Rockdale Estates & Rehabilitation
Rockdale, Milam County, Texas · CCN 676093 · For-profit (LLC) · part of Fannin County Hospital District (5 facilities, chain average 3 stars)
CMS rates Rockdale Estates & Rehabilitation 3 of 5 overall as of August 2026. 84 certified beds, 72 residents a day on average. 13 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $8,018.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★☆☆☆☆ 1 of 5 |
| Quality: long-stay / short-stay | 2 / 1 of 5 |
Staffing
| Total nurse staffing | 2.7201 hours per resident per day |
|---|---|
| Registered nurses | 0.42006 hours per resident per day |
| Weekend total | 2.52547 hours per resident per day |
| Nursing staff turnover | 42.6% (registered nurses 20%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-04-16 | 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 · tag F0727 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-12 |
| 2025-04-16 | 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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-12 |
| 2025-04-16 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-12 |
| 2025-04-16 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-12 |
| 2025-04-16 | 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 · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-12 |
| 2025-04-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-12 |
| 2025-04-16 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-12 |
| 2024-03-20 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-04-10 |
| 2024-03-07 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-04-15 |
| 2024-03-07 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-04-15 |
| 2024-03-07 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-15 |
| 2023-11-22 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-12 |
| 2023-01-05 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-02-06 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-03-07 | Fine | $8,018 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Fannin County Hospital Authority Organization | 5% or greater direct ownership interest | 100% | 2025-09-01 |
| Bauder Family Investments, LLC Organization | adp of the snf | — | 2025-09-01 |
| Boulware St James LLC Organization | adp of the snf | — | 2025-09-01 |
| Pmg Realco-Mabank, LLC Organization | adp of the snf | — | 2025-09-01 |
| Steven Boulware Family Investments LLC Organization | adp of the snf | — | 2025-09-01 |
| Johnson 5.0 LLC Organization | operational/managerial control | — | 2025-09-01 |
| House, Janelle Individual | adp of the snf | — | 2025-09-01 |
| Johnson, Jeffrey Individual | adp of the snf | — | 2025-09-01 |
| Sanderson, Clark Individual | corporate director | — | 2025-09-01 |
| Bauder, Kelly Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-09-10 |
| Bauder, Madison Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-09-10 |
| Bauder, Parker Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-09-10 |
| Bauder, William Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-09-10 |
| Boulware, Douglas Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-09-10 |
| Boulware, Sandra Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-09-10 |
| Boulware, Steven Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-09-10 |
| Boulware, Thomas Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-09-10 |
| Johnson, Mary Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-09-10 |
| Walker, Katie Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-09-10 |
| Johnson, Jeffrey Individual | operational/managerial control | — | 2025-09-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Rockdale Estates & Rehabilitation.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Milam County.