E0804·Apr 3, 2026
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D0770·Apr 3, 2026
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
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
4 Life-Safety-Code citations on file. Most recent: Apr 3, 2026. 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 Terrell Healthcare Centerinto 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.