Texas › Harris County › Houston
Terra Bella Health and Wellness Suites
12262 Cityscape Ave, Houston, TX 77047
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.
Certified for 128 beds, Terra Bella Health and Wellness Suites serves Houston in Harris County, Texas and has taken Medicare and Medicaid residents since 2018.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 2 and quality measures 5.
Inspectors recorded 45 health deficiencies across the three most recent survey cycles (11, 18, 16 by cycle, most recent first), 12 of them at the actual-harm or immediate-jeopardy level. That is 35.2 per 100 beds, more than the state median of 22.5.
CMS lists 6 penalties in the period covered: fines totalling $182K.
Reported nurse staffing is 3.4 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 61.6%.
CMS flags that the facility is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | Harris Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 45 | 22 | 25 | 28.7 |
| Citations per 100 beds | 35.2 | 19.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 61.6% | 52.1% | 52.1% | 45.8% |
| Fines listed | $181,644 | $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
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Mar 2026, 23 Dec 2024.
Severity mix: K ×8 G ×2 H ×2 D ×25 E ×8
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 9 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 23 May 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | H | Complaint investigation | 19 Jun 2026 |
| 23 May 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Complaint investigation | 19 Jun 2026 |
| 23 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 19 Jun 2026 |
| 23 May 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 19 Jun 2026 |
| 26 Mar 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 20 Apr 2026 |
| 13 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 23 Jan 2026 |
| 13 Jan 2026 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 23 Jan 2026 |
| 26 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 1 Dec 2025 |
| 26 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 1 Dec 2025 |
| 20 Nov 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 11 Dec 2025 |
| 21 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 8 Aug 2025 |
| 21 Jul 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | K | Complaint investigation | 8 Aug 2025 |
| 21 Jul 2025 | F0687 | Provide appropriate foot care. | K | Complaint investigation | 8 Aug 2025 |
| 21 Jul 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 8 Aug 2025 |
| 21 Jul 2025 | F0761 | 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. | D | Complaint investigation | 8 Aug 2025 |
| 25 Apr 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Complaint investigation | 10 May 2025 |
| 24 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | Complaint investigation | 14 Mar 2025 |
| 24 Feb 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | H | Complaint investigation | 14 Mar 2025 |
| 7 Feb 2025 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 3 Mar 2025 |
| 7 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 3 Mar 2025 |
| 23 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 17 Jan 2025 |
| 23 Dec 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 17 Jan 2025 |
| 23 Dec 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 17 Jan 2025 |
| 23 Dec 2024 | F0814 | Dispose of garbage and refuse properly. | D | Complaint investigation | 17 Jan 2025 |
| 14 Nov 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 14 Nov 2024 |
| 29 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Complaint investigation | 27 Sep 2024 |
| 29 Aug 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 27 Sep 2024 |
| 29 Aug 2024 | F0688 | Provide 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. | D | Complaint investigation | 27 Sep 2024 |
| 10 Jun 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 24 Jun 2024 |
| 18 Jan 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | Complaint investigation | 21 Jan 2024 |
| 18 Jan 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Complaint investigation | 21 Jan 2024 |
| 18 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 21 Jan 2024 |
| 18 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 21 Jan 2024 |
| 14 Nov 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | K | Complaint investigation | 24 Nov 2023 |
| 14 Nov 2023 | F0760 | Ensure that residents are free from significant medication errors. | K | Complaint investigation | 24 Nov 2023 |
| 28 Oct 2023 | F0760 | Ensure that residents are free from significant medication errors. | K | Complaint investigation | 10 Nov 2023 |
| 28 Oct 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Complaint investigation | 10 Nov 2023 |
| 28 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Nov 2023 |
| 28 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 10 Nov 2023 |
| 28 Oct 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 10 Nov 2023 |
| 28 Oct 2023 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint investigation | 10 Nov 2023 |
| 10 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 30 Oct 2023 |
| 10 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 30 Oct 2023 |
| 11 Aug 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 12 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 23 May 2026 | Fine | $24,740 | |
| 21 Jul 2025 | Fine | $45,679 | |
| 7 Feb 2025 | Fine | $26,943 | |
| 18 Jan 2024 | Fine | $38,705 | |
| 14 Nov 2023 | Fine | $32,548 | |
| 10 Oct 2023 | Fine | $13,029 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 61.6%, RNs 50.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 3.4% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.6% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.8% | 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: for-profit, corporation. Legal business name: South Limestone Hospital District. Chain: Fundamental Healthcare (66 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| South Limestone Hospital District | 5% or greater direct ownership interest | 100% | 01/01/2024 |
| City Park Care Center LLC | Operational/managerial control | NOT APPLICABLE | 01/01/2024 |
| Fundamental Administrative Services LLC | Adp of the snf | NOT APPLICABLE | 01/01/2024 |
| Fundamental Clinical and Operational Services, LLC | Adp of the snf | NOT APPLICABLE | 01/01/2024 |
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
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bayou Manor | Houston | 37 | 5 | 5 | 5 | 7 | 18.9 | — | 19 May 2026 |
| Clarewood House Extended Care Center | Houston | 60 | 5 | 5 | 1 | 5 | 8.3 | — | 3 Dec 2025 |
| East View Healthcare | Houston | 125 | 5 | 5 | 1 | 11 | 8.8 | — | 24 Feb 2026 |
| Hca Houston Healthcare Southeast | Pasadena | 30 | 5 | 5 | 4 | 5 | 16.7 | — | 15 May 2025 |
| Ignite Medical Resort Webster, LLC | Webster | 70 | 5 | 5 | 2 | 12 | 17.1 | — | 24 Apr 2026 |
| Park Manor of Cyfair | Houston | 120 | 5 | 5 | 2 | 8 | 6.7 | — | 1 May 2026 |
| Parkway Place | Houston | 42 | 5 | 3 | 5 | 18 | 42.9 | $46K | 22 Apr 2026 |
| Richard A. Anderson (State of Texas Veterans Land | Houston | 120 | 5 | 4 | 5 | 14 | 11.7 | $15K | 11 Sep 2025 |
All 97 facilities in Harris County
Questions and answers
How many deficiencies has Terra Bella Health and Wellness Suites been cited for?
45 health deficiencies across the three most recent survey cycles, 12 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Terra Bella Health and Wellness Suites been fined?
Yes. CMS lists fines totalling $182K in the period covered.
How does staffing at Terra Bella Health and Wellness Suites compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Terra Bella Health and Wellness Suites?
It is part of the Fundamental Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include South Limestone Hospital District and City Park Care Center LLC. Individual owners and managers are not listed on this site.
When was Terra Bella Health and Wellness Suites last inspected?
The most recent survey or investigation in the CMS record is dated 9 Jun 2026; the most recent standard health survey was 26 Mar 2026.
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.