CCN 675748
Heritage Trails Nursing and Rehabilitation Center
301 LINCOLN PARK DR, Cleburne, TX 76033 · Johnson County
- Ownership
- For profit - Limited Liability company
- Certified beds
- 122
- Residents per day
- 89.0
- Health citations
- 12
- Penalties
- 7
- Fines
- 7 · $67,124
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 1.48
- 2.01
- 2.32
- LPN/LVN
- 0.73
- 0.95
- 0.86
- Registered nurse
- 0.55
- 0.43
- 0.69
- Total nurse staff
- 2.76
- 3.39
- 3.86
- Weekend total
- 2.40
- 2.98
- 3.42
- Weekend RN
- 0.26
- 0.34
- 0.48
Adjusted total nurse hours: 2.88. Adjusted RN hours: 0.57. Case-mix total: 3.69. Case-mix index: 1.348.
Total nursing staff turnover: 53.2%. RN turnover: 44.4%. Administrators who left: 1.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 7 fines totaling $67,124, and 0 payment denials.
| Date | Type | Amount or days |
|---|
| September 19, 2024 | Fine | $24,500 |
| February 12, 2024 | Fine | $4,938 |
| January 22, 2024 | Fine | $14,434 |
| January 8, 2024 | Fine | $4,140 |
| January 2, 2024 | Fine | $3,496 |
| December 11, 2023 | Fine | $8,391 |
| November 21, 2023 | Fine | $7,225 |
Cycle 1 standard survey: August 20, 2025. Health deficiencies counted in cycle 1: 0. Cycle 1 total health score: 0.
Cycle 2 standard survey: July 11, 2024. Cycle 2/3 health deficiencies: 10. Total weighted health survey score: 48.25.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 12 citations for this home, including 2 at immediate jeopardy and 1 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
May 8, 2025
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F584 | 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. Resident Rights Deficiencies · Complaint survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 15, 2025 |
September 19, 2024
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Complaint survey · Cycle 2 | J: isolated, immediate jeopardy to resident health or safety | Deficient, Provider has date of correction · September 20, 2024 |
| F842 | 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 · Complaint survey · Cycle 2 | J: isolated, immediate jeopardy to resident health or safety | Deficient, Provider has date of correction · September 20, 2024 |
July 11, 2024
4 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Standard survey · Cycle 2 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · July 25, 2024 |
| F880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Standard survey · Cycle 2 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · July 25, 2024 |
| F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Standard survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · July 25, 2024 |
| F641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · July 25, 2024 |
May 1, 2024
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Complaint survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · May 17, 2024 |
April 17, 2024
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Complaint survey · Cycle 3 | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · May 28, 2024 |
November 21, 2023
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F600 | 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 · Complaint survey · Cycle 3 | G: isolated, actual harm that is not immediate jeopardy | Deficient, Provider has date of correction · December 10, 2023 |
May 25, 2023
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 3 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 30, 2023 |
| F791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 30, 2023 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections