Fall Creek Rehabilitation And Healthcare Center has received an F grade based on CMS data, with a score of 12/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Humble facility should carefully review its inspection history and quality metrics.
With 3.23 total nurse hours per resident per day, Fall Creek Rehabilitation And Healthcare Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 19 deficiencies at Fall Creek Rehabilitation And Healthcare Center, including 7 classified as serious — among the most concerning citation levels. The most notable finding involved: provide and implement an infection prevention and control program..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.23 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.16 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.17 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.90 | 2.4 | Below Average |
| Weekend Total Nursing | 2.96 | 3.8 | Below Average |
| Weekend RN Hours | 0.14 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Jul 7, 2025 · Infection Control Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 29, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.May 29, 2025 · Quality of Life and Care Deficiencies
- Tag 0583 Severity DKeep residents' personal and medical records private and confidential.May 29, 2025 · Resident Rights Deficiencies
- Tag 0695 Severity DProvide safe and appropriate respiratory care for a resident when needed.May 29, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 11.9% | 4.5% | Worse |
| Falls with major injury | 8.5% | 3.0% | Worse |
| On antipsychotic medication | 2.3% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 21.6% | 14.0% | Worse |
| Excessive weight loss | 2.9% | 7.5% | Better |
| New/worsened incontinence | 11.9% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $48,555
How This Grade Was Calculated
This facility's grade of F is based on a score of 12 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -4 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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