Elder Care Record

Texas › Harris County › Houston

Fallbrook Rehabilitation and Care Center

10851 Crescent Moon Dr., Houston, TX 77064

CCN 455815 · Government, hospital district · 202 certified beds

Special Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Fallbrook Rehabilitation and Care Center, in Houston, Texas, is certified for 202 beds under government, hospital district ownership.

CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 3.

Inspectors recorded 52 health deficiencies across the three most recent survey cycles (28, 10, 14 by cycle, most recent first), 10 of them at the actual-harm or immediate-jeopardy level. That is 25.7 per 100 beds, about the same as the state median of 22.5.

CMS lists 4 penalties in the period covered: fines totalling $84K and 1 payment denial.

Reported nurse staffing is 3.3 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 59.7%.

CMS flags that the facility is a Special Focus Facility candidate.

52health deficiencies, 3 survey cycles10 at actual harm or worse
$84Kfines listed by CMS4 penalties in period
3.3nurse hours per resident per daystate median 3.3
31%occupancy (residents ÷ beds)63 residents a day

Compared with county, state and nation

MeasureThis facilityHarris Co. medianTexas medianUS average
Overall star rating1233.0
Health citations, 3 cycles52222528.7
Citations per 100 beds25.719.022.526.8
Total nurse hours per resident day3.33.33.33.9
RN hours per resident day0.40.40.40.7
Nursing staff turnover59.7%52.1%52.1%45.8%
Fines listed$83,678$30,361$16,801—

County and state figures are medians across facilities (97 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)28
Cycle 210
Cycle 314

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Apr 2025, 11 Feb 2024.

Severity mix: J ×4 K ×2 G ×2 H ×2 D ×31 E ×11

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
29 Apr 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.GComplaint investigation22 May 2026
29 Apr 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation22 May 2026
27 Feb 2026F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.KComplaint investigation28 Feb 2026
27 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation28 Feb 2026
14 Jan 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation10 Feb 2026
14 Jan 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation10 Feb 2026
14 Jan 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation10 Feb 2026
5 Jan 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation7 Jan 2026
20 Nov 2025F0761Ensure 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.EComplaint investigation3 Dec 2025
10 Oct 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation11 Oct 2025
10 Oct 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation11 Oct 2025
8 Sep 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint investigation16 Sep 2025
8 Sep 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation16 Sep 2025
8 Sep 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation16 Sep 2025
8 Sep 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation16 Sep 2025
8 Sep 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint investigation16 Sep 2025
16 Aug 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation17 Sep 2025
11 Apr 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey15 Apr 2025
11 Apr 2025F0880Provide and implement an infection prevention and control program.EStandard survey15 Apr 2025
11 Apr 2025F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey15 Apr 2025
11 Apr 2025F0583Keep residents' personal and medical records private and confidential.DStandard survey15 Apr 2025
11 Apr 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey15 Apr 2025
11 Apr 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey15 Apr 2025
11 Apr 2025F0688Provide 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.DStandard survey15 Apr 2025
11 Apr 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey15 Apr 2025
11 Apr 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey15 Apr 2025
11 Apr 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey15 Apr 2025
11 Apr 2025F0814Dispose of garbage and refuse properly.DStandard survey15 Apr 2025
2 Apr 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation4 Apr 2025
11 Feb 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation15 Feb 2024
11 Feb 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.HComplaint investigation15 Feb 2024
11 Feb 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.HComplaint investigation15 Feb 2024
11 Feb 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation15 Feb 2024
11 Feb 2024F0688Provide 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.EComplaint investigation15 Feb 2024
11 Feb 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation15 Feb 2024
11 Feb 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation15 Feb 2024
11 Feb 2024F0761Ensure 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.DStandard survey15 Feb 2024
11 Feb 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation15 Feb 2024
18 Aug 2023F0641Ensure each resident receives an accurate assessment.DComplaint investigation21 Aug 2023
18 Aug 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation21 Aug 2023
18 Aug 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation21 Aug 2023
18 Aug 2023F0880Provide and implement an infection prevention and control program.DComplaint investigation21 Aug 2023
8 Aug 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.KComplaint investigation9 Aug 2023
16 Dec 2022F0692Provide enough food/fluids to maintain a resident's health.GStandard survey16 Jan 2023
16 Dec 2022F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard survey16 Jan 2023
16 Dec 2022F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey16 Jan 2023
16 Dec 2022F0759Ensure medication error rates are not 5 percent or greater.EStandard survey16 Jan 2023
16 Dec 2022F0761Ensure 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.EStandard survey16 Jan 2023
16 Dec 2022F0641Ensure each resident receives an accurate assessment.DStandard survey16 Jan 2023
16 Dec 2022F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey16 Jan 2023
16 Dec 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey16 Jan 2023
16 Dec 2022F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard survey16 Jan 2023

Penalties

DateTypeAmountDetail
29 Apr 2026Fine$19,610
27 Feb 2026Fine$18,060
16 Aug 2025Payment denial—24 days
11 Feb 2024Fine$46,008

Staffing

Total nursing3.33 h
Nurse aides2.09 h
LPN0.85 h
RN0.39 h
Weekend total2.94 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 59.7%, RNs 80.0%; 2 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay20.1%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.4%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.9%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay20.2%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay9.3%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay15.3%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: government, hospital district. Legal business name: Frio Hospital District.

OrganisationRole in the CMS recordInterestSince
Frio Hospital District5% or greater direct ownership interestNO PERCENTAGE PROVIDED02/01/2024

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Harris County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Bayou ManorHouston37555718.9—19 May 2026
Clarewood House Extended Care CenterHouston6055158.3—3 Dec 2025
East View HealthcareHouston125551118.8—24 Feb 2026
Hca Houston Healthcare SoutheastPasadena30554516.7—15 May 2025
Ignite Medical Resort Webster, LLCWebster705521217.1—24 Apr 2026
Park Manor of CyfairHouston12055286.7—1 May 2026
Parkway PlaceHouston425351842.9$46K22 Apr 2026
Richard A. Anderson (State of Texas Veterans LandHouston1205451411.7$15K11 Sep 2025

All 97 facilities in Harris County

Questions and answers

How many deficiencies has Fallbrook Rehabilitation and Care Center been cited for?

52 health deficiencies across the three most recent survey cycles, 10 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Fallbrook Rehabilitation and Care Center been fined?

Yes. CMS lists fines totalling $84K in the period covered, plus 1 payment denial.

How does staffing at Fallbrook Rehabilitation and Care Center compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Fallbrook Rehabilitation and Care Center?

Ownership type is government, hospital district. Organisations in the CMS ownership record include Frio Hospital District. Individual owners and managers are not listed on this site.

When was Fallbrook Rehabilitation and Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 29 Apr 2026; the most recent standard health survey was 11 Apr 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.