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Nursing homeFAID #14603

Rock Creek Health and Rehabilitation

1414 COLLEGE STREET, SULPHUR SPRINGS, TX, 75482
(903) 439-0107
rockcreekhealth.com
120 licensed beds

CMS rates Rock Creek Health and Rehabilitation 2 out of 5 overall. Federal inspectors issued 45 citations across 14 inspections in the last three years, with $58,807 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo of ROCK CREEK HEALTH AND REHABILITATION
Photo via Google · Rock Creek Nursing and Rehabilitation

Public record summary

What we can show you for free.
Bed capacity
120
CMS facility ID
676235
Care type
Nursing home
County
Hopkins
Facility name
Rock Creek Health and Rehabilitation
Street address
1414 COLLEGE STREET
City / state / ZIP
Sulphur Springs, TX 75482
Phone
(903) 439-0107
Website
rockcreekhealth.com

About this facility — Rock Creek Health and Rehabilitation

Rock Creek Health and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Sulphur Springs, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 7 senior care facilities in Sulphur Springs and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Creative Solutions in Healthcare, a group of 150 facilities on this site.

Federal inspectors have cited Rock Creek Health and Rehabilitation 45 times across 14 inspections in the last three years, including 6 food-safety citations, and CMS has imposed $58,807 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Creative Solutions In Healthcare
Ownership type
For profit - Corporation

Registered owners & officers

Blake, Gary
Operational control — since 2022
Blake, Malisa
Operational control — since 2022
Huggins, Linda
Director — since 2022
Mak, David
Officer — since 2021
Sulphur Springs Ii Enterprises, Llc
Operational control — since 2022

Regulatory standing

Federal court records
4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2009-08-13
CMS overall rating
2 of 5 stars
Health deficiencies
8 at the last standard inspection
Federal fines
$58,807 total
Last standard inspection
2025-08-14
Nurse staffing
3.0 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$240 per day (≈ $7,300/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
71% Medicaid · 12% Medicare · 17% private/other
Occupancy
60% (fiscal year 2024)
Vs. state median
13% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
120
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 6 food-safety citations on its three-year record — flagged below among the inspections.
2026-08-05Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-08-06
2026-06-25Health inspectionComplaint-triggered2 citations
F-0732
D · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2026-06-26
F-0838
D · No harm foundFrom a complaint
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2026-06-26
11 earlier / fire-safety inspections (42 citations)
2026-04-17Health inspectionComplaint-triggered1 citation
F-0760
K · Immediate jeopardyFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2026-04-18
2026-03-05Health inspectionComplaint-triggered2 citations
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-03-06
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-03-06
2025-11-24Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-11-25
2025-08-14Health inspection1 citation
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-15
2024-12-13Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-11
2024-10-23Health inspectionComplaint-triggered1 citation
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-10-24
2024-09-05Health inspectionComplaint-triggered2 citations
F-0655
D · No harm foundFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-09-06
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-06
2024-06-20Health inspection18 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-06-21
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-06-21
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-06-21
F-0585
D · No harm found
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.
Corrected 2024-06-21
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-06-21
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-21
F-0688
D · No harm found
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-06-21
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-21
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-06-21
F-0694
D · No harm found
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-06-21
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-06-21
F-0760
E · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2024-06-21
F-0761
D · No harm found
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.
Corrected 2024-06-21
F-0770
D · No harm found
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2024-06-21
F-0803
B · No harm foundFood safety
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-06-21
F-0805
E · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-06-21
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-21
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-07-09
2023-05-10Health inspection9 citations
F-0638
D · No harm found
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2023-05-11
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-05-11
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-05-11
F-0642
D · No harm found
Ensure a qualified health professional conducts resident assessments.
Corrected 2023-05-11
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-11
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-05-11
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-05-11
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-05-11
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-11
2025-08-14Fire-safety inspection5 citations
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-08-14
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-14
K-0374
D · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-08-14
K-0916
F · No harm found
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-08-14
K-0923
F · No harm found
Have proper medical gas storage and administration areas.
Corrected 2025-08-14
2024-06-20Fire-safety inspection1 citation
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-12

Federal penalties

2026-04-17Fine$44,148
2024-12-13Fine$14,659
Total fines$58,807
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676235.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
45
More than 73% of nursing homes in the state
State median: 33
Federal fines, 3 years
$58,807
More than 79% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.0
Higher than 16% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
58%
Higher than 70% of nursing homes in the state
State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 8 and worse on 9. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased22.2%15.8%13.5%Worse than state
Lose too much weight2.9%2.9%5.1%Near state average
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection1.6%0.8%1.5%Worse than state
Have depressive symptoms1.8%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury4.7%3.2%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine100.0%96.4%93.7%Near state average
Ability to walk independently worsened21.0%12.9%12.7%Worse than state
Received an antianxiety or hypnotic medication10.1%17.8%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine100.0%97.0%95.3%Near state average
With pressure ulcers5.9%3.7%4.5%Worse than state
With new or worsened bowel or bladder incontinence16.9%12.5%18.3%Worse than state
Received an antipsychotic medication10.3%9.8%15.4%Near state average
Hospitalizations per 1000 long-stay resident days1.692.051.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days2.211.971.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine100.0%88.7%82.3%Better than state
Newly received an antipsychotic medication3.0%1.4%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine100.0%85.4%80.1%Better than state
Were rehospitalized after a nursing home admission12.1%25.5%23.4%Better than state
Had an outpatient emergency department visit19.0%12.2%11.8%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0880 5 inspections. Provide and implement an infection prevention and control program.
  • F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-0760 2 inspections. Ensure that residents are free from significant medication errors.
  • K-0353 2 inspections. Inspect, test, and maintain automatic sprinkler systems.
  • F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0640 2 inspections. Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Christus Mother Frances Hospital Sulphur Springs, about 2.2 miles. CMS rating 4 of 5.
  • Christus Mother Frances Hospital- Winnsboro, about 20 miles.
  • Ut Health East Texas Quitman Hospital, about 25 miles. CMS rating 4 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Visitor reviews

What people say on Google.
4.546 ratings on Google
★★Tom Kane · 2026-06-22 · via Google

“Rock creek used to be One of, if not the best nursing home in the state. But now it's one of the worst. Here's why: 1...drastically under staffed 2...not an upbeat environment for staff....Noone is happy. 3...wages are way below average 4...patient hygiene is terrible with showers available once a week many months. 5...food, for the most part, is terrible. 6...only one transportation aid for 350+ …”

★★★★★Vivian Chambers · 2026-01-15 · via Google

“I cannot say enough wonderful things about Rock Creek Nursing Home, especially their admissions director, Sadie. From the very first conversation, she was warm, compassionate, and incredibly knowledgeable. Placing a loved one is never easy, but Sadie made the entire process smooth and reassuring. When we were placing my great aunt Viv, Sadie took the time to truly listen, answer every question, a…”

★★★★★Carrie Ball · 2026-01-15 · via Google

“I just want to give a huge thank you to Sadie. We were devastated to have to find placement for our Grams. It was the most difficult decision we have had to make, but Sadie really made the process almost effortless. She was both understanding about what we were feeling and knowledgeable about the process. Highly recommend!”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 45 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered