Rockwall Nursing Care Center
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 35 Google reviews
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What this means for your family
This facility has a highly regarded marketing and admissions team that makes the transition easy for families. However, you must investigate the recent reports of medication delays and hygiene issues very closely before committing.
Google Reviews
Google Reviews
35 reviews on Google“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
Tap a score for detailsStrengths
- Compassionate and caring nursing staff
- Smooth and professional admissions process
- Responsive administration and marketing
- Friendly and long-tenured employees
Concerns
- Issues with medication timing and administration (mentioned by 2 reviewers)
- Reports of pest infestations (cockroaches) (mentioned by 2 reviewers)
- Inadequate nutrition or food quality (mentioned by 2 reviewers)
- Slow response to call lights/assistance (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 30 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1With the recent health inspections, what specific steps is the facility taking to improve care standards and address the identified deficiencies?
- 2I noticed the facility is quite large with 192 residents; how do you ensure each person receives personalized attention despite the high capacity?
- 3What is your protocol for handling medical emergencies or sudden changes in a resident's health during the night shift?
- 4Can you tell me more about the daily activities and social engagement programs available to keep residents active and connected?
- 5I saw that the management team is active in communicating with the community; how do you typically involve families in the care planning process?
- 6What specific initiatives are in place to increase the number of staff members available on the floor to support the residents' daily needs?
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.”
“Staff wouldn't give him his night medicine; wasn't until 4am that they finally gave it to him. There are cockroaches EVERYWHERE.”
“I was looking for a loved one. It started with Roshonda answering the phone promptly, she was polite and professional. I was transferred to Sadie in marketing, I was... amazing.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
2
measures
5
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 needing more daily help over time
Residents vaccinated for pneumonia
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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.
Mar 13, 2026Complaint4
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.
Jan 9, 2026Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nov 25, 2025Complaint2
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.
Oct 21, 2025Complaint3
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.
Jun 17, 2025Complaint1
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Jan 16, 2025Routine7
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
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.
Federal Penalties
Fine
Oct 21, 2025
$24,845
Fine
Nov 1, 2024
$15,897
Fine
Nov 18, 2023
$26,013
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
ROCKWALL I ENTERPRISES, LLC
ROBIN L CASTILLO
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 99 of 148
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
35 reviews from families & visitors
Official Website
Visit rockwallnursing.com
Medicare data downloads
Original nursing home datasets
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