Cherokee Trails Nursing Home

CMS star ratings

Overall★★★★★ 2/5

State avg 2.6

Health inspections★★★★★ 2/5

State avg 2.8

Staffing★★★★★ 2/5

State avg 1.9

Quality measures★★★★★ 4/5

State avg 3.7

Long-stay quality★★★★★ 4/5

Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.22 (state 3.39 · U.S. 3.86)
Registered nurses (RN): 0.36 (state 0.43 · U.S. 0.69)
Licensed practical nurses: 1.00 (state 0.95 · U.S. 0.86)
Nurse aides: 1.86 (state 2.00 · U.S. 2.32)
Weekend total: 2.81 (state 2.98 · U.S. 3.42)
Nursing staff turnover: 65.3 (state 55.3 · U.S. 45.8)%
RN turnover: 66.7 (state 54.6 · U.S. 42.9)%

Inspections

Last standard inspection: May 20, 2026
Health deficiencies (last cycle): 8.0 (state 9.3 · U.S. 9.3)
From complaints: 1
Citations on record (3 years): 38 health · 28 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2026-05-20	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-06-14
2026-05-20	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. F0761 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-06-14
2026-05-20	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-06-21
2026-05-20	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-06-14
2026-05-20	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-06-14
2026-05-20	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-06-14
2026-05-20	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-06-14
2026-02-11	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-02-13
2025-03-19	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-04-28
2025-03-19	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-04-28
2025-03-19	Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. F0941 · Administration Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-04-28
2025-03-19	Provide training in compliance and ethics. F0946 · Administration Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-04-28
2025-03-19	Provide behavior health training consistent with the requirements and as determined by a facility assessment. F0949 · Administration Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-04-28
2025-03-19	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-28
2025-03-19	Develop, implement, and/or maintain an effective training program for all new and existing staff members. F0940 · Administration Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-28
2025-03-19	Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-28
2025-03-19	Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies	C No actual harm, potential for minimal harm	Corrected 2025-04-28
2024-09-25	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	J Immediate jeopardy to resident health or safety	Corrected 2024-09-26
2024-09-25	Employ staff that are licensed, certified, or registered in accordance with state laws. F0839 · Administration Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-09-26
2024-02-07	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2024-03-07
2024-02-07	Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851 · Administration Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2024-03-07
2024-02-07	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2024-03-07
2024-02-07	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-03-07
2024-02-07	Have policies on smoking. F0926 · Environmental Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-03-07
2024-02-07	Develop, implement, and/or maintain an effective training program for all new and existing staff members. F0940 · Administration Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-03-07
2024-02-07	Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. F0941 · Administration Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-03-07
2024-02-07	Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. F0942 · Resident Rights Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-03-07
2024-02-07	Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-03-07
2024-02-07	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944 · Administration Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-03-07
2024-02-07	Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. F0945 · Infection Control Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-03-07
2024-02-07	Provide training in compliance and ethics. F0946 · Administration Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-03-07
2024-02-07	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-03-07
2024-02-07	Provide behavior health training consistent with the requirements and as determined by a facility assessment. F0949 · Administration Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-03-07
2024-02-07	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-03-07
2024-02-07	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-03-07
2024-02-07	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-03-07
2024-02-07	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. F0808 · Nutrition and Dietary Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-03-07
2024-02-07	Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813 · Nutrition and Dietary Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-03-07

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $30,933 in fines.

Date	Type	Amount
2024-09-25	Fine	$30,933

Ownership & management

Name	Role	Since
Baylor County Hospital District (organization)	5%+ Direct Ownership Interest · 100%
Hardin, Leslie (individual)	Corporate Officer · NOT APPLICABLE
Cherokee Trails HC LLC (organization)	Operational/managerial Control · NOT APPLICABLE
Silberstein, Ari (individual)	Operational/managerial Control · NOT APPLICABLE
Lyons, Paula (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Cherokee Trails Nursing Home?

Cherokee Trails Nursing Home has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Cherokee Trails Nursing Home have?

It has 140 certified beds and cares for about 50 residents per day.

Has Cherokee Trails Nursing Home been fined?

Yes. CMS lists 1 penalty totaling $30,933 in the last three years.

What is the phone number of Cherokee Trails Nursing Home?

(903) 683-5438. The facility is located at 330 E. Bagley Rd., Rusk, TX 75785.

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Contact & location

Facility details