For profit - Individual · 192 certified beds · CMS number 675402

Rockwall Nursing Care Center, Rockwall, TX

CMS records 51 health deficiencies at Rockwall Nursing Care Center in Rockwall, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Mar 26, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 4 citations were at the immediate jeopardy level, 2 of them recorded as past non-compliance (fixed before the inspection). CMS lists 3 fines totaling $58,059 in the last three years.

Inspections and deficiencies

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

Most recent cycle (24 deficiencies)

Standard inspection Mar 26, 2026. CMS counts 24 health deficiencies and 6 fire safety deficiencies in this cycle.

Jul 29, 2026 · Complaint inspection

3 deficiencies, highest E

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
No plan of correction on file

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
No plan of correction on file

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
No plan of correction on file

Mar 26, 2026 · Standard inspection

11 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 Mar 27, 2026

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 Mar 27, 2026

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 27, 2026

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
B No actual harm, potential for minimal harm, pattern
Status
Correction date Mar 27, 2026

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 27, 2026

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 27, 2026

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 27, 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 Mar 27, 2026

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 Mar 27, 2026

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 Mar 27, 2026

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 Mar 27, 2026

Mar 13, 2026 · Complaint inspection

4 deficiencies, highest D

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 Mar 31, 2026

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 Mar 31, 2026

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 Mar 31, 2026

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 Mar 31, 2026

Jan 9, 2026 · Complaint inspection

1 deficiency, 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 Jan 10, 2026

Nov 25, 2025 · Complaint inspection

2 deficiencies, highest D

F607 · Abuse prevention policies

Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 26, 2025

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 Nov 26, 2025

Oct 21, 2025 · Complaint inspection

3 deficiencies, highest J

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 Oct 22, 2025

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), Sep 29, 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 Oct 22, 2025
Previous cycle: 10 deficiencies (standard inspection Jan 16, 2025)

Standard inspection Jan 16, 2025. CMS counts 10 health deficiencies and 5 fire safety deficiencies in this cycle.

Jun 17, 2025 · Complaint inspection

1 deficiency, highest D

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 Jun 18, 2025

Jan 16, 2025 · Standard + complaint inspection

3 deficiencies, highest E

F921 · Safe, functional, sanitary building

Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 17, 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 Jan 17, 2025

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 17, 2025

Dec 19, 2024 · Complaint inspection

3 deficiencies, highest D

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 20, 2024

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 Dec 20, 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 Dec 20, 2024

Nov 1, 2024 · Complaint inspection

2 deficiencies, 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), Oct 31, 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 Nov 2, 2024

Oct 9, 2024 · Complaint inspection

1 deficiency, highest D

F770 · Timely laboratory services

Requirement cited (CMS): Provide timely, quality laboratory services/tests to meet the needs of residents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 10, 2024
Earlier cycle: 17 deficiencies (standard inspection Nov 18, 2023)

Standard inspection Nov 18, 2023. CMS counts 17 health deficiencies and 5 fire safety deficiencies in this cycle.

May 17, 2024 · Complaint inspection

3 deficiencies, highest D

F732 · Daily posting of nurse staffing

Requirement cited (CMS): Post nurse staffing information every day.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 6, 2024

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 Jun 6, 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 Jun 6, 2024

Nov 18, 2023 · Standard + complaint inspection

12 deficiencies, highest K

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 19, 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 Nov 19, 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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Nov 19, 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 Nov 19, 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
Correction date Nov 19, 2023

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 Nov 19, 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
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Nov 19, 2023

F610 · Investigating and responding to allegations

Requirement cited (CMS): Respond appropriately to all alleged violations.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 19, 2023

F609 · Reporting suspected abuse and crimes

Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 19, 2023

F604 · Limits on physical restraints

Requirement cited (CMS): Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 19, 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 Nov 19, 2023

F558 · Accommodating individual needs and preferences

Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Nov 19, 2023

Oct 3, 2023 · Complaint inspection

1 deficiency, highest E

F850 · Full-time social worker in larger homes

Requirement cited (CMS): Hire a qualified full-time social worker in a facility with more than 120 beds.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 24, 2023

Sep 20, 2023 · Complaint inspection

1 deficiency, highest D

F676 · Maintaining daily living abilities

Requirement cited (CMS): Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 25, 2023

Tags cited in more than one inspection

12 tags cited on more than one inspection date at Rockwall Nursing Care Center; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F689 Accident prevention and supervision7Mar 26, 2026; Oct 21, 2025 (PNC); Jan 16, 2025; Dec 19, 2024; Nov 1, 2024 (PNC); May 17, 2024; Nov 18, 2023
F558 Accommodating individual needs and preferences5Mar 26, 2026; Mar 13, 2026; Oct 21, 2025; Jun 17, 2025; Nov 18, 2023
F880 Infection prevention and control program5Jul 29, 2026; Mar 26, 2026; Mar 13, 2026; Jan 9, 2026; Nov 18, 2023
F695 Respiratory and oxygen care4Jul 29, 2026; Mar 26, 2026; Oct 21, 2025; Nov 18, 2023
F584 Safe, clean, homelike surroundings3Mar 26, 2026; Mar 13, 2026; Nov 18, 2023
F812 Food safety and sanitation3Mar 26, 2026; Jan 16, 2025; Nov 18, 2023
F583 Personal privacy and confidential records2Mar 26, 2026; Dec 19, 2024
F656 Comprehensive person-centered care plan2Mar 26, 2026; Nov 18, 2023
F657 Care plan timing and team review2Nov 1, 2024; Nov 18, 2023
F755 Pharmacy services and a consultant pharmacist2Mar 26, 2026; Nov 18, 2023
F761 Drug labeling and secure storage2Mar 26, 2026; Dec 19, 2024
F925 Pest control2Jul 29, 2026; Mar 13, 2026

Fines and payment denials

DateTypeAmount / length
Oct 21, 2025Fine$16,149
Nov 1, 2024Fine$15,897
Nov 18, 2023Fine$26,013

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.26 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.37 h (about the same as the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.95 h
Nursing staff turnover
92.4% (Texas median 52.1%)
Administrators who left
1
CMS overall rating
2 of 5
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
5 of 5

CMS figures for Rockwall Nursing Care Center, copied as published; Texas medians are ours.

Facility details

Address
206 Storrs Street, Rockwall, TX 75087
Phone
(972) 771-5000
County
Rockwall
Accepts
Medicare and Medicaid
Ownership
For profit - Individual
Chain (CMS)
Creative Solutions in Healthcare
Certified beds
192
Average residents per day
81
In Medicare/Medicaid since
Oct 17, 1994
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Both
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 7 times)
  • How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 5 times)
  • How do staff track and report infections among residents? (F880, cited 5 times)
  • How are oxygen equipment and breathing treatments managed and checked? (F695, cited 4 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.

How we build this · Report an error