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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.