Fallbrook Rehabilitation and Care Center

10851 Crescent Moon Dr · Houston, TX · 77064 · 2819554100

202 certified beds Government - Hospital district

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (4 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $12,460 in fines in the last 24 months.
  • 4 citations involved actual harm to residents.

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Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

4 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

65% 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 7
Serious harm & abuse 20% 0
Staffing 20% 54
Federal penalties 15% 13
Trend 10% 59
Context 5% 35

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

CMS ratings & staffing

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

Total nurse hours / resident-day3.273.48 min · 4.1 strong
RN hours / resident-day0.500.55–0.75
Weekend hours / resident-day2.81≈ weekday level
Nursing turnover / year65%median 45%
Fines (3-yr window)3 · $185,939

Inspection citations (56 in the current record)

  • Actual harm · G April 29, 2026 · found via complaint

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

    Corrected May 22, 2026 · Quality of Life and Care

  • Potential for harm · D April 29, 2026 · found via complaint

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

    Corrected May 22, 2026 · Resident Rights

  • Immediate jeopardy · J February 27, 2026 · found via complaint

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

    Corrected February 28, 2026 · Quality of Life and Care

  • Immediate jeopardy · K February 27, 2026 · found via complaint

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected February 28, 2026 · Nursing and Physician Services

  • Potential for harm · D January 14, 2026 · 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 10, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 14, 2026 · found via complaint

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

    Corrected February 10, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 2026 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected February 10, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 5, 2026 · found via complaint

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

    Corrected January 7, 2026 · Quality of Life and Care

  • Potential for harm · E November 20, 2025 · 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 December 3, 2025 · Pharmacy Service

  • Immediate jeopardy · J October 10, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 11, 2025 · Quality of Life and Care

  • Potential for harm · D October 10, 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 October 11, 2025 · Resident Rights

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

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

    Corrected September 16, 2025 · Resident Rights

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

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

    Corrected September 16, 2025 · Quality of Life and Care

  • Potential for harm · D September 8, 2025 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected September 16, 2025 · Quality of Life and Care

  • Potential for harm · D September 8, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected September 16, 2025 · Infection Control

  • Potential for harm · D September 8, 2025 · found via complaint

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected September 16, 2025 · Environmental

  • Immediate jeopardy · J August 16, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected September 17, 2025 · Quality of Life and Care

  • Potential for harm · D April 11, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected April 15, 2025 · Resident Rights

  • Potential for harm · D April 11, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected April 15, 2025 · Resident Rights

  • Potential for harm · D April 11, 2025

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected April 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 11, 2025

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

    Corrected April 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E April 11, 2025

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

    Corrected April 15, 2025 · Quality of Life and Care

  • Potential for harm · D April 11, 2025

    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.

    Corrected April 15, 2025 · Quality of Life and Care

  • Potential for harm · D April 11, 2025

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

    Corrected April 15, 2025 · Quality of Life and Care

  • Potential for harm · D April 11, 2025

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected April 15, 2025 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
February 27, 2026Fine$12,460
August 16, 2025Payment Denial24 days
February 11, 2024Fine$46,008
July 5, 2023Fine$127,471

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455815 · certified since May 23, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.