Deficiency Index

Terra Bella Health and Wellness Suites

Houston, Texas · CCN 676450

39 surveys since 2018. The first finding at harm level was recorded in 2022.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
117
Surveys
39
Harm or worse
20
Immediate jeopardy
14
The record, 2018–2026
’18’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy14

Findings at the most serious level CMS records.

Beyond CMS’s monthly file20/39

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
128
Ownership
For profit - Corporation
Chain
FUNDAMENTAL HEALTHCARE
County
Harris
Medicare-certified since
2018

CMS ratings

Overall
2
Health inspection
1
Staffing
2
Quality measures
5

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 209 for-profit facilities with 128 or more beds in Texas.

Last survey on record

Jun 9, 2026

153 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.363.26
Registered-nurse hours per resident day0.55—
Annual nurse turnover61.6%55.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$179,684 across 6 penalties
Special focus
SFF Candidate

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K817.8%L—
Actual harmG24.4%H24.4%I—
No harm, potential for more than minimalD2555.6%E817.8%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 45 of the 117 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6563×

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

  • F6773×

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

  • F6893×

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

  • F8803×

    Provide and implement an infection prevention and control program.

  • F5802×

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

In the surveyor’s words

From the most serious findings on record at Terra Bella Health and Wellness Suites, in the surveyor’s own words.

  • Immediate jeopardy, patternF697May 23, 2026

    Based on observation, interview and record review the facility failed to ensure that pain management is provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 of 9 residents (Resident #1) reviewed for pain management. The facility failed to timely identify Resident #1's pain following a fall as a change in condition, failed to appropriately assess the pain, and failed to ensure ongoing monitoring and communication of the resident's pain status. […]

  • Immediate jeopardy, patternF600Jul 21, 2025

    Based on observation, interviews and record reviews, the facility failed to protect the resident's right to be free from abuse, neglect, and exploitation for 1 of 5 residents (CR #1) reviewed for neglect.-The facility failed to have structures and processes in place to ensure CR #1's wound was identified, and interventions were implemented. CR #1, who had PAD (a specific form of PVD in which there is narrowing of blood vessels taking blood to the extremities, leading to low or no oxygen), diabetes and a previous right-side AKA, did not receive podiatry services and nail care from admission on [DATE] until she discharged to the hospital on [DATE] (9 months). […]

  • Immediate jeopardy, patternF656Jul 21, 2025

    Based on observation, interview, and record review, the facility failed develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that included measurable objectives and time frames to meet a residents' mental, nursing and mental and psychosocial needs that were identified in the comprehensive assessment for 1 of 5 Residents (CR #1 ) reviewed for care plans. - The facility failed to develop and implement a plan of care for CR #1's PAD ( a specific form of PVD in which there is narrowing of blood vessels taking blood to the extremities, leading to low or no oxygen), which resulted in CR #1 not receiving podiatry care from admission on [DATE] till she discharged to the hospital on [DATE] (9 months) where she was diagnosed with a… […]

  • Immediate jeopardy, patternF687Jul 21, 2025

    Based on observations, interviews, and record review the facility failed to ensure residents received proper treatment and care to maintain mobility and good foot health, and provide foot care and treatment, in accordance with professional standards of practice, including to prevent complications from the resident's medical condition(s) and assist the resident in making appointments with a qualified person for 1 of 5 residents (CR #1) reviewed for foot care - The facility failed to provide foot care or attain podiatry services for CR #1, a diabetic patient with severe PAD (a form of PVD in which narrowing of the blood vessels limit blood flow to the limbs) and a history of AKA from admission on [DATE] till she discharged on 06/17/25 to the hospital where she was diagnosed with… […]

  • Immediate jeopardy, patternF686Feb 24, 2025

    Based on observations, interviews, and record review, the facility failed to ensure a resident received care, consistent with professional standards of practice, to prevent ulcers and not develop pressure ulcers for 1 of 8 residents, CR #1, reviewed for pressure ulcers. 1. LVN A failed to follow the facility's protocol and initiate adequate wound interventions when CNA B noted CR #1 had redness to her buttocks area on 01/04/2025 until 01/20/2025 when CR #1 was noted to have a stage 3 (a full-thickness tissue loss where the subcutaneous fat layer is visible within the wound, but the bone, tendon, or muscle is not exposed) sacral pressure ulcer, and an unstageable pressure injury (a type of pressure ulcer where the depth of the wound cannot be determined due to the presence of slough or… […]

Read 31 findings in full →The most serious and the most recent: 31 of 117 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 5, 2026Complaint2 findings
  • Jun 9, 2026Complaint1 finding
  • May 23, 2026Complaint4 findings · 3 harm
  • Mar 26, 2026Standard1 finding
  • Jan 13, 2026Complaint2 findings
  • Nov 26, 2025Complaint2 findings
  • Nov 20, 2025Complaint1 finding
  • Jul 21, 2025Complaint5 findings · 3 harm
Show the 31 earlier surveys
  • Apr 25, 2025Complaint1 finding
  • Feb 24, 2025Complaint2 findings · 2 harm
  • Feb 7, 2025Complaint2 findings
  • Dec 23, 2024Standard and complaint4 findings
  • Nov 14, 2024Complaint1 finding
  • Aug 29, 2024Complaint3 findings
  • Jun 10, 2024Complaint1 finding
  • Jan 18, 2024Complaint4 findings · 1 harm
  • Nov 14, 2023Complaint2 findings · 2 harm
  • Oct 28, 2023Standard and complaint6 findings · 1 harm
  • Oct 10, 2023Complaint2 findings
  • Aug 11, 2023Complaint3 findings · 2 harm
  • Apr 14, 2023Complaint7 findings · 1 harm
  • Feb 2, 2023Complaint2 findings
  • Nov 3, 2022Complaint9 findings · 4 harm
  • Jun 30, 2022Standard14 findings · 1 harm
  • May 18, 2022Complaint1 finding
  • Oct 8, 2021Complaint3 findings
  • Jun 17, 2021Complaint1 finding
  • Jun 10, 2021Complaint2 findings
  • Mar 26, 2021Standard6 findings
  • Mar 21, 2021Complaint1 finding
  • Dec 14, 2020Complaint1 finding
  • Aug 11, 2020Complaint2 findings
  • Nov 21, 2019Complaint2 findings
  • Jun 12, 2019Standard4 findings
  • May 16, 2019Complaint3 findings
  • Apr 17, 2019Complaint3 findings
  • Feb 21, 2019Complaint1 finding
  • Jan 23, 2019Complaint1 finding
  • Jun 14, 2018Standard5 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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