Texas › Milam County › Rockdale
Rockdale Estates & Rehabilitation
1350 W. Highway 79, Rockdale, TX 76567
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 84 beds, Rockdale Estates & Rehabilitation serves Rockdale in Milam County, Texas and has taken Medicare and Medicaid residents since 2006.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 4, staffing 2 and quality measures 1.
Inspectors recorded 13 health deficiencies across the three most recent survey cycles (7, 3, 3 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 15.5 per 100 beds, fewer than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 2.7 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 42.6%.
Compared with county, state and nation
| Measure | This facility | Milam Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 13 | 23 | 25 | 28.7 |
| Citations per 100 beds | 15.5 | 22.1 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.7 | 2.9 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 42.6% | 50.0% | 52.1% | 45.8% |
| Fines listed | $8,018 | $8,018 | $16,801 | — |
County and state figures are medians across facilities (3 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Apr 2025, 7 Mar 2024.
Severity mix: G ×1 D ×8 E ×3 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 16 Apr 2025 | F0727 | 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. | E | Standard survey | 12 May 2025 |
| 16 Apr 2025 | 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 | 12 May 2025 |
| 16 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 12 May 2025 |
| 16 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 12 May 2025 |
| 16 Apr 2025 | F0758 | Implement 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. | D | Standard survey | 12 May 2025 |
| 16 Apr 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 | 12 May 2025 |
| 16 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 12 May 2025 |
| 20 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 10 Apr 2024 |
| 7 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 15 Apr 2024 |
| 7 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 15 Apr 2024 |
| 7 Mar 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 15 Apr 2024 |
| 22 Nov 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 12 Dec 2023 |
| 5 Jan 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 6 Feb 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 7 Mar 2024 | Fine | $8,018 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 42.6%, RNs 20.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.7% | 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 | 4.7% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 7.9% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.6% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.3% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.2% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Fannin County Hospital Authority. Chain: Fannin County Hospital District (5 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fannin County Hospital Authority | 5% or greater direct ownership interest | 100% | 09/01/2025 |
| Johnson 5.0 LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2025 |
| Boulware St James LLC | Adp of the snf | NOT APPLICABLE | 09/01/2025 |
| Pmg Realco-Mabank, LLC | Adp of the snf | NOT APPLICABLE | 09/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Milam County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Legacy Nursing and Rehabilitation | Cameron | 104 | 2 | 3 | 1 | 23 | 22.1 | — | 12 Feb 2026 |
| Winnie L Nursing & Rehabilitation | Cameron | 105 | 2 | 2 | 1 | 34 | 32.4 | $51K | 12 May 2026 |
All 3 facilities in Milam County
Questions and answers
How many deficiencies has Rockdale Estates & Rehabilitation been cited for?
13 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Rockdale Estates & Rehabilitation been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Rockdale Estates & Rehabilitation compare?
Reported total nurse staffing is 2.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Rockdale Estates & Rehabilitation?
It is part of the Fannin County Hospital District chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Fannin County Hospital Authority and Johnson 5.0 LLC. Individual owners and managers are not listed on this site.
When was Rockdale Estates & Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 16 Apr 2025; the most recent standard health survey was 16 Apr 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.