Federal inspection record · CMS data as of October 1, 2026
Fortress Nursing And Rehabilitation
1105 Rock Prairie Rd, College Station, TX · (979) 694-2200
- Certified beds
- 120
- Residents per day
- 71
- Ownership
- For-Profit
- Chain
- Creative Solutions In Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 28, 1985
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Fortress Nursing And Rehabilitation carries 31 inspection points. That is fewer than 85% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
17 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Quality of Life and Care5E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide activities to meet all resident's needs.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service4E
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary3E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Dispose of garbage and refuse properly.
Resident Rights1D
- D
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning1D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspection history
2026-01-22
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2024-10-24
10 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-09-14
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 40 min of nursing staff time a day, 22 min of it from a registered nurse.
This home
2 h 40 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 74% of nursing staff and 71% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$17,014 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-03-13 | Fine | $17,014 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts better | 1.0 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.7 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.2 pts better | 99.6% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts worse | 5.0% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.9 pts better | 1.4% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts worse | 3.0% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.5 pts better | 16.3% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.3 pts better | 6.5% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10.3 pts worse | 23.2% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased14.1 pts worse | 29.9% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.6 pts better | 8.9% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.1 pts worse | 6.8% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8 pts better | 96.7% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6 pts better | 6.2% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better | 100.0% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission12 pts better | 13.5% | 25.5% | 23.4% |
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Who owns and runs it
4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Blake, Gary | Operational/Managerial Control · Individual | 0% | 139 facilities |
| Blake, Malisa | Operational/Managerial Control · Individual | 0% | 139 facilities |
| Creative Solutions In Healthcare Inc | Operational/Managerial Control · Organization | 0% | 45 facilities |
| Huggins, Linda | W-2 Managing Employee · Individual | 0% | 138 facilities |
·
Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3E
- E
Provide properly protected cooking facilities.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
-
Accel at College Station
College Station, TX · Hmg Healthcare
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 8 min
- Fines
- $74,042
-
Five Points Nursing & Rehabilitation of College St
College Station, TX · Creative Solutions In Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 41 min
- Fines
- $40,142
-
Legacy Nursing and Rehabilitation
Bryan, TX · Legacy Nursing & Rehabilitation
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 50 min
- Fines
- $8,044