ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes
C

67/100

Average

Cherokee Trails Nursing Home

330 E. Bagley Rd., Rusk, TX 75785

CMS 2/5 stars #3 of 6 in Cherokee County (903) 683-5438
Certified beds
140
Occupancy
36%
Ownership
Government
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.

  • $30,933 in federal fines

    CMS has fined this facility across 1 penalty action(s).

  • Nursing staff turnover of 65%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

Our read on Cherokee Trails Nursing Home

Cherokee Trails is owned by the local hospital district, and that public ownership hasn't translated into strong staffing. At 3.22 nurse hours per resident day, it sits roughly 16% under the national average, and weekends drop about 13% below its own weekday levels, so care is thinnest exactly when families tend to visit. Staff turnover is 65.3%, well above the 45.8% national figure, and the inspection record shows 43 deficiencies, including six at harm or jeopardy level and four tied to abuse, with $85,329 in fines. The quality measure score looks good on paper, but that's largely self-reported data. The recent inspection date means the record is current, not old.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing18/30Stability2/15Outcomes12/15Enforcement5/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →3.96 total nurse hours per resident per day (national median 3.77)
  • →0.36 RN hours per resident per day
  • →Weekend staffing drops 13% against weekdays

Staff stability

2/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →65% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →4 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →$30,933 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day3.22 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.36 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours2.81 hrs
National average 3.42 hrsBelow average

The shift most families visit, and the one thinned first.

Nursing staff turnover65.30%
National average 45.80%Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: May 20, 2026 (5 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

What families say

Write a review

No family reviews yet for Cherokee Trails Nursing Home. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern , that routes you to your state ombudsman, who can actually intervene.

Common questions about Cherokee Trails Nursing Home

What is the ElderGrade for Cherokee Trails Nursing Home? +

Cherokee Trails Nursing Home holds an ElderGrade of C (67 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Cherokee Trails Nursing Home? +

Residents receive an average of 3.22 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Cherokee Trails Nursing Home been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Cherokee Trails Nursing Home accept Medicaid? +

Yes, Cherokee Trails Nursing Home is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.