Colonial Nursing & Rehabilitation Center — nursing home in Lindale, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 90 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 57.7 CMS, MDS-derived
CMS Certification Number: 675563
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 25, 1996
Ownership type: For profit - Individual
Operator (legal business name): Hopkins County Hospital District
CMS chain: Not part of a CMS-reported chain
Phone: (903) 352-3727
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

10

latest Jul 27, 2026

Citations

28

25 health · 3 fire

Harm or worse

3

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K2	L·
Actual harm	G1	H·	I·
Potential harm	D16	E5	F3
Minimal	A·	B1	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffingfn 24

Quality measures

Penalties · about the last 3 years

Fines

1

$247,572

Payment denials

0

Latest

Dec 27, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 675563
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 90
First approved: Jan 25, 1996
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 27, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Mar 18, 2026	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Mar 18, 2026	Health	Health Standard	5	Potential harm	—	Open →
Nov 25, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Jan 8, 2025	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jan 8, 2025	Health	Health Standard	9	Potential harm	—	Open →
Dec 27, 2024	Health	Health Complaint	3	Immediate jeopardy	—	Open →
Jul 10, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Dec 12, 2023	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Dec 12, 2023	Health	Health Standard	3	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Dec 27, 2024	Civil money penalty (fine)	$247,572	—	675563\|Fine\|113496

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K2	L·
Actual harm	G1	H·	I·
Potential harm	D16	E5	F3
Minimal	A·	B1	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 27, 2026	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 31, 2026	Complaint
Jul 27, 2026	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 31, 2026	Complaint
Mar 18, 2026	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 18, 2026
Mar 18, 2026	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 18, 2026
Mar 18, 2026	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 27, 2026
Mar 18, 2026	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 27, 2026
Mar 18, 2026	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 27, 2026
Mar 18, 2026	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 27, 2026
Mar 18, 2026	F-0640	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	B · Minimal Pattern	Corrected Mar 27, 2026
Nov 25, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 1, 2025	Complaint
Jan 8, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 21, 2025
Jan 8, 2025	F-0693	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 21, 2025
Jan 8, 2025	F-0727	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Feb 21, 2025
Jan 8, 2025	F-0731	Request a waiver if it can't meet the nurse staffing requirements. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Feb 21, 2025
Jan 8, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 21, 2025
Jan 8, 2025	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 21, 2025
Jan 8, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Feb 21, 2025
Jan 8, 2025	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 21, 2025
Jan 8, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Feb 21, 2025
Dec 27, 2024	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	K · Immediate jeopardy Pattern	Corrected Dec 28, 2024	Complaint
Dec 27, 2024	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	K · Immediate jeopardy Pattern	Corrected Dec 28, 2024	Complaint
Dec 27, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Dec 28, 2024	Complaint
Jul 10, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 24, 2024	Complaint
Jul 10, 2024	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Aug 24, 2024	Complaint
Dec 12, 2023	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 5, 2024
Dec 12, 2023	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 12, 2024
Dec 12, 2023	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Jan 2, 2024
Dec 12, 2023	F-0727	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Jan 2, 2024

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.47

State avg 3.42US avg 3.90

Registered nurse (RN)0.26

State avg 0.44US avg 0.69

Licensed practical nurse0.88

State avg 0.94US avg 0.86

Nurse aide2.32

State avg 2.03US avg 2.35

Weekend total nurse3.24

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.75 (case-mix index 1.29).

Staff turnover

Total nursing staff turnoverNot reported

State avg 50.8%US avg 45.3%

Registered nurse turnoverNot reported

State avg 49.8%US avg 42.5%

Administrators who leftNot reported

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Mar 18, 2026
Cycle 1 health score: 36
Total weighted score: 111.5

Operating entity

Hopkins County Hospital District

CMS legal business name of the certified provider. Operates 5 facilities.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

3

Organizations

1

Individuals

2

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Hopkins County Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 31, 2017

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Hopkins County Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 31, 2017
Michael Smith	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 1, 2021
Michael Smith	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 1, 2021

Other facilities operated by Hopkins County Hospital District

All 4 →

Facility	Beds	Last inspection	Citations (window)	Fines
Longview Hill Nursing and Rehabilitation Center 3201 N Fourth St, Longview, TX 75605 CCN 455684	198	Mar 18, 2026	683 IJ1 harm	$225k
Avir at Mineola 320 Greenville Ave., Mineola, TX 75773 CCN 675668Abuse icon	115	May 11, 2026	653 IJ	$25k
Park Place Nursing & Rehabilitation Center 2450 E Fifth St, Tyler, TX 75701 CCN 676005Abuse icon	120	Jun 30, 2026	461 IJ2 harm	$282k
Simpson Place 3922 Simpson Street, Dallas, TX 75246 CCN 676453	50	Apr 30, 2026	32	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 508 Pierce St, Lindale, TX 75771
ZIP: 75771
County: Smith County FIPS 48423
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Avir at Lindale 13906 Fm 2710, Lindale, TX 75771 CCN 745021	1.1 km	122	Jun 10, 2026	406 IJ2 harm	$755k
Mineola Gardens Wellness & Rehabilitation 716 Mimosa Dr, Mineola, TX 75773 CCN 675981Abuse icon	18.3 km	82	Aug 11, 2026	304 IJ	$51k
Avir at Mineola 320 Greenville Ave., Mineola, TX 75773 CCN 675668Abuse icon	20 km	115	May 11, 2026	653 IJ	$25k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	675563	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	675563	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 675563

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction