Fall Creek Rehabilitation and Healthcare Center

14949 Mesa Dr · Humble, TX · 77396 · 2819024152

126 certified beds For profit - Limited Liability company

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing levels are well below research benchmarks for safe care.
  • Inspection results have improved across recent cycles.

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Red flags

7 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

RN staffing in the bottom 10% nationally

0.11 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

72% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 36
Serious harm & abuse 20% 60
Staffing 20% 37
Federal penalties 15% 53
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.183.48 min · 4.1 strong
RN hours / resident-day0.110.55–0.75
Weekend hours / resident-day2.90≈ weekday level
Nursing turnover / year72%median 45%
Fines (3-yr window)2 · $48,555

Inspection citations (21 in the current record)

  • Potential for harm · D April 1, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected April 3, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 1, 2026 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 3, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E July 8, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected July 14, 2025 · Infection Control

  • Potential for harm · D May 30, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected June 2, 2025 · Resident Rights

  • Potential for harm · D May 30, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected June 2, 2025 · Quality of Life and Care

  • Potential for harm · D May 30, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected June 2, 2025 · Pharmacy Service

  • Potential for harm · D May 30, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 2, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 30, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected June 2, 2025 · Quality of Life and Care

  • Immediate jeopardy · K April 13, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected April 14, 2025 · Resident Rights

  • Immediate jeopardy · K April 13, 2025 · found via complaint

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Corrected April 14, 2025 · Quality of Life and Care

  • Potential for harm · E April 13, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 14, 2025 · Resident Rights

  • Immediate jeopardy · J February 5, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 6, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · J February 5, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 6, 2025 · Quality of Life and Care

  • Immediate jeopardy · K March 13, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected February 15, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K March 13, 2024 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected November 21, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K March 13, 2024 · found via complaint

    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.

    Corrected November 21, 2023 · Pharmacy Service

  • Potential for harm · D March 7, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 3, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E March 7, 2024 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected April 3, 2024 · Quality of Life and Care

  • Potential for harm · D December 8, 2022

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected December 14, 2022 · Pharmacy Service

  • Potential for harm · E December 8, 2022

    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.

    Corrected December 14, 2022 · Pharmacy Service

  • No harm found · C December 8, 2022

    Dispose of garbage and refuse properly.

    Corrected December 14, 2022 · Nutrition and Dietary

Federal penalties

DateTypeAmount / length
April 13, 2025Fine$33,683
February 5, 2025Fine$14,872

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676412 · certified since December 13, 2016. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.