HERITAGE HOUSE NURSING AND REHABILITATION (ROSEBUD, TX) has an overall 4-star rating, with strong health inspection and quality measures scores but a 1-star staffing rating. Reported nurse staffing is 3.12 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: March 24, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1234.
Staffing detail
Registered nurses
0.44
Licensed practical nurses
0.92
Nurse aides
1.76
Weekend nursing
2.87
Hours per resident per day.
Total staff turnover: 96%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
0%0%No change
Residents with a fall causing major injury
3.7%3.1%Improving
Residents with pressure ulcers (bedsores)
3.3%0%Improving
Residents with a urinary tract infection
3.8%0%Improving
Residents who lost too much weight
4.3%4%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.1%0%Improving
Residents whose ability to walk got worse
—3.6%—
Long-stay residents on antianxiety or sleep medication
4.2%0%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
4.8%0%Improving
Residents with new or worsening incontinence
5.3%11.7%Worsening
Residents with depressive symptoms
8%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—97.1%—
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited January 2026 — limited pattern, potential for harm.
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F-Tag 585 — 42 CFR §483.10 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited October 2024 — limited pattern, potential for harm.
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F-Tag 644 — 42 CFR §483.20 — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 4 health deficiencies.
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Penalties & enforcement
On record with Medicare: 1 fine · $13,804 in total fines.
Federal fine
Jan 31, 2024
$13,804
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
Occupancy
34.6 residents on an average day (41% of 85 beds)
Resident voice
Resident council
Medicare history
Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.