Show Inspection Reports
Total health inspections
4
Texas average 7.4
Last Health inspection on Oct 2024
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Golden Years Nursing and Rehab
Nursing Home in Marlin
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Golden Years Nursing and Rehab
Nursing Home in Marlin
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Overview of Golden Years Nursing and Rehab
Situated in the serene neighborhood of Chambers Street, Marlin, TX, Golden Years Nursing and Rehab is a distinguished senior care community offering skilled nursing, rehabilitation therapy, and long- and short-term care. With its cozy and spacious rooms, the community promises a comfortable and safe residence. The community features round-the-clock care and assistance with a team of dedicated and skilled professionals comprised of licensed nurses, therapists, and social workers.
Golden Years Nursing and Rehab strives to improve seniors’ well-being, providing physical, occupational, and speech therapy, alongside other care services. Fun activities and wellness programs are conducted to ensure seniors remain active and happy. The community serves healthy and delicious meals to cater to residents’ dietary needs and preferences. Golden Years Nursing and Rehab is a great place to heal with its campus surrounded by wonderful trees and a serene environment.
Randy Cheeks serves as the Interim Administrator at Golden Years Nursing and Rehab. He leads the community with a focus on creating a healing environment where residents are treated like family. Under his leadership, the facility customizes care and therapy plans to meet individual needs and prioritizes safety measures during the COVID-19 pandemic.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 195th out of 246 homes in Texas.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 195th out of 246 homes in Texas.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 8m per day
vs Texas avg
-17%
Standout metric
Physical Therapist is +150% above state avg
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 31m per day | ▲ 19% State avg: 26m per day · National avg: 41m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 21m per day | ▼ 33% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 16m per day | ▼ 24% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 10m per day | ▲ 150% State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 25m per day | ▲ 19% State avg: 21m per day · National avg: 29m per day |
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
86
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
42.8%
Avg. Length of Stay
198 days
Occupancy rate
42.8%
Avg. Length of Stay
198 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
32% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
52% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
16% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Governmental community
Operated by state authorities.
Home revenue
$5.1M
Surplus of revenue
$98.2K
Governmental community
Operated by state authorities.
Home revenue
$5.1M
Surplus of revenue
$98.2K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.1M
86-bed community
A larger shared setting that may offer more common spaces and organized community services.
50 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 60 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Services
About this community
Facility TypeNursing
StatusLicensed
IssuanceJanuary 4, 2025
ExpirationJanuary 4, 2028
CountyFalls
License Number308568
Year Opened11/13/1975
QualificationNursing
Golden Years Nursing and Rehab is administrated by Connor Hughes.
Management CompanyMARLIN NURSING AND REHAB CENTER LLC
OwnerFannin County Hospital Authority
Ownership TypeHOSPITAL DISTRICT/AUTHORITY
Medicare
17 units
Medicaid and Medicare
69 units
Total beds
86 units
Staffing
Key information about the people who lead and staff this community.
Accept Medicaid
Accept Medicare
Rehabilitation Services
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Alzheimer's Certification
Rehabilitation Therapy
Long-Term & Short-Term Care
Specific ProgramsRehabilitation Therapy, Long-Term & Short-Term Care
What does this home offer?
Building Type: Single-story
Fitness and Recreation
Types of Care at Golden Years Nursing and Rehab
Skilled Nursing
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
7 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Latest inspection
Date
August 7, 2025
Annual Inspection5 total citations
2 health citations
3 life safety citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Texas average: 6 citations
Texas average: 2 health citations
Texas average: 6 life safety citations
12 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Texas average: 32 deficiencies
1
enforcement action
Equal to Texas avgPenalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
[]
Texas average: 1 enforcement action
Inspection Report Summary for Golden Years Nursing and Rehab
The most recent inspection on August 7, 2025, identified deficiencies related to nutritional menus and food safety practices. Earlier inspections showed a mix of issues including incomplete medical documentation, failure to provide ordered wound care, medication diversion, resident elopement, and problems with care planning, catheter care, medication administration, and diet management. Complaint investigations confirmed medication diversion and elopement incidents, with immediate jeopardy cited for the elopement, but these issues were corrected before the survey. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows ongoing challenges in documentation, resident care, and food service, with no clear pattern of overall improvement or worsening.
Health Inspection History
Inspections
Total health citations
10
Texas average 25.9
Citations per inspection
2.5
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 10 citations resulted from standard inspections; and 3 of 10 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
50% better than Texas averageTexas average: 2
Serious Health citations
0
0
100% better than Texas averageTexas average: 0.4
1 critical citation
0 serious citations
9 moderate citations
0 minor citations
Citations history (last 3 years)
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 30, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 30, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 03, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 03, 2024
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jul 03, 2024
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jul 03, 2024
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 03, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 03, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Marlin The information below is reported by the Texas Health and Human Services Commission.
Filter by care type
| Golden Years Nursing and Rehab |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Marlin | 86 | 42.8% | -33% | 3.13 | -29% | -14% | 1 | 10 | 2.5 | 1 | 47 | - | 60 | Marlin Nursing And Rehab Center Llc | $4.9M | $0.0M | 0% | 675406 |
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Places of interest near Golden Years Nursing and Rehab
0.5 miles from city center
Estimated distance in miles from Marlin's city center to Golden Years Nursing and Rehab's address, calculated via Google Maps.
— 0.07 miles to nearest hospital (Falls Community Hospital and Clinic)
Calculate Travel Distance to Golden Years Nursing and Rehab
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
57
Employees
43
Contractors
14
Staff to resident ratio
1.43:1
5% worse than Texas averageTexas average ratio: 1.51:1
Avg staff/day
22
Average shift
8.9 hours
10% better than Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
17,833
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
7.2%
1,284 contractor hours this quarter
Certified Nursing Assistant: 5
Licensed Practical Nurse: 4
Respiratory Therapy Technician: 3
Physical Therapy Assistant: 2
Staff by category
| Certified Nursing Assistant | 13 | 5 | 18 | 5,788 | 91 | 100% | 9.5 |
| Licensed Practical Nurse | 7 | 4 | 11 | 3,088 | 91 | 100% | 9.7 |
| Registered Nurse | 3 | 0 | 3 | 1,353 | 87 | 96% | 10.2 |
| Respiratory Therapy Technician | 2 | 3 | 5 | 1,163 | 65 | 71% | 7.1 |
| Speech Language Pathologist | 3 | 0 | 3 | 1,058 | 68 | 75% | 8.3 |
| RN Director of Nursing | 2 | 0 | 2 | 984 | 64 | 70% | 8 |
| Physical Therapy Aide | 6 | 0 | 6 | 915 | 65 | 71% | 7.1 |
| Physical Therapy Assistant | 0 | 2 | 2 | 556 | 64 | 70% | 7.8 |
| Nurse Practitioner | 2 | 0 | 2 | 552 | 62 | 68% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 529 | 64 | 70% | 8.3 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 479 | 64 | 70% | 7.5 |
| Qualified Activities Professional | 1 | 0 | 1 | 467 | 63 | 69% | 7.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 389 | 43 | 47% | 9 |
18 Certified Nursing Assistant
% of Days
100%
11 Licensed Practical Nurse
% of Days
100%
3 Registered Nurse
% of Days
96%
5 Respiratory Therapy Technician
% of Days
71%
3 Speech Language Pathologist
% of Days
75%
2 RN Director of Nursing
% of Days
70%
6 Physical Therapy Aide
% of Days
71%
2 Physical Therapy Assistant
% of Days
70%
2 Nurse Practitioner
% of Days
68%
1 Other Dietary Services Staff
% of Days
70%
1 Administrator
% of Days
70%
1 Qualified Social Worker
% of Days
70%
1 Qualified Activities Professional
% of Days
69%
1 Mental Health Service Worker
% of Days
47%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
40
Medicare
3
7.5% of residents
Medicaid
29
72.5% of residents
Private pay or other
8
20% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.8
10% better than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.2
5% better than Texas averageTexas average: 16.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
18.3%
Percent of long-stay residents whose need for help with daily activities has increased
18.3%
13% worse than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
13.3%
Percent of long-stay residents whose ability to move independently worsened
13.3%
18% better than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.0%
10% better than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.9%
Percent of long-stay high risk residents with pressure ulcers
2.9%
34% better than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.6%
Percent of long-stay residents with a urinary tract infection
0.6%
21% better than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.3%
Percent of long-stay residents who lose too much weight
4.3%
25% worse than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.7%
Percent of long-stay residents who have depressive symptoms
0.7%
76% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
4.1%
Percent of long-stay residents who received an antipsychotic medication
4.1%
47% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
In line with Texas averageTexas average: 97.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.12
Number of hospitalizations per 1,000 long-stay resident days.
2.12
In line with Texas averageTexas average: 2.13
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.34
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.34
13% worse than Texas averageTexas average: 2.07
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.2%
6% worse than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.0%
9% worse than Texas averageTexas average: 88.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$8K
90% lower than Texas averageTexas average: $80K
Number of fines
1
60% fewer fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$8K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 3, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 3, 2024
$8K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Golden Years Nursing and Rehab based on CMS SNF Cost Reports.
Occupancy Rate
42.8%
↑ 2.0pp vs 2023
Net Income
N/A
Total Payroll
$2.4M
↑ ~$871.9K vs 2023
Profit Margin
0.0%
→ 0.0pp vs 2023
Loading trend charts...
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