Terrell Healthcare Center
Medicare withholds the star rating from every home in its Special Focus Facility program. This rating is not missing. It is withheld.
Staffing
Where the benchmark comes from
Staffing is the measure most closely linked to how residents do, and the one families almost never see. How much nursing care a resident needs depends on how sick they are, so we compare this home against the level its own residents are expected to need. The marker on the first two bars shows that level. It is a research benchmark, not a legal limit. The hours shown are the hours the home filed with Medicare, before any adjustment for how sick its residents are.
Medicare attached a note to this home’s staffing figure, numbered 18. Medicare does not publish what its staffing note numbers mean, so we cannot tell you why it is there, only that it is. Treat the hours above, and the gap we work out from them, with that in mind.
What inspectors found
Inspectors visit every nursing home and write up what they find. This home has 93 findings on record going back to 2023, 37 of them after someone filed a complaint.
The 11 serious findings here
Accidents and supervision
The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.
The home fixed this on March 30, 2025.
Medicare’s wording
Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Behavioral health services not provided
The home did not arrange the specialist behavior and mental health services a resident needed.
The home fixed this on March 30, 2025.
Medicare’s wording
Federal tag F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Resident not protected from abuse or neglect
The home did not protect a resident from abuse or neglect by anyone.
The home fixed this on March 30, 2025.
Medicare’s wording
Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Abuse prevention rules
The home did not write or follow rules meant to stop abuse, neglect, and theft.
The home fixed this on March 30, 2025.
Medicare’s wording
Federal tag F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Late reporting
The home did not report a suspected incident within the time the law requires.
The home fixed this on March 30, 2025.
Medicare’s wording
Federal tag F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Failure to investigate
The home did not properly look into a reported incident.
The home fixed this on March 30, 2025.
Medicare’s wording
Federal tag F610Respond appropriately to all alleged violations.
Pain
A resident’s pain was not properly treated.
The home fixed this on March 30, 2025.
Medicare’s wording
Federal tag F697Provide safe, appropriate pain management for a resident who requires such services.
No plan for moving out
The home did not plan for a resident leaving in a way that met their goals and needs.
The home fixed this on March 21, 2024.
Medicare’s wording
Federal tag F660Plan the resident's discharge to meet the resident's goals and needs.
Smoking rules missing
The home did not have proper written rules about smoking, smoking areas, and smoking safety.
The home fixed this on February 16, 2024.
Medicare’s wording
Federal tag F926Have policies on smoking.
Abuse prevention rules
The home did not write or follow rules meant to stop abuse, neglect, and theft.
The home fixed this on February 16, 2024.
Medicare’s wording
Federal tag F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident not protected from abuse or neglect
The home did not protect a resident from abuse or neglect by anyone.
The home fixed this on February 16, 2024.
Medicare’s wording
Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything on record
1,164 of the 1,177 nursing homes in Texas have fewer findings of harm or immediate jeopardy on record than this one.
Medicare also blocked payment for new admissions at this home for 4 days, starting April 19, 2024.
What these levels mean
JImmediate jeopardy The most serious finding there is. Medicare’s words: noncompliance that has caused, or is likely to cause, serious injury, harm, impairment, or death. About 2 in every 100 findings nationally.
GActual harm A resident was really hurt, not just put at risk. About 3 in every 100 findings.
The letter is Medicare’s own code for how many residents were involved. Immediate jeopardy covers J, K and L. Actual harm covers G, H and I. The later the letter, the more residents were affected.
The plain-English line under each finding describes the rule the inspector cited. It is not an account of what happened. Medicare’s own wording of the rule is printed with it, and the full inspection report is the record of the incident.
This home has 2 findings under three federal tags that are counted together, and they do not all mean abuse: F600 is abuse or neglect, F602 is the wrongful use of a resident’s belongings or money, and F603 is involuntary seclusion. Medicare also publishes a separate abuse warning icon, which is narrower and time-limited, and this home does not currently carry it.
What you can do
Numbers only go so far. These are two things most families do not know they can do.
Ask for today’s staffing sheet
Every nursing home must post how many nurses are working each shift, keep 18 months of it, and show it to you on request. Ask for today’s, then last Saturday’s. Weekends are when staffing thins out.
Call the ombudsman before you decide
Every state has a free, confidential long-term care ombudsman. You can ask how many complaints a specific home has had and what they were about. You can find your state’s office through its department of aging.
Where this comes from
Inspection findings, staffing hours, fines and star ratings on this page are published by the Centers for Medicare & Medicaid Services, a federal agency, and are current as of August 1, 2026. We reload after each monthly release, and the footer of every page shows both the release date and the date we loaded it. The federal ID for this home is 675879.
What these numbers do not say
Fines can be appealed and reduced. The amount shown is what CMS had recorded as of this release. Medicare’s penalties file covers a rolling window of the last few years rather than a home’s whole history, so this is what Medicare publishes today and not everything this home has ever been fined. The year beside the figure above is the earliest fine Medicare still lists for it.
The level of care residents here are expected to need, and the gap, are not Medicare figures. We work them out from this home’s own Medicare case-mix score using the published CASE formula (Harrington and others, Journal of the American Geriatrics Society, 2025). It is a research benchmark, not a legal limit.
Inspection findings are recorded by state inspectors on behalf of Medicare. Staffing hours come from payroll records the home files with Medicare, and Medicare audits a sample of them. Star ratings partly reflect quality measures the home reports about itself, which is why we show inspections and staffing separately rather than only the star.