nursing home in Humble, TX
Fall Creek Rehabilitation and Healthcare Center
14949 Mesa Dr, Humble, TX 77396 · (281) 902-4152
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Fall Creek Rehabilitation and Healthcare Center at a glance
Fall Creek Rehabilitation and Healthcare Center is a 126-bed for-profit nursing home in Humble, Texas (Harris County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.3 hours of nursing care per day (0.1 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (May 30, 2025) found 8 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $48,555.
Nursing staff turnover is 65.6% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 126
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- December 13, 2016
- Resident/family council
- None
- County
- Harris County
- CMS Certification Number
- 676412
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.25 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.11 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.88 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.81 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 65.6% | 55.3% | 45.8% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 8 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 138.5 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $48,555 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 126 | 113 | 107 | |
| Average residents per day | 84 | 76 | 86 | |
| Occupancy | 66.8% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.9% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 11.7% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 2.6% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 20% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 18.4% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.6% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 7.4% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 8.9% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 96.9% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.2% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.2% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 93.5% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 97.1% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 24 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. 7 citations involved actual harm, including 7 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 26, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| July 17, 2026 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| June 16, 2026 Complaint | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Tag F0559 | D Potential harm, isolated | Corrected July 16, 2026 |
| April 1, 2026 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected April 3, 2026 |
| April 1, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected April 3, 2026 |
| July 8, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected July 14, 2025 |
| May 30, 2025 Fire safety | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0929 | E Potential harm, pattern | Corrected June 2, 2025 |
| May 30, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected June 2, 2025 |
| May 30, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 2, 2025 |
| May 30, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected June 2, 2025 |
| May 30, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected June 2, 2025 |
| May 30, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected June 2, 2025 |
| May 30, 2025 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected June 2, 2025 |
| April 13, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | K Immediate jeopardy, pattern | Corrected April 14, 2025 |
| April 13, 2025 Complaint | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0691 | K Immediate jeopardy, pattern | Corrected April 14, 2025 |
| April 13, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected April 14, 2025 |
| February 5, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected February 6, 2025 |
| February 5, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | J Immediate jeopardy, isolated | Corrected February 6, 2025 |
| March 13, 2024 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | K Immediate jeopardy, pattern | Corrected November 21, 2023 |
| March 13, 2024 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | K Immediate jeopardy, pattern | Corrected November 21, 2023 |
| March 13, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | K Immediate jeopardy, pattern | Corrected February 15, 2024 |
| March 7, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected March 28, 2024 |
| March 7, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected March 28, 2024 |
| March 7, 2024 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | E Potential harm, pattern | Corrected April 3, 2024 |
| March 7, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected April 3, 2024 |
| December 8, 2022 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected December 22, 2022 |
| December 8, 2022 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected December 14, 2022 |
| December 8, 2022 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected December 14, 2022 |
| December 8, 2022 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | C No harm, widespread | Corrected December 14, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $48,555 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 13, 2025 | Fine | $33,683 |
| February 5, 2025 | Fine | $14,872 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BULLPEN ONE, LLC Organization | 5% or greater direct ownership interest | 10% | 12/12/2015 |
| EDAWS INVESTMENT GROUP, LP Organization | 5% or greater direct ownership interest | 90% | 12/12/2015 |
| BULLPEN FAMILY VENTURE, LP Organization | 5% or greater indirect ownership interest | — | 12/12/2015 |
| REED, MICHAEL Individual | 5% or greater indirect ownership interest | — | 12/12/2015 |
| REED, STACIE Individual | 5% or greater indirect ownership interest | — | 12/12/2015 |
| THREADGILL, FORREST Individual | 5% or greater indirect ownership interest | — | 10/01/2020 |
| THREADGILL, MORGAN Individual | 5% or greater indirect ownership interest | — | 10/01/2020 |
| THREADGILL, SHARLYN Individual | 5% or greater indirect ownership interest | — | 10/01/2020 |
| CLEARLAKE HEALTHCARE REALTY, LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 10/01/2020 |
| COMPTON3 HOLDINGS, LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 10/01/2020 |
| COMPTON, CHARLES Individual | 5% or greater mortgage interest | NOT APPLICABLE | 10/01/2020 |
| COMPTON, JAMES Individual | 5% or greater mortgage interest | NOT APPLICABLE | 10/01/2020 |
| COMPTON, KRIS Individual | 5% or greater mortgage interest | NOT APPLICABLE | 10/01/2020 |
| MARTEL HEALTHCARE MANAGEMENT LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 10/01/2020 |
| MARTEL, MICHAEL Individual | 5% or greater mortgage interest | NOT APPLICABLE | 10/01/2020 |
| THE SMITHERS MANAGEMENT TRUST Organization | 5% or greater mortgage interest | NOT APPLICABLE | 10/01/2020 |
| CLEARLAKE HEALTHCARE REALTY, LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2020 |
| COMPTON3 HOLDINGS, LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2020 |
| COMPTON, CHARLES Individual | adp of the snf | NOT APPLICABLE | 10/01/2020 |
| COMPTON, JAMES Individual | adp of the snf | NOT APPLICABLE | 10/01/2020 |
| COMPTON, KRIS Individual | adp of the snf | NOT APPLICABLE | 10/01/2020 |
| LANIER, JULIA Individual | adp of the snf | NOT APPLICABLE | 06/12/2018 |
| MARTEL HEALTHCARE MANAGEMENT LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2020 |
| MARTEL, MICHAEL Individual | adp of the snf | NOT APPLICABLE | 10/01/2020 |
| SUTER, RACHEL Individual | adp of the snf | NOT APPLICABLE | 06/27/2016 |
| THE SMITHERS MANAGEMENT TRUST Organization | adp of the snf | NOT APPLICABLE | 10/01/2020 |
| SMITHERS, JEFFREY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/28/2025 |
| SUTER, RACHEL Individual | operational/managerial control | NOT APPLICABLE | 06/27/2016 |
| THREADGILL, SHARLYN Individual | operational/managerial control | NOT APPLICABLE | 10/01/2020 |
Other nursing homes near Fall Creek Rehabilitation and Healthcare Center
Oakmont Healthcare and Rehabilitation of Humble
8450 Will Clayton Parkway, Humble, TX 77338 · 3.1 mi
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★★★★★2Below averageFocused Care at Humble
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- Abuse citation
★★★★★1Much below averagePark Manor of Humble
19414 McKay Drive, Humble, TX 77338 · 4.3 mi
For-profit · 125 beds · Part of Hmg Healthcare
★★★★★4Above averageCrimson Heights Health & Wellness
19279 McKay Dr, Humble, TX 77338 · 4.5 mi
For-profit · 118 beds · Part of Fundamental Healthcare
★★★★★3AverageDeerbrook Skilled Nursing and Rehab Center
9250 Humble-Westfield Rd, Humble, TX 77338 · 4.6 mi
For-profit · 124 beds · Part of Hmg Healthcare
- Special Focus candidate
- Abuse citation
★★★★★1Much below averageKingwood Rehabilitation and Healthcare Center
23775 Kingwood Place, Kingwood, TX 77339 · 8.7 mi
Government · 194 beds · Part of Momentum Skilled Services
★★★★★1Much below average
Frequently asked questions
What is Fall Creek Rehabilitation and Healthcare Center's rating?
Fall Creek Rehabilitation and Healthcare Center has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Fall Creek Rehabilitation and Healthcare Center receive?
Its most recent standard health inspection found 8 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Fall Creek Rehabilitation and Healthcare Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Fall Creek Rehabilitation and Healthcare Center?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Fall Creek Rehabilitation and Healthcare Center and how do I contact it?
Fall Creek Rehabilitation and Healthcare Center is at 14949 Mesa Dr, Humble, TX 77396. Phone: (281) 902-4152.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.