Nursing homes › Texas › Fall Creek Rehabilitation and Healthcare Center
14949 Mesa Dr, Humble, TX 77396 · 2819024152 · 126 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Limited Liability company.
Total nurse staffing: 3.25 (Texas median: 3.27). RN hours: 0.11. Weekend total: 2.81. Nursing staff turnover: 66%.
All-time on record: 21 deficiency citations, including 7 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-01 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2026-04-03 |
| 2026-04-01 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2026-04-03 |
| 2025-07-08 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2025-07-14 |
| 2025-05-30 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2025-06-02 |
| 2025-05-30 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-06-02 |
| 2025-05-30 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-06-02 |
| 2025-05-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-06-02 |
| 2025-05-30 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2025-06-02 |
| 2025-04-13 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | complaint | corrected 2025-04-14 |
| 2025-04-13 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | K | complaint | corrected 2025-04-14 |
| 2025-04-13 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | complaint | corrected 2025-04-14 |
| 2025-02-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | complaint | corrected 2025-02-06 |
| 2025-02-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-02-06 |
| 2024-03-13 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | complaint | corrected 2024-02-15 |
| 2024-03-13 | Protect each resident from the wrongful use of the resident's belongings or money. | K | complaint | corrected 2023-11-21 |
| 2024-03-13 | 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. | K | complaint | corrected 2023-11-21 |
| 2024-03-07 | Provide enough food/fluids to maintain a resident's health. | E | complaint | corrected 2024-04-03 |
| 2024-03-07 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-04-03 |
| Date | Type | Amount |
|---|---|---|
| 2025-04-13 | Fine | $33,683 |
| 2025-02-05 | Fine | $14,872 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BULLPEN ONE, LLC | 5% Or Greater Direct Ownership Interest | Organization | 10% | since 12/12/2015 |
| EDAWS INVESTMENT GROUP, LP | 5% Or Greater Direct Ownership Interest | Organization | 90% | since 12/12/2015 |
| BULLPEN FAMILY VENTURE, LP | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 12/12/2015 |
| REED, MICHAEL | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 12/12/2015 |
| REED, STACIE | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 12/12/2015 |
| THREADGILL, FORREST | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 10/01/2020 |
| THREADGILL, MORGAN | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 10/01/2020 |
| THREADGILL, SHARLYN | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 10/01/2020 |
| SUTER, RACHEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/27/2016 |
| THREADGILL, SHARLYN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2020 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676412. Corrections: data@carerecords.org.