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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.