Rockdale Estates & Rehabilitation
Rockdale, Texas · CCN 676093
29 surveys since 2010, 7 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 97
- Surveys
- 29
- Harm or worse
- 7
- Immediate jeopardy
- 5
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 84
- Ownership
- For profit - Limited Liability company
- Chain
- FANNIN COUNTY HOSPITAL DISTRICT
- County
- Milam · rural
- Medicare-certified since
- 2006
CMS ratings
- Overall
- 3
- Health inspection
- 4
- Staffing
- 2
- Quality measures
- 1
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 164 for-profit facilities of 66–99 beds in Texas.
Last survey on record
Jun 3, 2026
159 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 2.72 | 3.22 |
| Registered-nurse hours per resident day | 0.42 | — |
| Annual nurse turnover | 42.6% | 53.9% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $8,018 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G15.6% | H— | I— |
| No harm, potential for more than minimal | D1266.7% | E422.2% | F15.6% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F8802×
Provide and implement an infection prevention and control program.
- F6001×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6451×
PASARR screening for Mental disorders or Intellectual Disabilities
In the surveyor’s words
From the most serious findings on record at Rockdale Estates & Rehabilitation, in the surveyor’s own words.
- Actual harm, isolatedF689Mar 20, 2024
Based on observations interview, and record review, the facility failed to provide adequate supervision and to prevent accidents for one resident (Resident #1) of five reviewed for accidents and hazards in that: The facility failed to supervise Resident #1 when she was found walking in the hallway without her walker, resulting in a fall with injuries on 3/13/2024. This failure placed residents at risk of accidents or falls resulting in injuries, pain and hospitalization . Findings included: Review of Resident #1's face sheet dated 3/20/24 reflected an [AGE] year-old female admitted on [DATE] with diagnoses including: Dementia (progressive or persistent loss of intellectual functioning), difficulty in walking, lack of coordination, heart disease, Hypertension (high blood pressure) and… […]
- No harm, potential for more than minimal, widespreadF812Mar 7, 2024
Based on observation, interview, and record review, the facility failed to store, prepare, distribute food in accordance with professional standards for food service safety for one of one kitchen reviewed for kitchen sanitation. A. The facility failed to ensure Dietary Manager wore a hair net when standing by clean plates in the kitchen. B. The facility failed to maintain sanitary all 3 ovens and the only fryer in the kitchen. C. The facility failed to ensure the Dietary Manager properly used proper hand sanitation during food preparation. These failures could place residents who were served from the kitchen at risk for health complications, foodborne illness, and decreased quality of life. Findings included: A. […]
- No harm, potential for more than minimal, patternF868Jun 3, 2026
Based on interview and record review, the facility failed to maintain a quality assessment and assurance committee consisting at a minimum the required committee members for seven (September 2025, October 2025, December 2025, February 2026, March 2026, April 2026, and May 2026) of eight meetings reviewed for QAPI.The facility did not ensure the Medical Director, or a designee attended quarterly QAPI meetings.This failure could place residents at risk for quality deficiencies being unidentified, infections, no appropriate plans of action developed and implemented, and no appropriate guidance developed.Findings include: Record review of the facility's QAPI Committee sign in sheets indicated the Medical Director was absent from the September 2025, October 2025, December 2025, February 2026,… […]
- No harm, potential for more than minimal, patternF727Apr 16, 2025
49410 Based on interview and record review, the facility failed to ensure that a designated DON was providing coverage on a full time basis for one out of one facility. The facility failed to ensure they had a DON on duty for a total of 12 days from 04/04/2025 to 04/14/2025. This failure could place residents at risk of missing assessments, interventions and care. Findings include: On 04/14/2025 at 10:30 AM an interview with the Executive Director revealed the facility does not have an active Director of Nursing employed at the facility. The ED stated that the facility has ensured a Registered Nurse is onsite at all times. The ED also reported that a Corporate Nurse was on site once a month to help with DON coverage. […]
- No harm, potential for more than minimal, patternF677Mar 7, 2024
Based on observation, interview and record review the facility failed to ensure residents unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene for 3 of 15 residents (Residents #69, #1, and #59) reviewed for ADLs. The facility failed to ensure Residents #69, #1, and #59 were provided nail care, personal hygiene as documented in their plan of care and MDS. This failure could place residents at risk of scratches, infection, and poor self-esteem. Findings included: 1. […]
Read 26 findings in full →The most serious and the most recent: 26 of 97 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 3, 2026Standard5 findings
- Apr 16, 2025Standard7 findings
- Mar 20, 2024Complaint1 finding · 1 harm
- Mar 7, 2024Standard3 findings
- Nov 22, 2023Complaint1 finding
- Jan 5, 2023Standard1 finding
- Jun 14, 2022Complaint1 finding
- Apr 13, 2022Complaint2 findings
Show the 21 earlier surveys
- Jan 5, 2022Complaint1 finding
- Oct 29, 2021Standard7 findings
- Nov 18, 2020Infection control1 finding · 1 harm
- Jul 16, 2020Complaint2 findings · 1 harm
- Jun 23, 2020Complaint1 finding
- Aug 28, 2019Standard7 findings
- Dec 20, 2018Complaint4 findings
- Jul 11, 2018Standard4 findings
- Jun 22, 2017Standard4 findings
- Oct 5, 2016Complaint2 findings
- Aug 26, 2016Complaint2 findings · 2 harm
- Apr 21, 2016Standard2 findings
- Apr 10, 2015Standard6 findings
- Feb 24, 2015Complaint2 findings · 1 harm
- Jun 2, 2014Complaint2 findings
- Apr 3, 2014Standard and complaint13 findings
- Dec 18, 2013Complaint2 findings
- Jan 24, 2013—1 finding
- Dec 31, 2011—6 findings · 1 harm
- Sep 12, 2011—2 findings
- Oct 13, 2010—5 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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