CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 6755632026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Colonial Nursing & Rehabilitation Center

CMS lists this provider in Lindale, TX, with 90 certified beds, an overall rating of 1/5, and 26 citation rows in the current August 2026 release.

508 Pierce St · Lindale, TX 75771 · Smith County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds90CMS provider file
Recent citation rows26current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Colonial Nursing & Rehabilitation Center survey cycles in this release

CMS supplies 3 survey-cycle rows for Colonial Nursing & Rehabilitation Center in this release; health and fire inspection dates remain separate.

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-03-1862026-03-182
Cycle 22025-01-08122025-01-080
Cycle 32023-12-1252023-12-121
02 / CITATION DETAIL

Colonial Nursing & Rehabilitation Center citations in the current release

CMS reports 26 citation rows, including 3 with G–L codes and 2 with J–L codes.

3 rows carry G–L scope/severity codes; 2 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-03-18 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-03-27
2026-03-18 · HEALTHF0640Severity B · pattern; potential for minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-03-27
2026-03-18 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2026-03-27
2026-03-18 · HEALTHF0692Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Correction field: Deficient, Provider has date of correction · 2026-03-27
2026-03-18 · HEALTHF0842Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction field: Deficient, Provider has date of correction · 2026-03-27
2026-03-18 · FIREK0363Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2026-03-18
2026-03-18 · FIREK0372Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2026-03-18
2025-11-25 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction field: Deficient, Provider has date of correction · 2025-12-01 · complaint
2025-01-08 · HEALTHF0641Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2025-02-21
2025-01-08 · HEALTHF0693Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-02-21
2025-01-08 · HEALTHF0727Severity F · widespread; potential for more than minimal harm

Nursing and Physician Services Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-02-21
2025-01-08 · HEALTHF0731Severity F · widespread; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Request a waiver if it can't meet the nurse staffing requirements.

Correction field: Deficient, Provider has date of correction · 2025-02-21
2025-01-08 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction field: Deficient, Provider has date of correction · 2025-02-21
2025-01-08 · HEALTHF0759Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Correction field: Deficient, Provider has date of correction · 2025-02-21
2025-01-08 · HEALTHF0812Severity F · widespread; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-02-21
2025-01-08 · HEALTHF0842Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction field: Deficient, Provider has date of correction · 2025-02-21
2025-01-08 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-02-21
2024-12-27 · HEALTHF0600Severity K · pattern of immediate jeopardy

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction field: Deficient, Provider has date of correction · 2024-12-28 · complaint
2024-12-27 · HEALTHF0607Severity K · pattern of immediate jeopardy

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Correction field: Deficient, Provider has date of correction · 2024-12-28 · complaint
2024-12-27 · HEALTHF0689Severity G · isolated actual harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-12-28 · complaint
2024-07-10 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-08-24 · complaint
2024-07-10 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction field: Deficient, Provider has date of correction · 2024-08-24 · complaint
2023-12-12 · HEALTHF0644Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Correction field: Deficient, Provider has date of correction · 2024-01-12
2023-12-12 · HEALTHF0725Severity E · pattern; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Correction field: Deficient, Provider has date of correction · 2024-01-02
03 / ENFORCEMENT FILE

CMS penalties reported for Colonial Nursing & Rehabilitation Center

The August 2026 file contains 1 penalty row and $247,572 in listed fines for this provider record.

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2024-12-27Fine$247,5720
04 / OWNERSHIP DISCLOSURES

Ownership disclosures for Colonial Nursing & Rehabilitation Center

CMS matched 3 ownership disclosure rows to Colonial Nursing & Rehabilitation Center; names and roles are reported fields, not independently verified identities.

  • HOPKINS COUNTY HOSPITAL DISTRICTOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 03/31/2017
  • SMITH, MICHAELIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 12/01/2021
  • SMITH, MICHAELIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 12/01/2021

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Staffing hours and turnover for Colonial Nursing & Rehabilitation Center

CMS reports 3.51 total nurse hours and 0.30 RN hours per resident day for this provider.

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.51per resident day
RN hours0.30per resident day
Weekend nurse hours3.27per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS

Facilities published near Colonial Nursing & Rehabilitation Center

The local peer set contains 1 other published facility record near Lindale, TX, with separate bed, rating, and citation-row fields.

Open the Lindale ledger →
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.