Federal inspection record · CMS data as of October 1, 2026
Rockdale Estates & Rehabilitation
1350 W Highway 79, Rockdale, TX · (512) 446-2548
- Certified beds
- 84
- Residents per day
- 74
- Ownership
- For-Profit
- Chain
- Fannin County Hospital District
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 2006
1
How this home got 3 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
★★★★★no change
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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Rockdale Estates & Rehabilitation carries 32 inspection points. That is fewer than 84% 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 (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care4E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Assessment and Care Planning3D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary3F
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service2D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
Administration1E
- E
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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.
Nursing and Physician Services1E
- E
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.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-06-03
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2025-04-16
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2024-03-07
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 58 min of nursing staff time a day, 26 min of it from a registered nurse.
This home
2 h 58 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 45% of nursing staff and 33% of registered nurses left in the past year.
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
$8,018 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-03-07 | Fine | $8,018 |
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 days0.6 pts worse | 2.6 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse | 2.3 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.6 pts better | 98.6% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.3 pts worse | 7.5% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.4 pts worse | 8.7% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts better | 2.4% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10 pts worse | 27.8% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.1 pts worse | 16.9% | 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 worsened4.2 pts better | 8.7% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.6 pts better | 11.2% | 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 infection2.7 pts worse | 3.5% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.3 pts worse | 17.8% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts worse | 6.1% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 100.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.2 pts worse | 13.4% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication6.1 pts worse | 7.5% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.4 pts better | 95.8% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission10.1 pts worse | 35.6% | 25.5% | 23.4% |
·
Who owns and runs it
20 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 |
|---|---|---|---|
| Fannin County Hospital Authority | 5% Or Greater Direct Ownership Interest · Organization | 100% | 54 facilities |
| Bauder Family Investments, LLC | Adp Of The SNF · Organization | 0% | 25 facilities |
| Bauder, Kelly | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 28 facilities |
| Bauder, Madison | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 28 facilities |
| Bauder, Parker | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 28 facilities |
| Bauder, William | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 42 facilities |
| Boulware St James LLC | Adp Of The SNF · Organization | 0% | 25 facilities |
| Boulware, Douglas | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 46 facilities |
| Boulware, Sandra | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 20 facilities |
| Boulware, Steven | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 48 facilities |
| Boulware, Thomas | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 30 facilities |
| House, Janelle | Adp Of The SNF · Individual | 0% | 6 facilities |
| Johnson 5.0 LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Johnson, Jeffrey | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Johnson, Jeffrey | Adp Of The SNF · Individual | 0% | 1 facilities |
| Johnson, Mary | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 2 facilities |
| Pmg Realco-Mabank, LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Sanderson, Clark | Corporate Director · Individual | 0% | 58 facilities |
| Steven Boulware Family Investments LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
| Walker, Katie | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 30 facilities |
·
Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Properly install and monitor supervisory attachments on automatic sprinkler systems.
- E
Install an approved automatic sprinkler system.
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Other homes nearby
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Legacy Nursing And Rehabilitation
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