For profit - Corporation · 85 certified beds · CMS number 675210

Heritage House Nursing and Rehabilitation, Rosebud, TX

CMS records 10 health deficiencies at Heritage House Nursing and Rehabilitation in Rosebud, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jan 22, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists 1 fine totaling $13,804 in the last three years.

Inspections and deficiencies

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

Most recent cycle (3 deficiencies)

Standard inspection Jan 22, 2026. CMS counts 3 health deficiencies and 1 fire safety deficiency in this cycle.

Mar 24, 2026 · Complaint inspection

1 deficiency, 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 Apr 13, 2026

Jan 22, 2026 · Standard inspection

2 deficiencies, highest E

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 Feb 3, 2026

F585 · Grievances and how they are handled

Requirement cited (CMS): Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 3, 2026
Previous cycle: 4 deficiencies (standard inspection Oct 19, 2024)

Standard inspection Oct 19, 2024. CMS counts 4 health deficiencies and 2 fire safety deficiencies in this cycle.

Oct 19, 2024 · Standard inspection

4 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 Oct 20, 2024

F692 · Nutrition and hydration

Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 20, 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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 20, 2024

F644 · Coordinating with PASARR screening

Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 20, 2024
Earlier cycle: 3 deficiencies (standard inspection Aug 30, 2023)

Standard inspection Aug 30, 2023. CMS counts 3 health deficiencies and 2 fire safety deficiencies in this cycle.

Jul 3, 2024 · Complaint inspection

1 deficiency, 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 Jul 4, 2024

Jan 31, 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
Correction date Feb 1, 2024

Aug 30, 2023 · Standard inspection

1 deficiency, highest E

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 Sep 20, 2023

Tags cited in more than one inspection

1 tag cited on more than one inspection date at Heritage House Nursing and Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F689 Accident prevention and supervision3Mar 24, 2026; Jul 3, 2024; Jan 31, 2024

Fines and payment denials

DateTypeAmount / length
Jan 31, 2024Fine$13,804

Staffing and CMS ratings

Total nurse staff hours per resident per day
not reported
RN hours per resident per day
not reported
Weekend nurse staff hours per resident per day
not reported
Nursing staff turnover
100.0% (Texas median 52.1%)
Administrators who left
1
CMS overall rating
4 of 5
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measure rating
5 of 5

CMS figures for Heritage House Nursing and Rehabilitation, copied as published; Texas medians are ours.

Facility details

Address
407 N College St, Rosebud, TX 76570
Phone
(254) 583-7904
County
Falls
Accepts
Medicare and Medicaid
Ownership
For profit - Corporation
Chain (CMS)
Creative Solutions in Healthcare
Certified beds
85
Average residents per day
37.6
In Medicare/Medicaid since
Nov 15, 1993
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 does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
  • Who is the grievance official, and how are complaints tracked and answered? (F585, cited 1 time)
  • If a resident has a mental health condition or intellectual disability, how are PASARR recommendations included in their care? (F644, cited 1 time)
  • Who sits on the care planning team, and how are family members invited? (F657, cited 1 time)

Other nursing homes in Rosebud 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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