Nursing home · Top rated by CMS
Heritage House Nursing and Rehabilitation
407 N College St, Rosebud, TX 76570 · Map
For profit - Corporation · Part of Creative Solutions In Healthcare (149 facilities) · 85 certified beds
Heritage House Nursing and Rehabilitation is a Medicare-certified nursing home in Rosebud, Texas. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.31 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Oct 19, 2024 cited 4 deficiencies.
- 1 fine totaling $13,804In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Heritage House Nursing and Rehabilitation compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.31 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.51 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.80 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 36.0% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 4.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the March 24, 2026 inspection was corrected by April 13, 2026
Penalties in CMS records: 1 fine totaling $13,804, 1 total penalty.
What inspectors found at Heritage House Nursing and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 24, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 22, 2026 · Full report (PDF) - Potential for harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · Jan 22, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Oct 19, 2024 · Full report (PDF) - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Oct 19, 2024 · Full report (PDF)
Show all 10 deficiencies
- Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Oct 19, 2024 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Oct 19, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jul 3, 2024 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 31, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Aug 30, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 407 N College St
Rosebud, TX 76570 - CMS certification #
- 675210
- Ownership
- For profit - Corporation
- Certified beds
- 85
- Avg residents/day
- 33.7
- Provider type
- Medicare and Medicaid
- First certified
- 1993-11-15
- Chain
- Creative Solutions In Healthcare (149 facilities)
- Setting
- Urban
Part of Creative Solutions In Healthcare
Creative Solutions In Healthcare operates 149 nursing facilities across the United States. View all Creative Solutions In Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Heritage House Nursing and Rehabilitation using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2016
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Sep 7, 2016 to Sep 6, 2018. Violations found: Overtime. Back wages: $5,569 owed to 7 employees. Employer as DOL recorded it: Heritage House Nursing and Rehabilitation (Rosebud 1 Enterprise LLC). Case 1862235.
DOL also concluded 1 case here with no violations found, most recently for a period ending Jul 7, 2010.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Falls Community Hospital And Clinic, Marlin. 16.8 miles away, straight line.
- Nearest Medicare nursing home
- Winnie L Nursing & Rehabilitation, Cameron. 14.2 miles away, straight line.
- Nearest home health agency office
- Adaptive Home Health, Cameron. 15.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Baylor Scott & White Pharmacy. 22.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 76570 as rural (rural area).
- Hospice
- 12 Medicare hospices tell CMS they serve ZIP code 76570.
Gentiva, office in Temple, 23.7 miles away, straight line - Nearest geriatric medicine practice
- Scott And White Clinic, Cameron. 15.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective October 29, 1976), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively low, wildfire relatively low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Heritage House Nursing and Rehabilitation a good nursing home?
CMS gives Heritage House Nursing and Rehabilitation an overall rating of 5 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Heritage House Nursing and Rehabilitation staffed?
Heritage House Nursing and Rehabilitation reports 3.31 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Heritage House Nursing and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Heritage House Nursing and Rehabilitation have?
Heritage House Nursing and Rehabilitation is certified for 85 beds.