Deficiency Index

Rowlett Health and Rehabilitation Center

Rowlett, Texas · CCN 455904

26 surveys since 2011, 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
99
Surveys
26
Harm or worse
7
Immediate jeopardy
1
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file22/26

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
163
Ownership
For profit - Limited Liability company
Chain
THE ENSIGN GROUP
County
Dallas
Medicare-certified since
1990

CMS ratings

Overall
3
Health inspection
4
Staffing
1
Quality measures
4

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 209 for-profit facilities with 128 or more beds in Texas.

Last survey on record

Jul 24, 2025

473 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.173.26
Registered-nurse hours per resident day0.24—
Annual nurse turnover53.9%55.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1168.8%E425.0%F16.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 16 of the 99 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F5582×

    Reasonably accommodate the needs and preferences of each resident.

  • F5842×

    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.

  • F6952×

    Provide safe and appropriate respiratory care for a resident when needed.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

In the surveyor’s words

From the most serious findings on record at Rowlett Health and Rehabilitation Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jun 20, 2024

    Based on observation, interviews, and record reviews the facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety for the facility's only kitchen, reviewed for food storage, labeling, dating, and kitchen sanitation. The facility failed to ensure food in the facility's refrigerator, was labeled and dated according to guidelines. The facility failed to ensure food in the facility's freezer, was labeled and dated according to guidelines. The facility failed to ensure the ice machine scoop holder, located in the facility's kitchen, was cleaned. […]

  • No harm, potential for more than minimal, widespreadF812May 27, 2021

    Based on observation, interview, and record review the facility failed to store, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen. 1. The facility failed to ensure staff wore hair restraints while in the kitchen. 2. The facility failed to ensure containers of seasoning and liquid substance was clear of debris on and around the rim of the containers. 3.The facility failed to ensure the refrigerator and freezer floors were free of debris. These failures could place residents at risk for food-borne illness and cross contamination. Findings included: 1. […]

  • No harm, potential for more than minimal, patternF584Jul 24, 2025

    Based on observation, interview and record review the facility failed to ensure residents had the right to a safe, clean, comfortable, and homelike environment including but not limited to receiving treatment and supports for daily living safely for 10 of 15 resident rooms on the 500 hall (Resident rooms #1, #2, #3, #4, #5, #6, #7, #8, #9 and #10), and residents eating in the dining room, reviewed for environment.Based on observation, interview and record review the facility failed to ensure residents had the right to a safe, clean, comfortable, and homelike environment including but not limited to receiving treatment and supports for daily living safely for 10 of 15 resident rooms on the 500 hall (Resident rooms #1, #2, #3, #4, #5, #6, #7, #8, #9 and #10), and residents eating in the… […]

  • No harm, potential for more than minimal, patternF812Jul 24, 2025

    Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for the facility's only kitchen, reviewed for food and nutrition services. Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for the facility's only kitchen, reviewed for food and nutrition services. 1. The facility failed to place a cover on top of the tea dispenser to avoid air borne contaminants. 2. The facility failed to ensure food in the freezer and dry storage area was labeled and dated when stored. 3. […]

  • No harm, potential for more than minimal, patternF584Jun 20, 2024

    Based on observations, interviews, and record review the facility failed to provide a safe, clean, comfortable, and homelike environment including but not limited to receiving treatment and supports for daily living safely for areas in the facility for 6 (Resident room [ROOM NUMBER], #513, #515, #517, #519, and #522) of 14 resident rooms observed for a safe, clean, comfortable, and homelike environment. The facility failed to ensure that Residents room [ROOM NUMBER], #513, #515, #517, #519, and #522 were cleaned and sanitized. This deficient practice could place residents at risk of living in an unclean and unsanitary environment which could lead to a decreased quality of life. […]

Read 27 findings in full →The most serious and the most recent: 27 of 99 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 24, 2025Standard5 findings
  • Jun 20, 2024Standard and complaint6 findings
  • Aug 21, 2023Complaint2 findings
  • Jun 27, 2023Complaint1 finding
  • May 10, 2023Standard3 findings
  • Mar 15, 2023Complaint1 finding
  • Mar 9, 2023Complaint1 finding
  • Jan 23, 2023Complaint1 finding
Show the 18 earlier surveys
  • Dec 5, 2022Complaint1 finding
  • Aug 15, 2022Complaint1 finding
  • Mar 24, 2022Standard4 findings
  • May 27, 2021Standard and complaint2 findings
  • Nov 5, 2020Complaint1 finding
  • May 26, 2020Complaint1 finding
  • Jan 31, 2020Standard14 findings
  • Dec 19, 2019Complaint4 findings
  • Mar 18, 2019Standard and complaint6 findings · 1 harm
  • Jul 25, 2018Complaint1 finding
  • Mar 1, 2018Standard3 findings
  • Oct 27, 2017Complaint1 finding
  • Aug 13, 2015Standard1 finding
  • Jul 6, 2014Standard4 findings · 2 harm
  • Jan 31, 2014—3 findings
  • Jul 15, 2013—16 findings · 4 harm
  • Jul 19, 2012—9 findings
  • Jun 17, 2011—7 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.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction