Nursing Home Alerts

Crossroads Nursing & Rehabilitation

611 Rose Marie Blvd, Hearne, TX 77859

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Crossroads Nursing & Rehabilitation is a nursing home in Hearne, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(979) 280-0440
Last standard health inspection
December 4, 2025 (11 months ago)
Certified beds
80
Residents per day, on average
48.9
Ownership type
For profit - Corporation
Legal business name
Fannin County Hospital Authority
Chain
Creative Solutions in Healthcare
Takes part in
Medicare and Medicaid

More health citations than the Texas average (30 vs 28).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  2. 1 citation

    Health inspection on May 1, 2026

    CMS lists this as a complaint inspection.

    • Citation F0679. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide activities to meet all resident's needs.

      CMS lists it as corrected on May 4, 2026.

      CMS has cited this home for F0679 2 times since 2025.

    See this home on CMS Care Compare

  3. CMS update of February 25, 2026

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

    • Name

      CMS lists a new legal business name for this home.

  4. 8 citations

    Health inspection on December 4, 2025

    CMS lists this as a standard inspection.

    • Citation F0679. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide activities to meet all resident's needs.

      CMS lists it as corrected on December 5, 2025.

    • Citation F0759. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on December 5, 2025.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on December 5, 2025.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on December 5, 2025.

      CMS has cited this home for F0880 2 times since 2024.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on December 5, 2025.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on December 5, 2025.

      CMS has cited this home for F0656 5 times since 2023.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on December 5, 2025.

      CMS has cited this home for F0677 2 times since 2023.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on December 5, 2025.

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  5. 1 citation

    Fire safety inspection on December 4, 2025

    CMS lists this as a standard inspection.

    • Citation K0222. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      CMS lists it as corrected on December 11, 2025.

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  6. CMS update of November 20, 2025

    • Name

      CMS lists a new legal business name for this home.

  7. 3 citations

    Health inspection on September 3, 2025

    CMS lists this as a complaint inspection.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on September 4, 2025.

      CMS has cited this home for F0580 2 times since 2024.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on September 4, 2025.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on September 4, 2025.

      CMS has cited this home for F0689 2 times since 2024.

    See this home on CMS Care Compare

  8. CMS update of July 30, 2025

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

  9. CMS update of March 26, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 4 of 5.

  10. CMS update of February 26, 2025

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

  11. 1 citation

    Health inspection on November 20, 2024

    CMS lists this as a complaint inspection.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on December 13, 2024.

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  12. 4 citations

    Health inspection on September 10, 2024

    CMS lists this as a standard inspection.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on October 18, 2024.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on October 18, 2024.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on October 18, 2024.

      CMS has cited this home for F0686 2 times since 2024.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on October 18, 2024.

    See this home on CMS Care Compare

  13. CMS update of July 31, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Staffing

      Total nurse staffing reported to CMS went from 3.3 to 2.8 hours per resident per day.

  14. 1 citation

    Health inspection on June 20, 2024

    CMS lists this as a complaint inspection.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on June 21, 2024.

      CMS has cited this home for F0695 2 times since 2023.

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  15. 2 citations

    Health inspection on May 24, 2024

    CMS lists this as a complaint inspection.

    • Citation F0686. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on May 25, 2024.

    • Citation F0583. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep residents' personal and medical records private and confidential.

      CMS lists it as corrected on May 25, 2024.

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  16. CMS update of April 25, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

  17. 2 citations

    Health inspection on March 12, 2024

    CMS lists this as a complaint inspection.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on March 14, 2024.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on March 14, 2024.

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  18. 8 citations

    Health inspection on July 26, 2023

    CMS lists this as a standard inspection.

    • Citation F0561. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

      CMS lists it as corrected on September 9, 2023.

    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on September 9, 2023.

    • Citation F0803. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on September 9, 2023.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on September 9, 2023.

    • Citation F0655. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      CMS lists it as corrected on September 9, 2023.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on September 9, 2023.

    • Citation F0685. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Assist a resident in gaining access to vision and hearing services.

      CMS lists it as corrected on September 9, 2023.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on September 9, 2023.

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  19. 6 citations

    Fire safety inspection on July 26, 2023

    CMS lists this as a standard inspection.

    • Citation K0345. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on May 22, 2024.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on May 22, 2024.

    • Citation K0712. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on May 22, 2024.

    • Citation K0741. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

      CMS lists it as corrected on May 22, 2024.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on May 22, 2024.

    • Citation K0324. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on May 22, 2024.

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Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Crossroads Nursing & Rehabilitation last inspected?

CMS lists December 4, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does Crossroads Nursing & Rehabilitation have?

CMS lists 30 health citations since July 26, 2023. CMS also calls these deficiencies.

Has Crossroads Nursing & Rehabilitation been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Crossroads Nursing & Rehabilitation?

Its CMS overall star rating is 2 of 5.

Is Crossroads Nursing & Rehabilitation a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.