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Complaint Investigation

Rock Creek Health And Rehabilitation

November 24, 2025 · Sulphur Springs, TX · 1414 College Street
Citations 1
CMS Rating 3/5
Beds 120
Provider ID 676235
Healthcare Facility
Rock Creek Health And Rehabilitation
Sulphur Springs, TX  ·  View full profile →
Inspection Summary

ROCK CREEK HEALTH AND REHABILITATION in SULPHUR SPRINGS, TX — inspection on November 24, 2025.

Found 1 citation. 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.

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Inspection Findings

FF0880
Infection Control Deficiencies
Potential for More Than Minimal Harm

of the labia majora1 the outside folds of the perineum (skin that protects the urinary meatus and the vaginal opening).

Continue perineum care to the inner thigh. If applicable, gently wash the juncture of the Foley catheter tubing from the urethra down the catheter about three inches.

Then wipe the other side.

Use a clean area of the washcloth or pre-moistened cleansing wipes for each stroke.

Record review of the facility's policy titled Enhanced Barrier Precautions, undated, indicated, Multidrug-resistant organism ([NAME]) transmission is common in long-term care (LTC) facilities.

Enhanced Barrier Precautions (EBP) refer to an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employ targeted gown and glove use during high contact resident care activities. EBP are used in conjunction with standard precautions and expand the use of PPE to donning of gown and gloves during high-contact resident care activities that provide opportunities for transfer of MDROs to staff hands and clothing.EBP are indicated for residents with any of the following: Wounds and/or indwelling medical devices (Indwelling medical device examples include central lines, urinary catheters, feeding tubes, and tracheostomies) even if the resident is not known to be infected or colonized with a [NAME].

The facility will ensure PPE and alcohol-based hand rub are readily accessible to staff prior to entry to their room.

Communication to Staff: The facility will utilize posting outside the room to communicate to staff if a resident requires EBP.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SULPHUR SPRINGS, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ROCK CREEK HEALTH AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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