206 Storrs Street, Rockwall, TX 75087 · Rockwall County · (972) 771-5000
192 certified beds, about 81 residents a day · For profit - Individual · Medicare and Medicaid since 1994
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675402 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 26, 2026, inspectors cited 11 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 51 health citations since September 2023, 4 were rated as actual harm or immediate jeopardy to residents (4 immediate jeopardy).
CMS lists 3 fines totaling $58,059 in the last three years; the largest was $26,013, and the latest is dated October 21, 2025.
Nurses and nurse aides worked 3.26 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.37 of those hours.
92.4% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Creative Solutions in Healthcare, an affiliated group of 149 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 51 health citations on file.
Inspectors wroteBased on observation, interview and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one of ten residents (Resident #1) reviewed for infection control. 1. The facility failed to ensure CNA C performed hand hygiene during Resident #1's incontinent care and did not put gloves in her pocket on 07/29/2026.2. The facility failed to ensure CNA C and CNA D wore gowns when they performed Resident #1's incontinent care, who had an ileostomy and wound to his abdomen on 07/29/2026.3. The facility failed to ensure CNA C and CNA D wore gowns when they changed Resident #1's clothes on 07/29/2026.4. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to ensure that a resident who needed respiratory care was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for one of ten residents (Resident #2) reviewed for respiratory care. The facility failed to ensure Resident #2's nasal canula was properly stored on 07/29/2026. This failure could place residents at risk of respiratory infection, respiratory complications, and not having their respiratory needs met.
Inspectors wroteBased on observation, interview and record review the facility failed to maintain an effective pest control program so that the facility was free of pests and rodents for 1 of 10 reviewed for an effective pest control program. The facility failed to ensure there was no roach in Hall 200 and Resident #2's room. This failure could place residents at risk for the potential spread of infection, cross-contamination, and decreased quality of life.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure the resident's right to personal privacy during medical treatment and personal care and confidentiality of personal and medical records for ten of twenty residents (Residents #9, #10, #19, #35, #40, #55, #56, #71, #75, and #76) reviewed for privacy and confidentiality. 1. The facility failed to ensure RN B secured Residents #10, #19, #35, #40, #55, #56, #71, and #75's medical information before leaving her cart on 03/24/2026. 2. The facility failed to ensure ADON A pulled the privacy curtain and closed the door while doing Resident #76's wound care on 03/25/2026. 3. The facility failed to ensure RN B secured Residents #9's medical information before leaving her cart on 03/25/2026. 4. [...]
Inspectors wroteBased 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 seven of twelve Resident rooms (room [ROOM NUMBER], #2, #3, #4, #5, #6, #7,and #8) in the memory care unit , and one of nine shower rooms observed for cleanliness. The facility failed to ensure Resident room [ROOM NUMBER], #2, #3, #4, #5, #6, #7,and #8 in the memory care unit were thoroughly cleaned and sanitized. The facility failed to ensure the shower room on the 100 Hall was thoroughly cleaned and sanitized. These deficient practices could place residents at risk of living in an unclean and unsanitary environment which could lead to a decreased quality of life.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents, who needed respiratory care, were provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for three of ten (Resident #9, #38 and #67) reviewed for respiratory care. 1. The facility failed to ensure CNA F did not disconnect, connect, initiate, and titrate Resident #9's oxygen on 03/25/2026.2. The facility failed to ensure Resident #38's nebulizer mask was properly stored on 03/24/2026.3. The facility failed to ensure Resident #67's nebulizer mouthpiece was properly stored on 03/24/2026. These failures could place residents at risk of respiratory infection, respiratory complications, and not having their respiratory needs met.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure, in accordance with State and Federal laws, all drugs and biologicals were stored in locked compartments under proper temperature controls and permitted only authorized personnel to have access to the keys for eight of eighteen residents (Residents #5, #10, #32, #46, #49, #67, #76, and #77) reviewed for medication storage. 1. The facility failed to ensure that Resident #5 did not have an extra strength Tylenol container, a container of eye drops, a tube of antibiotics, and a tube of toothache cream inside the room on 03/24/2026. 2. The facility failed to ensure a container of multivitamins was not inside Resident #49's room on 03/24/2026. 3. The facility failed to ensure vials of eyedrops were not inside Resident #67's room on 03/24/2026. 4. [...]
Inspectors wroteBased 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. The facility failed to ensure the trash can in the kitchen area was properly sealed with a lid. The facility failed to properly label and date stored food received by vendors. The facility failed to ensure the tea dispenser was covered once completed brewing. The facility failed to ensure the ice machine in the kitchen was thoroughly cleaned. The facility failed to ensure the sugar and flour bins were thoroughly cleaned. The facility failed to ensure the deep fryer was properly cleaned. These failures placed residents at risk of exposure to food contamination and illness.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for one (Resident #63) of six residents reviewed for reasonable accommodation of needs. The facility failed to ensure the call light system in Resident #63 room was in a position that was accessible to the resident on 03/24/2026. This failure could place the residents at risk of being unable to obtain assistance when needed and help in the event of an emergency.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights set forth that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for a resident for 2 of 6 residents (Resident #47 and #83 ) reviewed for care plan. The facility failed to ensure Resident #47 and #83's care plan reflected an intervention which included weekly wound assessments. This failure could place residents at risk of their needs not being met.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure that residents' environment remained free of hazards as was possible for two of eighteen residents (Resident #9 and Resident #46) and one direct care staff (RN B) reviewed for accident hazard. 1. The facility failed to ensure CNA F turned off Resident #9's oxygen tank that was leaking immediately on 03/25/2026. 2. The facility failed to ensure a [NAME] screwdriver, a fixed wrench, an [NAME] wrench, and screws were not inside Residents #46's room on 03/24/2026. 3. The facility failed to ensure that RN D did not leave a container of germicidal wipes on top of the nurse's cart unattended on 03/25/2026. These failures could prevent the residents from having an environment that was free from accidents, potential injury, and exposure to toxic chemicals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections and restore continence to the extent possible for one of three residents (Resident #77) reviewed for incontinence. The facility failed to ensure CNA D used proper technique to clean Resident 77's perineal area on 03/24/2026. This failure could place residents at risk of cross-contamination and development of urinary tract infections.
Inspectors wroteBased observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for two of eighteen residents (Resident #65 and Resident #77) reviewed for infection control. 1. The facility failed to ensure CNA D did not use soiled wipes to clean Resident #77's perineal area during incontinent care on 03/24/2026. 2. The facility failed to ensure CMA A sanitized the blood pressure cuff while administering medications to Residents #65 and Resident #77 on 03/25/2026. These failures could place residents at risk of cross-contamination and development of infections.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assured the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals that met the needs of each resident for two of four residents (Resident #100 and #101) reviewed for pharmaceutical services. The facility failed to ensure the MARs for Resident #100 and #101 both deceased residents were signed after administering PRN controlled medication. The facility failed to ensure that in two of five medications carts, the diagnosis listed on medication blister pack matched the physician ordered diagnosis. The facility failed to ensure that no personal staff items were stored in the medication cart. The facility failed to ensure that one of five medication carts did not contain expired Covid-19 test strips. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to ensure the resident had the right to reside and receive services with reasonable accommodate of resident needs and preferences except when to do so would endanger the health or safety of the resident or other residents for 3 of 4 residents (Residents #1, #3 and #4) reviewed for accommodation of needs. The facility failed to place Residents #1, #3 and #4's call-lights within reach. This failure could place residents at risk of not having their needs and preferences met and a decreased quality of life.
Inspectors wroteBased on observation, interview and record review the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for 2 of 4 residents (Resident #2 and #4) reviewed for resident rights. The facility failed to keep the privacy curtain for Resident #2 and Resident #4 in clean and sanitary condition. This failure could place residents at risk of an unsafe, unsanitary, non-homelike environment and decreased quality of life.
Inspectors wroteBased on observation, interview and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infection for 2 of 4 residents (Residents #1 and #2) reviewed for infection control. 1. LVN A failed to change gloves when going from dirty to clean task during perineal care of Resident #1's incontinent care. 2. LVN A failed to sanitize his hands after removing his dirty gloves and before donning clean gloves during Resident #2's incontinent care. 3. LVN A failed to sanitize the bedside table and change covering linen when moving the table from Resident #1's room to Resident #2's room. These deficient practices could place residents at risk for cross contamination and/or spread of infection.
Inspectors wroteBased on observation, interview and record review the facility failed to maintain an effective pest control program so the facility was free of pests and rodents for one (Hall 300, the male secure unit) and two of two rooms (Resident #1 and Resident #2's rooms located in Hall 300 male secured unit) reviewed for pest control. The facility failed to ensure Hall 300 to include Resident #1 and #2's rooms were free from gnats. This failure could place residents at risk for the potential spread of infection, cross-contamination, food-borne illness, and a diminished quality of life.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infection for one of six residents (Resident #1) reviewed for infection control. The facility failed to ensure CNA B wore a gown while providing incontinence care for Resident #1, who was on enhanced barrier precautions (use of gown and gloves during high contact resident care), on 01/07/2026. This failure could place residents at risk of cross-contamination and development of infections.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for two (Resident #1 and Resident #2) of 10 residents reviewed for abuse and neglect. The facility failed to ensure Resident #1 was free from abuse when Resident #2 slapped her on the face on 09/20/2025. This failure could place residents at risk of abuse and emotional stress.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to implement written policies and procedures that prohibited and prevented abuse for 2 (Resident #1 and Resident #2) of 10 resident reviewed for abuse and neglect. The facility failed to implement their policies and procedures to ensure Resident #2 did not slap Resident #1 on the face on 09/20/2025. This failure could place residents at risk of continued abuse and neglect.
Inspectors wroteBased on interviews, and record reviews, the facility failed to provide adequate supervision and assistance to prevent accident hazards for one of ten residents (Resident #3) reviewed for accidents and hazards. CNA A failed to follow Resident #3's care plan and mechanical lift instructions of using two people to perform the transfer on 09/27/25, which resulted in the resident falling and fracturing 5 ribs. The non-compliance was identified as PNC on 10/21/25 and the IJ template was provided to the facility on [DATE] at 4:30 PM. The noncompliance began on 09/27/25 and ended 09/29/25. The facility corrected the non-compliance before the investigation began. This failure placed the resident at risk of serious harm, injury and death.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents had the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences except when to do so would endanger the health or safety of the resident or other residents for two of ten residents (Residents #1, and #2) reviewed for call systems access. The facility failed to ensure the call light system in Resident #1, and #2's rooms was in a position that was accessible to the residents on 10/21/25. This failure could place the residents at risk of being unable to obtain assistance when needed and help in the event of an emergency.
Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure that residents, who needed respiratory care, were provided care consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for four of seven residents (Residents #1, #3, and #4) reviewed for respiratory care. The facility failed to ensure Residents #1, #3, and #4 nasal cannulas and breathing devices were properly stored in a bag when not in use on 10/21/25. This failure could place residents at risk for respiratory infection and not having respiratory needs met.
Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for three (Resident #10, Resident #11, and Resident #12 ) of twenty-two residents reviewed for reasonable accommodation of needs. The facility failed to ensure the call light system in Resident #10, #11, and #12's rooms were in a position that was accessible to the residents on 06/17/2025. This failure could place the residents at risk of being unable to obtain assistance when needed and help in the event of an emergency.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure each resident receives adequate supervision and assistance devices to prevent accidents for four (Residents #19, #39, #15, and #10) of 12 residents reviewed for essential equipment. 1. The facility failed to maintain wheelchairs for Residents #19, #39, #15, and #10. These failures could place residents at risk for using equipment that is in unsafe operating condition, that could cause injury.
Inspectors wroteBased on observations, interviews, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's only kitchen reviewed for food safety. 1. The facility failed to ensure food items were labeled and dated with the received or expiration date. 2. The facility failed to ensure expired whipping cream was disposed. 3. The facility failed to discard open items stored in the refrigerator that were not sealed. These failures could place residents at risk for food-borne illness and cross contamination. Findings Included: Observation of drink dispenser on 01/14/2025 at 9:14am revealed the following: -1 3 gallon drink dispenser of unidentified yellow liquid drink. There was no label description or preparation date. Observation of refrigerator #1 on 01/14/2025 at 9:22 am revealed the following: [...]
Inspectors wroteBased on observations, interviews and record reviews the facility failed to provide a safe, functional, sanitary and comfortable environment for residents, staff and the public for 2 of 12 rooms (Residents #43's and #61's rooms) and 1 of 4 halls (the 300 wing (secure unit) hallway). The facility failed to ensure that there was running water in the sinks, the sinks had functioning drains, safety grab bars were secure to the walls, tiles had no gaps between them exposing the porous flooring beneath and safety handrails had no exposed sharp metal protrusions. These failures could result in residents experiencing falls, skin tears and unable to perform handwashing.
Inspectors wroteBased on observations, interviews, and record review the facility failed to protect the confidentiality of personal and medical records for one (LVN A) of three staff observed for confidentiality of records. The facility failed to ensure LVN A locked and closed the laptop during the medication pass exposing resident on the female locked unit's personal information. This failure could affect residents by placing them at risk for loss of privacy and dignity.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 4 residents (Resident #1) reviewed for accidents and hazards. The facility failed to ensure Resident #1's shoes were on properly to avoid falls. This failure could place residents at risk of their needs not being met.
Inspectors wroteBased on observation, interview and record review, the facility failed to store all drugs and biologicals in locked compartments for one (Medication Cart 1) of three medication carts reviewed for medication storage. The facility failed to lock Medication cart 1 leaving all medications on the cart accessible. These failures could place residents at risk for possible drug diversions.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure residents received adequate supervision and assistance devices to prevent accidents for one (Resident #1) of five residents reviewed for accidents. The facility failed to ensure Resident #1 who was a fall risk, had precautions in place to prevent Resident #1 from falling in the dining room on 10/30/2024. Resident #1 was left alone in the dining room by staff and fell out of his wheelchair. He sustained a bilateral subdural hematoma and was hospitalized . Resident #1 had a fall on 10/28/24 from his bed in which he sustained a hematoma. The noncompliance was identified as PNC IJ. The noncompliance began on 10/30/24 and ended on 10/31/24. The facility had corrected the noncompliance before the investigation began. This failure could place residents at risk of injury and a decreased quality of life.
Inspectors wroteBased on interview and record review, the facility failed to ensure the comprehensive care plan was reviewed and revised by the interdisciplinary team after each assessment including both the comprehensive assessment and quarterly review assessments for one (Resident #1) of four residents were reviewed for comprehensive care plans. The facility failed to ensure the interdisciplinary team revised and reviewed the care plan after each assessment. This failure could affect residents by placing them at risk for not having their individual needs met.
Inspectors wroteBased on interviews, observations, and record reviews the facility failed to obtain laboratory services to meet the needs of its residents for one (Resident #13) of three residents reviewed for laboratory services. The facility failed to collect a urine specimen for a UA for Resident #13 as ordered by the physician on 9/23/24. This failure could place residents at risk for urinary tract infections, renal failure, and pain.
Inspectors wroteBased on interview and record review the facility failed to ensure each resident was treated with respect and dignity and care in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life, recognizing each resident's individuality and protected and promoted the rights of the resident for two of five residents (Resident #1 and Resident#2) reviewed for resident rights. The facility failed to ensure Resident #1 was treated with respect and dignity when LVN A slammed her hand on the bedside table and yelled Sit at the resident as she walked passed him. This failure could place residents at risk of a diminished quality of life and loss of dignity and self-worth.
Inspectors wroteBased on observation, interview and record review the facility failed to establish policies, in accordance with applicable, Federal, State, and local laws and regulations, regarding smoking, smoking areas, and smoking safety that also took into account nonsmoking residents for one of four (Resident #3) residents reviewed for smoking. The facility failed to follow their policy regarding residents who smoke always being supervised When Resident #3 was observed smoking outside without staff supervision. This failure could place residents at risk for smoking-related injuries and fires in the facility.
Inspectors wroteBased on observation, interview and record review the facility failed to post on a daily basis information that included the facility name, the current date and the number and the actual hours worked by registered nurses, licensed practical nurses or licensed vocational nurses, certified nurse aides and the resident census for one of twenty -three days (05/17/24) reviewed for nursing services and postings. The facility failed to update the daily staffing information posting on 05/17/24. This failure could place residents at risk of not having access to information regarding staffing data and facility census.
Inspectors wroteBased on interview and record review the facility failed to develop and implement a comprehensive, person-centered care plan for each resident that includes measurable objectives and time frames to meet, attain, and/or maintain the resident's highest practicable physical, mental, and psychosocial well-being of (Resident #5, Resident #6, Resident #11, Resident #20, Resident #40, Resident #46, and Resident #59) 7 of 14 comprehensive care plans and elopement risk assessments reviewed. 1. The facility failed to implement the interventions listed on Resident #6's comprehensive care plan. Consequently, Resident #6 eloped from the facility, compromising his safety. 2. [...]
Inspectors wroteBased on interview and record review the facility failed to ensure residents received adequate monitoring and supervision to prevent elopement of (Resident #6) 1 of 7 residents reviewed for accidents, hazards, and supervision. 1. The facility failed to adequately assess, supervise, and implement care interventions for Resident #6 to prevent an elopement from the facility on 11/05/2023 for approximately 10-20 minutes. 2. The facility failed to implement the interventions listed on Resident #6's comprehensive care plan. Consequently, Resident #6 eloped from the facility, compromising his safety. An IJ was identified on 11/16/2023 at 5:30 PM. The IJ template was provided to the Administrator and DON on 11/16/2023 at 5:46 PM. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for three (Resident #65, Resident #1, and Resident #31) of ten residents reviewed for reasonable accommodation of needs. The facility failed to ensure the call light system in Resident #65, Resident #1, and Resident #31's rooms was in a position that was accessible to the resident. This failure could place the residents at risk of being unable to obtain assistance when needed and not to get help in the event of an emergency.
Inspectors wroteBased 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 15 (Room#'s 2, 4, 8, 11, 13, 14, 17, 27, 28, 29, 35, 40, 42, 44, and 58) of 22 resident rooms observed for a safe, clean, comfortable, and homelike environment. The facility failed to ensure that resident room #'s 2, 4, 8, 11, 13, 14, 17, 27, 28, 29, 35, 40, 42, 44, and 58 were cleaned, sanitized, and maintained in accordance with the facility's policy on Facility Sanitation. This deficient practice could place residents at risk of infections and living in an uncomfortable environment leading to a decreased quality of life.
Inspectors wroteBased observation, interview, and record review, the facility failed to ensure that three (Resident #25, Resident #31, and Resident #44) of ten residents were provided medications and/or biologicals and pharmaceutical services to meet the needs of the residents. The facility failed to ensure MA A re-ordered medications in a timely manner for Resident # 25 (Buspirone 10 mg). The facility failed to ensure LVN S re-ordered medications in a timely manner for Resident #31 (Levothyroxine 25 mcg [microgram]) and Resident # 44 (Levothyroxine 25 mcg). This failure placed the residents at risk of not receiving medications as ordered by the physician.
Inspectors wroteBased 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 kitchen sanitation. The facility failed to ensure foods in the facility's dry storage area, refrigerators, and freezer were labeled and dated according to guidelines and in a sanitary manner. The facility failed to ensure kitchen staff were wearing the appropriated hair and/or beard cover while preparing and plating food in the kitchen area. The facility failed to ensure kitchen equipment were clean and sanitary. These failures could place residents at risk for cross contamination and other air-borne illnesses.
Inspectors wroteBased on observations and interviews, the facility failed to ensure the resident was free from any physical or chemical restraints imposed for purposes of discipline or convenience, and not required to treat the resident's medical symptoms for 1 of 6 (Resident #4) residents reviewed restraints. The facility failed to ensure Resident #4 had physician orders for the scoop mattress (the edges of the mattress are higher than the center of the mattress to keep the resident from rolling off the bed) she was observed laying on. This failure could unnecessarily inhibit the resident's freedom of movement or activity.
Inspectors wroteBased on interview and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation, or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported immediately for 1 of 3 residents (Resident #6) reviewed for reportable incidents. The facility failed to report Resident #6's elopement to the State Agency- Health and Human Service Commission in a timely manner. This failure could place residents at risk for abuse and/or neglect that could lead to serious injury, serious harm, serious impairment, pain, mental anguish, or death.
Inspectors wroteBased on interview and record review, the facility failed to, in response to allegations of neglect, have evidence that all alleged violations are thoroughly investigated, prevent further potential abuse while the investigation was in progress, and report the results of all investigations to the administrator or his or her designated representative and to other officials in accordance with State law, including to the State Survey Agency, within 5 working days of the incident for 1 (Resident #6) of 3 residents reviewed for abuse and neglect. The facility failed to investigate, prevent, and report allegations of neglect when Resident #6 eloped on 11/05/2023. This failure could affect the residents at the facility by placing them at risk for abuse and/or neglect that could lead to serious injury, serious harm, serious impairment, pain, mental anguish, or death. Findings Included: [...]
Inspectors wroteBased on observation, interviews and record review, the facility failed to ensure the timeliness of each resident's person-centered, comprehensive care plan, and to ensure that the comprehensive care plan is reviewed and revised by an interdisciplinary team for 1 (Resident #100) of 6 residents reviewed for revised Care Plan. The facility failed to ensure Resident #100's care plan was revised to reflect discontinued use of CPAP (continuous positive airway pressure: machine used to deliver pressurized air through a mask to keep airways open)/BiPAP (bilevel positive airway pressure: normalizes breathing by delivering pressurized air into the upper airway leading into the lungs). This failure could place the resident at risk of needs not being met.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure that a resident who needed respiratory care was provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for one (Resident #31) of three residents reviewed for respiratory care. The facility failed to ensure Resident #31's humidifier for the oxygen concentrator was dated as per facility policy. This failure could place the resident at risk of not having their respiratory needs met.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an Infection Prevention and Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one (Resident #31) of ten residents observed for infection control. The facility failed to ensure that the two prongs of Resident #31's nasal cannula (a device used to deliver supplemental oxygen to an individual. It consists of a lightweight tube on which one is connected to the oxygen source and the other end splits into two prongs and are placed in the nostrils) was on the floor. This failure could place the resident at risk of cross-contamination and development of infection.
Inspectors wroteBased on interview and record review, the facility failed to employ a qualified social worker on a full-time basis for one of one facility reviewed for social services. The facility of more than 120 beds, failed to employ a qualified Social Worker on a Full-time basis for all residents residing at the facility. This failure could place residents at risk of not receiving services the individual needs of the residents whenever needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide appropriate services to maintain the ability to carry out ADLs for 1 (Resident #1) of 5 residents reviewed for bed mobility. The facility failed to ensure Resident #1 maintained her ability to transfer herself independently, with the use of a motorized bed, following her move to a new room in the facility on 07/25/23. This failure could put residents at risk of having decreased functional ability and quality of life due to a loss of dignity, loss of mobility, and independence.
16 fire safety citations on file: 6 on March 26, 2026, 5 on January 16, 2025, 5 on November 18, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| October 21, 2025 | Fine | $16,149 |
| November 1, 2024 | Fine | $15,897 |
| November 18, 2023 | Fine | $26,013 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.26 | 3.39 | 3.86 |
| Registered nurses | 0.37 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.95 | 2.98 | 3.42 |
| Nurse aides | 1.68 | ||
| Licensed practical nurses | 1.20 | ||
| Nursing staff turnover (share who left in a year) | 92.4% | 55.3% | 45.8% |
| Registered nurse turnover | 88.9% | 54.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.31 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.39 on weekdays and 2.95 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.15 in April to June 2025 to 3.26 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.26 | 0.37 | 3.39 | 2.95 | 0.0% | 0 of 90 | 81 |
| Oct to Dec 2025 | 3.39 | 0.36 | 3.57 | 2.92 | 0.0% | 0 of 92 | 87 |
| Jul to Sep 2025 | 3.21 | 0.42 | 3.33 | 2.90 | 0.0% | 0 of 92 | 90 |
| Apr to Jun 2025 | 3.15 | 0.31 | 3.28 | 2.82 | 0.0% | 0 of 91 | 88 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.8 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.8 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.3 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.1 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.3 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.8 | 9.6 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Rockwall Nursing Care Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 4 eligible stays.
10.4% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 28 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 10 eligible stays.
85.0% this home
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 20 residents counted.
6.7% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 30 residents counted.
0.0% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 30 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 3 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: WEST WHARTON COUNTY HOSPITAL DISTRICT. CMS links this home to Creative Solutions in Healthcare, a group of 149 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bowers, Sean | Managing control - governing body | Individual | 12/01/2023 | |
| Cisneros, Alfred | Managing control - governing body | Individual | 12/01/2023 | |
| Cobb, Travis | Managing control - governing body | Individual | 12/01/2023 | |
| Cooper, Stephen | Managing control - governing body | Individual | 12/01/2023 | |
| Hardin, Sherrie | Managing control - governing body | Individual | 12/01/2023 | |
| Kerzee, Richard | Managing control - governing body | Individual | 12/01/2023 | |
| Korenek, Patricia | Managing control - governing body | Individual | 12/01/2023 | |
| Mak, David | Managing control - governing body | Individual | 12/01/2023 | |
| Soechting, Paul | Managing control - governing body | Individual | 12/01/2023 | |
| Strack, Joe | Managing control - governing body | Individual | 12/01/2023 | |
| Thompson, Johnny | Managing control - governing body | Individual | 12/01/2023 | |
| Mak, David | Corporate officer | Individual | 12/01/2023 | |
| Honor X Enterprises, LLC | Operational/managerial control | Organization | 12/01/2023 | |
| Rockwall I Enterprises LLC | Operational/managerial control | Organization | 12/01/2023 | |
| Blake, Gary | Operational/managerial control | Individual | 12/01/2023 | |
| Blake, Malisa | Operational/managerial control | Individual | 12/01/2023 | |
| Huggins, Linda | Operational/managerial control | Individual | 12/01/2023 | |
| Willig, Zachary | Operational/managerial control | Individual | 12/01/2023 | |
| Honor X Enterprises, LLC | Adp of the SNF | Organization | 12/01/2023 | |
| NHC Master Tenent, L.L.C. | Adp of the SNF | Organization | 04/16/2025 | |
| Rockwall I Enterprises LLC | Adp of the SNF | Organization | 12/01/2023 | |
| Blake, Gary | Adp of the SNF | Individual | 12/01/2023 | |
| Blake, Malisa | Adp of the SNF | Individual | 12/01/2023 | |
| Huggins, Linda | Adp of the SNF | Individual | 12/01/2023 | |
| Parker, James | Adp of the SNF | Individual | 04/16/2025 | |
| Pobee, Kojo | Adp of the SNF | Individual | 04/16/2025 | |
| Willig, Zachary | Adp of the SNF | Individual | 12/01/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.