Rock Creek Health and RehabilitationCMS ratings, inspections and fines
- Address
- 1414 College Street, Sulphur Springs, TX 75482
- CCN
- 676235
- Ownership type
- For-profit, corporation
- Certified beds
- 120
- Residents per day
- 99
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Rock Creek Health and Rehabilitation an overall rating of 1 of 5 stars. The last standard survey was on 14 Aug 2025. The latest survey cycle has 7 health citations. The median for nursing homes in Texas is 8. CMS lists 2 fines with a total of $58,807 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Hopkins County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 3.0 | 2.0 | 2.9 |
| Quality measure rating | 3 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 4 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 14 Aug 2025 | 7 | 8 |
| Cycle 2 | 20 Jun 2024 | 22 | 8 |
| Cycle 3 | No date | 9 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | L0 | ||
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Jun 2026 | F0732 | Post nurse staffing information every day. | D | Complaint investigation | 26 Jun 2026 |
| 25 Jun 2026 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | Complaint investigation | 26 Jun 2026 |
| 17 Apr 2026 | F0760 | Ensure that residents are free from significant medication errors. | K | Complaint investigation | 18 Apr 2026 |
| 5 Mar 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 6 Mar 2026 |
| 5 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 6 Mar 2026 |
| 24 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 25 Nov 2025 |
| 14 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 15 Aug 2025 |
Survey cycle 2: 22 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 11 Dec 2024 |
| 23 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 24 Oct 2024 |
| 5 Sep 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 6 Sep 2024 |
| 5 Sep 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 6 Sep 2024 |
| 20 Jun 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 21 Jun 2024 |
| 20 Jun 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 21 Jun 2024 |
| 20 Jun 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 21 Jun 2024 |
| 20 Jun 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 21 Jun 2024 |
| 20 Jun 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 21 Jun 2024 |
| 20 Jun 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 21 Jun 2024 |
| 20 Jun 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 21 Jun 2024 |
| 20 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 21 Jun 2024 |
| 20 Jun 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 21 Jun 2024 |
| 20 Jun 2024 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 21 Jun 2024 |
| 20 Jun 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 21 Jun 2024 |
| 20 Jun 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 21 Jun 2024 |
| 20 Jun 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 21 Jun 2024 |
| 20 Jun 2024 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 21 Jun 2024 |
| 20 Jun 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | B | Standard survey | 21 Jun 2024 |
| 20 Jun 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 21 Jun 2024 |
| 20 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 21 Jun 2024 |
| 20 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 9 Jul 2024 |
Survey cycle 3: 9 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 May 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 11 May 2023 |
| 10 May 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 11 May 2023 |
| 10 May 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 11 May 2023 |
| 10 May 2023 | F0642 | Ensure a qualified health professional conducts resident assessments. | D | Standard survey | 11 May 2023 |
| 10 May 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 11 May 2023 |
| 10 May 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 11 May 2023 |
| 10 May 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 11 May 2023 |
| 10 May 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 11 May 2023 |
| 10 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 11 May 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 17 Apr 2026 | Fine | $44,148 | |
| 13 Dec 2024 | Fine | $14,659 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 2.84 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.47 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.68 | 0.95 | |
| Nurse aides | 1.69 | 2.00 | |
| All nurse staff, weekends | 2.41 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 90.3%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 100.0%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.3% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.2% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.4% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.8% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- West Wharton County Hospital District
- Chain
- Creative Solutions in Healthcare (149 homes in the CMS chain file)
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Hopkins County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Sunny Springs Nursing & Rehab | Sulphur Springs | 2 of 5 | 15 | $0 | 10 Sep 2025 | |
| Carriage House Manor | Sulphur Springs | 4 of 5 | 7 | $0 | 23 Jul 2025 | |
| Sulphur Springs Health and Rehabilitation | Sulphur Springs | 3 of 5 | 18 | $44,044 | 25 Mar 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Rock Creek Health and Rehabilitation (CCN 676235). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/rock-creek-health-and-rehabilitation-sulphur-springs-tx-676235/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Rock Creek Health and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 25 Jun 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 20 Jun 2024.
- Who operates Rock Creek Health and Rehabilitation?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Creative Solutions in Healthcare. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- Is Rock Creek Health and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.