Federal inspection record · CMS data as of October 1, 2026
Fall Creek Rehabilitation and Healthcare Center
14949 Mesa DR, Humble, TX · (281) 902-4152
- Certified beds
- 126
- Residents per day
- 85
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 13, 2016
1
How this home got 1 star
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 (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
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
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Fall Creek Rehabilitation and Healthcare Center carries 147.5 inspection points. That is fewer than 19% 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
26 health citations on record since 2024. 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.
Harm and immediate-jeopardy citations (7)
-
K
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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K
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
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J
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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K
Protect each resident from the wrongful use of the resident's belongings or money.
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K
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.
Everything else, by area of care
Quality of Life and Care6E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide enough food/fluids to maintain a resident's health.
Resident Assessment and Care Planning4D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 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
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights3E
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- D
Keep residents' personal and medical records private and confidential.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pharmacy Service2E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Inspection history
2026-07-17
10 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-05-30
11 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-03-07
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 5 min of nursing staff time a day, 8 min of it from a registered nurse.
This home
3 h 5 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 56% of nursing staff and 0% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$48,555 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-04-13 | Fine | $33,683 |
| 2025-02-05 | Fine | $14,872 |
6
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 days1.6 pts worse | 3.6 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse | 2.2 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts better | 97.9% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine10 pts worse | 87.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts better | 0.8% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts worse | 4.0% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.6 pts better | 7.2% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.7 pts better | 5.1% | 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 worsened2 pts worse | 14.9% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.3 pts worse | 18.1% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.3% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.3 pts better | 6.2% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers9.2 pts worse | 12.9% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.6 pts better | 98.3% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.2 pts worse | 12.4% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 1.3% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.6 pts better | 96.0% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.1 pts better | 23.4% | 25.5% | 23.4% |
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Who owns and runs it
29 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 |
|---|---|---|---|
| Edaws Investment Group, LP | 5% Or Greater Direct Ownership Interest · Organization | 90% | 1 facilities |
| Bullpen One, LLC | 5% Or Greater Direct Ownership Interest · Organization | 10% | 1 facilities |
| Bullpen Family Venture, LP | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Clearlake Healthcare Realty, LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Clearlake Healthcare Realty, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Compton, Charles | 5% Or Greater Mortgage Interest · Individual | 0% | 5 facilities |
| Compton, Charles | Adp Of The SNF · Individual | 0% | 5 facilities |
| Compton, James | 5% Or Greater Mortgage Interest · Individual | 0% | 5 facilities |
| Compton, James | Adp Of The SNF · Individual | 0% | 5 facilities |
| Compton, Kris | 5% Or Greater Mortgage Interest · Individual | 0% | 5 facilities |
| Compton, Kris | Adp Of The SNF · Individual | 0% | 5 facilities |
| Compton3 Holdings, LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 2 facilities |
| Compton3 Holdings, LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Lanier, Julia | Adp Of The SNF · Individual | 0% | 1 facilities |
| Martel Healthcare Management LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 4 facilities |
| Martel Healthcare Management LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Martel, Michael | 5% Or Greater Mortgage Interest · Individual | 0% | 7 facilities |
| Martel, Michael | Adp Of The SNF · Individual | 0% | 7 facilities |
| Reed, Michael | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 13 facilities |
| Reed, Stacie | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 2 facilities |
| Smithers, Jeffrey | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 3 facilities |
| Suter, Rachel | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Suter, Rachel | Adp Of The SNF · Individual | 0% | 3 facilities |
| The Smithers Management Trust | 5% Or Greater Mortgage Interest · Organization | 0% | 5 facilities |
| The Smithers Management Trust | Adp Of The SNF · Organization | 0% | 5 facilities |
| Threadgill, Forrest | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 9 facilities |
| Threadgill, Morgan | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 9 facilities |
| Threadgill, Sharlyn | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 10 facilities |
| Threadgill, Sharlyn | Operational/Managerial Control · Individual | 0% | 10 facilities |
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Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2F
- D
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems1E
- E
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Oakmont Healthcare and Rehabilitation of Humble
Humble, TX · Creative Solutions In Healthcare
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 8 min
- Fines
- $226,279
-
Focused Care at Humble
Humble, TX · Focused Post Acute Care Partners · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 22 min
- Fines
- $98,015
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Park Manor Of Humble
Humble, TX · Hmg Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 20 min
- Fines
- $181,138