For profit - Corporation · 190 certified beds · CMS number 675579

Beacon Harbor Healthcare and Rehabilitation, Rockwall, TX

CMS records 27 health deficiencies at Beacon Harbor Healthcare and Rehabilitation in Rockwall, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Nov 20, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level, 2 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $21,817 in the last three years.

Inspections and deficiencies

CMS findings for Beacon Harbor Healthcare and Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Beacon Harbor Healthcare and Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (5 deficiencies)

Standard inspection Nov 20, 2025. CMS counts 5 health deficiencies and 4 fire safety deficiencies in this cycle.

Mar 24, 2026 · Complaint inspection

1 deficiency, highest E

F800 · Nourishing, well-balanced diet

Requirement cited (CMS): Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 8, 2026

Dec 11, 2025 · Complaint inspection

1 deficiency, highest D

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 Dec 23, 2025

Nov 20, 2025 · Standard inspection

3 deficiencies, highest F

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 Nov 21, 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
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Nov 21, 2025

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Nov 21, 2025
Previous cycle: 7 deficiencies (standard inspection Aug 22, 2024)

Standard inspection Aug 22, 2024. CMS counts 7 health deficiencies and 3 fire safety deficiencies in this cycle.

Dec 4, 2024 · Complaint inspection

3 deficiencies, highest D

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 5, 2024

F657 · Care plan timing and team review

Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 5, 2024

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 5, 2024

Aug 22, 2024 · Standard + complaint inspection

4 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 Aug 23, 2024

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 Aug 23, 2024

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 23, 2024

F583 · Personal privacy and confidential records

Requirement cited (CMS): Keep residents' personal and medical records private and confidential.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 23, 2024
Earlier cycle: 15 deficiencies (standard inspection Jun 30, 2023)

Standard inspection Jun 30, 2023. CMS counts 15 health deficiencies and 4 fire safety deficiencies in this cycle.

Aug 22, 2024 · Complaint inspection

1 deficiency, highest J

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
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection), Feb 3, 2024

Jun 26, 2024 · Complaint inspection

1 deficiency, highest D

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 Jun 27, 2024

Feb 28, 2024 · Complaint inspection

1 deficiency, highest D

F849 · Hospice services

Requirement cited (CMS): Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 29, 2024

Feb 16, 2024 · Complaint inspection

1 deficiency, highest D

F555 · Choosing an attending physician

Requirement cited (CMS): Honor the resident's right to choose his or her attending physician.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 17, 2024

Sep 20, 2023 · Complaint inspection

5 deficiencies, highest G

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 21, 2023

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 Sep 21, 2023

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Sep 21, 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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 21, 2023

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 21, 2023

Jun 30, 2023 · Standard inspection

6 deficiencies, highest J

F925 · Pest control

Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 26, 2023

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 Jul 26, 2023

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 Jul 26, 2023

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 Jul 26, 2023

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
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection), Jun 5, 2023

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 26, 2023

Tags cited in more than one inspection

6 tags cited on more than one inspection date at Beacon Harbor Healthcare and Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F584 Safe, clean, homelike surroundings4Dec 4, 2024; Aug 22, 2024; Sep 20, 2023; Jun 30, 2023
F812 Food safety and sanitation3Nov 20, 2025; Aug 22, 2024; Jun 30, 2023
F880 Infection prevention and control program3Nov 20, 2025; Aug 22, 2024; Jun 30, 2023
F689 Accident prevention and supervision2Aug 22, 2024 (PNC); Jun 30, 2023 (PNC)
F755 Pharmacy services and a consultant pharmacist2Jun 26, 2024; Sep 20, 2023
F842 Complete, confidential medical records2Dec 4, 2024; Sep 20, 2023

Fines and payment denials

DateTypeAmount / length
Aug 22, 2024Fine$13,627
Sep 20, 2023Fine$8,190

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.40 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.29 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
3.00 h
Nursing staff turnover
41.0% (Texas median 52.1%)
Administrators who left
1
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 Beacon Harbor Healthcare and Rehabilitation, copied as published; Texas medians are ours.

Facility details

Address
6700 Heritage Parkway, Rockwall, TX 75087
Phone
(972) 412-4000
County
Rockwall
Accepts
Medicare and Medicaid
Ownership
For profit - Corporation
Chain (CMS)
The Ensign Group
Certified beds
190
Average residents per day
154
In Medicare/Medicaid since
Apr 16, 1996
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 often are rooms cleaned and bed linens changed? (F584, cited 4 times)
  • When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
  • How do staff track and report infections among residents? (F880, cited 3 times)
  • How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)

Other nursing homes in Rockwall and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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