healthcarefacts

Nursing home in Rockdale, Texas

Rockdale Estates & Rehabilitation

Medicare and Medicaid

1350 W Highway 79, Rockdale, TX 76567
(512) 446-2548

CMS star ratings

CMS gives this nursing home an overall star rating of 3 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.

Overall rating

  • This nursing home3
  • Texas average2.7 (1,165 rated)
  • U.S. average3.0 (14,565 rated)

Health inspections

  • This nursing home4
  • Texas average2.8 (1,165 rated)
  • U.S. average2.8 (14,565 rated)

Staffing

  • This nursing home2
  • Texas average1.9 (1,163 rated)
  • U.S. average2.9 (14,494 rated)

Quality measures

  • This nursing home1
  • Texas average3.7 (1,162 rated)
  • U.S. average3.6 (14,495 rated)

Health inspections

Most recent standard health inspection (rating cycle 1): Jun 3, 2026. CMS counts 5 health deficiencies in rating cycle 1.

  • This nursing home5
  • Texas average9.4 (1,171 with data)
  • U.S. average9.2 (14,652 with data)

Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.

Deficiencies since Sep 30, 2023

Inspectors cited 17 health deficiencies on 5 inspection dates since Sep 30, 2023. By level of harm: 1 actual harm, 16 potential for harm.

  • 0 Immediate jeopardy to resident health or safety
  • 1 Actual harm
  • 16 No actual harm, potential for more than minimal harm
  • 0 No actual harm, potential for minimal harm
The 10 most recent of 17 health deficiencies since Sep 30, 2023
DateTagDeficiencyScope and severityInspection typeStatus
Jun 3, 2026F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyAdministration DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Jun 24, 2026
Jun 3, 2026F0600Protect 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 DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Jun 24, 2026
Jun 3, 2026F0645PASARR screening for Mental disorders or Intellectual DisabilitiesResident Assessment and Care Planning DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Jun 24, 2026
Jun 3, 2026F0656Develop 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 DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Jun 24, 2026
Jun 3, 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and Dietary DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Jun 24, 2026
Apr 16, 2025F0727Have 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 DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction May 12, 2025
Apr 16, 2025F0656Develop 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 DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction May 12, 2025
Apr 16, 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction May 12, 2025
Apr 16, 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction May 12, 2025
Apr 16, 2025F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Pharmacy Service DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction May 12, 2025
Show the other 7 deficiencies
Older health deficiencies since Sep 30, 2023
DateTagDeficiencyScope and severityInspection typeStatus
Apr 16, 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction May 12, 2025
Apr 16, 2025F0880Provide and implement an infection prevention and control program.Infection Control DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction May 12, 2025
Mar 20, 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care DeficienciesG Actual harm, isolatedComplaintDeficient, Provider has date of correction Apr 10, 2024
Mar 7, 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary DeficienciesF Potential for harm, widespreadStandardDeficient, Provider has date of correction Apr 15, 2024
Mar 7, 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Apr 15, 2024
Mar 7, 2024F0679Provide activities to meet all resident's needs.Quality of Life and Care DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Apr 15, 2024
Nov 22, 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Dec 12, 2023

Staffing

Total nurse staffing

Reported hours per resident per day.

  • This nursing home2.72 hours
  • Texas average3.39 hours (1,148 with data)
  • U.S. average3.86 hours (14,351 with data)

Registered nurse staffing

Reported hours per resident per day.

  • This nursing home0.42 hours
  • Texas average0.43 hours (1,148 with data)
  • U.S. average0.69 hours (14,351 with data)

Nursing staff turnover

Share of nursing staff who left during the year, as reported to CMS.

  • This nursing home42.6%
  • Texas average55.3% (1,051 with data)
  • U.S. average45.8% (13,538 with data)

Penalties

CMS lists 1 penalty for this nursing home: 1 fine totaling $8,018, and 0 payment denials. CMS counts penalties from the last 3 years.

Facility details

Certified beds84
Average residents per day71.6
OwnershipFor profit - Limited Liability company
Provider typeMedicare and Medicaid
Inside a hospitalYes
Continuing care retirement communityNo
Resident and family councilResident
Automatic sprinklers in all required areasYes
ChainFannin County Hospital District (5 facilities)
Legal business nameFANNIN COUNTY HOSPITAL AUTHORITY
First approved for Medicare and MedicaidApr 1, 2006
CountyMilam
CMS certification number676093