Heritage House of Marshall Health & Rehabilitation: Staffing, Turnover, and Inspection Record
Heritage House of Marshall Health & Rehabilitation is a 125-bed for-profit nursing home in Marshall, Texas. In the CMS August 2026 release it reported 1.93 nurse aide hours per resident per day, 4% below the Texas average of 2.00, and 91.7% nursing staff turnover (Texas average 55.3%).
Heritage House of Marshall Health & Rehabilitation
5915 Elysian Fields RoadMarshall, TX 75672
Harrison County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Heritage House of Marshall Health & Rehabilitation, nurse aides logged 1.93 hours per resident per day, 4% below the Texas average. With about 67 residents a day, that works out to roughly 129 aide hours a day, or about 16 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.93 | 2.00 | 2.32 |
| Licensed practical nurses | 1.19 | 0.95 | 0.86 |
| Registered nurses | 0.18 | 0.43 | 0.69 |
| All nursing staff | 3.29 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.81 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
91.7% of nursing staff at Heritage House of Marshall Health & Rehabilitation left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 83.3%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 29, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $67,706 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jun 26, 2024 | Fine | $67,706 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Heritage House of Marshall Health & Rehabilitation holds 2 of 5 overall; the Texas average is 2.6.
About Heritage House of Marshall Health & Rehabilitation
- Ownership: For profit - Individual
- Legal name: Nacogdoches County Hospital District
- Medicare and Medicaid certified since: Jul 10, 2008
- Located inside a hospital
- Councils: resident council
- Area: urban
Nursing homes near Heritage House of Marshall Health & Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Marshall Manor Nursing & Rehabilitation Center Marshall | 4.1 | 179 | 2.37 | 3.85 | 48.1% | 4 | None |
| Marshall Manor West Marshall | 4.2 | 118 | 2.93 | 4.56 | 32.8% | 3 | $13,995 |
| Avir at Jefferson Jefferson | 18.8 | 116 | 2.15 | 3.29 | 58.8% | 2 | $16,498 |
| Whispering Pines Lodge Longview · SFF candidate · abuse citation | 23.3 | 116 | 2.32 | 3.42 | 97.3% | 1 | $491,489 |
| Panola County Nursing & Rehabilitation Carthage | 23.3 | 108 | 1.62 | 2.97 | 46.3% | 3 | None |
| Treviso Transitional Care Longview | 24.0 | 140 | 1.92 | 3.23 | 53.4% | 1 | $150,705 |
| Briarcliff Skilled Nursing Facility Carthage | 24.1 | 91 | 1.99 | 3.26 | 39.0% | 3 | $151,713 |
| Highland Pines Nursing Home Longview | 24.6 | 171 | 2.08 | 3.70 | 46.2% | 1 | $17,629 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.