Rockwall Nursing Care Center
206 STORRS STREET, Rockwall, TX, 75087
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
- 192 · avg 90 residents/day
- Total nursing staff turnover
- 41.7% — 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)
- 3 fines · $66,755 total
State licensing & capacity
- License number
- 311733
- Service type
- Medicare/medicaid
- Licensed capacity
- 192 beds
- Bed type breakdown
- 64 Medicare-only · 128 Medicaid/Medicare
- Current license effective
- December 1, 2023
- Current license expires
- December 1, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Rockwall I Enterprises, Llc
- Administrator
- Robin L Castillo
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 (21 on record)
- James Parker
Adp of The Snf · since 2025
- Kojo a Pobee
Adp of The Snf · since 2025
- Nhc Master Tenent, L.l.c.Holding
Adp of The Snf · since 2025
- Alfred Cisneros
Managing Control - Governing Body · since 2023
- David Mak
Corporate Officer · since 2023
- Gary r Blake
Operational/managerial Control · since 2023
+ 15 additional owners on the federal record.
Recent change of ownership
December 2023 (2 years ago) · acquired from Rockwall Nursing Care Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, 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 43)
- D0880·Jan 9, 2026Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0607·Nov 25, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D0600·Nov 25, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0695·Oct 21, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- J0689·Oct 21, 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.
- D0558·Oct 21, 2025Complaint
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- D0558·Jun 17, 2025Complaint
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- E0921·Jan 16, 2025Complaint
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Federal penalties
By year
- 20251 fine · $25K
- 20241 fine · $16K
- 20231 fine · $26K
Most recent events
- Oct 21, 2025Fine · $25K
- Nov 1, 2024Fine · $16K
- Nov 18, 2023Fine · $26K
Largest single fine on record: $26K.
Fire-safety citations
15 Life-Safety-Code citations on file. Most recent: Jan 16, 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
Rockwall Nursing Care Center is a 192-bed Medicare/Medicaid nursing home in Rockwall, TX, part of the Creative Solutions In Healthcare chain. CMS rates it 2 stars overall — its staffing rating is 1 star, the lowest possible. Quality-of-care outcome measures rate 5 stars. Three CMS fines totaling $66,755 have been assessed. At roughly 47% occupancy, about 90 of 192 beds are currently filled.
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 — and roughly 38% of Texas nursing homes share this rating. Staffing hours per resident are not reported in the current CMS filing, so a precise daily-minutes figure isn't available. What the rating does reflect is that direct-care staffing falls in the bottom tier relative to Texas peers.
Nurse turnover runs at roughly 4 in 10 nursing staff leaving in the past year — below the state's 25th-percentile cutoff of 42%, meaning turnover is better than about three-quarters of nursing homes in Texas. In a facility with 1-star staffing, a stable team matters; the staff who are there tend to stay.
The facility has received 3 CMS fines totaling $66,755. About 30% of Texas nursing homes have no fines at all; the state median for facilities that do have fines is $20,699. This facility's total is roughly three times that median.
CMS rates quality-of-care outcome measures at 5 stars — the highest rating — for long-stay residents. That rating covers measurable outcomes such as pressure wounds, falls, and mobility decline, and it sits at the opposite end of the scale from the staffing and overall ratings.
The facility is operating at approximately 47% of its 192 licensed beds, with about 90 residents on a given day. That occupancy level, paired with the other signals in this record, is worth examining with on-site observation.
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 here at 1 star but daily nursing-hours data isn't filed — ask how many total nursing hours per resident the facility currently logs each day.
Three fines totaling $66,755
CMS assessed three fines totaling $66,755 since the current data period — ask what each citation was for and what specific changes followed.
Low occupancy at 47%
About 90 of 192 beds are filled; ask whether staffing levels, programming, or services have been adjusted to reflect the current resident count.
5-star outcomes with 1-star staffing
Quality-of-care outcomes rate 5 stars while staffing rates 1 star — ask how care plans are reviewed and what oversight process drives the outcome results.
Management company role
The licensee is West Wharton County Hospital District while day-to-day management is listed under Rockwall I Enterprises — ask which entity makes staffing and budget decisions on site.
Resident Council scope
The facility has a Resident Council but no Family Council — ask how families raise concerns and how often family input is formally gathered.
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.