Fall Creek Rehabilitation and Healthcare Center
Fall Creek Rehabilitation and Healthcare Center is a 126-bed nursing home in Humble, Texas. CMS has certified it for Medicare and Medicaid since 2016-12-13. It averages 84.2 residents a day.
What harm was found in the violations cited at Fall Creek Rehabilitation and Healthcare Center?
CMS lists 22 health-inspection deficiencies for Fall Creek Rehabilitation and Healthcare Center since 2022-12-08, 19 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-06-16.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-16 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D |
| 2026-04-01 | F0600, F0657 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2025-07-08 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2025-05-30 | F0583, F0695, F0759, F0656, F0677 | Keep residents' personal and medical records private and confidential. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure medication error rates are not 5 percent or greater. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2025-04-13 | F0580, F0691 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | K |
| 2025-04-13 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
| 2025-02-05 | F0656, F0689 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-03-13 | F0600, F0602, F0761 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Protect each resident from the wrongful use of the resident's belongings or money. / 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. | K |
| 2024-03-07 | F0692 | Provide enough food/fluids to maintain a resident's health. | E |
| 2024-03-07 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2022-12-08 | 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. | E |
| 2022-12-08 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2022-12-08 | F0814 | Dispose of garbage and refuse properly. | C |
Why was Fall Creek Rehabilitation and Healthcare Center fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2025-04-13 | Fine | $33,683 |
| 2025-02-05 | Fine | $14,872 |
How is Fall Creek Rehabilitation and Healthcare Center staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.25317 | 3.38539 |
| Total nursing staff turnover (%) | 65.6 | 55.3 |
| Average number of residents per day | 84.2 | 75.8 |
Who owns Fall Creek Rehabilitation and Healthcare Center?
Fall Creek Rehabilitation and Healthcare Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name LTC OF FALL CREEK LLC.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | BULLPEN ONE, LLC, EDAWS INVESTMENT GROUP, LP | since 12/12/2015 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | BULLPEN FAMILY VENTURE, LP, REED, MICHAEL, REED, STACIE, THREADGILL, FORREST, THREADGILL, MORGAN, THREADGILL, SHARLYN | since 10/01/2020 |
| 5% OR GREATER MORTGAGE INTEREST | CLEARLAKE HEALTHCARE REALTY, LLC, COMPTON3 HOLDINGS, LLC, MARTEL HEALTHCARE MANAGEMENT LLC, THE SMITHERS MANAGEMENT TRUST, COMPTON, CHARLES, COMPTON, JAMES, COMPTON, KRIS, MARTEL, MICHAEL | since 10/01/2020 |
| OPERATIONAL/MANAGERIAL CONTROL | SUTER, RACHEL, THREADGILL, SHARLYN | since 06/27/2016 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | SMITHERS, JEFFREY | since 03/28/2025 |
| ADP OF THE SNF | CLEARLAKE HEALTHCARE REALTY, LLC, COMPTON3 HOLDINGS, LLC, MARTEL HEALTHCARE MANAGEMENT LLC, THE SMITHERS MANAGEMENT TRUST, COMPTON, CHARLES, COMPTON, JAMES, COMPTON, KRIS, LANIER, JULIA, MARTEL, MICHAEL, SUTER, RACHEL | since 06/12/2018 |
Were you or a family member harmed at Fall Creek Rehabilitation and Healthcare Center?