Colonial Nursing & Rehabilitation Center
508 Pierce St, Lindale, TX 75771 · Smith County
For-profit · 90 certified beds · 67% occupancy · (903) 352-3727
The U.S. government (CMS) rates Colonial Nursing & Rehabilitation Center 1 out of 5 stars overall — much below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
3.51 nurse hours per resident per day. 7% above the Texas median of 3.27.
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0692 · Mar 18, 2026Corrected Mar 27, 2026
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
- Potential for harmTag F0842 · Mar 18, 2026Corrected Mar 27, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0550 · Mar 18, 2026Corrected Mar 27, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
- Potential for harmTag F0641 · Mar 18, 2026Corrected Mar 27, 2026
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0755 · Nov 25, 2025ComplaintCorrected Dec 1, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Minimal harmTag F0640 · Mar 18, 2026Corrected Mar 27, 2026
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
- Immediate jeopardyTag F0600 · Dec 27, 2024ComplaintCorrected Dec 28, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Immediate jeopardyTag F0607 · Dec 27, 2024ComplaintCorrected Dec 28, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Actual harmTag F0689 · Dec 27, 2024ComplaintCorrected Dec 28, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0727 · Jan 8, 2025Corrected Feb 21, 2025
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.
Nursing and Physician Services Deficiencies
Showing the 10 most recent and serious of 23 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is above the national median. Ask how the home decides to start these medications and how often it reviews them.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-08-09. See the Texas study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - individual). It is independently operated, not part of a multi-facility chain.