Ellery Care
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Royse City Medical Lodge

901 W Interstate 30, Royse City, TX 75189 · Rockwall County

Government · 124 certified beds · 74% occupancy · (972) 636-9100

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Royse City Medical Lodge reviews: what the government record shows

The U.S. government (CMS) rates Royse City Medical Lodge 3 out of 5 stars overall, average. Its nurse staffing is 1% below the Texas median.

Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.

At a glance

CMS overall rating
3 of 5 stars
Nurse staffing
3.24 hrs/resident/day (-1% vs TX median)
Antipsychotic drug use
1.3% of long-stay residents (TX median 8.3%)
Falls with major injury
4.1% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
None on record
Inspection findings
17 cited
Federal abuse-warning flag
No

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.

What this means for your family

A mixed record. The strengths and concerns below are worth weighing against a visit.

Strengths

  • ✓No federal fines on record in roughly the last three years.

Concerns

  • !Nurse staffing of 3.24 hrs/resident/day is below the Texas median of 3.27.

Questions to ask on your visit

  • ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?

Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.

A plain-English read of this home's public record. Not advice — always visit in person.

Common questions about Royse City Medical Lodge

Is Royse City Medical Lodge a good nursing home?

Royse City Medical Lodge in Royse City, Texas holds a 3 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.

How is Royse City Medical Lodge staffed?

Royse City Medical Lodge reports 3.24 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.

Has Royse City Medical Lodge been fined or flagged for abuse?

Royse City Medical Lodge has no federal fines on record in roughly the last three years, and does not currently carry a federal abuse-warning flag.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.

TX median 3.27

3.24 nurse hours per resident per day. 1% below the Texas median of 3.27.

Total nurse
3.24 hrs
RN
0.33 hrs
LPN
0.94 hrs
Aide
1.97 hrs

Nursing staff turnover: 44.9% · RN turnover: 57.1%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

17
total findings
0
immediate jeopardy
0
caused actual harm
8
from complaints
  • Potential for harmTag F0812 · Feb 12, 2026Corrected Mar 16, 2026

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

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0578 · Feb 12, 2026Corrected Mar 16, 2026

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Resident Rights Deficiencies

  • Potential for harmTag F0641 · Feb 12, 2026Corrected Mar 16, 2026

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0689 · Feb 12, 2026Corrected Mar 16, 2026

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0880 · Feb 12, 2026Corrected Mar 16, 2026

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0677 · Oct 17, 2024ComplaintCorrected Nov 20, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0812 · Oct 17, 2024ComplaintCorrected Nov 20, 2024

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

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0880 · Oct 17, 2024ComplaintCorrected Nov 20, 2024

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0689 · Oct 17, 2024ComplaintCorrected Nov 20, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0690 · Oct 17, 2024ComplaintCorrected Nov 20, 2024

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Quality of Life and Care Deficiencies

Showing the 10 most recent and serious of 17 findings. See the full inspection history on Medicare.gov.

Antipsychotic drug use

The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.

1.3%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.

Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study

Preventable harm

Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.

Falls with major injury
4.1%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
1.5%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.

Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study

Federal fines and penalties

Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.

No federal fines are on record for this home in roughly the last three years, a good sign.

Ownership

This home is government (government - hospital district). It is part of the Priority Management chain, which operates 38 facilities, with a chain-average CMS rating of 2.9 stars.