Caprock Nursing & Rehabilitation
900 COLLEGE AVENUE, Borger, TX, 79007
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 Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 120 · avg 67 residents/day
- Total nursing staff turnover
- 52.7% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 40% — 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 · $10,145 total
State licensing & capacity
- License number
- 308628
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 34 Medicare-only · 86 Medicaid/Medicare
- Current license effective
- June 1, 2025
- Current license expires
- June 1, 2028
- Initial license date
- April 16, 2013
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Liberty County Hospital District No 1 (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Borger I Enterprises, Llc
- Administrator
- Kyle Cummings
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (13 on record)
- Ron k Rankin
Adp of The Snf · since 2025
- Steven m Schmidt
Adp of The Snf · since 2025
- Zachary Willig
Corporate Director · since 2025
- Margaret Gardzina
Managing Control - Governing Body · since 2024
- Shannon Gardner
Managing Control - Governing Body · since 2022
- Borger i Enterprises Llc
Operational/managerial Control · 100% · since 2022
+ 7 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 27)
- D0760·Jan 20, 2026Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0657·Nov 24, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0550·Aug 6, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E0803·May 21, 2025
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E0725·May 21, 2025
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D0695·May 21, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0644·May 21, 2025
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E0641·May 21, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Federal penalties
By year
- 20241 fine · $10K
Most recent events
- Oct 18, 2024Fine · $10K
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Caprock Nursing & Rehabilitation is a 120-bed Medicare/Medicaid nursing home in Borger, TX, managed by Borger I Enterprises under a hospital-district license. CMS rates it 3 stars overall, with a 2-star health inspection rating and a substantiated abuse or neglect finding within the past 36 months. Quality-measure scores reach 5 stars, the highest tier. The facility is operating at roughly 56% of licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 165 minutes of nursing care per day — 76 minutes less than at a 4-star-staffing facility in Texas, which sits at 241 minutes. Residents here also need more hands-on care than at a typical facility — sicker, or less mobile on average — so those 165 minutes stretch thinner than they appear on paper.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. That finding contributes to the 2-star health inspection rating.
One CMS fine totaling $10,145 has been issued. The state median fine across Texas nursing homes is $20,699, and about 30% of Texas facilities have received no fines at all.
The facility is operating at roughly 56% of its 120 licensed beds — about 67 residents on an average day. Quality measures rate 5 stars, the highest tier, for both long-stay and short-stay residents.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Abuse finding and corrective steps
CMS substantiated an abuse or neglect finding here within the past 36 months — ask what happened, what changed in staff training or supervision, and how incidents are reported today.
Staffing on nights and weekends
Reported nursing hours average 165 minutes per resident per day, and weekend hours drop to roughly 143 minutes — ask how many nurses and aides are on duty overnight and on Saturdays and Sundays.
Why occupancy is low
The facility averages about 67 residents against 120 licensed beds; ask whether the lower census reflects a recent shift in admissions, staffing constraints, or something else.
Management company's role
The licensee is a hospital district, but day-to-day management runs through Borger I Enterprises — ask which entity sets staffing levels, hires the administrator, and handles complaints.
How 5-star quality scores are maintained
Quality measures rate 5 stars despite a 2-star health inspection score — ask which specific measures drive that rating and how care plans are reviewed when a resident's condition changes.
Resident Council access and frequency
The facility has a Resident Council but no Family Council — ask how often the council meets, whether families can attend, and how concerns raised there reach management.
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.