Rock Creek Health And Rehabilitation
1414 COLLEGE STREET, Sulphur Springs, TX, 75482-3431
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 85 residents/day
- Total nursing staff turnover
- 42.9% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 16.7% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · 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)
- 2 fines · $32,034 total
State licensing & capacity
- License number
- 308741
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 39 Medicare-only · 81 Medicaid/Medicare
- Current license effective
- September 1, 2025
- Current license expires
- September 1, 2028
- Initial license date
- August 13, 2009
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Sulphur Springs Ii Enterprises, Llc
- Administrator
- Sylvia Anene
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 (7 on record)
- Gary r Blake
Operational/managerial Control · 50% · since 2022
- Honor x Enterprises, Llc
Other · 100% · since 2022
- Linda f Huggins
Corporate Director · since 2022
- Malisa a Blake
Operational/managerial Control · 50% · since 2022
- Sulphur Springs ii Enterprises, Llc
Operational/managerial Control · 100% · since 2022
- West Wharton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2022
+ 1 additional owner on the federal record.
Recent change of ownership
September 2022 (3 years ago) · acquired from Rock Creek Health And Rehabilitation
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 36)
- D0880·Nov 24, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0812·Aug 14, 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.
- J0689·Dec 13, 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.
- E0880·Oct 23, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0755·Sep 5, 2024Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0655·Sep 5, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E0880·Jun 20, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Jun 20, 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.
Federal penalties
By year
- 20241 fine · $15K
- 20231 fine · $17K
Most recent events
- Dec 13, 2024Fine · $15K
- Apr 28, 2023Fine · $17K
Largest single fine on record: $17K.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Aug 14, 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
Rock Creek Health And Rehabilitation is a 120-bed nursing home in Sulphur Springs, Hopkins County, licensed through September 2028. CMS rates it 4 stars overall, with 4 stars on health inspections. Staffing comes in at 3 stars, and care-quality outcomes also rate 3 stars. Two CMS fines totaling $32,034 have been issued. The facility is operating at roughly 71% of licensed beds. It is part of the Creative Solutions In Healthcare chain.
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. Residents receive about 182 minutes of nursing care per day — roughly 59 minutes less than at a 4-star-staffing facility in Texas, which sets its benchmark at 241 minutes. Residents here also tend to need more hands-on care than at a typical facility — more dependent or medically complex on average — so the same staffing hours stretch thinner than the raw minutes suggest.
Registered nurse turnover is exceptionally low: roughly 2 in 10 RNs left in the past year, below the state's 25th-percentile cutoff — better than about three-quarters of nursing homes in Texas. Total nursing staff turnover sits at 42.9%, right at the Texas 25th percentile of 42%.
CMS recorded 2 fines totaling $32,034 since the facility's current inspection cycle. The state median for fined facilities in Texas is $20,699; this facility's total runs above that midpoint. About 30% of Texas nursing homes have received no fines in the same period.
The facility is running at roughly 71% of its 120 licensed beds — about 85 residents on an average day. That occupancy sits below typical levels, and the facility also carries other signals noted above.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on weekends vs weekdays
Reported weekend nursing hours average 2.667 per resident per day versus 3.031 on weekdays — ask how many nurses and aides are on the floor on a typical Saturday.
What the two fines covered
CMS issued two fines totaling $32,034; ask what deficiencies triggered them and what specific changes were made in response.
Why occupancy sits at 71%
The facility averages about 85 residents against 120 licensed beds; ask whether that reflects a recent admission slowdown, staffing limits, or something else.
How care plans are reviewed
Quality-of-care outcomes rate 3 stars despite stable RN staff; ask how often care plans are updated and who leads those reviews.
Resident Council access and meeting frequency
The facility has a Resident Council but no Family Council; ask how often the Resident Council meets and how family members can raise concerns formally.
Management company's day-to-day role
The licensed owner is West Wharton County Hospital District while day-to-day management is run by Sulphur Springs II Enterprises — ask which entity sets staffing levels and handles complaints.
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.