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C

59.5/100

Average

Colonial Nursing & Rehabilitation Center

508 Pierce St, Lindale, TX 75771

CMS 1/5 stars #11 of 17 in Smith County (903) 352-3727
Certified beds
90
Occupancy
67%
Ownership
For-profit
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.

  • $247,572 in federal fines

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

Our read on Colonial Nursing & Rehabilitation Center

Colonial Nursing & Rehabilitation Center runs 90 certified beds in Lindale under individual for-profit ownership, and its staffing sits at 3.51 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 7% below the home's own weekday coverage, so the thinnest shifts get thinner. The inspection record is the bigger concern. Twenty-three deficiencies are on file, three of them serious enough to involve harm or jeopardy, and two tied to abuse. One federal fine totals $247,572, a figure usually reserved for repeat or high-severity problems. The last inspection was March 18, 2026, so the record is recent, not stale. If you're weighing this one, ask the administrator directly how those abuse deficiencies were resolved and what weekend nurse coverage looks like on a typical Saturday.

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.

Inspection30/30Staffing13/30Stability7.5/15Outcomes9/15Enforcement0/10

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

13/30

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

  • →3.5 total nurse hours per resident per day (national median 3.77)
  • →0.3 RN hours per resident per day
  • →Weekend staffing drops 7% against weekdays

Staff stability

7.5/15

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

  • →No turnover figure reported, scored neutral

Resident outcomes

9/15

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

  • →3 of 5 stars on the CMS quality-measure rating

Enforcement history

0/10

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

  • →$247,572 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 day3.51 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.30 hrs
National average 0.69 hrsBelow average

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

Weekend nurse hours3.27 hrs
National average 3.42 hrsBelow average

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

Nursing staff turnoverNot reported

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

Recent inspection findings

Last standard health inspection: March 18, 2026 (7 months ago). No citations were recorded.

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

What families say

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Common questions about Colonial Nursing & Rehabilitation Center

What is the ElderGrade for Colonial Nursing & Rehabilitation Center? +

Colonial Nursing & Rehabilitation Center holds an ElderGrade of C (59.5 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 Colonial Nursing & Rehabilitation Center? +

Residents receive an average of 3.51 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Colonial Nursing & Rehabilitation Center 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 Colonial Nursing & Rehabilitation Center accept Medicaid? +

Yes, Colonial Nursing & Rehabilitation Center 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.