Deficiency Index

The Hallmark

Houston, Texas · CCN 676423

11 surveys since 2017, 4 of them producing a finding at harm level or worse.

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

Citations on record
53
Surveys
11
Harm or worse
4
Immediate jeopardy
0
The record, 2017–2026
’17’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse4

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file7/11

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

The facility

Certified beds
32
Ownership
Non profit - Corporation
Chain
Independent
County
Harris
Medicare-certified since
2017

CMS ratings

Overall
5
Health inspection
5
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 32 not-for-profit facilities with fewer than 66 beds in Texas.

Last survey on record

Mar 18, 2026

236 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 day5.334.47
Registered-nurse hours per resident day0.85—
Annual nurse turnover51.3%37.8%

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

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD847.1%E741.2%F211.8%
No harm, potential for minimalA—B—C—
CMS’s current file: 17 of the 53 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6562×

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

  • F6902×

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

  • F7552×

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

  • 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.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

In the surveyor’s words

From the most serious findings on record at The Hallmark, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Dec 1, 2023

    Based on observation, interview and record review, the facility failed to ensure food was stored and prepared under sanitary conditions, in one of one kitchen that serviced residents, in that: - Food was found open or without labels, - The high-temp dishwasher was not reaching a temperature of 180F and chlorine levels were not being tested to ensure proper sanitation of dishes and utensils. This failure could affect residents and place them at risk of food borne illness. Findings included: Observations of the kitchen on 11/28/2023 beginning at 9:10AM revealed: - In the dry storage unit, a bag of macaroni was found open and unsealed. - In the fridge, a bin of mushrooms was found without a label of date. - In the freezer, an open bag onions ring was found unsealed. […]

  • No harm, potential for more than minimal, widespreadF812Aug 12, 2022

    Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's only kitchen. -The facility failed to ensure the proper labeling and dating of all foods stored in the walk-in cooler, and freezer. -The facility failed to ensure proper discarding of expired food stored in the walk-in cooler and freezer. -The sanitizing solution water in the three-compartment sink was above the manufacture recommendation. These failures could place residents at risk for food-borne illnesses. […]

  • No harm, potential for more than minimal, patternF755Mar 18, 2026

    Based on observations, interviews and record reviews the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 3 of 3 residents (Residents #3, #20 and #36) and 2 of 2 (LVN A and LVN B) staff observed during medication administration. The facility failed to ensure staff Clarified any order that is incomplete, illegible, or presents any other concerns, prior to administering the medication for Resident #3, Resident #20 and Resident #36 on 03/18/2026. The failure could place residents at risk of receiving less than optimal results from their medication regimen. […]

  • No harm, potential for more than minimal, patternF641Dec 1, 2023

    Based on observation, interview and record review the facility failed to accurately assess each resident's status for 2 of 4 residents (Resident #13 and Resident #15) reviewed for assessment accuracy. - The facility failed to accurately assess and document Resident #13's visual impairment requiring the use of glasses. - The facility failed to accurately assess and document Resident #15's use of continuous oxygen and visual impairment requiring the use of glasses. These failures could place residents at risk of not having accurate assessments, which could compromise their plan of care. […]

  • No harm, potential for more than minimal, patternF690Dec 1, 2023

    Based on observation, interview and record review the facility failed to deliver appropriate treatment and services to prevent urinary tract infections for 1 (Resident #3) of 1 resident s reviewed for appropriate services and treatment to prevent urinary tract infections. The facility failed to ensure Resident #3 's urinary catheter bag was not left on the floor. The facility failed put a date on Resident #3's urinary catheter bag. The facility failed to change out Resident #3's urinary catheter according to physician orders 10/15/2023 and 11/15/2023. These failure could affect residents placing them at risk of not receiving appropriate treatment and services from facility staff. […]

Read 24 findings in full →The most serious and the most recent: 24 of 53 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 18, 2026Standard1 finding
  • Jul 12, 2024Complaint1 finding
  • Dec 1, 2023Standard11 findings
  • Aug 12, 2022Standard4 findings
  • Jun 3, 2021Standard5 findings
  • Dec 8, 2020Infection control1 finding
  • Sep 24, 2020Complaint5 findings · 3 harm
  • Mar 6, 2020Standard5 findings
Show the 3 earlier surveys
  • Feb 15, 2019Standard and complaint10 findings · 1 harm
  • Feb 8, 2018Standard5 findings
  • Apr 27, 2017Standard5 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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