Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Rockdale Estates & Rehabilitation during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and a history of falls was found walking without her walker, resulting in a fall and significant injuries. Despite the care plan indicating the need for supervision, staff left the resident unattended, leading to the incident.
The facility failed to maintain kitchen sanitation and adhere to food safety practices. The Dietary Manager did not wear a hair net near clean dishes, and the kitchen equipment, including ovens and a fryer, was not cleaned as required. Additionally, the Dietary Manager did not follow proper hand sanitation procedures, risking food contamination.
The facility failed to provide adequate personal hygiene care for three residents, resulting in long, unclean fingernails despite care plans indicating the need for assistance. Observations and interviews revealed inconsistencies in nail care responsibilities among staff, leading to potential risks of infection and injury.
The facility failed to provide individualized activities for three residents with severe cognitive impairments, as required by their care plans. Despite the need for one-on-one activities to support their well-being, there was no documentation of participation for several months. Observations showed residents lying in bed without engagement, and staff interviews confirmed the lack of activity involvement.
Failure to Supervise Resident Leading to Fall
Penalty
Summary
The facility failed to provide adequate supervision for a resident with severe cognitive impairment, resulting in a fall with injuries. The resident, who has dementia and a history of falls, was found walking in the hallway without her walker. Despite staff being aware of her tendency to forget her walker and the need for supervision, the resident was left unattended, leading to a fall that caused significant injuries, including a large bruise and an orbital fracture. The resident's care plan indicated the need for supervision and reminders to use her walker, but staff interviews revealed that the resident frequently walked without her walker both in her room and in the hallway. On the day of the incident, a nurse saw the resident walking without her walker, instructed her to wait, and left to retrieve the walker. During this time, the resident continued walking, tripped, and fell, resulting in injuries that required hospital evaluation. Interviews with staff and family members confirmed that the resident often walked without her walker and needed frequent reminders. The facility's fall prevention policy was not effectively implemented, as evidenced by the resident's ability to walk unsupervised and the subsequent fall. The incident highlights a lapse in supervision and adherence to the resident's care plan, leading to preventable injuries.
Deficiencies in Kitchen Sanitation and Food Safety Practices
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed in the kitchen. The Dietary Manager was seen entering the dishwashing room and standing by clean plates without wearing a hair net, despite the availability of hair nets at the kitchen entrances. This oversight was acknowledged by the Dietary Manager, who admitted the potential risk of hair contamination on clean dishes, which could lead to foodborne illnesses if ingested by residents. Additionally, the facility did not maintain the cleanliness of kitchen equipment, specifically the ovens and the deep fryer. Observations revealed a significant buildup of black and brownish substances in the ovens and crumbs and oil residue in the fryer. The Dietary Manager admitted that the ovens had not been cleaned weekly as required, and the fryer was not cleaned after each use, contrary to the facility's protocol. This lack of sanitation could result in cross-contamination of food, posing a risk of food poisoning to residents. Furthermore, the Dietary Manager failed to follow proper hand sanitation procedures during food preparation. After touching another person's clothing, which is considered contaminated, she did not change her gloves or sanitize her hands before continuing to handle food. This breach of hygiene protocol could lead to the contamination of food with bacteria from the clothing, potentially causing foodborne illnesses among residents.
Deficiency in Personal Hygiene Care for Residents
Penalty
Summary
The facility failed to provide necessary personal hygiene services to three residents, leading to deficiencies in grooming and nail care. Resident #69, a male with severe cognitive impairment and physical debility, was observed with long fingernails and brown debris underneath, despite records indicating they had been cleaned and trimmed. This discrepancy was noted over several days, highlighting a failure to adhere to the care plan requiring total assistance with personal hygiene. Resident #1, a female with intact cognitive status but blindness in one eye, required extensive assistance with personal hygiene. Despite a care plan indicating her need for assistance, she was observed with long, jagged fingernails and expressed a desire for them to be trimmed. This observation contradicted a weekly skin assessment that reported her nails as clean and trimmed, indicating a lapse in the provision of care as per her documented needs. Resident #59, a male with severe cognitive impairment, was observed with long fingernails and debris, despite requiring substantial assistance for personal hygiene. Interviews with staff revealed a lack of consistent responsibility for nail care, with night shift aides expected to trim nails during bathing. Staff acknowledged the risk of infection from dirty nails, yet the resident's nails remained untrimmed, suggesting a breakdown in communication and execution of care responsibilities across shifts.
Failure to Provide Individualized Activities for Residents
Penalty
Summary
The facility failed to provide an ongoing program of activities tailored to the needs and preferences of residents, as evidenced by the lack of one-on-one activities for three residents. Resident #43, a female with severe cognitive impairment and diagnoses including major depressive disorder and dementia, was not provided with the one-on-one activities she required. Despite her care plan indicating a preference for music and simple activities, there was no documentation of her participation in any activities for several months. Observations showed her lying in bed without any engagement, and staff interviews confirmed the absence of documented activity participation. Resident #46, a male with severe cognitive impairment and multiple diagnoses including vascular dementia and bipolar disorder, also did not receive the one-on-one activities outlined in his care plan. His care plan emphasized the need for diversional activities and assistance with communication, yet there was no record of his participation in activities for three months. Observations found him lying in bed without stimulation, and staff interviews corroborated the lack of activity engagement and documentation. Similarly, Resident #59, a male with severe cognitive impairment and diagnoses such as dementia and cerebral ischemia, was not provided with adequate one-on-one activities. His care plan highlighted the importance of outdoor activities and sensory engagement, but his activity participation was poorly documented, with only minimal engagement recorded in January. Observations and staff interviews indicated a lack of social interaction and activity engagement, which was acknowledged by the Activity Director and the facility's Administrator.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 29 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Rockdale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Winnie L Nursing & Rehabilitation | 16.1 mi | — | 1 | 0 |
| Legacy Nursing And Rehabilitation | 16.1 mi | — | 8 | 0 |
| Avir At Caldwell | 18.4 mi | — | 12 | 0 |
| Copperas Hollow Nursing & Rehabilitation Center | 20.9 mi | — | 2 | 0 |
| Spjst Rest Home 1 | 22.1 mi | — | 6 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Rockdale Estates & Rehabilitation.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.