Heritage House Nursing and Rehabilitation

Name: Heritage House Nursing and Rehabilitation
Address: 407 N COLLEGE ST, Rosebud, TX, 76570, US
Telephone: 2545837904

407 N College St, Rosebud, TX 76570 · Falls County · 85 certified beds · avg 38 residents/day · certified since Nov 15, 1993

Part of chain: CREATIVE SOLUTIONS IN HEALTHCARE (149 facilities, chain avg rating 2.1★)

4/5

Health inspection rating (on-site)

Serious findings on record

$13,804

Fines, last 3 years

0.00

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Jan 31, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Feb 1, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (10)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 24, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jan 22, 2026	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Jan 22, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 19, 2024	E · Potential for harm, repeated	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Oct 19, 2024	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Oct 19, 2024	E · Potential for harm, repeated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Oct 19, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 3, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jan 31, 2024	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Aug 30, 2023	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (4 → 2).

Year	Citations	Serious (G–L)	Worst severity that year
2023	1	0	E
2024	6	1	J ▲
2026	3	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $13,804.

Date	Type	Amount / length
Jan 31, 2024	Fine	$13,804

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	0.00	3.46	3.95	—
Registered Nurse hours	0.00	0.44	0.69	—
Weekend total nurse staffing	0.00	3.04	3.50	—
Weekend RN hours (not acuity-adjusted)	0.00	0.34	0.48	—
Total nursing staff turnover (%)	100.0	55.3	45.8	bottom 1% in Texas; bottom 1% in the U.S.
RN turnover (%)	0.0	54.6	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 0.00, RN 0.00, weekend 0.00. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Blake, Gary	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2011
Blake, Malisa	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2011
Creative Solutions in Healthcare INC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2011
Huggins, Linda	Individual	W-2 Managing Employee	NOT APPLICABLE	10/01/2011

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Winnie L Nursing & Rehabilitation	14.2 mi	Cameron, TX	★★☆☆☆	2/5
Legacy Nursing and Rehabilitation	14.3 mi	Cameron, TX	★★☆☆☆	3/5
Golden Years Nursing and Rehabilitation Center	16.8 mi	Marlin, TX	★★★★★	5/5
Bremond Nursing and Rehabilitation Center	18.6 mi	Bremond, TX	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Rosebud →

Facility data as of CMS processing date 2026-08-01. CCN 675210.

The Care File

Visit checklist — Heritage House Nursing and Rehabilitation

407 N College St, Rosebud, TX 76570 · 2545837904

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $13,804

Most serious findings on record:

▲ Jan 31, 2024 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675210 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)