The nursing home failed to ensure residents were free from significant medication errors. Cited April 2026 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: K
Nursing home report
Rock Creek Health and Rehabilitation
Sulphur Springs, TX · Medicare-certified · 120 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Rock Creek Health and Rehabilitation in Sulphur Springs, TX has an overall rating of 1 out of 5 stars, with 1-star staffing, 2-star health inspections, and 3-star quality measures. It reported 2.84 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $82,579 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
2.8377 hrs/resident/day
Quality measures
Last inspection: April 17, 2026Penalties, last 24 months: $82,579recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8377.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 0.68
- Nurse aides
- 1.69
- Weekend nursing
- 2.41
Hours per resident per day.
Total staff turnover: 90%
Registered nurse 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).
Long-stay residents on antipsychotic medication
7%11.1%Worsening
Residents with a fall causing major injury
0%4.9%Worsening
Residents with pressure ulcers (bedsores)
9.5%4.6%Improving
Residents with a urinary tract infection
1.5%1.2%No change
Residents who lost too much weight
1.8%3.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
24.1%17.5%Improving
Residents whose ability to walk got worse
35%12.3%Improving
Long-stay residents on antianxiety or sleep medication
8.5%12.9%Worsening
Short-stay residents newly given an antipsychotic
2.8%4.2%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
13.4%20.9%Worsening
Residents with depressive symptoms
1.6%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
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 seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to keep medication mistakes below the allowed level. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $67,920 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $14,659 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $82,579 in total fines.
- $67,920
Federal fine
Apr 17, 2026
- $14,659
Federal fine
Dec 13, 2024
Operator & ownership
Recent ownership change · Sep 1, 2022
Now operated by West Wharton County Hospital District, previously Val Verde County Hospital District.
- Ownership
- For profit - Corporation
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.2 stars avg
- Occupancy
- 99.4 residents on an average day (83% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 17 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.