ElderGrade
C

58/100

Average

Heritage House Nursing And Rehabilitation

407 N College St, Rosebud, TX 76570

CMS 4/5 stars #2 of 2 in Falls County (254) 583-7904
Certified beds
85
Occupancy
44%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $13,804 in federal fines

    CMS has fined this facility across 1 penalty action(s).

  • Nursing staff turnover of 100%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

20/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years

Staffing

15/30

Nursing hours per resident per day, adjusted for how sick the residents are.

  • No staffing hours reported — scored neutral

Staff stability

0/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 100% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $13,804 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day Not reported
Registered nurse (RN) hours Not reported

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours Not reported

The shift most families visit, and the one thinned first.

Nursing staff turnover 100.00%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 10 citations

Last standard health inspection: January 22, 2026 (7 months ago).

D Mar 24, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

E Jan 22, 2026 F0585

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

No actual harm, potential for more than minimal harm

E Jan 22, 2026 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

E Oct 19, 2024 F0644

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

No actual harm, potential for more than minimal harm

E Oct 19, 2024 F0657

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.

No actual harm, potential for more than minimal harm

E Oct 19, 2024 F0692

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

No actual harm, potential for more than minimal harm

E Oct 19, 2024 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Jul 3, 2024 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of CREATIVE SOLUTIONS IN HEALTHCARE, which operates 149 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
HUGGINS, LINDA Individual W-2 MANAGING EMPLOYEE
CREATIVE SOLUTIONS IN HEALTHCARE INC Organization OPERATIONAL/MANAGERIAL CONTROL
BLAKE, GARY Individual OPERATIONAL/MANAGERIAL CONTROL
BLAKE, MALISA Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Heritage House Nursing And Rehabilitation

What is the ElderGrade for Heritage House Nursing And Rehabilitation? +

Heritage House Nursing And Rehabilitation holds an ElderGrade of C (58 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Heritage House Nursing And Rehabilitation? +

This facility has not reported staffing hours to CMS in the current data release.

Has Heritage House Nursing And Rehabilitation been cited for harming residents? +

Yes. 1 of the 10 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Heritage House Nursing And Rehabilitation accept Medicaid? +

Yes, Heritage House Nursing And Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.