Fallbrook Rehabilitation and Care Center

Special Focus Facility candidate · Harris · TX · Government - Hospital district · 202 certified beds · CCN 455815 · FRIO HOSPITAL DISTRICT


Fallbrook Rehabilitation and Care Center operates 202 certified beds in Houston, Texas. Its Medicare and Medicaid certification dates to 1989-05-23. It averages 62.6 residents a day.

What harm was found in the violations cited at Fallbrook Rehabilitation and Care Center?

CMS lists 52 health-inspection deficiencies for Fallbrook Rehabilitation and Care Center since 2022-12-16, 43 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 2026-04-29.

Survey dateTagDeficiencySeverity
2026-04-29F0677Provide care and assistance to perform activities of daily living for any resident who is unable.G
2026-04-29F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2026-02-27F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.K
2026-02-27F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2026-01-14F0656, F0689, F0842Develop 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2026-01-05F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2025-11-20F0761Ensure 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
2025-10-10F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2025-10-10F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2025-09-08F0550, F0677Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide care and assistance to perform activities of daily living for any resident who is unable.E
2025-09-08F0690, F0880, F0919Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide and implement an infection prevention and control program. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2025-08-16F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2025-04-11F0677, F0880Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide and implement an infection prevention and control program.E
2025-04-11F0558, F0583, F0655, F0656, F0688, F0689, F0690, F0755, F0814Reasonably accommodate the needs and preferences of each resident. / Keep residents' personal and medical records private and confidential. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Dispose of garbage and refuse properly.D
2025-04-02F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-02-11F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-02-11F0677, F0684Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.H
2024-02-11F0656, F0688Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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.E
2024-02-11F0690, F0695, F0761, F0880Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Provide and implement an infection prevention and control program.D
2023-08-18F0641, F0656, F0842, F0880Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.D
2023-08-08F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.K
2022-12-16F0692Provide enough food/fluids to maintain a resident's health.G
2022-12-16F0584, F0755, F0759, F0761Honor 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / 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
2022-12-16F0641, F0644, F0656, F0868Ensure each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyD

Why was Fallbrook Rehabilitation and Care Center fined 3 times?

DateTypeAmount
2026-04-29Fine$19,610
2026-02-27Fine$18,060
2024-02-11Fine$46,008

Has Fallbrook Rehabilitation and Care Center had payment denied by Medicare?

Payment denial startLength in days
2025-09-1724

How is Fallbrook Rehabilitation and Care Center staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.327873.38539
Total nursing staff turnover (%)59.755.3
Average number of residents per day62.675.8

Who owns Fallbrook Rehabilitation and Care Center?

Fallbrook Rehabilitation and Care Center is registered with CMS as Government - Hospital district, operates under the legal business name FRIO HOSPITAL DISTRICT.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTFRIO HOSPITAL DISTRICTsince 02/01/2024
CORPORATE OFFICERRUFF, MICHAELsince 02/01/2024
OPERATIONAL/MANAGERIAL CONTROLCRESCENT MOON DR CONSULTING LLC, HISCOX, KENNETH, MILLER, WILLIAM, VAKIL, RUPESHsince 01/13/2025
ADP OF THE SNFCRESCENT MOON DR CONSULTING LLC, HISCOX, KENNETH, VAKIL, RUPESHsince 04/09/2025

Were you or a family member harmed at Fallbrook Rehabilitation and Care Center?