Rising Star Nursing Center

Name: Rising Star Nursing Center
Address: 411 S MILLER, Rising Star, TX, 76471, US
Telephone: 2546436700

411 S Miller, Rising Star, TX 76471 · Eastland County · 60 certified beds · avg 35 residents/day · certified since Apr 28, 2000

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.71

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.

All citations in the current public record (13)

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
Dec 5, 2025	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Dec 5, 2025	E · Potential for harm, repeated	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Dec 5, 2025	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
Aug 9, 2024	E · Potential for harm, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Aug 9, 2024	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Aug 9, 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.
Aug 9, 2024	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Aug 9, 2024	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.
Aug 9, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jun 22, 2023	E · Potential for harm, repeated	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Jun 22, 2023	E · Potential for harm, repeated	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Jun 22, 2023	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.
Jun 22, 2023	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 3).

Year	Citations	Worst severity that year
2023	4	E
2024	6	E
2025	3	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)

No fines or payment denials in the published 3-year window.

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)	3.71	3.46	3.95	top 24% in Texas; bottom 47% in the U.S.
Registered Nurse hours	0.65	0.44	0.69	top 12% in Texas; top 42% in the U.S.
Weekend total nurse staffing	3.02	3.04	3.50	top 40% in Texas; bottom 32% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.41	0.34	0.48	top 25% in Texas; top 47% in the U.S.
Total nursing staff turnover (%)	48.6	55.3	45.8	top 42% in Texas; bottom 40% 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 3.78, RN 0.66, weekend 3.08. Staffing rating: 3/5.

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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Derrick, Michele	Individual	Corporate Officer	NOT APPLICABLE	04/01/2017
Donham, Guyle	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Donham, Guyle	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
JK Neal Realty	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2016
Jones, Timothy	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/01/2017
Jones, Timothy	Individual	Corporate Director	NOT APPLICABLE	04/01/2017
Keltz, Terry	Individual	Corporate Officer	NOT APPLICABLE	07/01/2017
McCulloch County Hospital District	Organization	ADP of the SNF	NOT APPLICABLE	04/14/2025
Neal, Joseph	Individual	Corporate Director	NOT APPLICABLE	04/01/2017
Neal, Joseph	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2017
Neal, Joseph	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2016
Rising Star Senior Care LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2020
Rising Star Senior Care LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2020
Roddie, Kirk	Individual	Corporate Officer	NOT APPLICABLE	07/01/2021
Schaffner, Michael	Individual	Corporate Officer	NOT APPLICABLE	07/01/2021
Whitten, Gregory	Individual	Corporate Director	NOT APPLICABLE	01/03/2020
Whitten, Gregory	Individual	Operational/Managerial Control	NOT APPLICABLE	01/03/2020
Whitten, Gregory	Individual	ADP of the SNF	NOT APPLICABLE	01/03/2020

Questions to ask on your visit

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

"Can you show me an example care plan, and how are families included when it's created and updated?"
"What mental health services do you provide on-site, and who delivers them?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"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
Avir at Cisco	19.7 mi	Cisco, TX	★★★★★	5/5

Compare this facility with the 1 closest →

All facilities in Rising Star →

Facility data as of CMS processing date 2026-08-01. CCN 675832.

The Care File

Visit checklist — Rising Star Nursing Center

411 S Miller, Rising Star, TX 76471 · 2546436700

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What mental health services do you provide on-site, and who delivers them?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "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 675832 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)