Rockdale Estates & Rehabilitation

1350 W. Highway 79 · Rockdale, TX · 76567 · 5124462548

84 certified beds For profit - Limited Liability company Chain: Fannin County Hospital District

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

Total nurse staffing below 3.0 hours per resident-day

2.66 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 62
Serious harm & abuse 20% 94
Staffing 20% 52
Federal penalties 15% 77
Trend 10% 73
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day2.663.48 min · 4.1 strong
RN hours / resident-day0.480.55–0.75
Weekend hours / resident-day2.46≈ weekday level
Nursing turnover / year43%median 45%
Fines (3-yr window)1 · $8,018

Inspection citations (13 in the current record)

  • Potential for harm · D April 16, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 12, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 16, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 12, 2025 · Quality of Life and Care

  • Potential for harm · E April 16, 2025

    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.

    Corrected May 12, 2025 · Nursing and Physician Services

  • Potential for harm · D April 16, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected May 12, 2025 · Pharmacy Service

  • Potential for harm · D April 16, 2025

    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.

    Corrected May 12, 2025 · Pharmacy Service

  • Potential for harm · D April 16, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 12, 2025 · Nutrition and Dietary

  • Potential for harm · D April 16, 2025

    Provide and implement an infection prevention and control program.

    Corrected May 12, 2025 · Infection Control

  • Actual harm · G March 20, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 10, 2024 · Quality of Life and Care

  • Potential for harm · E March 7, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 15, 2024 · Quality of Life and Care

  • Potential for harm · D March 7, 2024

    Provide activities to meet all resident's needs.

    Corrected April 15, 2024 · Quality of Life and Care

  • Potential for harm · F March 7, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 15, 2024 · Nutrition and Dietary

  • Potential for harm · D November 22, 2023 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected December 12, 2023 · Quality of Life and Care

  • Potential for harm · E January 5, 2023

    Provide and implement an infection prevention and control program.

    Corrected February 6, 2023 · Infection Control

Federal penalties

DateTypeAmount / length
March 7, 2024Fine$8,018

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676093 · certified since April 1, 2006. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.