About Fallbrook Rehabiliation and Care Center
Fallbrook Rehabiliation And Care Center, located in Houston, TX, is a government owned organization that accepts Medicare and Medicaid.
Why Families Choose Fallbrook Rehabiliation and Care Center
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.27 hrs
- Safety Record Clean
Chain Affiliations & Network
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Fallbrook Rehabiliation and Care Center provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 3 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 433 | Apr 11, 2025 |
| Weighted Average | 437 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 23.5% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 11.7% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | N/A |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | N/A |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 23.4% |
| Percentage of long-stay residents who lose too much weight (QM404) | 4.2% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.5% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 0.6% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 0.5% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 81.1% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 62.9% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 22.8% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 27.4% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 92.2% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 63.8% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 9.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 15.6% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 15.2% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 9 complaints
- 2024: 8 complaints
- 2025: 10 complaints
- 2026: 6 complaints
- Total: 33 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Feb 28, 2026 | 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. |
| Feb 28, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Feb 10, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Feb 10, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Feb 10, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Jan 07, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Dec 03, 2025 | 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. |
| Oct 11, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Oct 11, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Sep 17, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Sep 16, 2025 | Make sure that a working call system is available in each resident's bathroom and bathing area. |
| Sep 16, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Sep 16, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Sep 16, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Sep 16, 2025 | Provide and implement an infection prevention and control program. |
| Apr 04, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Feb 15, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Feb 15, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Feb 15, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Feb 15, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Feb 15, 2024 | 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. |
| Feb 15, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Feb 15, 2024 | Provide safe and appropriate respiratory care for a resident when needed. |
| Feb 15, 2024 | Provide and implement an infection prevention and control program. |
| Aug 21, 2023 | Ensure each resident receives an accurate assessment. |
| Aug 21, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Aug 21, 2023 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Aug 21, 2023 | Provide and implement an infection prevention and control program. |
| Aug 09, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Jul 06, 2023 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. |
| Jul 06, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Jul 06, 2023 | Provide and implement an infection prevention and control program. |
| Jul 06, 2023 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
Nearby Hospitals
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HCA HOUSTON HEALTHCARE NORTHWEST
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HCA HOUSTON HEALTHCARE CONROE
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HCA HOUSTON HEALTHCARE KINGWOOD
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HCA HOUSTON HEALTHCARE TOMBALL
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ST LUKE'S THE WOODLANDS HOSPITAL
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HCA HOUSTON HEALTHCARE SOUTHEAST
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MEMORIAL HERMANN - TEXAS MEDICAL CENTER
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Owner & Operator Information
Business Entity
FRIO HOSPITAL DISTRICT
Ownership Structure
- FRIO HOSPITAL DISTRICT Direct: NO PERCENTAGE PROVIDED
Management & Direction
- CRESCENT MOON DR CONSULTING LLC OPERATIONAL/MANAGERIAL CONTROL
- CRESCENT MOON DR CONSULTING LLC ADP OF THE SNF
- KENNETH HISCOX OPERATIONAL/MANAGERIAL CONTROL
- KENNETH HISCOX ADP OF THE SNF
- WILLIAM MILLER OPERATIONAL/MANAGERIAL CONTROL
- MICHAEL RUFF CORPORATE OFFICER
- RUPESH VAKIL OPERATIONAL/MANAGERIAL CONTROL
- RUPESH VAKIL ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| The Methodist Hospital Snf | N/A | 5 |
| Park Manor of Cyfair | N/A | 5 |
| Oak Bend Medical Center | N/A | 5 |
| Bayou Manor | N/A | 5 |
| Paradigm at The Brazos | N/A | 5 |
| The Vosswood Nursing Center | N/A | 4 |
| The Village at Gleannloch Farms | N/A | 5 |
| The Hallmark | N/A | 5 |
| Houston Transitional Care | N/A | 5 |
| Park Manor of Conroe | N/A | 5 |
Related Analysis
Best Nursing Homes in Houston, TX
Compare Fallbrook Rehabiliation and Care Center to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Fallbrook Rehabiliation and Care Center directly at 2819554100. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.