Zapata, TX

Falcon Lake Nursing Home, LLC

4-star overall rating with 4-star inspections with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

200 Carla St, Zapata, TX

(956) 765-3040

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

59

Certified beds

Average residents

36

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2009-02-20

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.73

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.71

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.21

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.66

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.44

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.33

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.58

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.73

CMS adjusted RN staffing hours

Adjusted total hours

3.67

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

38%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,454

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

49.70

Composite VBP score used to determine payment impact.

Payment multiplier

1.0037

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

8.48

Baseline 55.88% · Performance 29.03% · Measure score 8.48 · Achievement 8.48 · Improvement 8.15

Adjusted total nurse staffing

1.46

Baseline 3.39 hours · Performance 3.49 hours · Measure score 1.46 · Achievement 1.46 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.38%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 25 · Observed rate 8% · Lower 95% interval 6.51%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.08	1.02 0.1 pts worse
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 15 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 45
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	4.3	2.1 2.2 pts worse	1.9 2.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 4.3 · Observed 4.3 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	4.2	2.1 2.1 pts worse	1.8 2.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 4.2 · Observed 4.2 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.7%	97.1% 0.6 pts better	93.4% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 94.1% · Q2 100.0% · Q3 100.0% · Q4 97.1% · 4Q avg 97.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.0%	97.9% 0.9 pts worse	95.5% 1.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.0%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.3% 3.3 pts better	3.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.9%	2.7% 0.8 pts better	11.4% 9.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.4% · Q4 3.7% · 4Q avg 1.9%
Percentage of long-stay residents who lose too much weight	5.2%	3.3% 1.9 pts worse	5.4% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 0.0% · Q3 3.6% · Q4 10.0% · 4Q avg 5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.4%	18.9% 2.5 pts better	19.6% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 10.7% · Q3 16.7% · Q4 19.4% · 4Q avg 16.4%
Percentage of long-stay residents who received an antipsychotic medication	22.8%	10.8% 12 pts worse	16.7% 6.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q3 21.7% · 4Q avg 22.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	16.6%	15.4% 1.2 pts worse	16.3% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 16.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	30.3%	16.1% 14.2 pts worse	14.9% 15.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 20.8% · Q3 56.0% · Q4 28.0% · 4Q avg 30.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	3.3%	0.5% 2.8 pts worse	1.0% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 6.1% · Q4 4.0% · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	9.1%	0.8% 8.3 pts worse	1.7% 7.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 10.7% · Q3 10.3% · Q4 9.1% · 4Q avg 9.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	13.0%	15.0% 2 pts better	19.8% 6.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q2 7.4% · Q3 14.5% · Q4 9.7% · 4Q avg 13.0%
Percentage of long-stay residents with pressure ulcers	3.6%	4.2% 0.6 pts better	5.1% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 0.0% · Q3 2.3% · Q4 4.1% · 4Q avg 3.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	89.7% 10.3 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	18.1%	12.0% 6.1 pts worse	12.0% 6.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 18.1% · Observed 20.0% · Expected 12.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission	30.9%	25.9% 5 pts worse	23.9% 7 pts worse	Short Stay · 20240701-20250630 · Adjusted 30.9% · Observed 36.7% · Expected 28.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-28 · Fire 2025-08-28

11 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 2 Health 2024-07-18 · Fire 2024-07-18

4 health deficiencies

Top issue: Environmental (1 deficiency)

3 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2023-04-20 · Fire 2023-04-20

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-08-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-30

C · Minimal harm 2025-08-28

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-09-30

E · Potential for more than minimal harm 2024-07-18

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-07-22

E · Potential for more than minimal harm 2024-07-18

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-07-22

C · Minimal harm 2024-07-18

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-07-22

E · Potential for more than minimal harm 2023-04-20

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2023-06-05

E · Potential for more than minimal harm 2023-04-20

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-06-05

C · Minimal harm 2023-04-20

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-06-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-30

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Not marked corrected

D · Potential for more than minimal harm 2026-01-30

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Not marked corrected

D · Potential for more than minimal harm 2026-01-07

F761 · Pharmacy Service Deficiencies

Health

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 2026-02-09