Heritage House of Marshall Health & Rehabilitation
5915 Elysian Fields Road, Marshall TX 75672 · (903) 935-6700 · 65.52% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Heritage House of Marshall Health & Rehabilitation is a facility located in Marshall, Texas. This city has a total of 34,387 people. With a terrible overall grade of F, this nursing home didn't fare well in our assessment. Based on our assessment, this facility is not a fit for any prospective resident. If you aren't deterred by this place's report card, you can continue reading to find out about its category grades. We discuss inspections in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 125 Beds
CCRC :
Government - Hospital district
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
Although we gave this nursing home a horrible overall score, we awarded it an A- for our inspections score. This grade is far more impressive than the nursing home's overall score. Inspection scores are tied to many items located in the a nursing home's recent inspection reports. Deficiencies are an important thing to look for on these reports. You should especially avoid facilities that have severe deficiencies linked to risks to resident well being. This place was hit with 5 deficiencies on its inspection report, but none of the deficiencies were considered severe. This indicates that CMS didn't deem any of these deficiencies to pose an imminent threat to patient health or safety. A couple minor deficiencies are not the end of the world.
Long-term Care Quality
Sadly, this nursing home's second highest category was long-term care. Nevertheless, with a grade of D in this area, it still performed somewhat badly. For long-term care residents, the facility's primary goal is to maintain residents' quality of life and keep them safe. Once we finished looking at the volume of care provided by nurses, we next considered the facility's vaccination data. We were pleased to learn that this nursing home vaccinated 99.63768 percent of its residents against pneumonia. Finally, we looked at the facility's number of hospitalizations. With 1.76 hospitalizations per one thousand long-term resident days, this nursing home didn't fare quite as well.
Short-term Care Quality
The next area we analyzed was short-term care, where this nursing home was given an F. Our short-term care ratings are critical for residents looking for rehabilitation. Rehabilitation usually utilizes additional skilled nursing. This means a vast range of services, ranging from registered nurses to physical and occupational therapists, as well as other forms of therapy. With a grade of this caliber in this area, we were not shocked to find that this facility was well below average in the two key staffing figures we focus on. The facility supplied significantly fewer physical therapist and registered nurse hours per resident than most facilities. The final metric we looked at in this category is the percentage of residents who who were able to eventually return home from the nursing home. This nursing home struggled quite a bit in this metric as well, with just 44.4 percent of its residents returning home.
Nurse Quality
The last area we graded was nursing. Sadly, it received an abysmal F for this category, which is a bottom of the barrel grade. The nursing rating considers a number of subcategories. The most important factor is the number of hours nurses spent with residents. With only 3.3 hours of nursing care per patient on a daily basis, this place's nurse staffing levels were significantly below average. To go along with its subpar totals in the area of nursing hours per resident, this place also didn't perform as well in the quality-based measures we looked at in determining our nursing ratings. We looked at the percent of patients experiencing major falls and pressure ulcers. This facility had more pressure ulcers and falls than the average facility.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Heritage House of Marshall Health & Rehabilitation Quality Metrics
Minimizes Pressure Ulcers
This measures the percent of long-term residents that have new or worsened pressure ulcers or bed sores. We factor in this statistic in computing both nursing and long-term care grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This metric is an indication of the percent of long-term care residents who suffered falls which caused serious injury. Falls can arise for a variety of reasons, but high rates of falls resulting in injuries may be a sign of lower levels of patient supervision.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This tells you the percent of patients that suffered from a urinary tract infection. UTI's are considered by many experts to be a barometer of nursing care . UTI's are often associated with a facility with lower levels of hygiene. However, this datapoint may be misleading for certain facilities due to different reporting standards for infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percentage of residents who were given antipsychotic drugs. While antipsychotic medications may be vital to many patients, it is important to ensure these medications are being used appropriately. In some cases, high levels of antipsychotic drug use may mean that a facility is using these medications to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This metric gauges the percent of long-term residents who are prescribed antianxiety drugs. These medications are prescribed to patients experiencing anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This metric is a measure of the percent of long-term stay patients exhibiting depressive symptoms.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This metric measures the percent of long-term patients who received the flu and pneumonia vaccines.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
Measures the percent of long-term care patients that needed more assistance with activities of daily living over time. ADL's include activities such as getting dressed and eating.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric measures the percent of long-term patients who remained mobile levels. Some argue that the ability to move around is important for patients mental and physical health.
Percentage of Residents
Higher is Better
Hospitalizations
This tells you the number of hospitalizations per thousand days of patient care. There is generally a correlation between avoiding hospitalizations and the overall quality of nursing home care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is the number of rehospitalizations per thousand days of short-term care. There is generally a correlation between keeping patients out of the hospital and a nursing homes short-term rehabilitation performance.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric measures the number of times residents are sent to the emergency room per thousand days of short-term patient care. Avoiding medical emergencies is one way to measure patient well-being during rehabilitation.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percent of short-term stay residents that experienced functional improvements, such as enhanced ability to perform activities of daily living. Higher levels of independence with activities of daily living often correlates with better rehabilitation.
Percentage of Resident
Higher is Better