nursing home in Rockdale, TX
Rockdale Estates & Rehabilitation
1350 W Highway 79, Rockdale, TX 76567 · (512) 446-2548
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★2
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Rockdale Estates & Rehabilitation at a glance
Rockdale Estates & Rehabilitation is a 84-bed for-profit nursing home in Rockdale, Texas (Milam County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Texas average of 2.7.
Residents receive about 2.7 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (June 3, 2026) found 5 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $8,018.
Nursing staff turnover is 42.6% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 84
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Fannin County Hospital District
- Medicare-certified since
- April 1, 2006
- Resident/family council
- Resident
- County
- Milam County
- CMS Certification Number
- 676093
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.72 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.42 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.81 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.53 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 42.6% | 55.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 20% | 54.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 32 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $8,018 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 84 | 113 | 107 | |
| Average residents per day | 72 | 76 | 86 | |
| Occupancy | 85.2% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 8.3% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.3% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 15.2% | 9.6% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 4.7% | 0.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 14.7% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 13.6% | 14% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 2% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 11.2% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 27.9% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 18.7% | 13.4% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 98.6% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 7.9% | 1.5% | 1.6% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 17 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 3, 2026 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | E Potential harm, pattern | Corrected June 24, 2026 |
| June 3, 2026 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected June 24, 2026 |
| June 3, 2026 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected June 24, 2026 |
| June 3, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 24, 2026 |
| June 3, 2026 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected June 24, 2026 |
| April 16, 2025 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | E Potential harm, pattern | Corrected May 12, 2025 |
| April 16, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected May 12, 2025 |
| April 16, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 12, 2025 |
| April 16, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected May 12, 2025 |
| April 16, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected May 12, 2025 |
| April 16, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected May 12, 2025 |
| April 16, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected May 12, 2025 |
| March 20, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected April 10, 2024 |
| March 7, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected December 20, 2024 |
| March 7, 2024 Fire safety | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Tag K0352 | F Potential harm, widespread | Corrected December 20, 2024 |
| March 7, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected December 20, 2024 |
| March 7, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 15, 2024 |
| March 7, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected April 15, 2024 |
| March 7, 2024 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected April 15, 2024 |
| November 22, 2023 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected December 12, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $8,018 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 7, 2024 | Fine | $8,018 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY Organization | 5% or greater direct ownership interest | 100% | 09/01/2025 |
| BAUDER FAMILY INVESTMENTS, LLC Organization | adp of the snf | NOT APPLICABLE | 09/01/2025 |
| BOULWARE ST JAMES LLC Organization | adp of the snf | NOT APPLICABLE | 09/01/2025 |
| HOUSE, JANELLE Individual | adp of the snf | NOT APPLICABLE | 09/01/2025 |
| JOHNSON, JEFFREY Individual | adp of the snf | NOT APPLICABLE | 09/01/2025 |
| PMG REALCO-MABANK, LLC Organization | adp of the snf | NOT APPLICABLE | 09/01/2025 |
| STEVEN BOULWARE FAMILY INVESTMENTS LLC Organization | adp of the snf | NOT APPLICABLE | 09/01/2025 |
| SANDERSON, CLARK Individual | corporate director | NOT APPLICABLE | 09/01/2025 |
| BAUDER, KELLY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/10/2025 |
| BAUDER, MADISON Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/10/2025 |
| BAUDER, PARKER Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/10/2025 |
| BAUDER, WILLIAM Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/10/2025 |
| BOULWARE, DOUGLAS Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/10/2025 |
| BOULWARE, SANDRA Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/10/2025 |
| BOULWARE, STEVEN Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/10/2025 |
| BOULWARE, THOMAS Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/10/2025 |
| JOHNSON, MARY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/10/2025 |
| WALKER, KATIE Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/10/2025 |
| JOHNSON 5.0 LLC Organization | operational/managerial control | NOT APPLICABLE | 09/01/2025 |
| JOHNSON, JEFFREY Individual | operational/managerial control | NOT APPLICABLE | 09/01/2025 |
Other nursing homes near Rockdale Estates & Rehabilitation
Winnie L Nursing & Rehabilitation
2104 N Karnes Ave, Cameron, TX 76520 · 16.1 mi
For-profit · 105 beds · Part of Creative Solutions in Healthcare
★★★★★2Below averageLegacy Nursing and Rehabilitation
2202 N Travis Ave, Cameron, TX 76520 · 16.1 mi
Government · 104 beds · Part of Legacy Nursing & Rehabilitation
★★★★★2Below averageAvir at Caldwell
1022 Presidential Corridor Hwy 21 E, Caldwell, TX 77836 · 18.4 mi
For-profit · 112 beds · Part of Avir Health Group
★★★★★1Much below averageCopperas Hollow Nursing & Rehabilitation Center
345 Country Club Dr, Caldwell, TX 77836 · 20.9 mi
For-profit · 90 beds · Part of Creative Solutions in Healthcare
★★★★★3Average- ★★★★★1Much below average
Will-O-Bell
412 N. Dalton, Bartlett, TX 76511 · 25 mi
Government · 90 beds · Part of Chambers County Public Hospital District No. 1
★★★★★4Above average
Frequently asked questions
What is Rockdale Estates & Rehabilitation's rating?
Rockdale Estates & Rehabilitation has 3 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Rockdale Estates & Rehabilitation receive?
Its most recent standard health inspection found 5 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Rockdale Estates & Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Rockdale Estates & Rehabilitation?
It is for profit - limited liability company and part of Fannin County Hospital District. The ownership section on this page lists the owners and managers reported to CMS.
Where is Rockdale Estates & Rehabilitation and how do I contact it?
Rockdale Estates & Rehabilitation is at 1350 W Highway 79, Rockdale, TX 76567. Phone: (512) 446-2548.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.