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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

Overall★★★★
Health inspections★★★★★
Staffing★★★★
Quality of resident care★★★★★

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.

TX median 3.27

3.51 nurse hours per resident per day. 7% above the Texas median of 3.27.

Total nurse
3.51 hrs
RN
0.30 hrs
LPN
0.85 hrs
Aide
2.35 hrs

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.

23
total findings
2
immediate jeopardy
1
caused actual harm
6
from complaints
  • 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.