For profit - Limited Liability company · 84 certified beds · CMS number 676093
Rockdale Estates & Rehabilitation, Rockdale, TX
CMS records 17 health deficiencies at Rockdale Estates & Rehabilitation in Rockdale, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 3, 2026. The highest severity cited is G (actual harm (not immediate jeopardy)). CMS lists 1 fine totaling $8,018 in the last three years.
- 17deficiencies, 3 cycles (TX median 25)
- 5in the latest cycle (TX median 8)
- Ghighest severity · Actual harm
- $8,018fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Rockdale Estates & Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Rockdale Estates & Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (5 deficiencies)
Standard inspection Jun 3, 2026. CMS counts 5 health deficiencies and 0 fire safety deficiencies in this cycle.
Jun 3, 2026 · Standard inspection
5 deficiencies, highest E
F868 · Quality committee membership and meetings
Requirement cited (CMS): Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 24, 2026
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 24, 2026
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 Jun 24, 2026
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 24, 2026
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 24, 2026
Previous cycle: 7 deficiencies (standard inspection Apr 16, 2025)
Standard inspection Apr 16, 2025. CMS counts 7 health deficiencies and 0 fire safety deficiencies in this cycle.
Apr 16, 2025 · Standard inspection
7 deficiencies, highest E
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 May 12, 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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 12, 2025
F758 · Psychotropic drug safeguards
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 12, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 12, 2025
F727 · RN coverage and director of nursing
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 12, 2025
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 12, 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 May 12, 2025
Earlier cycle: 5 deficiencies (standard inspection Mar 7, 2024)
Standard inspection Mar 7, 2024. CMS counts 5 health deficiencies and 3 fire safety deficiencies in this cycle.
Mar 20, 2024 · Complaint inspection
1 deficiency, highest G
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
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Apr 10, 2024
Mar 7, 2024 · Standard inspection
3 deficiencies, highest F
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
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Apr 15, 2024
F679 · Activities program
Requirement cited (CMS): Provide activities to meet all resident's needs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 15, 2024
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 15, 2024
Nov 22, 2023 · Complaint inspection
1 deficiency, highest D
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 Dec 12, 2023
Tags cited in more than one inspection
2 tags cited on more than one inspection date at Rockdale Estates & 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 | 2 | Jun 3, 2026; Apr 16, 2025 |
| F812 Food safety and sanitation | 2 | Apr 16, 2025; Mar 7, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Mar 7, 2024 | Fine | $8,018 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.72 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.42 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.53 h
- Nursing staff turnover
- 42.6% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 3 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 1 of 5
CMS figures for Rockdale Estates & Rehabilitation, copied as published; Texas medians are ours.
Facility details
- Address
- 1350 W Highway 79, Rockdale, TX 76567
- Phone
- (512) 446-2548
- County
- Milam
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Fannin County Hospital District
- Certified beds
- 84
- Average residents per day
- 71.6
- In Medicare/Medicaid since
- Apr 1, 2006
- Inside a hospital
- Yes
- 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 2 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 2 times)
- How does the home screen, train, and supervise staff to protect residents? (F600, cited 1 time)
- How does the home confirm the pre-admission screening is done for new residents with a mental health condition or intellectual disability? (F645, cited 1 time)
Other nursing homes in Rockdale and the same chain
- Harbor Valley Health and Rehabilitation
San Antonio · 39 deficiencies - Levelland Nursing and Rehabilitation Center
Levelland · 24 deficiencies - Pampa Nursing Center
Pampa · 19 deficiencies - Cedar Lake Nursing Center
Malakoff · 8 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.