ElderGrade
C

59.4/100

Average

Rose Haven Retreat

200 Live Oak St, Atlanta, TX 75551

CMS 3/5 stars #2 of 4 in Cass County (903) 796-4127
Certified beds
108
Occupancy
50%
Ownership
Government
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.

  • $8,281 in federal fines

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

  • Nursing staff turnover of 62%

    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

17.9/30

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
  • -2.1 for 23 total citations against a national median of 17

Staffing

16.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.18 total nurse hours per resident per day (national median 3.77)
  • 0.48 RN hours per resident per day
  • Weekend staffing drops 16% against weekdays

Staff stability

5/15

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

  • 62% of nursing staff left in the last year

Resident outcomes

12/15

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

  • 4 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.

  • $8,281 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 4.53 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.48 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 3.82 hrs
National average 3.42 hrs Better than average

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

Nursing staff turnover 62.30%
National average 45.80% Below average

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

Recent inspection findings

All 33 citations

Last standard health inspection: May 7, 2025 (1 year ago).

D May 11, 2026 F0602 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

No actual harm, potential for more than minimal harm

F May 7, 2025 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

D May 7, 2025 F0584

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

No actual harm, potential for more than minimal harm

D May 7, 2025 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

D May 7, 2025 F0699

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

No actual harm, potential for more than minimal harm

D May 7, 2025 F0755

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

No actual harm, potential for more than minimal harm

D May 7, 2025 F0761

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...

No actual harm, potential for more than minimal harm

D May 7, 2025 F0791

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of CARING HEALTHCARE GROUP, which operates 14 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
GORE, KERA Individual W-2 MANAGING EMPLOYEE
MURRELL, EDWARD Individual CORPORATE OFFICER
WINNIE-STOWELL HOSPITAL DISTRICT Organization OPERATIONAL/MANAGERIAL CONTROL
SHAPIRO, MENACHEM Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Rose Haven Retreat

What is the ElderGrade for Rose Haven Retreat? +

Rose Haven Retreat holds an ElderGrade of C (59.4 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 Rose Haven Retreat? +

Residents receive an average of 4.53 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Rose Haven Retreat been cited for harming residents? +

Yes. 1 of the 33 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 Rose Haven Retreat accept Medicaid? +

Yes, Rose Haven Retreat 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.