Rockdale Estates & Rehabilitation
1350 W HIGHWAY 79, Rockdale, TX, 76567
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 - Limited Liability company · Chain: Fannin County Hospital District
- Certified beds
- 84 · avg 72 residents/day
- Total nursing staff turnover
- 42.6% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · 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 · $8,018 total
State licensing & capacity
- License number
- 312744
- Service type
- Medicare Only
- Licensed capacity
- 84 beds
- Bed type breakdown
- 29 Medicare-only · 55 Medicaid/Medicare
- Current license effective
- September 1, 2025
- Current license expires
- September 1, 2028
- Initial license date
- February 1, 2016
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Johnson5 Llc
- Administrator
- Jeffery Johnson
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Fannin County Hospital District chain — 5 facilities. Chain-wide average overall rating 2.8 / 5.
Disclosed owners (9 on record)
- Bauder Family Investments, Llc
Adp of The Snf · since 2025
- Boulware st James Llc
Adp of The Snf · since 2025
- Clark r Sanderson
Corporate Director · since 2025
- Fannin County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2025
- Janelle k House
Adp of The Snf · since 2025
- Jeffrey e Johnson
Operational/managerial Control · since 2025
+ 3 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 13)
- D0880·Apr 16, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0812·Apr 16, 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.
- D0758·Apr 16, 2025
Pharmacy Service Deficiencies
Implement 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 li…
- D0755·Apr 16, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0727·Apr 16, 2025
Nursing and Physician Services Deficiencies
Have 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.
- D0684·Apr 16, 2025
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0656·Apr 16, 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.
- G0689·Mar 20, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal penalties
By year
- 20241 fine · $8,018
Most recent events
- Mar 7, 2024Fine · $8,018
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Mar 7, 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
Rockdale Estates & Rehabilitation is an 84-bed nursing home in Rockdale, Milam County, operating at roughly 86% of licensed beds. CMS rates it 2 stars overall, with a 1-star staffing rating and a 1-star quality-measures rating. The health inspection rating stands at 4 stars. Managed by Johnson5 LLC under a hospital district licensee, the facility holds a current Texas license through September 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 165 minutes of nursing care per day, about 76 minutes less than at a 4-star-staffing facility in Texas. Registered nurse coverage runs approximately 24 minutes per resident per day, compared to 37 minutes at the 4-star threshold. Residents here also require more hands-on care than at a typical facility — less mobile or more medically complex on average — so those 165 minutes stretch thinner than the raw number suggests.
The quality-measures rating is 1 star overall, with short-stay outcomes rated 1 star and long-stay outcomes rated 2 stars. These ratings reflect how residents fare on tracked health outcomes — things like pain management, pressure wounds, and functional decline — relative to other Texas nursing homes.
One CMS fine totaling $8,018 has been issued. The state median fine among facilities that receive any fine is $20,699, and about 30% of Texas nursing homes have received no fines at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 2.5 per resident per day here — ask how many nurses and aides are on duty overnight and on weekends specifically.
Registered nurse presence on-site
Reported RN coverage averages about 24 minutes per resident per day; ask whether a registered nurse is physically present around the clock or only on call.
How care plans are reviewed
With 1-star quality-measures scores, ask how often care plans are updated and who leads the review when a resident's condition changes.
Resident Council activity
A Resident Council exists but no Family Council; ask how often the Resident Council meets and how family members can raise concerns without one.
Management company's role day-to-day
The facility is licensed to a hospital district but managed by Johnson5 LLC; ask which entity makes staffing and budget decisions at this location.
Current waitlist for beds
With 72 of 84 beds filled on an average day, ask whether the unit a resident would enter has any immediate openings or a waitlist.
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.