Heritage House Nursing and Rehabilitation
407 N College St, Rosebud, TX 76570
Heritage House Nursing and Rehabilitation, a 85-bed for profit - corporation nursing facility in Rosebud, TX, holds a 5-star CMS overall rating - well above the 3.0-star national average, with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 2545837904
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- 5 / 5
- Much above average · CMS overall · nat'l 3.0
- 3.31
- Below average · nurse hrs/day · nat'l 3.89
- 9
- Inspection findings · 1 serious
- $14K
- Federal penalties (1)
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 675210
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 85
- Residents
- 34
- In Hospital
- No
- County
- Falls
- Last Inspection
- Oct 19, 2024
Staffing Data
How the 3.31 total nursing hours per resident-day are staffed:
- RN Hours
- 0.51 (nat'l avg: 0.68)
- LPN Hours
- 1.01
- CNA Hours
- 1.80
- Total Nursing Hours
- 3.31 (nat'l avg: 3.89)
- PT Hours
- 0.01
- Nursing Turnover
- 36.0%
What the CMS Record Reveals About Heritage House Nursing and Rehabilitation
Heritage House Nursing and Rehabilitation operates 85 certified beds in Rosebud, TX with approximately 34 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 4★ · staffing 3★ · quality 5★).
The inspection file contains 9 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 1 penalty totaling $14K levied against this facility. Reported nurse staffing runs 3.31 total hours per resident day (national average 3.89); RN hours specifically are 0.51 per resident day.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Heritage House Nursing and Rehabilitation falls into a category where comparative context matters. Reported nursing turnover at this facility is 36.0%, within a range generally associated with stable care teams.
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (9 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Oct 20, 2024
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 20, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Oct 20, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Oct 20, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 4, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 1, 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.
Category: Pharmacy Service Deficiencies
Corrected: Sep 20, 2023
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Category: Environmental Deficiencies
Corrected: Jun 30, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Jun 30, 2022
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.2% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.8% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.3% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.6% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.2% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.3% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 1.0% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 8.6% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 5.9% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 10.4% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 97.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History 1 penalties totaling $14K
| Date | Type | Amount |
|---|---|---|
| Jan 31, 2024 | Fine | $14K |
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Understanding Nursing Home Data
Frequently Asked Questions
What is the overall CMS rating for Heritage House Nursing and Rehabilitation?
What are the staffing levels at Heritage House Nursing and Rehabilitation?
How many beds does Heritage House Nursing and Rehabilitation have?
Does Heritage House Nursing and Rehabilitation have any deficiencies on record?
Has Heritage House Nursing and Rehabilitation received any fines or penalties?
Who owns Heritage House Nursing and Rehabilitation?
When was Heritage House Nursing and Rehabilitation last inspected?
What quality measures are tracked for Heritage House Nursing and Rehabilitation?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
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