Rockwall Nursing Care Center
Rockwall Nursing Care Center in Rockwall, TX — inspection on November 25, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During a telephone interview on 09/26/2025 at 3:09 PM, RN B stated CNA C notified her Resident #2 hit Resident #1.
She stated when she asked Resident #2 what happened, she just said she was sorry. RN B stated she separated the residents and Resident #2 was placed on 1:1 monitoring until psych cleared her.
She stated Resident #2 had not hit another resident.
The interview revealed RN B was knowledgeable about the types of abuse and to report any abuse to the administrator who was the abuse coordinator.
During an interview on 09/26/2025 at 4:10 PM, the Administrator stated he was told CNA C was in the tv room when the incident occurred. He stated CNA C reported she was cleaning up fluids or a spill on the floor and heard a commotion.
When CNA C stood up, a resident pointed and said she hit her, indicating Resident #2 had hit Resident #1. CNA C reported Resident #1 had a red face.
The Administrator stated he arrived at the facility 45 minutes after the incident was reported to him. He stated Resident #1 and Resident #2 did not recall the incident happening. He stated Resident #2 did not recall hitting anyone. He stated Resident #2 curses and uses profane language. He stated he did not believe the residents knew what they were doing based on their cognitive ability.
The Administrator stated in-service training was provided to staff on abuse, neglect, and de-escalation. He stated the staff had a heightened awareness of Resident #2 and monitored to ensure Resident #1 and Resident #2 were not in each other's personal space or sat at the same table for meals. He stated trauma assessments showed there were no adverse effects, and staff had not witnessed a change in the residents' daily routines. He stated both residents had a psych visit and the facility's consulting service would continue to provide guidelines and activities to redirect Resident #2. He stated Resident #2 had not hit another resident.
Record review of the facility's policy Abuse/Neglect - Resident to Resident reflected The resident has the right to be free from abuse, neglect, misappropriation of resident property, and exploitation as defined in this subpart.Residents should not be subjected to abuse by anyone including, but not limited to, facility staff, other residents.family members, or legal guardians, friends, or other individuals.
The facility will provide and ensure the promotion and protection of resident rights. 1.
Abuse.
Abuse is the willful infliction of injury.with resulting physical harm, pain or mental anguish.Willful, as used in this definition of abuse, means the individual must have acted deliberately, not that the individual must have intended to inflict injury or harm.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/25/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Rockwall Nursing Care Center
206 Storrs Rockwall, TX 75087
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on 09/26/2025 at 4:10 PM, the Administrator stated he was told CNA C was in the tv room where the incident occurred. He stated CNA C reported she was cleaning up fluids or a spill on the floor and heard a commotion.
When CNA C stood up, a resident pointed and said she hit her, indicating Resident #2 had hit Resident #1. CNA C reported Resident #1 had a red face.
The Administrator stated he arrived at the facility 45 minutes after the incident was reported to him. He stated Resident #1 and Resident #2 did not recall the incident happening. He stated Resident #2 did not recall hitting anyone. He stated Resident #2 curses and uses profane language. He stated he did not believe the residents knew what they were doing based on their cognitive ability.
The Administrator stated in-service training was provided to staff on abuse, neglect, and de-escalation. He stated the staff had a heightened awareness of Resident #2 and now ensured Resident #1 and Resident #2 were not in each other's personal space or sat at the same table for meals. He stated based on the trauma assessments, there were no adverse effects and no change in the residents' daily routines. He stated both residents had a psych visit and the facility's consulting service would continue to provide guidelines and activities to redirect Resident #2. He stated Resident #2 had not hit another resident.
Record review of the facility's policy Abuse/Neglect - Resident to Resident reflected The resident has the right to be free from abuse, neglect, misappropriation of resident property, and exploitation as defined in this subpart.Residents should not be subjected to abuse by anyone including, but not limited to, facility staff, other residents.family members, or legal guardians, friends, or other individuals.
The facility will provide and ensure the promotion and protection of resident rights.New employee orientation will consist of educational resources to identify abuse, neglect, exploitation, and misappropriation of resident property.
Ongoing in-services will be conducted to educated staff regarding.how to reported suspected abuse, neglect.
Interventions for aggressive behavior of residents, and dementia management and resident abuse prevention.The facility will be responsible to identify, correct, and intervene in situations of possible abuse/neglect.
This facility established an environment that is as homelike as possible and includes a culture and environment that treats each resident with respect and dignity.
Facility ID: