Federal inspection record · CMS data as of October 1, 2026
Falcon Lake Nursing Home, LLC
200 Carla Street, Zapata, TX · (956) 765-3040
- Certified beds
- 59
- Residents per day
- 43
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 20, 2009
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Falcon Lake Nursing Home, LLC carries 41 inspection points. That is fewer than 76% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
18 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning5D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights3D
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary3F
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service2D
- D
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Quality of Life and Care2D
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2025-08-28
11 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2024-07-18
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2023-04-20
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 28 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
3 h 28 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 39% of nursing staff and 50% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days2 pts worse | 4.0 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.3 pts worse | 4.3 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.4 pts better | 97.8% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.8 pts worse | 91.2% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts worse | 4.3% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.8 pts worse | 7.1% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.5 pts worse | 6.4% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.7 pts better | 17.1% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication12.3 pts worse | 22.1% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.8 pts worse | 14.7% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.2 pts worse | 20.0% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.3 pts worse | 2.6% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection5.9 pts worse | 6.7% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.5 pts better | 12.0% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.7 pts worse | 6.4% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 100.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.5 pts worse | 14.7% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine64.6 pts worse | 20.8% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.3 pts worse | 31.8% | 25.5% | 23.4% |
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Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Falcon Lake Nursing Home, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Falcon Lake Nursing Home, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Falcon Lake Nursing Home, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Garza, Carlos | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Garza, Carlos | Adp Of The SNF · Individual | 0% | 1 facilities |
| Garza, Sara | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Garza, Sara | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ireroa, Nicholas | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Ireroa, Nicholas | Adp Of The SNF · Individual | 0% | 2 facilities |
·
Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4E
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Have an alternate power supply for its alarm system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services3C
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous1E
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
-
Starr County Nursing And Transitional Care
Rio Grande City, TX · Wellsential Health
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 52 min
- Fines
- $0
-
Rio Grande City Nursing And Rehabilitation Center
Rio Grande City, TX · Wellsential Health
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 21 min
- Fines
- $13,514
-
Laredo South Nursing And Rehabilitation Center
Laredo, TX · Wellsential Health
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 55 min
- Fines
- $8,021