Texas ›Rockdale

Rockdale Estates & Rehabilitation

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1350 W. Highway 79, Rockdale, TX 76567 (opens Google Maps) · Milam County · (512) 446-2548· 84 certified beds · avg 72 residents/day · certified since Apr 1, 2006 · 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 →

Part of chain: FANNIN COUNTY HOSPITAL DISTRICT (5 facilities, chain avg rating 3.0★)

4/5
Health inspection rating (on-site)
inspected Apr 16, 2025
1
Serious findings on record
most recent Mar 20, 2024
$8,018
Fines, last 3 years
2.65
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: 3/5 · 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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Mar 20, 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 (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Apr 10, 2024 (Deficient, Provider has date of correction)

Inspection findings in the public record

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

  1. 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

  2. D · Potential for more than minimal harm, isolated

    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

  3. D · Potential for more than minimal harm, isolated

    The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684

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.

DateSeverityWhat the facility was cited for
Apr 16, 2025E · Potential for more than minimal harm, patternThe 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
Apr 16, 2025D · Potential for more than minimal harm, isolatedThe 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
Apr 16, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Apr 16, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Apr 16, 2025D · Potential for more than minimal harm, isolatedThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Apr 16, 2025D · Potential for more than minimal harm, isolatedThe 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
Apr 16, 2025D · Potential for more than minimal harm, isolatedThe 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
Mar 20, 2024▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Mar 7, 2024F · Potential for more than minimal harm, widespreadThe 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
Mar 7, 2024E · Potential for more than minimal harm, patternThe 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. · F-0677
Mar 7, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679
Nov 22, 2023D · Potential for more than minimal harm, isolatedThe 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. · from a complaint · F-0686
Jan 5, 2023E · Potential for more than minimal harm, patternThe 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 increased between the last two inspection cycles (3 → 7).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 2
Serious citations (G–L): 0
2024
All citations: 4
Serious citations (G–L): 1
2025
All citations: 7
Serious citations (G–L): 0

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

YearCitationsSerious (G–L)Worst severity that year
202320E
202441G ▲
202570E

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 →

1 fine totaling $8,018.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

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

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)
This facility: 2.65
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.41
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.46
Texas average: 3.04
U.S. average: 3.50

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

MeasureThis facilityTexas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)2.653.463.95bottom 6% in Texas; bottom 5% in the U.S.
Registered Nurse hours0.410.440.69top 45% in Texas; bottom 23% in the U.S.
Weekend total nurse staffing2.463.043.50bottom 12% in Texas; bottom 8% in the U.S.
Weekend RN hours (not acuity-adjusted)0.370.340.48top 31% in Texas; bottom 46% in the U.S.
Total nursing staff turnover (%)42.655.345.8top 27% in Texas; top 43% in the U.S.
RN turnover (%)20.054.642.9top 6% in Texas; top 13% in the U.S.

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 2.72, RN 0.42, weekend 2.53.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.72 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

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: 1/5 · long-stay residents: 2/5 · short-stay residents: 1/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Rockdale Estates & Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

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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 / managerTypeRoleStakeSince
Fannin County Hospital AuthorityOrganization5% or Greater Direct Ownership Interest100%09/01/2025
Bauder Family Investments, LLCOrganizationADP of the SNFNOT APPLICABLE09/01/2025
Bauder, KellyIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE09/10/2025
Bauder, MadisonIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE09/10/2025
Bauder, ParkerIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE09/10/2025
Bauder, WilliamIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE09/10/2025
Boulware St James LLCOrganizationADP of the SNFNOT APPLICABLE09/01/2025
Boulware, DouglasIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE09/10/2025
Boulware, SandraIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE09/10/2025
Boulware, StevenIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE09/10/2025
Boulware, ThomasIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE09/10/2025
House, JanelleIndividualADP of the SNFNOT APPLICABLE09/01/2025
Johnson 5.0 LLCOrganizationOperational/Managerial ControlNOT APPLICABLE09/01/2025
Johnson, JeffreyIndividualOperational/Managerial ControlNOT APPLICABLE09/01/2025
Johnson, JeffreyIndividualADP of the SNFNOT APPLICABLE09/01/2025
Johnson, MaryIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE09/10/2025
PMG Realco-Mabank, LLCOrganizationADP of the SNFNOT APPLICABLE09/01/2025
Sanderson, ClarkIndividualCorporate DirectorNOT APPLICABLE09/01/2025
Steven Boulware Family Investments LLCOrganizationADP of the SNFNOT APPLICABLE09/01/2025
Walker, KatieIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE09/10/2025

All 20 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Fannin County Hospital District — 5 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking.

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.

  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "How many hours a day is a registered nurse physically in the building, including weekends?"
  • "Can you show me an example care plan, and how are families included when it's created and updated?"
  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
  • "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 43% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 20 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)

FacilityDistanceCityOverallInspectionFlags
Winnie L Nursing & Rehabilitation16.1 miCameron, TX★★☆☆☆2/5
Legacy Nursing and Rehabilitation16.1 miCameron, TX★★☆☆☆3/5
Avir at Caldwell18.4 miCaldwell, TX★☆☆☆☆1/5

Compare this facility with the 3 closest →

All facilities in Rockdale →

Facility data as of CMS processing date 2026-08-01. CCN 676093.

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