Federal inspection record · CMS data as of October 1, 2026
Fallbrook Rehabilitation and Care Center
10851 Crescent Moon Dr., Houston, TX · (281) 955-4100
- Special Focus Facility
- Certified beds
- 202
- Residents per day
- 61
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 23, 1989
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.
-
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
★★★★★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
Fallbrook Rehabilitation and Care Center carries 335 inspection points. That is fewer than 2% 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
44 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 (8)
-
G
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
K
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
H
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
H
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care12E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
- E
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- 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.
Resident Assessment and Care Planning6E
- 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
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights6E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Keep residents' personal and medical records private and confidential.
Pharmacy Service5E
- 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.
- E
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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental2E
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nutrition and Dietary1D
- D
Dispose of garbage and refuse properly.
Inspection history
2026-07-03
17 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2025-04-11
18 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2024-02-11
9 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 21 min of nursing staff time a day, 26 min of it from a registered nurse.
This home
3 h 21 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 58% of nursing staff and 56% of registered nurses left in the past year, along with 1 administrator.
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
$70,494 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-29 | Fine | $12,747 |
| 2026-02-27 | Fine | $11,739 |
| 2025-08-16 | Payment Denial · 24 day denial | $0 |
| 2024-02-11 | Fine | $46,008 |
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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.3 pts worse | 91.1% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts better | 2.1% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.8 pts better | 0.5% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts worse | 3.2% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.9 pts worse | 26.7% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6 pts worse | 15.8% | 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 worsened0.2 pts worse | 13.1% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.2 pts worse | 17.0% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.4% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.4 pts better | 10.1% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.7 pts worse | 7.4% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine23.5 pts worse | 65.2% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse | 1.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.3 pts worse | 82.1% | 85.4% | 80.1% |
·
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 |
|---|---|---|---|
| Crescent Moon Dr Consulting LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Crescent Moon Dr Consulting LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Frio Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 0% | 22 facilities |
| Hiscox, Kenneth | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hiscox, Kenneth | Adp Of The SNF · Individual | 0% | 1 facilities |
| Miller, William | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Ruff, Michael | Corporate Officer · Individual | 0% | 23 facilities |
| Vakil, Rupesh | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Vakil, Rupesh | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke12F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly install and monitor supervisory attachments on automatic sprinkler systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- C
Provide properly protected cooking facilities.
Miscellaneous4F
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
- F
Meet Health Care Facilities Code mechanical requirements.
Egress4F
- E
Have properly located and lighted "Exit" signs.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Have properly located and lighted "Exit" signs.
Gas, Vacuum, and Electrical Systems2F
- D
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Services2F
- E
Have properly installed electrical wiring and gas equipment.
- F
Have properly installed electrical wiring and gas equipment.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
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Other homes nearby
-
Park Manor Of Cyfair
Houston, TX · Hmg Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 1 min
- Fines
- $0
-
Legend Oaks Healthcare and Rehabilitation Center -
Houston, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 18 min
- Fines
- $53,425
-
Misty Willow Healthcare and Rehabilitation Center
Houston, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 19 min
- Fines
- $64,093