Rockdale Estates & Rehabilitation — nursing home in Rockdale, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 84 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 73.5 CMS, MDS-derived
CMS Certification Number: 676093
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Apr 1, 2006
Ownership type: For profit - Limited Liability company
Operator (legal business name): Fannin County Hospital Authority
CMS chain: Fannin County Hospital District 5 facilities
Phone: (512) 446-2548
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Jun 3, 2026

Citations

20

17 health · 3 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D12	E4	F3
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$8,018

Payment denials

0

Latest

Mar 7, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 676093
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 84
First approved: Apr 1, 2006
Located in a hospital: Yes
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 3, 2026	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jun 3, 2026	Health	Health Standard	5	Potential harm	—	Open →
Apr 16, 2025	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Apr 16, 2025	Health	Health Standard	7	Potential harm	—	Open →
Mar 20, 2024	Health	Health Complaint	1	Actual harm	—	Open →
Mar 7, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Mar 7, 2024	Health	Health Standard	3	Potential harm	—	Open →
Nov 22, 2023	Health	Health Complaint	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Mar 7, 2024	Civil money penalty (fine)	$8,018	—	676093\|Fine\|112534

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D12	E4	F3
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 3, 2026	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 24, 2026
Jun 3, 2026	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 24, 2026
Jun 3, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 24, 2026
Jun 3, 2026	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jun 24, 2026
Jun 3, 2026	F-0868	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Jun 24, 2026
Apr 16, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 12, 2025
Apr 16, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 12, 2025
Apr 16, 2025	F-0727	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected May 12, 2025
Apr 16, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 12, 2025
Apr 16, 2025	F-0758	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 12, 2025
Apr 16, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected May 12, 2025
Apr 16, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 12, 2025
Mar 20, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Apr 10, 2024	Complaint
Mar 7, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 20, 2024
Mar 7, 2024	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 20, 2024
Mar 7, 2024	K-0352	Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 20, 2024
Mar 7, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Apr 15, 2024
Mar 7, 2024	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 15, 2024
Mar 7, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Apr 15, 2024
Nov 22, 2023	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 12, 2023	Complaint

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing2.96

State avg 3.42US avg 3.90

Registered nurse (RN)0.43

State avg 0.44US avg 0.69

Licensed practical nurse0.56

State avg 0.94US avg 0.86

Nurse aide1.97

State avg 2.03US avg 2.35

Weekend total nurse2.69

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.99 (case-mix index 1.39).

Staff turnover

Total nursing staff turnover44.9%

State avg 50.8%US avg 45.3%

Registered nurse turnover33.3%

State avg 49.8%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jun 3, 2026
Cycle 1 health score: 24
Total weighted score: 32

Operating entity

Fannin County Hospital Authority

CMS legal business name of the certified provider. Operates 58 facilities.

VerifiedLinked by exact legal name

CMS chain

Fannin County Hospital District

5 facilities in 1 states. CMS chain ID 842.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.2

Ownership disclosures

Disclosures

20

Organizations

6

Individuals

14

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Fannin County Hospital Authority	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Sep 1, 2025

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Fannin County Hospital Authority	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Sep 1, 2025
Kelly Bauder	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Sep 10, 2025
Madison Bauder	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Sep 10, 2025
Parker Bauder	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Sep 10, 2025
William Bauder	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Sep 10, 2025
Douglas Boulware	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Sep 10, 2025
Sandra Boulware	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Sep 10, 2025
Steven Boulware	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Sep 10, 2025
Thomas Boulware	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Sep 10, 2025
Mary Johnson	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Sep 10, 2025
Katie Walker	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Sep 10, 2025
Johnson 5.0 LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2025
Jeffrey Johnson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2025
Clark Sanderson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 1, 2025
Bauder Family Investments, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2025
Boulware St James LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2025
Pmg Realco-Mabank, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2025
Steven Boulware Family Investments LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2025
Janelle House	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2025
Jeffrey Johnson	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2025

Other facilities operated by Fannin County Hospital Authority

All 57 →

Facility	Beds	Last inspection	Citations (window)	Fines
Avir at the Meadow 8383 Meadow Road, Dallas, TX 75231 CCN 455463	184	Jul 27, 2026	693 IJ2 harm	$36k
Ennis Care Center 1200 S Hall St, Ennis, TX 75119 CCN 455486	155	May 20, 2026	502 IJ	$37k
Pleasant Springs Healthcare Center 2003 North Edwards Avenue, Mount Pleasant, TX 75455 CCN 455532SFF CandidateAbuse icon	90	Aug 7, 2026	774 IJ2 harm	$66k
Avir at Center 280 Moffitt Dr, Center, TX 75935 CCN 455550	137	Jul 23, 2025	271 IJ	$9,113
Texoma Healthcare Center 1000 US Highway 82 East, Sherman, TX 75090 CCN 455573	179	Aug 19, 2026	602 IJ6 open	$16k
Avir at Weatherford 521 W. 7th Street, Weatherford, TX 76086 CCN 455574Abuse icon	122	Feb 12, 2026	262 IJ	$22k
Grand Terrace Rehabilitation and Healthcare 812 W. Houston Ave., Mcallen, TX 78501 CCN 455586	93	Jun 17, 2026	16	—
Christian Care Communities and Services Mesquite 1000 Wiggins Parkway, Mesquite, TX 75150 CCN 455617	180	May 21, 2026	314 IJ	$29k

Same chain in Texas

All 4 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Pampa Nursing Center 1321 W. Kentucky, Pampa, TX 79065 CCN 675327	88	Jun 11, 2026	292 open	$4,085
Levelland Nursing and Rehabilitation Center 210 West Avenue, Levelland, TX 79336 CCN 675329	87	Jan 16, 2026	302 IJ1 open	$19k
Cedar Lake Nursing Center 1611 W Royall Blvd., Malakoff, TX 75148 CCN 675898	90	Sep 10, 2025	14	—
Harbor Valley Health and Rehabilitation 6211 Old Pearsall Rd, San Antonio, TX 78242 CCN 676478	120	Jan 21, 2026	432 IJ	$19k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1350 W Highway 79, Rockdale, TX 76567
ZIP: 76567
County: Milam County FIPS 48331
State: Texas
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

No nearby facilities with coordinates.

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	676093	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	676093	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 676093

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction