Crossroads Nursing & Rehabilitation

611 Rose Marie Blvd · Hearne, TX · 77859 · 9792800440

80 certified beds For profit - Corporation Chain: Creative Solutions in Healthcare

  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

Total nurse staffing below 3.0 hours per resident-day

2.97 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 54
Serious harm & abuse 20% 100
Staffing 20% 47
Federal penalties 15% 100
Trend 10% 47
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day2.973.48 min · 4.1 strong
RN hours / resident-day0.320.55–0.75
Weekend hours / resident-day2.82≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (29 in the current record)

  • Potential for harm · D December 4, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected December 5, 2025 · Resident Rights

  • Potential for harm · D December 4, 2025

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

    Corrected December 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 4, 2025

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

    Corrected December 5, 2025 · Quality of Life and Care

  • Potential for harm · E December 4, 2025

    Provide activities to meet all resident's needs.

    Corrected December 5, 2025 · Quality of Life and Care

  • Potential for harm · E December 4, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected December 5, 2025 · Pharmacy Service

  • Potential for harm · D December 4, 2025

    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.

    Corrected December 5, 2025 · Pharmacy Service

  • Potential for harm · E December 4, 2025

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

    Corrected December 5, 2025 · Nutrition and Dietary

  • Potential for harm · E December 4, 2025

    Provide and implement an infection prevention and control program.

    Corrected December 5, 2025 · Infection Control

  • Potential for harm · D September 3, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected September 4, 2025 · Resident Rights

  • Potential for harm · D September 3, 2025 · found via complaint

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

    Corrected September 4, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D September 3, 2025 · found via complaint

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

    Corrected September 4, 2025 · Quality of Life and Care

  • Potential for harm · D November 20, 2024 · found via complaint

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

    Corrected December 13, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 10, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected October 18, 2024 · Resident Rights

  • Potential for harm · D September 10, 2024

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected October 18, 2024 · Resident Rights

  • Potential for harm · D September 10, 2024

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

    Corrected October 18, 2024 · Quality of Life and Care

  • Potential for harm · D September 10, 2024

    Provide and implement an infection prevention and control program.

    Corrected October 18, 2024 · Infection Control

  • Potential for harm · D June 20, 2024 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected June 21, 2024 · Quality of Life and Care

  • Potential for harm · D May 24, 2024 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected May 25, 2024 · Resident Rights

  • Potential for harm · E May 24, 2024 · found via complaint

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

    Corrected May 25, 2024 · Quality of Life and Care

  • Potential for harm · D March 12, 2024 · found via complaint

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

    Corrected March 14, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 12, 2024 · found via complaint

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

    Corrected March 14, 2024 · Quality of Life and Care

  • Potential for harm · E July 26, 2023

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected September 9, 2023 · Resident Rights

  • Potential for harm · D July 26, 2023

    Ensure each resident receives an accurate assessment.

    Corrected September 9, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D July 26, 2023

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected September 9, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E July 26, 2023

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

    Corrected September 9, 2023 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676385 · certified since May 12, 2015. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.