Fall Creek Rehabilitation and Healthcare Center
14949 Mesa DR, Humble, TX 77396 · CCN 676412
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 126
- Avg residents/day
- 76.6
- Phone
- 2819024152
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-30 | 9 | 9.1 | 9.5 | -0.1 better |
| 2 | 2024-03-07 | 7 | 9.4 | 9.8 | -2.4 better |
| 3 | 2022-12-08 | 3 | 8.1 | 9.3 | -5.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 1 |
| Resident rights | 3 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.23 | 74.2% |
| RN staffing (reported) | 0.16 | 60.0% |
| Total nurse staffing (adjusted) | 3.04 | — |
Fines & penalties
- Total fines
- $48,555
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Inspection citations (19)7 immediate jeopardy
- EF0880Provide and implement an infection prevention and control program.2025-07-08 · Health · corrected 2025-07-14
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2025-05-30 · Health · corrected 2025-06-02
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-30 · Health · corrected 2025-06-02
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-05-30 · Health · corrected 2025-06-02
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-05-30 · Health · corrected 2025-06-02
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-05-30 · Health · corrected 2025-06-02
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-13 · Health · corrected 2025-04-14
Potential for more than minimal harm
- KF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-04-13 · Health · corrected 2025-04-14
Immediate jeopardy
- KF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2025-04-13 · Health · corrected 2025-04-14
Immediate jeopardy
- JF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-05 · Health · corrected 2025-02-06
Immediate jeopardy
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-05 · Health · corrected 2025-02-06
Immediate jeopardy
- KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-13 · Health · corrected 2024-02-15
Immediate jeopardy
- KF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-03-13 · Health · corrected 2023-11-21
Immediate jeopardy
- KF0761Ensure 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.2024-03-13 · Health · corrected 2023-11-21
Immediate jeopardy
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-07 · Health · corrected 2024-04-03
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2024-03-07 · Health · corrected 2024-04-03
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-12-08 · Health · corrected 2022-12-14
Potential for more than minimal harm
- EF0761Ensure 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.2022-12-08 · Health · corrected 2022-12-14
Potential for more than minimal harm
- CF0814Dispose of garbage and refuse properly.2022-12-08 · Health · corrected 2022-12-14
Potential for minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| EDAWS INVESTMENT GROUP, LP | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 90% | 2015-12-12 |
| BULLPEN ONE, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2015-12-12 |
| REED, MICHAEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-12-12 |
| REED, STACIE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-12-12 |
| THREADGILL, FORREST | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-10-01 |
| THREADGILL, MORGAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-10-01 |
| THREADGILL, SHARLYN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-10-01 |
| SUTER, RACHEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-06-27 |
| THREADGILL, SHARLYN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-10-01 |
| CLEARLAKE HEALTHCARE REALTY, LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2020-10-01 |
| COMPTON3 HOLDINGS, LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2020-10-01 |
| MARTEL HEALTHCARE MANAGEMENT LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2020-10-01 |
| THE SMITHERS MANAGEMENT TRUST | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2020-10-01 |
| COMPTON, CHARLES | Individual | 5% OR GREATER MORTGAGE INTEREST | — | 2020-10-01 |
| COMPTON, JAMES | Individual | 5% OR GREATER MORTGAGE INTEREST | — | 2020-10-01 |
| COMPTON, KRIS | Individual | 5% OR GREATER MORTGAGE INTEREST | — | 2020-10-01 |
| MARTEL, MICHAEL | Individual | 5% OR GREATER MORTGAGE INTEREST | — | 2020-10-01 |
| BULLPEN FAMILY VENTURE, LP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-12-12 |
Other facilities in Humble
| Name | Overall | Beds |
|---|---|---|
| Crimson Heights Health & Wellness | ★★☆☆☆ | 118 |
| Deerbrook Skilled Nursing and Rehab Center | ★☆☆☆☆ | 124 |
| Oakmont Healthcare and Rehabilitation of Humble | — | 134 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.