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Rockwall Nursing Care Center
206 Storrs Street, Rockwall, TX 75087
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.
Rockwall Nursing Care Center, in Rockwall, Texas, is certified for 192 beds under for-profit, individual ownership and belongs to the Creative Solutions In Healthcare chain.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 2, staffing 2 and quality measures 5.
Inspectors recorded 50 health deficiencies across the three most recent survey cycles (21, 10, 19 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 26.0 per 100 beds, about the same as the state median of 22.5.
CMS lists 3 penalties in the period covered: fines totalling $58K.
Reported nurse staffing is 3.3 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 92.4%.
Compared with county, state and nation
| Measure | This facility | Rockwall Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 50 | 27 | 25 | 28.7 |
| Citations per 100 beds | 26.0 | 14.2 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 92.4% | 44.9% | 52.1% | 45.8% |
| Fines listed | $58,059 | $0 | $16,801 | — |
County and state figures are medians across facilities (5 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: 26 Mar 2026, 16 Jan 2025.
Severity mix: J ×3 K ×1 D ×31 E ×14 B ×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 |
|---|---|---|---|---|---|
| 26 Mar 2026 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 27 Mar 2026 |
| 26 Mar 2026 | F0584 | 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. | E | Standard survey | 27 Mar 2026 |
| 26 Mar 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 27 Mar 2026 |
| 26 Mar 2026 | 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. | E | Standard survey | 27 Mar 2026 |
| 26 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 27 Mar 2026 |
| 26 Mar 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 27 Mar 2026 |
| 26 Mar 2026 | 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 | 27 Mar 2026 |
| 26 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 27 Mar 2026 |
| 26 Mar 2026 | 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 | 27 Mar 2026 |
| 26 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Mar 2026 |
| 26 Mar 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | B | Standard survey | 27 Mar 2026 |
| 13 Mar 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 31 Mar 2026 |
| 13 Mar 2026 | F0584 | 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. | D | Complaint investigation | 31 Mar 2026 |
| 13 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 31 Mar 2026 |
| 13 Mar 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Complaint investigation | 31 Mar 2026 |
| 9 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 10 Jan 2026 |
| 25 Nov 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 26 Nov 2025 |
| 25 Nov 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 26 Nov 2025 |
| 21 Oct 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 29 Sep 2025 |
| 21 Oct 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 22 Oct 2025 |
| 21 Oct 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 22 Oct 2025 |
| 17 Jun 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 18 Jun 2025 |
| 16 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 17 Jan 2025 |
| 16 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 17 Jan 2025 |
| 16 Jan 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 17 Jan 2025 |
| 19 Dec 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 20 Dec 2024 |
| 19 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 20 Dec 2024 |
| 19 Dec 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 | Complaint investigation | 20 Dec 2024 |
| 1 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 31 Oct 2024 |
| 1 Nov 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 2 Nov 2024 |
| 9 Oct 2024 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint investigation | 10 Oct 2024 |
| 17 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 6 Jun 2024 |
| 17 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 6 Jun 2024 |
| 17 May 2024 | F0732 | Post nurse staffing information every day. | D | Complaint investigation | 6 Jun 2024 |
| 18 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | K | Complaint investigation | 19 Nov 2023 |
| 18 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 19 Nov 2023 |
| 18 Nov 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 19 Nov 2023 |
| 18 Nov 2023 | F0584 | 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. | E | Complaint investigation | 19 Nov 2023 |
| 18 Nov 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 19 Nov 2023 |
| 18 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 19 Nov 2023 |
| 18 Nov 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 19 Nov 2023 |
| 18 Nov 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 19 Nov 2023 |
| 18 Nov 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 19 Nov 2023 |
| 18 Nov 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 19 Nov 2023 |
| 18 Nov 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 19 Nov 2023 |
| 18 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 19 Nov 2023 |
| 3 Oct 2023 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Complaint investigation | 24 Oct 2023 |
| 20 Sep 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint investigation | 25 Sep 2023 |
| 2 Aug 2023 | F0584 | 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. | E | Complaint investigation | 30 Aug 2023 |
| 2 Aug 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 30 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 21 Oct 2025 | Fine | $16,149 | |
| 1 Nov 2024 | Fine | $15,897 | |
| 18 Nov 2023 | Fine | $26,013 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 92.4%, RNs 88.9%; 1 administrator 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 | 12.8% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.3% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.3% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.8% | 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, individual. Chain: Creative Solutions In Healthcare (149 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Honor X Enterprises, LLC | Operational/managerial control | NOT APPLICABLE | 12/01/2023 |
| Rockwall I Enterprises LLC | Operational/managerial control | NOT APPLICABLE | 12/01/2023 |
| Honor X Enterprises, LLC | Adp of the snf | NOT APPLICABLE | 12/01/2023 |
| Nhc Master Tenent, L.L.C. | Adp of the snf | NOT APPLICABLE | 04/16/2025 |
| Rockwall I Enterprises LLC | Adp of the snf | NOT APPLICABLE | 12/01/2023 |
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 Rockwall County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Highland Meadows | Rockwall | 120 | 4 | 4 | 2 | 13 | 10.8 | — | 14 May 2026 |
| Beacon Harbor Healthcare and Rehabilitation | Rockwall | 190 | 3 | 3 | 1 | 27 | 14.2 | $22K | 24 Mar 2026 |
| Broadmoor Medical Lodge | Rockwall | 140 | 3 | 3 | 2 | 32 | 22.9 | — | 22 Apr 2026 |
| Royse City Medical Lodge | Royse City | 124 | 3 | 4 | 1 | 17 | 13.7 | — | 12 Feb 2026 |
All 5 facilities in Rockwall County
Questions and answers
How many deficiencies has Rockwall Nursing Care Center been cited for?
50 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Rockwall Nursing Care Center been fined?
Yes. CMS lists fines totalling $58K in the period covered.
How does staffing at Rockwall Nursing Care Center compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Rockwall Nursing Care Center?
It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Honor X Enterprises, LLC and Rockwall I Enterprises LLC. Individual owners and managers are not listed on this site.
When was Rockwall Nursing Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 26 Mar 2026; the most recent standard health survey was 26 Mar 2026.
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.