Rising Star Nursing Center

411 S Miller, Rising Star, TX 76471 (opens Google Maps) · Eastland County · (254) 643-6700· 60 certified beds · avg 35 residents/day · certified since Apr 28, 2000 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

4/5

Health inspection rating (on-site)

inspected Dec 5, 2025

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)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 13 inspection findings. Open the full record below to read every finding.

Dec 5, 2025E · Potential for more than minimal harm, pattern
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. F-0656
Dec 5, 2025E · Potential for more than minimal harm, pattern
The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. F-0740
Dec 5, 2025D · Potential for more than minimal harm, isolated
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 F-0726

View all 13 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Dec 5, 2025	E · Potential for more than minimal harm, pattern	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. · F-0656
Dec 5, 2025	E · Potential for more than minimal harm, pattern	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · F-0740
Dec 5, 2025	D · Potential for more than minimal harm, isolated	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 · F-0726
Aug 9, 2024	E · Potential for more than minimal harm, pattern	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. · F-0686
Aug 9, 2024	E · Potential for more than minimal harm, pattern	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. · F-0695
Aug 9, 2024	E · Potential for more than minimal harm, pattern	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. · F-0880
Aug 9, 2024	D · Potential for more than minimal harm, isolated	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. · F-0655
Aug 9, 2024	D · Potential for more than minimal harm, isolated	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. · F-0657
Aug 9, 2024	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Jun 22, 2023	E · Potential for more than minimal harm, pattern	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. · F-0700
Jun 22, 2023	E · Potential for more than minimal harm, pattern	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. · F-0727
Jun 22, 2023	E · Potential for more than minimal harm, pattern	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. · F-0812
Jun 22, 2023	D · Potential for more than minimal harm, isolated	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. · F-0880

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2025

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityTexas averageU.S. average

Total nurse staffing (hours per resident per day)

3.71

3.46

3.95

Registered Nurse hours

0.65

0.44

0.69

Weekend total nurse staffing

3.02

3.04

3.50

All bars start at zero. Exact values and supporting details remain below.

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 (%)	—	54.6	42.9	—

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.78 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Rising Star Nursing Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

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

All 18 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 49% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 18 owning or managing parties — who makes the decisions about staffing levels?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

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 →

Other facilities in the same county

CMS records place this facility in Eastland, TX — 4 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Avir at Woodlands — Eastland, TX · overall 1/5
Premier Health Care Center — Ranger, TX · overall 1/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Rising Star →

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

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Rising Star Nursing Center

411 S Miller, Rising Star, TX 76471 · (254) 643-6700

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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 49% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 18 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)