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HomeTexasCherokee Trails Nursing Home

Cherokee Trails Nursing Home

330 E Bagley Rd, Rusk, TX 757859036835438WebsiteGoogle Maps
4.6on Google(24 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
2/5
Quality
4/5
Beds
140
certified
2 fine(s) totaling $85,329

How Cherokee Trails Nursing Home Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
TX average
2.7/5
Below state average
Health inspection rating
1/5
TX average
2.8/5
Below state average
Staffing rating
2/5
TX average
1.9/5
Close to state average
Nursing hours per resident
3.22 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.36 hrs/day
TX average
0.43 hrs/day
Close to state average
Staff turnover
65.3%
TX average
55.3%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Texas average of 2.7/5.
Its 1/5 health inspection rating is below the Texas average of 2.8/5.
Staff turnover is 65.3%, higher than the Texas average of 55.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
35
deficiency citations
Inspected Mar 19, 2025
Most recent cycle
8
deficiency citations
Inspected May 20, 2026
The most recent cycle recorded 27 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Cherokee County 65+
8,997
17.7% of county
County Population
50,824
Cherokee County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Cherokee Trails Nursing Home is a 1-star Medicare and Medicaid certified nursing home in Rusk, Texas with 140 certified beds. It has been operating since 2000. Its overall CMS rating is 1 out of 5.

Beds
140
Avg Residents/Day
50.1
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Aug 1, 2000
Sprinklers
Yes
Council
None
County
Cherokee
Last Inspection
May 20, 2026
Deficiencies (Cycle 1)
8
Weighted Score
221.3
Infection Citations
0

Deficiency Citations (43)

F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: May 20, 2026Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: May 20, 2026Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: May 20, 2026Corrected: NoCycle: 1
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: May 20, 2026Corrected: NoCycle: 1
F0640Potential for Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey: May 20, 2026Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: May 20, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 20, 2026Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Feb 11, 2026Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Mar 19, 2025Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Mar 19, 2025Corrected: NoCycle: 2
F0941Potential for Harm

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Survey: Mar 19, 2025Corrected: NoCycle: 2
F0946Potential for Harm

Provide training in compliance and ethics.

Survey: Mar 19, 2025Corrected: NoCycle: 2
F0949Potential for Harm

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Survey: Mar 19, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 19, 2025Corrected: NoCycle: 2
F0940Potential for Harm

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Survey: Mar 19, 2025Corrected: NoCycle: 2
F0943Potential for Harm

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Survey: Mar 19, 2025Corrected: NoCycle: 2
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Mar 19, 2025Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Sep 25, 2024Corrected: NoCycle: 2
F0839Potential for Harm

Employ staff that are licensed, certified, or registered in accordance with state laws.

Survey: Sep 25, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Feb 7, 2024Corrected: NoCycle: 3
F0851Potential for Harm

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Survey: Feb 7, 2024Corrected: NoCycle: 3
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Feb 7, 2024Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 7, 2024Corrected: NoCycle: 3
F0926Potential for Harm

Have policies on smoking.

Survey: Feb 7, 2024Corrected: NoCycle: 3
F0940Potential for Harm

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Survey: Feb 7, 2024Corrected: NoCycle: 3
F0941Potential for Harm

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Survey: Feb 7, 2024Corrected: NoCycle: 3
F0942Potential for Harm

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Survey: Feb 7, 2024Corrected: NoCycle: 3
F0943Potential for Harm

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Survey: Feb 7, 2024Corrected: NoCycle: 3
F0944Potential for Harm

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Survey: Feb 7, 2024Corrected: NoCycle: 3
F0945Potential for Harm

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Survey: Feb 7, 2024Corrected: NoCycle: 3

+ 13 more deficiencies

Total Fines
$85,329
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineSep 25, 2024
$30,933
FineJul 27, 2023
$54,396

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.86 hrs
National avg: 2.32 hrs
LPN1.00 hrs
National avg: 0.86 hrs
RN0.36 hrs
National avg: 0.69 hrs
Total Nursing3.22 hrs
National avg: 3.86 hrs
Weekend Total2.81 hrs
National avg: 0.00 hrs
Physical Therapist0.15 hrs
National avg: 0.07 hrs
Total Turnover
65.3%
RN Turnover
66.7%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
BAYLOR COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jun 1, 2023
LYONS, PAULAW-2 MANAGING EMPLOYEEIndividualN/AJun 1, 2023
HARDIN, LESLIECORPORATE OFFICERIndividualN/AJun 1, 2023
CHEROKEE TRAILS HC LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJun 1, 2023
SILBERSTEIN, ARIOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 1, 2023

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Cherokee Trails Nursing Home and nearby alternatives.

All Texas facilities
Cherokee Trails Nursing Home
Rusk, TXCurrent facility
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $85,329
The Arbors Healthcare and Rehabilitation Center
Rusk, TX2.5 mi
CMS
3/5
Health
4/5
Staffing
1/5
Recorded fines: None
Legacy at Jacksonville
Jacksonville, TX11.9 mi
CMS
4/5
Health
5/5
Staffing
1/5
Recorded fines: $27,345
Avir at Jacksonville
Jacksonville, TX12.6 mi
CMS
5/5
Health
5/5
Staffing
4/5
Recorded fines: None
Twin Oaks Health and Rehabilitation Center
Jacksonville, TX14.2 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $174,431
Wells LTC Nursing & Rehabilitation
Wells, TX24.8 miAbuse flag
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $34,428
Bluebonnet Point Wellness
Bullard, TX27.3 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $181,947
FacilityDistanceCMSHealthStaffingRecorded fines
Cherokee Trails Nursing Home
Rusk, TX · Current facility
—1/51/52/5$85,329
The Arbors Healthcare and Rehabilitation Center
Rusk, TX
2.5 mi3/54/51/5None recorded
Legacy at Jacksonville
Jacksonville, TX
11.9 mi4/55/51/5$27,345
Avir at Jacksonville
Jacksonville, TX
12.6 mi5/55/54/5None recorded
Twin Oaks Health and Rehabilitation Center
Jacksonville, TX
14.2 mi2/53/51/5$174,431
Wells LTC Nursing & Rehabilitation
Wells, TX
24.8 mi1/51/53/5$34,428
Bluebonnet Point Wellness
Bullard, TX
27.3 mi1/52/51/5$181,947

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Cherokee Trails Nursing Home?▾
Cherokee Trails Nursing Home has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 4/5. This facility is rated below average.
How much does Cherokee Trails Nursing Home cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Cherokee Trails Nursing Home participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Cherokee Trails Nursing Home had any health inspection violations?▾
Cherokee Trails Nursing Home had 8 deficiency citations in its most recent health inspection (May 20, 2026). The current CMS dataset records 2 fine(s) totaling $85,329.
What are the staffing levels at Cherokee Trails Nursing Home?▾
Cherokee Trails Nursing Home provides 3.22 total nursing staff hours per resident per day, including 0.36 RN hours, 1.00 LPN hours, and 1.86 nurse aide hours. The total staff turnover rate is 65.3%.
How many beds does Cherokee Trails Nursing Home have?▾
Cherokee Trails Nursing Home has 140 certified beds with an average of 50.1 residents per day, resulting in approximately 36% occupancy. The facility is Government - Hospital district owned.
Are there other nursing homes near Cherokee Trails Nursing Home?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 1 in Rusk. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Cherokee Trails Nursing Home?▾
On Google Maps, Cherokee Trails Nursing Home has a rating of 4.6 out of 5 based on 24 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.