Starfile / Texas

Fallbrook Rehabiliation and Care Center

10851 Crescent Moon Dr, Houston, TX 77064 · CCN 455815

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$173,479

Number of fines

2

Number of penalties

3

Payment denials

1

Inspection citations (52)5 immediate jeopardy3 actual harm

1. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2026-01-14 · Health · corrected 2026-02-10

   Potential for more than minimal harm

2. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-14 · Health · corrected 2026-02-10

   Potential for more than minimal harm

3. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-14 · Health · corrected 2026-02-10

   Potential for more than minimal harm

4. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2026-01-05 · Health · corrected 2026-01-07

   Potential for more than minimal harm

5. 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.2025-11-20 · Health · corrected 2025-12-03

   Potential for more than minimal harm

6. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-10-10 · Health · corrected 2025-10-11

   Potential for more than minimal harm

7. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-10-10 · Health · corrected 2025-10-11

   Immediate jeopardy

8. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-09-08 · Health · corrected 2025-09-16

   Potential for more than minimal harm

9. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-09-08 · Health · corrected 2025-09-16

   Potential for more than minimal harm

10. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-09-08 · Health · corrected 2025-09-16

    Potential for more than minimal harm

11. DF0880Provide and implement an infection prevention and control program.2025-09-08 · Health · corrected 2025-09-16

    Potential for more than minimal harm

12. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-09-08 · Health · corrected 2025-09-16

    Potential for more than minimal harm

13. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-16 · Health · corrected 2025-09-17

    Immediate jeopardy

14. DF0558Reasonably accommodate the needs and preferences of each resident.2025-04-11 · Health · corrected 2025-04-15

    Potential for more than minimal harm

15. DF0583Keep residents' personal and medical records private and confidential.2025-04-11 · Health · corrected 2025-04-15

    Potential for more than minimal harm

16. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-04-11 · Health · corrected 2025-04-15

    Potential for more than minimal harm

17. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-11 · Health · corrected 2025-04-15

    Potential for more than minimal harm

18. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-11 · Health · corrected 2025-04-15

    Potential for more than minimal harm

19. DF0688Provide 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.2025-04-11 · Health · corrected 2025-04-15

    Potential for more than minimal harm

20. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-11 · Health · corrected 2025-04-15

    Potential for more than minimal harm

21. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-04-11 · Health · corrected 2025-04-15

    Potential for more than minimal harm

22. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-11 · Health · corrected 2025-04-15

    Potential for more than minimal harm

23. DF0814Dispose of garbage and refuse properly.2025-04-11 · Health · corrected 2025-04-15

    Potential for more than minimal harm

24. EF0880Provide and implement an infection prevention and control program.2025-04-11 · Health · corrected 2025-04-15

    Potential for more than minimal harm

25. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-02 · Health · corrected 2025-04-04

    Potential for more than minimal harm

26. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-11 · Health · corrected 2024-02-15

    Potential for more than minimal harm

27. HF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-11 · Health · corrected 2024-02-15

    Actual harm

28. HF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-11 · Health · corrected 2024-02-15

    Actual harm

29. EF0688Provide 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.2024-02-11 · Health · corrected 2024-02-15

    Potential for more than minimal harm

30. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-11 · Health · corrected 2024-02-15

    Immediate jeopardy

31. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-02-11 · Health · corrected 2024-02-15

    Potential for more than minimal harm

32. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-11 · Health · corrected 2024-02-15

    Potential for more than minimal harm

33. DF0761Ensure 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.2024-02-11 · Health · corrected 2024-02-15

    Potential for more than minimal harm

34. DF0880Provide and implement an infection prevention and control program.2024-02-11 · Health · corrected 2024-02-15

    Potential for more than minimal harm

35. DF0641Ensure each resident receives an accurate assessment.2023-08-18 · Health · corrected 2023-08-21

    Potential for more than minimal harm

36. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-18 · Health · corrected 2023-08-21

    Potential for more than minimal harm

37. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-08-18 · Health · corrected 2023-08-21

    Potential for more than minimal harm

38. DF0880Provide and implement an infection prevention and control program.2023-08-18 · Health · corrected 2023-08-21

    Potential for more than minimal harm

39. KF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-08 · Health · corrected 2023-08-09

    Immediate jeopardy

40. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-07-05 · Health · corrected 2023-07-06

    Potential for more than minimal harm

41. KF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-07-05 · Health · corrected 2023-07-06

    Immediate jeopardy

42. DF0880Provide and implement an infection prevention and control program.2023-07-05 · Health · corrected 2023-07-06

    Potential for more than minimal harm

43. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-07-05 · Health · corrected 2023-07-06

    Potential for more than minimal harm

44. EF0584Honor 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.2022-12-16 · Health · corrected 2023-01-16

    Potential for more than minimal harm

45. DF0641Ensure each resident receives an accurate assessment.2022-12-16 · Health · corrected 2023-01-16

    Potential for more than minimal harm

46. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-12-16 · Health · corrected 2023-01-16

    Potential for more than minimal harm

47. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-12-16 · Health · corrected 2023-01-16

    Potential for more than minimal harm

48. GF0692Provide enough food/fluids to maintain a resident's health.2022-12-16 · Health · corrected 2023-01-16

    Actual harm

49. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-12-16 · Health · corrected 2023-01-16

    Potential for more than minimal harm

50. EF0759Ensure medication error rates are not 5 percent or greater.2022-12-16 · Health · corrected 2023-01-16

    Potential for more than minimal harm

51. 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.2022-12-16 · Health · corrected 2023-01-16

    Potential for more than minimal harm

52. DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2022-12-16 · Health · corrected 2023-01-16

    Potential for more than minimal harm

Ownership

Other facilities in Houston

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.