Fortress Nursing And Rehabilitation
1105 ROCK PRAIRIE ROAD, College Station, TX, 77845
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
- For profit - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 120 · avg 63 residents/day
- Total nursing staff turnover
- 73.5% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 3 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $90,768 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 307571
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 23 Medicare-only · 97 Medicaid/Medicare
- Current license effective
- December 1, 2023
- Current license expires
- December 1, 2026
- Initial license date
- August 20, 1974
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- College Station I Enterprises, Llc (Limited Liability Company (LLC))
- Operator / manager
- Creative Solutions In Healthcare, Inc
- Administrator
- Andreana Dannhaeuser
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 (5 on record)
- Creative Solutions in Healthcare Inc
Operational/managerial Control · 100% · since 2019
- Gary r Blake
5% or Greater Indirect Ownership Interest · 50% · since 2019
- Honor x Enterprises, Llc
5% or Greater Direct Ownership Interest · 100% · since 2019
- Linda f Huggins
W-2 Managing Employee · since 2019
- Malisa a Blake
5% or Greater Indirect Ownership Interest · 50% · since 2019
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 31)
- G0689·Jun 2, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0695·Apr 16, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0677·Oct 24, 2024Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E0812·Oct 24, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0761·Oct 24, 2024
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.
- D0759·Oct 24, 2024
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- E0755·Oct 24, 2024
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0679·Oct 24, 2024
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Federal penalties
By year
- 20241 fine · $17K
- 20231 fine · $74K · 1 payment denial
Most recent events
- Mar 13, 2024Fine · $17K
- Jun 6, 2023Payment denial · 104 days · starting Jul 6, 2023
- Jun 6, 2023Fine · $74K
Largest single fine on record: $74K.
Fire-safety citations
5 Life-Safety-Code citations on file, including 2 at severity J–L. Most recent: Oct 24, 2024. 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
Fortress Nursing And Rehabilitation is a 120-bed Medicare/Medicaid nursing home in College Station, Texas, licensed since 1974 and managed by Creative Solutions In Healthcare. CMS rates it 2 stars overall, with 2-star ratings on both health inspections and staffing. Two CMS fines totaling $90,768 have been assessed, and only about 62 of its 120 beds are occupied on an average day. Three administrators have turned over in the past year.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 2 stars on staffing — roughly the bottom third of Texas nursing homes on that measure, a tier shared by about 32% of facilities statewide. Each resident receives about 185 minutes of total nursing care per day, roughly 56 minutes less than at a 4-star-staffing facility in Texas. RN coverage comes to about 21 minutes per resident per day, compared to 37 minutes at the 4-star threshold.
About 7 in 10 nursing staff left in the past year — a very high turnover rate, well above Texas's 75th-percentile cutoff of 60%. At that pace, a long-stay resident will likely go through two or three primary caregivers over the course of a year.
Three administrators have turned over in the past year. That level of leadership instability tends to ripple into day-to-day operations — care plans, staffing schedules, and staff morale are all shaped by who is running the building.
CMS recorded 2 fines totaling $90,768. The state median for fines among facilities that receive any is $20,699, and about 30% of Texas nursing homes have no fines at all. These two fines combined represent more than four times the state median.
The facility is operating at roughly 52% of its 120 licensed beds — about 62 residents on an average day. That figure is notably low. Paired with high turnover and administrator instability, the occupancy gap is a concrete data point to ask about.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Administrator stability going forward
Three administrators have left in the past year — ask who is currently in that role, how long they have been in place, and whether they plan to stay.
Why so many beds are empty
The facility averages about 62 residents against 120 licensed beds — ask what is driving the low census and whether services or staffing have changed as a result.
What the two CMS fines covered
CMS assessed two fines totaling $90,768 — ask what deficiencies triggered them and what specific changes were made in response.
Nursing staff consistency on this unit
About 7 in 10 nursing staff left in the past year — ask how many of the nurses and aides currently on the floor have been here more than six months.
Weekend staffing levels
Reported weekend nursing hours run about 2.6 hours per resident per day, below the already-low weekday figure — ask how weekend coverage is structured and how many staff are on duty on a typical Saturday night.
Short-stay care outcomes
The short-stay quality-of-care rating is 1 star while the long-stay rating is 5 stars — ask what that gap reflects and which residents are typically admitted for short-term recovery.
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.