facebook tracking Rockdale Estates & Rehabilitation, Rockdale TX: CMS Ratings
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Rockdale Estates & Rehabilitation

All states › Texas › Rockdale › Rockdale Estates & Rehabilitation

1350 W Highway 79 Rockdale, TX 76567 · Milam County

(512) 446-2548

Accepts Medicare Accepts Medicaid 84 certified beds For profit

CMS certification number 676093 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Rockdale Estates & Rehabilitation a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Rockdale Estates & Rehabilitation as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8. Inspectors issued 17 citations in the last three years. CMS imposed 1 penalty, including $8,018 in fines, in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 2 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 2.96 hours per resident per day at Rockdale Estates & Rehabilitation, below the Texas median of 3.30 (US median: 3.72). About 0.43 of those hours are from registered nurses. On weekends it falls to 2.69 hours, 9% below its all-week average. 44.9% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 2.96 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.43 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.69 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 44.9% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 33.3% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds84
Residents per day 74 About 88% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceApril 2006
Part of a chainFannin County Hospital District
Legal business nameFANNIN COUNTY HOSPITAL AUTHORITY
Located in a hospitalYes

Paying for care at Rockdale Estates & Rehabilitation: Medicare and Medicaid

Rockdale Estates & Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

This home is located in a hospital.

Health inspections

The most recent standard inspection was on June 3, 2026 and found 5 deficiencies. In total, inspectors issued 17 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 17 citations at Rockdale Estates & Rehabilitation across 5 inspection dates, 2 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on March 20, 2024. The most common areas cited were quality of life and care (5) and nutrition and dietary (3). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, March 20, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.

June 3, 2026 · 5 citations

EHave the Quality Assessment and Assurance group have the required members and meet at least quarterly

Potential for more than minimal harm · Administration Deficiencies · Tag F0868 · Deficient, Provider has date of correction (Jun 24, 2026)

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Deficient, Provider has date of correction (Jun 24, 2026)

DPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Deficient, Provider has date of correction (Jun 24, 2026)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jun 24, 2026)

DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Jun 24, 2026)

April 16, 2025 · 7 citations

EHave 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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (May 12, 2025)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (May 12, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (May 12, 2025)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (May 12, 2025)

DImplement 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (May 12, 2025)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (May 12, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 12, 2025)

March 20, 2024 · 1 citation, includes actual harm · includes complaint inspection

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Apr 10, 2024)

March 7, 2024 · 3 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 15, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Apr 15, 2024)

DProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Apr 15, 2024)

November 22, 2023 · 1 citation · includes complaint inspection

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (Dec 12, 2023)

Questions to ask on a tour of Rockdale Estates & Rehabilitation

  1. Inspectors cited the home at the actual-harm level on March 20, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on June 3, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $8,018 in fines.

DateTypeAmount or length
Mar 7, 2024 Fine $8,018

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 4/5 2/5 1/5
August 2026 3/5 4/5 2/5 1/5
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Location

Hospitals near Rockdale Estates & Rehabilitation

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Winnie L Nursing & Rehabilitation Cameron · 16.1 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 105 beds · Medicaid
Legacy Nursing and Rehabilitation Cameron · 16.1 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 104 beds · Medicaid
Avir at Caldwell Caldwell · 18.4 mi away ★★☆☆☆ Inspection 1/5 · Staffing 1/5 112 beds · Medicaid
Copperas Hollow Nursing & Rehabilitation Center Caldwell · 20.9 mi away ★★★☆☆ Inspection 3/5 · Staffing 1/5 90 beds · Medicaid
Spjst Rest Home 1 Taylor · 22.1 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 96 beds · Medicaid

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Other Fannin County Hospital District nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 5 Fannin County Hospital District nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/rockdale/rockdale-estates-and-rehabilitation/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.