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Fall Creek Rehabilitation And Healthcare Center in Humble, TX

14949 Mesa Dr, Humble, TX 77396
2819024152
Hours not listed yet
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Overall CMS Rating

1.0/5

vs State Average: 2.8 stars

1.0/5

Health Inspections

vs State Average: 2.8/5

1.0/5

Staffing Level

vs State Average: 2.1/5

3.0/5

Quality Measures

vs State Average: 3.8/5

2 penaltiesin last 3 years
Penalties
vs State Average: 1.8 penalties

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Ratings Deep Dive

Score
1.0
State Average
2.8
National Average
2.8
5Deficiencies found in last inspections
2Penalties in last 3 years
2Fines issued
CitationDateDescriptionSeverity
F880Jul 8, 2025Provide and implement an infection prevention and control program.E
F656May 30, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
F583May 30, 2025Keep residents' personal and medical records private and confidential.D
F677May 30, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.D
F695May 30, 2025Provide safe and appropriate respiratory care for a resident when needed.D
Score
1.0
State Average
2.1
National Average
2.9
0.2RN Hours / Resident / Day
3.2Total Nurse Hours / Resident / Day
60.0%RN Turnover Rate
Score
3.0
State Average
3.8
National Average
3.6
2.0Long-Stay QM Rating
3.0Short-Stay QM Rating
76.6Avg Residents Per Day
MeasureScoreType
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay
Percentage of long-stay residents who lose too much weightLong Stay
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay
Percentage of long-stay residents with a urinary tract infectionLong Stay
Percentage of long-stay residents who have depressive symptomsLong Stay
Percentage of long-stay residents who were physically restrainedLong Stay
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineLong Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccineShort Stay
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay

Ownership & Compliance

Ownership Info

Ownership information has not been added yet.

Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTERESTBULLPEN ONE, LLC
5% OR GREATER DIRECT OWNERSHIP INTERESTEDAWS INVESTMENT GROUP, LP
5% OR GREATER INDIRECT OWNERSHIP INTERESTBULLPEN FAMILY VENTURE, LP
5% OR GREATER INDIRECT OWNERSHIP INTERESTREED, MICHAEL
5% OR GREATER INDIRECT OWNERSHIP INTERESTREED, STACIE
5% OR GREATER INDIRECT OWNERSHIP INTERESTTHREADGILL, FORREST
5% OR GREATER INDIRECT OWNERSHIP INTERESTTHREADGILL, MORGAN
5% OR GREATER INDIRECT OWNERSHIP INTERESTTHREADGILL, SHARLYN
OPERATIONAL/MANAGERIAL CONTROLSUTER, RACHEL
OPERATIONAL/MANAGERIAL CONTROLTHREADGILL, SHARLYN
Recent Penalties
DateTypeFine
Apr 13, 2025Fine$33,683
Feb 5, 2025Fine$14,872

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