Cherokee Trails Nursing Home
330 E. BAGLEY RD., Rusk, TX, 75785
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
- Government - Hospital district · Chain: Advanced Healthcare Solutions
- Certified beds
- 140 · avg 50 residents/day
- Total nursing staff turnover
- 76.1% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $85,329 total
State licensing & capacity
- License number
- 311511
- Service type
- Medicare/medicaid
- Licensed capacity
- 140 beds
- Bed type breakdown
- 54 Medicare-only · 86 Medicaid/Medicare
- Current license effective
- June 1, 2023
- Current license expires
- June 1, 2026
- Initial license date
- September 1, 1971
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Baylor County Hospital District (Nonprofit Organization)
- Operator / manager
- Cherokee Trails Hc Llc
- Administrator
- Paula Lyons
Texas HHS licensing registry · as of April 16, 2026
About this community
Cherokee Trails Nursing Home is a 140-bed Medicare/Medicaid nursing home in Rusk, TX, licensed since 1971 and currently managed by Cherokee Trails Hc Llc under nonprofit licensee Baylor County Hospital District. CMS rates it 2 stars overall, with 1-star ratings on both health inspections and staffing. Two CMS fines totaling $85,329 have been assessed. Quality-of-care measures rate 5 stars. The facility is operating at roughly 36% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives approximately 172 minutes of nursing care per day, about 69 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker or less mobile on average — so those 172 minutes stretch thinner than the raw number suggests. RN coverage amounts to about 23 minutes per resident per day, compared to 37 minutes at a 4-star-staffing Texas facility.
Roughly 8 in 10 nursing staff left in the past year. Texas nursing homes at the 75th percentile of turnover see 60% annual staff departure; 76% is well above that. A long-stay resident will likely go through two or more primary caregivers in a single year.
CMS issued 2 fines totaling $85,329. The state median fine total across penalized Texas nursing homes is $20,699; this facility's total is roughly four times that figure. About 30% of Texas nursing homes have received no fines in the same period.
The facility is operating at approximately 36% of its 140 licensed beds, with about 50 residents on a given day. The facility also carries 1-star health inspection and 2-star overall CMS ratings alongside the low occupancy and high turnover figures above.
Despite the staffing and inspection ratings, CMS rates quality-of-care measures at 5 stars — the highest tier — for long-stay residents. That rating reflects tracked clinical outcomes such as pressure wounds, falls, and the use of certain medications, as reported to CMS.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average about 154 minutes per resident per day here — ask how many nurses and aides are on duty overnight and on weekends, and how that compares to weekday coverage.
Why 8 in 10 staff left last year
Annual nursing staff turnover is 76% — ask what drove departures and what has changed to stabilize the team since then.
Details behind the two CMS fines
Two fines totaling $85,329 were assessed by CMS — ask what deficiencies triggered each fine and what corrective steps were taken.
Current census and waitlist status
The facility is running at about 36% of its 140 licensed beds — ask whether that reflects a planned census level, reduced admissions, or another factor.
How quality scores stay high with low staffing
CMS rates clinical quality measures 5 stars while staffing rates 1 star — ask how care planning and oversight are structured to sustain those outcomes.
Role of the management company
Day-to-day operations are managed by Cherokee Trails Hc Llc while the license is held by Baylor County Hospital District — ask how decisions about staffing and care standards are divided between the two.
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.