Rose Haven Retreat
200 LIVE OAK ST, Atlanta, TX, 75551
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Caring Healthcare Group
- Certified beds
- 108 · avg 48 residents/day
- Total nursing staff turnover
- 64.9% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 14.3% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,281 total
State licensing & capacity
- License number
- 150077
- Service type
- Medicare/medicaid
- Licensed capacity
- 108 beds
- Bed type breakdown
- 40 Medicare-only · 68 Medicaid/Medicare
- Current license effective
- July 22, 2024
- Current license expires
- July 22, 2027
- Initial license date
- August 24, 1981
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Winniestowell Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Rose Haven Healthcare Llc
- Administrator
- Kera Gore
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Caring Healthcare Group chain — 14 facilities. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (4 on record)
- Kera g Gore
W-2 Managing Employee · since 2022
- Menachem Mendy Shapiro
Operational/managerial Control · since 2014
- Winnie-stowell Hospital District
Operational/managerial Control · 100% · since 2014
- Edward r Murrell
Corporate Officer · since 2012
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 34)
- D0926·May 7, 2025
Environmental Deficiencies
Have policies on smoking.
- D0880·May 7, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·May 7, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0791·May 7, 2025
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
- D0761·May 7, 2025
Pharmacy Service Deficiencies
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.
- D0755·May 7, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0699·May 7, 2025
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
- D0641·May 7, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Federal penalties
By year
- 20251 fine · $8,281
Most recent events
- Feb 25, 2025Fine · $8,281
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: May 7, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Rose Haven Retreat is a 108-bed nursing home in Atlanta, Texas, licensed through July 2027 and managed by Rose Haven Healthcare LLC under the Winniestowell Hospital District. CMS rates it 4 stars overall, with 5-star quality-of-care measures and 4-star staffing. The facility is currently operating at roughly 45% of licensed capacity — about 48 residents on an average day. One CMS fine of $8,281 is on record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 4 stars — placing it among roughly the top 9% of Texas nursing homes on that measure. Each resident receives about 309 minutes of nursing care per day. The facility's residents tend to need less hands-on care than at a typical nursing home, so those hours stretch further than the raw number already suggests.
About 6 in 10 nursing staff left in the past year. Texas's 75th-percentile cutoff for total staff turnover is 60% — this facility sits just above it. For a long-stay resident, that pace of turnover means cycling through multiple primary caregivers over the course of a year. RN turnover tells a different story: roughly 1 in 10 registered nurses left, which falls below the state's 25th-percentile cutoff — better than about three-quarters of nursing homes in Texas. The instability is concentrated in frontline nursing staff, not the RN layer.
One CMS fine totaling $8,281 is on record. About 30% of Texas nursing homes have no fines at all; a single fine at this dollar amount is below the state median of $20,699.
The facility is running at roughly 45% of its 108 licensed beds — about 48 residents on an average day. Paired with the elevated overall staff turnover, the low census is a concrete data point to bring into any conversation with the admissions team.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing at current occupancy
With only about 48 residents filling 108 licensed beds, ask how staffing levels would change if the census grew significantly — and what the current nurse-to-resident ratio looks like on nights and weekends.
Why overall turnover is elevated
About 6 in 10 frontline nursing staff left in the past year; ask which roles turned over most and what the facility is doing to fill and retain those positions.
RN presence and continuity
RN turnover is exceptionally low — ask how many registered nurses are on the floor each shift and whether that coverage holds on weekends.
Reason for low occupancy
The facility operates at roughly 45% capacity; ask whether that reflects a recent change in admissions, a service-mix shift, or something else affecting day-to-day operations.
Hospital district governance
Rose Haven is licensed to Winniestowell Hospital District but managed by Rose Haven Healthcare LLC; ask how decisions about staffing and capital spending are divided between the district and the management company.
The 2024 fine
CMS recorded one fine of $8,281 — ask what deficiency triggered it and what corrective steps were taken.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.