Rock Creek Health and Rehabilitation
1414 College Street · Sulphur Springs, TX · 75482 · 9034390107
120 certified beds For profit - Corporation Chain: Creative Solutions in Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $82,579 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$82,579 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.04 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.48 | 0.55–0.75 |
| Weekend hours / resident-day | 2.65 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $82,579 |
Inspection citations (36 in the current record)
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Immediate jeopardy · K April 17, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 18, 2026 · Pharmacy Service
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Potential for harm · D March 5, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 6, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 6, 2026 · Infection Control
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Potential for harm · D November 24, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 25, 2025 · Infection Control
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Potential for harm · D August 14, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 15, 2025 · Nutrition and Dietary
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Immediate jeopardy · J December 13, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 11, 2024 · Quality of Life and Care
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Potential for harm · E October 23, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 24, 2024 · Infection Control
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Potential for harm · D September 5, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 5, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 6, 2024 · Pharmacy Service
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Potential for harm · D June 20, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 21, 2024 · Resident Rights
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Potential for harm · D June 20, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected June 21, 2024 · Resident Rights
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Potential for harm · D June 20, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected June 21, 2024 · Resident Rights
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Potential for harm · D June 20, 2024
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected June 21, 2024 · Resident Rights
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Potential for harm · D June 20, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected June 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 20, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 20, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected June 21, 2024 · Quality of Life and Care
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Potential for harm · D June 20, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 21, 2024 · Quality of Life and Care
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Potential for harm · D June 20, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 21, 2024 · Quality of Life and Care
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Potential for harm · D June 20, 2024
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected June 21, 2024 · Quality of Life and Care
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Potential for harm · E June 20, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected June 21, 2024 · Pharmacy Service
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Potential for harm · E June 20, 2024
Ensure that residents are free from significant medication errors.
Corrected June 21, 2024 · Pharmacy Service
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Potential for harm · D June 20, 2024
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 June 21, 2024 · Pharmacy Service
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Potential for harm · D June 20, 2024
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected June 21, 2024 · Administration
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Potential for harm · E June 20, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected June 21, 2024 · Nutrition and Dietary
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Potential for harm · E June 20, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 21, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 17, 2026 | Fine | $67,920 |
| December 13, 2024 | Fine | $14,659 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676235 · certified since August 13, 2009. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.