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A middle-range Medicare rating. Review each component and visit in person before deciding.
based on 35 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Rockwall Nursing Care Center has a middle-range Medicare overall rating. Strengths include compassionate and caring nursing staff. Some reviewers note concerns about issues with medication timing and administration (mentioned by 2 reviewers). Review the health-inspection, staffing, and quality-measure components separately, then visit in person.
Families often praise the facility for its compassionate, long-term staff members and a smooth admissions process led by a helpful marketing team. However, there are serious allegations regarding medication delays, neglect, and poor hygiene, including reports of pests and inadequate nutrition.
Quality Themes
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Concerns
Rating Trends
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Distribution · 30 analyzed
Personalized based on this facility's data
Key Review Excerpts
“The admission process was simple and easy to understand and my mother has really enjoyed the environment.”
“The staff at this facility are caring and attentive. You can really feel how much they love the residents, that means so much!”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
3
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
This facility shows a concerning pattern with over half of its deficiencies stemming from family complaints, including recent serious incidents involving resident protection that remain uncorrected as of November 2025. Primary problem areas include accident prevention and safety supervision, resident rights and accommodation of preferences, and infection control measures. While most issues have correction plans, the recurring nature of safety violations and the recent uncorrected abuse prevention deficiencies suggest ongoing operational challenges that warrant careful consideration.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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 drugs.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Have properly sized and located compartments to protect residents from smoke.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Federal Penalties
Fine
Oct 21, 2025
$16,149
Fine
Nov 1, 2024
$15,897
Fine
Nov 18, 2023
$26,013
West Wharton County Hospital District
for profit
ROCKWALL I ENTERPRISES, LLC
ROBIN L CASTILLO
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 99 of 148
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
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Google Reviews
35 reviews from families & visitors
Official Website
Visit rockwallnursing.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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