Fall Creek Rehabilitation and Healthcare Center
Humble, Texas · CCN 676412
19 surveys since 2017. The first finding at harm level was recorded in 2021.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 50
- Surveys
- 19
- Harm or worse
- 8
- Immediate jeopardy
- 7
Findings at the most serious level CMS records. 3 of these were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 126
- Ownership
- For profit - Limited Liability company
- Chain
- Independent
- County
- Harris
- Medicare-certified since
- 2016
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.
Last survey on record
Jul 26, 2026
106 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.25 | 3.25 |
| Registered-nurse hours per resident day | 0.11 | — |
| Annual nurse turnover | 65.6% | 54.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $48,555 across 2 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J28.3% | K520.8% | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1145.8% | E520.8% | F— |
| No harm, potential for minimal | A— | B— | C14.2% |
Most frequently cited here
In CMS’s current monthly file.
- F6564×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6002×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6772×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F7612×
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.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
In the surveyor’s words
From the most serious findings on record at Fall Creek Rehabilitation and Healthcare Center, in the surveyor’s own words.
- Immediate jeopardy, patternF580Apr 13, 2025
Based on observations, interviews, and record review, the facility failed to immediately inform and consult with the resident's physician when there was a need to alter treatment significantly (that is, a need to discontinue an existing form of treatment due to adverse consequences, or to commence a new form of treatment) ensure the severity of changes in condition were reported to physician for resident (Resident #1) who required colostomy, urostomy, or ileostomy for 1 of 4 residents reviewed for change in condition in that: 1. The facility failed to when notify the NP of the severity of the change in condition and the difficulties the nursing staff were having keeping Resident #1's ileostomy system secure and in place. 2. […]
- Immediate jeopardy, patternF691Apr 13, 2025
Based on observations, interviews, and record review, the facility failed to ensure that residents who required colostomy, urostomy, or ileostomy services received such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 of 4 residents (Resident #1) reviewed for ostomy care in that: 1. The facility failed to ensure Resident #1's ileostomy (a surgical procedure that creates an opening in the abdomen, called a stoma, to divert waste from the small intestine), wafer (the piece of the pouching system that sticks to your body and holds your pouch in place and should help protect the skin around your stoma from damage) and bag were in place. 2. […]
- Immediate jeopardy, patternF600Mar 13, 2024
Based on interview and record review the facility failed to ensure the resident had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for one of eight residents (Resident #1) reviewed for abuse and neglect. The facility failed to ensure Resident #1 was not left unattended in her restroom for more than seven hours. The noncompliance was identified as PNC. The IJ began on 2/14/2024 and ended on 2/15/2024. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk for psychosocial harm, malnutrition, missed medications, pressure injury, fatigue, and death. […]
- Immediate jeopardy, patternF602Mar 13, 2024
Based on interviews and record review the facility failed to ensure the resident was free from misappropriation of property for two of six residents (Resident #4 and Resident #5) and six of six (CR #2, CR #3, CR #6, CR #7, CR #8, and CR #9) closed records reviewed for misappropriation of property. 1. The facility failed to ensure that unknown staff did not misappropriate Resident #4, Resident #5, CR #2, CR #3, CR #6, CR #7, CR #8, and CR #9's controlled medications in November of 2023. 2. The facility failed to have a system in place to identify drug diversion of controlled substances. These failures could place residents at risk for misappropriation of medications and uncontrolled pain. The noncompliance was identified as PNC. The IJ began on 11/20/23 and ended on 11/21/2023. […]
- Immediate jeopardy, patternF761Mar 13, 2024
Based on observations, interviews, and record review the facility failed to ensure drugs and biologicals used in the facility must be labeled in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable for two of six residents (Resident #4 and Resident #5) and six of six (CR #2, CR #3, CR #6, CR #7, CR #8, and CR #9) closed records reviewed for pharmacy services. 1. The facility failed to ensure one former resident (CR #6) received the correct medication. CR #6's medication labels were switched. 2. The facility failed to ensure discontinued medication was discarded and controlled medication was destroyed according to standard protocols as nine medication packages were altered. […]
Read 25 findings in full →The most serious and the most recent: 25 of 50 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 26, 2026Complaint1 finding
- Jul 17, 2026Standard and complaint6 findings
- Jun 16, 2026Complaint1 finding
- Apr 1, 2026Complaint2 findings
- Jul 8, 2025Complaint1 finding
- May 30, 2025Standard and complaint5 findings
- Apr 13, 2025Complaint3 findings · 2 harm
- Feb 5, 2025Complaint2 findings · 2 harm
Show the 11 earlier surveys
- Mar 13, 2024Complaint3 findings · 3 harm
- Mar 7, 2024Standard and complaint2 findings
- Dec 8, 2022Standard3 findings
- Sep 23, 2021Standard4 findings
- Mar 30, 2021Complaint1 finding
- Jan 20, 2021Complaint3 findings · 1 harm
- Oct 25, 2019Standard2 findings
- Jul 3, 2019Complaint2 findings
- Oct 12, 2018Standard1 finding
- Jul 11, 2018Complaint4 findings
- Nov 9, 2017Standard and complaint4 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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