Nursing HomeMedicaid

Rockdale Estates & Rehabilitation

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1350 W Highway 79, Rockdale, TX 76567|84 beds|Licensed & Active

3/5

Medicare

Inspection

Quality

Staffing

Google rating

3.4/5

based on 10 Google reviews

(512) 446-2548 Directions Website

Street View

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What this means for your family

The facility offers a clean environment and some highly competent nursing staff, but there are serious recurring complaints regarding administrative communication and staff turnover. If you choose this facility, consider installing cameras in your loved one's room and maintain very active, documented communication with the management team.

Google Reviews

10 reviews analyzed

“Families should be aware of significant concerns regarding administration and high staff turnover, with some reviewers strongly advising the use of cameras for monitoring. While some visitors find the facility clean and the nursing staff polite, others report a lack of compassion and poor communication from management.”

Quality Themes

Tap a score for details

Strengths

Clean and well-maintained facility
Polite nursing staff
High-quality care compared to regional averages

Concerns

Poor administration and lack of compassion (mentioned by 2 reviewers)
High staff turnover
Need for resident monitoring/cameras (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution

How They Respond to Reviews

40%response rate

This facility responds to some reviews.

Questions for Your Tour

1We've heard great things about how clean and well-maintained the facility is; what are your daily routines for keeping the resident areas so tidy?
2Since we want to ensure someone is always looking out for our loved one, how do you manage resident monitoring and what steps are taken to prevent falls?
3We value clear communication with the medical team, so how do you ensure families are kept updated on any changes in a resident's health or care plan?
4What is your process for handling medical emergencies or sudden changes in health during the overnight hours?
5How do you approach training new team members to ensure the high-quality care and politeness that some of your nursing staff are known for?
6What kind of daily activities or social outings do you have planned to keep residents engaged and active within the community?

Personalized based on this facility's data

Key Review Excerpts

“I did private EMS for about five years, and went to many nursing homes in and around the Houston area. I would say this facility is in the top 20% from my experience.”

Long-term resident's family · 2026★★★★☆

“The Nursing Staff was nice, but the Administration has a lot to be desired. They are lacking in Compassion for both the Resident and their family”

Family member · 2021★☆☆☆☆

“It is extremely clean, you can still smell the new materials used to construct and furnish the facility.”

Visitor/Nurse · 2022★★★☆☆

Source: 10 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.48hrs

64%

Registered nurses for medical care

Total Nursing

2.66hrs

65%

All nurses + aides combined

Staff Turnover

43%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating

1/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility24.6%

Worse than Avg

Here

24.6%

19.4%

14.2%

😔

Residents with depression symptoms

↓ Lower is better

This Facility11.8%

Mixed vs Avgs

Here

11.8%

12.1%

2.5%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility27.1%

Worse than Avg

Here

27.1%

19.5%

18.4%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

96.9%

⚠️

Residents who fell and were seriously hurt

↓ Lower is better

This Facility8.7%

Worse than Avg

Here

8.7%

3.2%

3.3%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility19.5%

Worse than Avg

Here

19.5%

14.4%

16.1%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

81.8%

89.2%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility10.0%

Worse than Avg

Here

10.0%

1.6%

1.5%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies

1penalties

Near state avg (9.1)

2 complaint-triggered

$8,018 in fines

Families filed complaints leading to deficiencies regarding accident prevention and pressure ulcer care. The facility shows recurring issues across quality of care, medication management, infection control, and food safety, with some problems persisting across multiple surveys from 2023 to 2024. While all deficiencies have correction dates, the pattern of repeat violations in core care areas warrants careful consideration during your visit.

Apr 16, 2025Routine7 findings

0727ModerateCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0684MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0755MinorCorrected

Pharmacy Service Deficiencies

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

0758MinorCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0812MinorCorrected

Nutrition and Dietary Deficiencies

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

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 20, 2024Complaint1 finding

0689ModerateCorrected

Quality of Life and Care Deficiencies

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

Mar 7, 2024Routine6 findings

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0345ModerateCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0352ModerateCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

0677ModerateCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0351ModerateCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0679MinorCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

Nov 22, 2023Complaint1 finding

0686MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Jan 5, 2023Routine1 finding

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Mar 7, 2024

$8,018

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fannin County Hospital Authority

Organization Type

for profit

Management Company

JOHNSON5 LLC

Administrator

JEFFERY JOHNSON

Chain Affiliation

Chain Name

Fannin County Hospital District

Chain Size

5 facilities nationwide

Chain avg rating: 2.8/5 · Rank 3 of 5 (Worst)

Ownership & Management

Owners

Fannin County Hospital Authority

Owner · Organization

100%

Bauder, Kelly