Red Oak Health and Rehabilitation Center
101 Reese Dr., Red Oak, TX 75154 · Ellis County · 144 certified beds · avg 107 residents/day · certified since Dec 7, 1994
Part of chain: HMG HEALTHCARE (31 facilities, chain avg rating 3.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5
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)
▲ Actual harm, one-off · Mar 28, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 1, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (17)
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 |
|---|---|---|
| Jun 26, 2026 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · from a complaint |
| Mar 13, 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. |
| Mar 13, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jan 15, 2025 | 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. |
| Jan 15, 2025 | E · Potential for harm, repeated | The facility did not have enough support staff to safely and effectively run its food and nutrition service. |
| Jan 15, 2025 | 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. |
| Jan 15, 2025 | D · Potential for harm, one-off | 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. |
| Jan 15, 2025 | D · Potential for harm, one-off | 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. |
| Nov 21, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Jul 17, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Jul 17, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Mar 28, 2024 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Mar 28, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Dec 1, 2023 | F · Potential for harm, facility-wide | 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. |
| Dec 1, 2023 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Dec 1, 2023 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Nov 5, 2023 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | F |
| 2024 | 5 | 1 | G ▲ |
| 2025 | 5 | 0 | E |
| 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 $12,035.
| Date | Type | Amount / length |
|---|---|---|
| Mar 28, 2024 | Fine | $12,035 |
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) | 2.92 | 3.46 | 3.95 | bottom 18% in Texas; bottom 11% in the U.S. |
| Registered Nurse hours | 0.42 | 0.44 | 0.69 | top 43% in Texas; bottom 25% in the U.S. |
| Weekend total nurse staffing | 2.57 | 3.04 | 3.50 | bottom 21% in Texas; bottom 12% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.35 | 0.34 | 0.48 | top 34% in Texas; bottom 42% in the U.S. |
| Total nursing staff turnover (%) | 68.9 | 55.3 | 45.8 | bottom 20% in Texas; bottom 7% in the U.S. |
| RN turnover (%) | 61.1 | 54.6 | 42.9 | bottom 38% in Texas; bottom 20% in the U.S. |
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 2.93, RN 0.42, weekend 2.59. 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: 3/5 · long-stay residents: 5/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Culp, Roland | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Culp, Roland | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Daspit, Laurence | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Daspit, Laurence | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| HMG Park Manor of Red Oak LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2021 |
| Murrell, Edward | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2012 |
| Prince, Derek | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Prince, Derek | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Rollo, Jeffery | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2012 |
| Rollo, Jeffery | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2012 |
| Stramecki, Anthony | Individual | Corporate Director | NOT APPLICABLE | 11/01/2016 |
| Vratis, Kacey | Individual | Corporate Director | NOT APPLICABLE | 11/01/2020 |
| Way, George | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2013 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How is your kitchen staffed, and have meals ever been delayed because of staffing?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 | Flags |
|---|---|---|---|---|---|
| Park Village Healthcare and Rehabilitation | 3.4 mi | Desoto, TX | ★★☆☆☆ | 1/5 | abuse |
| Windsor Gardens | 4.9 mi | Lancaster, TX | ★★☆☆☆ | 2/5 | |
| Millbrook Healthcare and Rehabilitation Center | 5.0 mi | Lancaster, TX | ★☆☆☆☆ | 2/5 | |
| Methodist Transitional Care Center-Desoto LLC | 5.1 mi | Desoto, TX | ★★★☆☆ | 2/5 | |
| Desoto Nursing & Rehabilitation Center | 5.5 mi | Desoto, TX | ★★★☆☆ | 3/5 | |
| Avir at Lancaster | 5.8 mi | Lancaster, TX | ★★☆☆☆ | 2/5 | |
| Lancaster Nursing & Rehabilitation | 6.0 mi | Lancaster, TX | ★☆☆☆☆ | 1/5 | |
| Five Points Nursing and Rehabilitation | 6.8 mi | Desoto, TX | ★★☆☆☆ | 3/5 | |
| Legend Oaks Healthcare and Rehabilitation - Waxaha | 7.1 mi | Waxahachie, TX | ★☆☆☆☆ | 2/5 | |
| Cedar Hill Healthcare Center | 7.9 mi | Cedar Hill, TX | ★★☆☆☆ | 3/5 | |
| Williamsburg Village Healthcare Campus | 8.2 mi | Desoto, TX | ★★☆☆☆ | 1/5 | SFF |
| The Lennwood Nursing and Rehabilitation | 8.6 mi | Dallas, TX | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 675431.