Nursing homeActive
Rockdale Estates & Rehabilitation
1350 W. Highway 79, Rockdale, TX 76567512446254884 certified beds · 72 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
13
● 0● 12● 1
Penalties · 3 yrs
$8,018
1 fine
Last survey
2025-04-16
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 4
Staffing 2
Quality 1
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| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-04-16 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2024-03-20 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-03-07 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2023-11-22 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-01-05 | Standard | 010 | CMS-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.
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-12Record 676093-20250416-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-12Record 676093-20250416-F684
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 2025-05-12Record 676093-20250416-F727
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-12Record 676093-20250416-F755
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-12Record 676093-20250416-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-12Record 676093-20250416-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 2025-05-12Record 676093-20250416-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-04-10Record 676093-20240320-F689
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 676093-20240307-F677
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 676093-20240307-F679
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 676093-20240307-F812
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-12Record 676093-20231122-F686
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 2023-02-06Record 676093-20230105-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-03-07 | Civil money penalty | $8,018 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.42
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day2.72
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.53
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover43%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover20%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.3% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 8.3% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 15.2% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 4.7% | 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 | 14.7% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.0% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 27.9% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Fannin County Hospital Authority Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Johnson 5.0 LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Johnson, Jeffrey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bauder Family Investments, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bauder, Kelly Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bauder, Madison Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bauder, Parker Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bauder, William Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Boulware St James LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Boulware, Douglas Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Boulware, Sandra Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Boulware, Steven Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Boulware, Thomas Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| House, Janelle Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Johnson, Jeffrey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Johnson, Mary Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pmg Realco-Mabank, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sanderson, Clark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Steven Boulware Family Investments LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Walker, Katie Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Fannin County Hospital District — 5 facilities
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 Milam.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Winnie L Nursing & Rehabilitation Cameron | 16.1 mi | 2026-05-12 | 0225 |
| Legacy Nursing And Rehabilitation Cameron | 16.1 mi | 2026-02-12 | 0230 |
| Avir at Caldwell Caldwell | 18.4 mi | 2026-06-20 | 0252 |
| Copperas Hollow Nursing & Rehabilitation Center Caldwell | 20.9 mi | 2026-04-11 | 0122 |
| Spjst Rest Home 1 Taylor | 22.1 mi | 2026-01-16 | 0236 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |