For profit - Corporation · 80 certified beds · CMS number 676385
Crossroads Nursing & Rehabilitation, Hearne, TX
CMS records 30 health deficiencies at Crossroads Nursing & Rehabilitation in Hearne, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Dec 4, 2025. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 30deficiencies, 3 cycles (TX median 25)
- 12in the latest cycle (TX median 8)
- Ehighest severity · Potential for harm
- $0fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Crossroads Nursing & Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Crossroads Nursing & Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (12 deficiencies)
Standard inspection Dec 4, 2025. CMS counts 12 health deficiencies and 1 fire safety deficiency in this cycle.
May 1, 2026 · Complaint inspection
1 deficiency, highest E
F679 · Activities program
Requirement cited (CMS): Provide activities to meet all resident's needs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 4, 2026
Dec 4, 2025 · Standard inspection
8 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 5, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 5, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 5, 2025
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 5, 2025
F679 · Activities program
Requirement cited (CMS): Provide activities to meet all resident's needs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 5, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 5, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 5, 2025
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 5, 2025
Sep 3, 2025 · Complaint inspection
3 deficiencies, highest D
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 4, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 4, 2025
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 4, 2025
Previous cycle: 5 deficiencies (standard inspection Sep 10, 2024)
Standard inspection Sep 10, 2024. CMS counts 5 health deficiencies and 0 fire safety deficiencies in this cycle.
Nov 20, 2024 · Complaint inspection
1 deficiency, highest D
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 13, 2024
Sep 10, 2024 · Standard inspection
4 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 18, 2024
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 18, 2024
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 18, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 18, 2024
Earlier cycle: 13 deficiencies (standard inspection Jul 26, 2023)
Standard inspection Jul 26, 2023. CMS counts 13 health deficiencies and 6 fire safety deficiencies in this cycle.
Jun 20, 2024 · Complaint inspection
1 deficiency, highest D
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 21, 2024
May 24, 2024 · Complaint inspection
2 deficiencies, highest E
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 25, 2024
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 25, 2024
Mar 12, 2024 · Complaint inspection
2 deficiencies, highest D
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 14, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 14, 2024
Jul 26, 2023 · Standard inspection
8 deficiencies, highest E
F803 · Menus that meet nutritional needs
Requirement cited (CMS): Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 9, 2023
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 9, 2023
F685 · Vision and hearing services
Requirement cited (CMS): Assist a resident in gaining access to vision and hearing services.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 9, 2023
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 9, 2023
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 9, 2023
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 9, 2023
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 9, 2023
F561 · Making everyday choices
Requirement cited (CMS): Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 9, 2023
Tags cited in more than one inspection
8 tags cited on more than one inspection date at Crossroads Nursing & Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 5 | Dec 4, 2025; Sep 3, 2025; Nov 20, 2024; Mar 12, 2024; Jul 26, 2023 |
| F580 Telling residents and families about changes | 2 | Sep 3, 2025; Sep 10, 2024 |
| F677 Help with daily care | 2 | Dec 4, 2025; Jul 26, 2023 |
| F679 Activities program | 2 | May 1, 2026; Dec 4, 2025 |
| F686 Pressure ulcer prevention and care | 2 | Sep 10, 2024; May 24, 2024 |
| F689 Accident prevention and supervision | 2 | Sep 3, 2025; Mar 12, 2024 |
| F695 Respiratory and oxygen care | 2 | Jun 20, 2024; Jul 26, 2023 |
| F880 Infection prevention and control program | 2 | Dec 4, 2025; Sep 10, 2024 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.07 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.35 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.63 h
- Nursing staff turnover
- not reported
- Administrators who left
- 2
- CMS overall rating
- 3 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 5 of 5
CMS figures for Crossroads Nursing & Rehabilitation, copied as published; Texas medians are ours.
Facility details
- Address
- 611 Rose Marie Blvd, Hearne, TX 77859
- Phone
- (979) 280-0440
- County
- Robertson
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Creative Solutions in Healthcare
- Certified beds
- 80
- Average residents per day
- 50.9
- In Medicare/Medicaid since
- May 12, 2015
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are a resident's goals and preferences written into the care plan? (F656, cited 5 times)
- How quickly is the family called if a resident falls or their condition changes? (F580, cited 2 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 2 times)
- Can residents and families see this month's activity calendar, including options for residents who stay in their rooms? (F679, cited 2 times)
Other nursing homes in Hearne and the same chain
- Franklin Heights Nursing & Rehabilitation
El Paso · 76 deficiencies - St. Teresa Nursing & Rehab Center
El Paso · 75 deficiencies - Mountain View Health & Rehabilitation
El Paso · 72 deficiencies - Pleasant Springs Healthcare Center
Mount Pleasant · 66 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.