Heritage House Nursing and Rehabilitation in Rosebud, TX has an overall 4-star rating, with strong health inspection and quality scores but a 1-star staffing rating, meaning staffing is well below the federal benchmark. It had $0 in fines in the last 24 months, but recent inspection citations included accident hazards, grievance handling, and food storage/serving standards.
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 not reported.
Staffing detail
Total staff turnover: 100%
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
0%3%Worsening
Residents with pressure ulcers (bedsores)
3.1%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%3.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.3%25%Worsening
Residents whose ability to walk got worse
—3%—
Long-stay residents on antianxiety or sleep medication
4%0%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16.3%13.1%Improving
Residents with depressive symptoms
7.1%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
—96%—
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 · 2.2 stars avg
Occupancy
37.6 residents on an average day (44% 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.