Cleburne, TX

Heritage Trails Nursing And Rehabilitation Center

4-star overall rating with 4-star inspections with $67,124 in total fines with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

301 Lincoln Park Dr, Cleburne, TX

(817) 558-8999

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

122

Certified beds

Average residents

87

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Eduro Healthcare

Operator or chain grouping

Approved since

1998-05-26

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.40

Registered nurse staffing

LPN hours / resident day

0.93

Licensed practical nurse staffing

Aide hours / resident day

1.53

Nurse aide staffing

Weekend hours

2.52

Weekend nurse staffing

RN turnover

22%

Annual RN turnover

Total nurse turnover

48%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.5	2.1 0.6 pts better	1.9 0.4 pts better	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	2.2	2.1 0.1 pts worse	1.8 0.4 pts worse	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.7%	97.1% 2.6 pts better	93.4% 6.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	94.6%	97.9% 3.3 pts worse	95.5% 0.9 pts worse	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	3.3%	3.3% About the same	3.3% About the same	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	4.5%	2.7% 1.8 pts worse	11.4% 6.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	2.5%	3.3% 0.8 pts better	5.4% 2.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	30.4%	18.9% 11.5 pts worse	19.6% 10.8 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	17.2%	10.8% 6.4 pts worse	16.7% 0.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened	18.3%	15.4% 2.9 pts worse	16.3% 2 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	15.0%	16.1% 1.1 pts better	14.9% 0.1 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	2.5%	0.8% 1.7 pts worse	1.7% 0.8 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	12.4%	15.0% 2.6 pts better	19.8% 7.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	6.0%	4.2% 1.8 pts worse	5.1% 0.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.8%	89.7% 2.1 pts better	81.7% 10.1 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	7.3%	12.0% 4.7 pts better	12.0% 4.7 pts better	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	2.2%	1.5% 0.7 pts worse	1.6% 0.6 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	84.0%	88.0% 4 pts worse	79.7% 4.3 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	19.5%	25.9% 6.4 pts better	23.9% 4.4 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-20 · Fire 2025-08-20

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-07-11 · Fire 2024-07-11

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

9 fire-safety deficiencies

Top issue: Egress (4 deficiencies)

Cycle 3 Health 2023-05-25 · Fire 2023-05-25

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-08-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-06

E · Potential for more than minimal harm 2025-08-20

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-09-06

F · Potential for more than minimal harm 2024-07-11

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-04-01

F · Potential for more than minimal harm 2024-07-11

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-04-06

F · Potential for more than minimal harm 2024-07-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-03-05

E · Potential for more than minimal harm 2024-07-11

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-04-06

E · Potential for more than minimal harm 2024-07-11

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2025-03-28

E · Potential for more than minimal harm 2024-07-11

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-04-01

E · Potential for more than minimal harm 2024-07-11

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-04-01

E · Potential for more than minimal harm 2024-07-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-06

E · Potential for more than minimal harm 2024-07-11

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-06

F · Potential for more than minimal harm 2023-05-25

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-07-24

F · Potential for more than minimal harm 2023-05-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-11

F · Potential for more than minimal harm 2023-05-25

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-06-30

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-05-08

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-06-15

J · Immediate jeopardy 2024-09-19

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2024-09-20

J · Immediate jeopardy 2024-09-19

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-09-20

E · Potential for more than minimal harm 2024-07-11

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-07-25

E · Potential for more than minimal harm 2024-07-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-25

D · Potential for more than minimal harm 2024-07-11

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-07-25

D · Potential for more than minimal harm 2024-07-11

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-07-25

D · Potential for more than minimal harm 2024-05-01

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-05-17

F · Potential for more than minimal harm 2024-04-17

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-05-28

G · Actual harm 2023-11-21

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-12-10

E · Potential for more than minimal harm 2023-05-25

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-05-25

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2023-06-30

Penalties and ownership

What sits behind the stars

$24,500 2024-09-19

Fine

Fine · fine $24,500

Fine

$4,938 2024-02-12

Fine

Fine · fine $4,938

Fine

$14,434 2024-01-22

Fine

Fine · fine $14,434

Fine

$4,140 2024-01-08

Fine

Fine · fine $4,140

Fine

$3,496 2024-01-02

Fine

Fine · fine $3,496

Fine

$8,391 2023-12-11

Fine

Fine · fine $8,391

Fine

$7,225 2023-11-21

Fine

Fine · fine $7,225

Fine

Ownership

Maverick County Hospital District

5% Or Greater Direct Ownership Interest · Organization

100% 10 facilities 2022-10-01

Bewsey, Michael

Operational/Managerial Control · Individual

0% 29 facilities 2022-10-01

Cleburne Nursing And Rehab Center LLC

Operational/Managerial Control · Organization

0% 1 facilities 2022-10-01

Martinez, Alma

Corporate Officer · Individual

0% 10 facilities 2022-10-01

Nearby options

Other facilities in reach

#1

Colonial Manor Nursing Center

Cleburne, TX

4-star overall rating with 3-star inspections with $35,539 in total fines with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall: 4 / 5
Health: 3 / 5
Staffing: 3 / 5
Fines: $35,539

#2