Nursing homeActive

Rising Star Nursing Center

411 S Miller, Rising Star, TX 76471254643670060 certified beds · 35 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
13
0130
Penalties · 3 yrs
none on file
Last survey
2025-12-05
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-12-05Standard030CMS-2567 (Care Compare)
2024-08-09Standard060CMS-2567 (Care Compare)
2023-06-22Standard040CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-12-05Standard survey · 3 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-09Record 675832-20251205-F656
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-09Record 675832-20251205-F726
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-09Record 675832-20251205-F740
2024-08-09Standard survey · 6 deficienciesOfficial report
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-30Record 675832-20240809-F655
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-30Record 675832-20240809-F657
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-30Record 675832-20240809-F686
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-30Record 675832-20240809-F695
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-30Record 675832-20240809-F842
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-30Record 675832-20240809-F880
2023-06-22Standard survey · 4 deficienciesOfficial report
F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-07Record 675832-20230622-F700
F727Have 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.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-23Record 675832-20230622-F727
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-10Record 675832-20230622-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-11Record 675832-20230622-F880

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.66
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.78
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.08
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover49%
Facility
Texas
National
Texas 55% · National 46%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
0.0%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.0%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
0.0%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.8%0.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
19.2%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
2.6%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
21.7%18.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Donham, Guyle
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Neal, Joseph
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Rising Star Senior Care LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Whitten, Gregory
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Derrick, Michele
Individual
CORPORATE OFFICERNOT APPLICABLE
Donham, Guyle
Individual
ADP OF THE SNFNOT APPLICABLE
Jk Neal Realty
Organization
ADP OF THE SNFNOT APPLICABLE
Jones, Timothy
Individual
CORPORATE DIRECTORNOT APPLICABLE
Jones, Timothy
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Keltz, Terry
Individual
CORPORATE OFFICERNOT APPLICABLE
Mcculloch County Hospital District
Organization
ADP OF THE SNFNOT APPLICABLE
Neal, Joseph
Individual
CORPORATE DIRECTORNOT APPLICABLE
Neal, Joseph
Individual
ADP OF THE SNFNOT APPLICABLE
Rising Star Senior Care LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Roddie, Kirk
Individual
CORPORATE OFFICERNOT APPLICABLE
Schaffner, Michael
Individual
CORPORATE OFFICERNOT APPLICABLE
Whitten, Gregory
Individual
ADP OF THE SNFNOT APPLICABLE
Whitten, Gregory
Individual
CORPORATE DIRECTORNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.

No county cost figures on file for Eastland.

Nearby nursing homes

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Avir at Cisco
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Care Nursing & Rehabilitation
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Western Hills Healthcare Residence
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Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01