Heritage House Nursing And Rehabilitation
407 NORTH COLLEGE STREET, Rosebud, TX, 76570
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
- 85 · avg 34 residents/day
- Total nursing staff turnover
- 36% — 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 · $13,804 total
State licensing & capacity
- License number
- 147724
- Service type
- Medicare/medicaid
- Licensed capacity
- 85 beds
- Bed type breakdown
- 32 Medicare-only · 53 Medicaid/Medicare
- Current license effective
- September 1, 2023
- Current license expires
- September 1, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Rosebud I Enterprises, Llc (Limited Liability Company (LLC))
- Operator / manager
- Creative Solutions In Healthcare, Inc
- Administrator
- Arnold Frank Blair
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)
- Honor x Enterprises, Llc
5% or Greater Direct Ownership Interest · 100% · since 2013
- Creative Solutions in Healthcare Inc
Operational/managerial Control · 100% · since 2011
- Gary r Blake
Operational/managerial Control · 50% · since 2011
- Linda f Huggins
W-2 Managing Employee · since 2011
- Malisa a Blake
Operational/managerial Control · 50% · since 2011
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 9)
- E0880·Oct 19, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0692·Oct 19, 2024
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
- E0657·Oct 19, 2024
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.
- E0644·Oct 19, 2024
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D0689·Jul 3, 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.
- J0689·Jan 31, 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.
- E0761·Aug 30, 2023
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.
- D0921·Jun 10, 2022
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
- 20241 fine · $14K
Most recent events
- Jan 31, 2024Fine · $14K
Fire-safety citations
14 Life-Safety-Code citations on file. Most recent: Oct 19, 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
Heritage House Nursing And Rehabilitation is an 85-bed nursing home in Rosebud, Texas, licensed since 1971 and managed by Creative Solutions In Healthcare. CMS rates it 5 stars overall — 4 stars on health inspections and 5 stars on long-term care quality measures. Staffing earns 3 stars, and the facility is currently operating at roughly 40% of licensed capacity, with about 34 residents on a typical day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars. Each resident receives about 199 minutes of nursing care per day — roughly 42 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest.
About 4 in 10 nursing staff left in the past year. That rate falls below Texas's 25th-percentile cutoff — better than roughly three-quarters of nursing homes in the state.
The facility is operating at approximately 40% of its 85 licensed beds, with around 34 residents on a typical day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing coverage on nights and weekends
Weekend nursing hours here average 2.89 per resident per day — ask how many nurses and aides are on duty overnight and on weekends.
Why so few residents right now
The facility is running at about 40% of its 85 licensed beds; ask whether admissions are paused, a wing is closed, or beds are being held for specific care needs.
Care planning with a smaller census
With roughly 34 residents, ask how care plans are reviewed and how often a physician or nurse practitioner visits each resident on-site.
Resident Council participation
The facility has an active Resident Council but no Family Council; ask how family members raise concerns or receive updates outside of care-plan meetings.
Management company's role day to day
Creative Solutions In Healthcare manages this location; ask which decisions are made locally by the administrator versus at the management-company level.
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.