Nursing homeActive
Fall Creek Rehabilitation and Healthcare Center
14949 Mesa DR, Humble, TX 773962819024152126 certified beds · 84 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
9
since 2022
Deficiencies
22
● 1● 14● 7
Penalties · 3 yrs
$48,555
2 fines
Last survey
2026-06-16
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 1
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-16 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-04-01 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-07-08 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-05-30 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2025-04-13 | Complaint | 012 | CMS-2567 (Care Compare) | — |
| 2025-02-05 | Complaint | 002 | CMS-2567 (Care Compare) | — |
| 2024-03-13 | Complaint | 003 | CMS-2567 (Care Compare) | — |
| 2024-03-07 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2022-12-08 | Standard | 120 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-16Record 676412-20260616-F559
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-03Record 676412-20260401-F600
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-03Record 676412-20260401-F657
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 676412-20250708-F880
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-02Record 676412-20250530-F583
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-02Record 676412-20250530-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-02Record 676412-20250530-F677
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-02Record 676412-20250530-F695
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-02Record 676412-20250530-F759
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity KHarm
Dignity & rights
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-04-14Record 676412-20250413-F580
F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-04-14Record 676412-20250413-F691
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 676412-20250413-F550
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity JHarm
Care planningRecords
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-02-06Record 676412-20250205-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-02-06Record 676412-20250205-F689
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-02-15Record 676412-20240313-F600
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2023-11-21Record 676412-20240313-F602
F761Ensure 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.Scope/severity KHarm
Medication
Pattern; immediate jeopardy to resident health or safety.Corrected 2023-11-21Record 676412-20240313-F761
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-03Record 676412-20240307-F656
F692Provide enough food/fluids to maintain a resident's health.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-03Record 676412-20240307-F692
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-14Record 676412-20221208-F755
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-14Record 676412-20221208-F761
F814Dispose of garbage and refuse properly.Scope/severity CPaperwork
Food & nutrition
Widespread; potential for minimal harm.Corrected 2022-12-14Record 676412-20221208-F814
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-04-13 | Civil money penalty | $33,683 | CMS · Penalties |
| 2025-02-05 | Civil money penalty | $14,872 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.11
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.25
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.81
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover66%
Facility
Texas
National
Texas 55% · National 46%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 11.7% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.9% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 2.6% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 20.0% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.6% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 7.4% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Bullpen One, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | — | — |
| Edaws Investment Group, LP Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 90% | — | — |
| Bullpen Family Venture, LP Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Reed, Michael Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Reed, Stacie Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Threadgill, Forrest Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Threadgill, Morgan Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Threadgill, Sharlyn Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Suter, Rachel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Threadgill, Sharlyn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Clearlake Healthcare Realty, LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Clearlake Healthcare Realty, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Compton, Charles Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Compton, Charles Individual | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Compton, James Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Compton, James Individual | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Compton, Kris Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Compton, Kris Individual | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Compton3 Holdings, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Compton3 Holdings, LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Lanier, Julia Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Martel Healthcare Management LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Martel Healthcare Management LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Martel, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Martel, Michael Individual | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Smithers, Jeffrey Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Suter, Rachel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| The Smithers Management Trust Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| The Smithers Management Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Harris.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Oakmont Healthcare and Rehabilitation of Humble Humble | 3.1 mi | 2026-06-11 | 0239 |
| Focused Care at Humble Humble | 4.0 mi | 2026-06-29 | 0136 |
| Park Manor Of Humble Humble | 4.3 mi | 2026-05-21 | 0153 |
| Crimson Heights Health & Wellness Humble | 4.5 mi | 2026-03-09 | 0214 |
| Deerbrook Skilled Nursing and Rehab Center Humble | 4.6 mi | 2026-05-16 | 0286 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |