Crossroads Nursing & Rehabilitation
611 ROSE MARIE BOULEVARD, Hearne, TX, 77859
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
- 80 · avg 50 residents/day
- Total nursing staff turnover
- 38.6% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 3 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 312199
- Service type
- Medicare/medicaid
- Licensed capacity
- 80 beds
- Bed type breakdown
- 4 Medicare-only · 76 Medicaid/Medicare
- Current license effective
- October 1, 2024
- Current license expires
- October 1, 2027
- Initial license date
- May 12, 2015
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Hearne I Enterprises, Llc
- Administrator
- Shanika Smith
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 (15 on record)
- Honor x Enterprises, LlcHolding
Adp of The Snf · since 2025
- Monica Kissling
Corporate Officer · since 2024
- Clark r Sanderson
Corporate Officer · since 2024
- Erin Holt
Corporate Officer · since 2024
- Fannin County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2024
- Gary r Blake
Operational/managerial Control · since 2024
+ 9 additional owners on the federal record.
Recent change of ownership
October 2024 (1 year ago) · acquired from Crossroads Nursing & Rehabilitation
Transaction type: Acquisition/merger
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 29)
- E0880·Dec 4, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Dec 4, 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.
- D0761·Dec 4, 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.
- E0759·Dec 4, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- E0679·Dec 4, 2025
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
- D0677·Dec 4, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0656·Dec 4, 2025
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0558·Dec 4, 2025
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Dec 4, 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
Crossroads Nursing & Rehabilitation is an 80-bed Medicare/Medicaid nursing home in Hearne, Robertson County, operated by Hearne I Enterprises under a hospital district license. CMS rates it 3 stars overall, with a 1-star staffing rating — the bottom tier in Texas — offset by a 5-star long-stay quality-of-care rating. Three administrators have turned over in the past year. About 50 of 80 beds are currently occupied.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Reported daily nursing hours per resident are unavailable in the CMS data, so a direct minute comparison to 4-star-staffing facilities cannot be made; the 1-star rating itself signals that hours fall well below what CMS expects for higher-rated care.
Nursing staff turnover runs at roughly 4 in 10 over the past year — below Texas's 25th-percentile cutoff of 42%, meaning staff retention is better than about three-quarters of nursing homes in the state. That stability exists alongside the 1-star staffing rating, which reflects how many hours are worked, not how often staff leave. The two numbers describe different things.
Three administrators have left in the past year — a level of leadership turnover that affects scheduling, care-plan oversight, and daily operations that residents experience directly.
The facility is running at roughly 63% of its 80 licensed beds — about 50 residents on a typical day. Paired with the 1-star staffing rating and three administrator changes, the low occupancy rate is part of a broader operational picture families will want to examine.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing hours per resident
CMS rates staffing 1 star here — ask how many total nursing hours each resident receives daily and how that is tracked.
Three administrators in one year
Three administrators have left in the past 12 months — ask who is currently in the role and how long they have been in place.
Occupancy and bed availability
About 50 of 80 beds are filled; ask whether lower occupancy has affected staffing levels or service offerings on any unit.
Hearne I Enterprises day-to-day role
The facility is licensed to a hospital district but managed by Hearne I Enterprises — ask which entity sets staffing budgets and care policies.
Resident Council access
A Resident Council exists here but no Family Council — ask how family members can formally raise concerns if a resident cannot do so independently.
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.