CONTACT INFORMATION REVIEWS & MORE DATA
Fallbrook Rehabilitation and Care Center
- Date Updated: November 01, 2024
- CMS Overall 5-Star Rating:
-
Address: 10851 CRESCENT MOON DR
HOUSTON TX 77064 Map - Phone: 281-955-4100
- Website: Click Here
- Medicare Provider Number: 455815
- Participating in Medicare Since: May 23, 1989
- No. of Certified Beds: 202
- No. of Residents: N/A
- Occupancy: N/A
- Amount Fined: $416,201.97
- Complaints Filed: 31
- Accepts: Medicare and Medicaid
About Fallbrook Rehabilitation and Care Center
Fallbrook Rehabilitation And Care Center, located in HOUSTON, TX, is a for-profit organization that accepts Medicare and Medicaid. It is not part of a continuing care retirement community. It is not located in a hospital. Fallbrook Rehabilitation And Care Center offers a range of services including skilled nursing, long-term care, short-term rehabilitation, and specialized memory care. The center is equipped with modern amenities and a supportive environment designed to enhance the quality of life for its residents. With a focus on personalized care plans and community engagement.
- Fallbrook Rehabilitation and Care Center is ranked #21 out of 23 facilities within a 10 mile radius and #100 out of 107 facilities within a 25 mile radius. See Ranking Report
- Review Specific City Measures
- CMS 5-Star Overall Rating is (1 out of 5):
- Current Trend: Improving
-
Total Nursing Hours Spent Per Resident Per Day: 4.16
(The national average is 3.84 ) - The percentage of short-stay residents who were re-hospitalized after a nursing home admission is Unknown .
- There is no indication of abuse occuring at Fallbrook Rehabilitation and Care Center. (CMS flags facilities where abuse has either happened or is very likely.)
Fallbrook Rehabilitation and Care Center Owner & Operator Information
Business Entity Name:
FRIO HOSPITAL DISTRICT
Owners:
Managers and Directors:
- RAY BAKER (MANAGING EMPLOYEE)
- CRESCENT MOON DR HEALTHCARE LLC (OPERATIONAL/MANAGERIAL CONTROL)
- WILLIAM MILLER (OPERATIONAL/MANAGERIAL CONTROL)
- MICHAEL RUFF (CORPORATE OFFICER)
- RUPESH VAKIL (MANAGING EMPLOYEE)
Fallbrook Rehabilitation and Care Center Ratings and Inspection Scores
Centers for Medicare and Medicaid (CMS) regularly inspects every skilled nursing facility. The results of the multi-day inspection is a series of star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another.
Ratings
| Overall Rating | 1: |
| Health Inspection Rating | 1: |
| Quality Rating | 3: |
| Staffing Rating | 1: |
Inspection Scores
| Cycle 1 Score (as of February 11, 2024) | 187 |
| Cycle 2 Score (as of December 16, 2022) | 333 |
| Cycle 3 Score (as of September 29, 2021) | 557 |
| Weighted All Cycles Score | 297 |
Complaints by Residents
This table shows complaints filed by residents in Fallbrook Rehabilitation and Care Center:
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 02/15/2024 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | 02/15/2024 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 02/15/2024 |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | 02/15/2024 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 02/15/2024 |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | 02/15/2024 |
| Provide safe and appropriate respiratory care for a resident when needed. | 02/15/2024 |
| Provide and implement an infection prevention and control program. | 02/15/2024 |
| Ensure each resident receives an accurate assessment. | 08/21/2023 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 08/21/2023 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | 08/21/2023 |
| Provide and implement an infection prevention and control program. | 08/21/2023 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 08/09/2023 |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | 07/06/2023 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | 07/06/2023 |
| Provide and implement an infection prevention and control program. | 07/06/2023 |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | 07/06/2023 |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | 03/20/2023 |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | 01/16/2023 |
| Provide enough food/fluids to maintain a resident's health. | 01/16/2023 |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | 11/10/2022 |
| Provide and implement an infection prevention and control program. | 11/10/2022 |
| Reasonably accommodate the needs and preferences of each resident. | 09/16/2022 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 09/16/2022 |
| Ensure services provided by the nursing facility meet professional standards of quality. | 09/16/2022 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | 09/16/2022 |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | 09/16/2022 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 03/16/2022 |
| Provide safe and appropriate respiratory care for a resident when needed. | 03/16/2022 |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | 03/16/2022 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 03/16/2022 |
Nursing Hours Spent Per Patient
CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.
The nursing staff of Fallbrook Rehabilitation and Care Center spends MORE time on average with its residents than the state average for total nursing hours spent per resident and MORE time than the national average for total nursing hours spent per resident.
| Type | Facility | State / National Avg |
|---|---|---|
| Registered Nurse (RN) | ||
| Hours | 0.65 | 0.41 / 0.67 |
| Case Mix | 0.77 | 0.64 / 0.66 |
| Adjusted | 0.56 | NA / NA |
| Licensed Practical Nurse (LPN) | ||
| Hours | 1.62 | 1.00 / 0.88 |
| Case Mix | 1.01 | NA / NA |
| Adjusted | 1.40 | NA / NA |
| Certified Nursing Assistants (CNA) | ||
| Hours | 1.88 | 1.96 / 2.29 |
| Case Mix | 2.64 | NA / NA |
| Adjusted | 1.62 | NA / NA |
| Total Licensed Staff | ||
| Hours | 2.28 | 1.41 / 1.54 |
| Physical Therapist (PT) | ||
| Hours | 0.09 | 0.07 / 0.07 |
| Total Nursing Hours Spent per Resident on Average | ||
| Hours | 4.16 | 3.37 / 3.84 |
| Case Mix | 4.43 | 3.66 / 3.82 |
| Adjusted | 3.58 | NA / NA |
Quality Measures
Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.
| Desc. | Perc./ State Avg. / Comparison | |
|---|---|---|
|
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521)
This measure is considered when computing the 5-Star Overall Rating |
Not Available | |
|
Percentage of short-stay residents who had an outpatient emergency department visit (qm522)
This measure is considered when computing the 5-Star Overall Rating |
Not Available | |
|
Number of hospitalizations per 1000 long-stay resident days (qm551)
This measure is considered when computing the 5-Star Overall Rating |
Not Available | |
|
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552)
This measure is considered when computing the 5-Star Overall Rating |
Not Available | |
| Percentage of long-stay residents whose need for help with daily activities has increased (qm401) |
13.2%
/
16.6% Better |
|
| Percentage of long-stay residents who lose too much weight (qm404) |
10.7%
/
4.6% Worse |
|
| Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) |
68.3%
/
53.4% Worse |
|
| Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) |
2.2%
/
1.1% Worse |
|
| Percentage of long-stay residents with a urinary tract infection (qm407) |
0.0%
/
1.0% Better |
|
| Percentage of long-stay residents who have depressive symptoms (qm408) |
0.0%
/
4.7% Better |
|
| Percentage of long-stay residents who were physically restrained (qm409) |
0.0%
/
0.0% Better |
|
| Percentage of long-stay residents experiencing one or more falls with major injury (qm410) |
1.7%
/
3.4% Better |
|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) |
98.9%
/
97.1% Better |
|
| Percentage of long-stay residents who received an antipsychotic medication (qm419) |
10.1%
/
8.7% Worse |
|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) |
91.2%
/
89.4% Better |
|
| Percentage of short-stay residents who newly received an antipsychotic medication (qm434) |
0.0%
/
1.5% Better |
|
| Percentage of long-stay residents whose ability to move independently worsened (qm451) |
16.6%
/
12.7% Worse |
|
| Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) |
20.6%
/
23.1% Better |
|
| Percentage of high risk long-stay residents with pressure ulcers (qm453) |
22.1%
/
6.7% Worse |
|
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) |
100.0%
/
97.6% Better |
|
| Percentage of short-stay residents who made improvements in function (qm471) |
70.1%
/
70.0% Better |
|
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) |
78.1%
/
84.5% Worse |
|
Hospitals Near Fallbrook Rehabilitation and Care Center
Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Fallbrook Rehabilitation and Care Center.
Fallbrook Rehabilitation and Care Center is near several hospitals, each with its own rating based on overall performance:
| Hospital | 5-Star Overall Rating |
|---|---|
|
HCA HOUSTON HEALTHCARE WEST 12141 RICHMOND AVE HOUSTON, TX 77082 |
2 |
|
ST JOSEPH MEDICAL CENTER 1401 ST. JOSEPH PARKWAY HOUSTON, TX 77002 |
2 |
|
MEMORIAL HERMANN NORTHEAST HOSPITAL 18951 MEMORIAL NORTH HUMBLE, TX 77338 |
2 |
|
HOUSTON VA MEDICAL CENTER 2002 HOLCOMBE BLVD. HOUSTON, TX 77030 |
2 |
|
HCA HOUSTON HEALTHCARE CONROE 504 MEDICAL CENTER BLVD CONROE, TX 77304 |
2 |
|
HCA HOUSTON HEALTHCARE TOMBALL 605 HOLDERRIETH TOMBALL, TX 77375 |
2 |
|
OAKBEND MEDICAL CENTER 1705 JACKSON ST RICHMOND, TX 77469 |
2 |
|
MEMORIAL HERMANN HOSPITAL SYSTEM 1635 NORTH LOOP WEST HOUSTON, TX 77008 |
3 |
|
HCA HOUSTON HEALTHCARE KINGWOOD 22999 US HWY 59 KINGWOOD, TX 77325 |
3 |
|
MEMORIAL HERMANN - TEXAS MEDICAL CENTER 6411 FANNIN HOUSTON, TX 77030 |
3 |
|
HCA HOUSTON HEALTHCARE PEARLAND 11100 SHADOW CREEK PARKWAY PEARLAND, TX 77584 |
3 |
|
HCA HOUSTON HEALTHCARE NORTHWEST 710 CYPRESS CREEK PARKWAY HOUSTON, TX 77090 |
3 |
|
MEMORIAL HERMANN MEMORIAL CITY HOSPITAL 921 GESSNER HOUSTON, TX 77024 |
3 |
|
ST LUKE'S SUGAR LAND HOSPITAL 1317 LAKE POINTE PARKWAY SUGAR LAND, TX 77478 |
3 |
|
HARRIS HEALTH SYSTEM 2525 HOLLY HALL HOUSTON, TX 77054 |
3 |
|
WOMANS HOSPITAL OF TEXAS,THE 7600 FANNIN HOUSTON, TX 77054 |
3 |
|
MEMORIAL HERMANN KATY HOSPITAL 23900 KATY FREEWAY KATY, TX 77494 |
4 |
|
HOUSTON METHODIST SUGARLAND HOSPITAL 16655 SOUTHWEST FREEWAY SUGAR LAND, TX 77479 |
4 |
|
CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE ME 6720 BERTNER AVE, STE MC1-266 HOUSTON, TX 77030 |
4 |
|
ST LUKE'S THE WOODLANDS HOSPITAL 17200 ST LUKE'S WAY THE WOODLANDS, TX 77384 |
4 |
Ratings History for Fallbrook Rehabilitation and Care Center
Medical Professionals Associated with Fallbrook Rehabilitation and Care Center
These are the doctors who are affiliated with Fallbrook Rehabilitation and Care Center. The data is from the most recent period. Historical data is not available.
- RUPESH VAKIL ( PULMONARY DISEASE )
- KAHLIL MARTIN ( INTERNAL MEDICINE )
Local Nursing Homes
When evaluating nursing homes, it's important to consider other nearby facilities to understand the available options and make comparisons. Below is a list of nursing homes near Brookline Healthcare and Rehabilitation, including Brookline itself. This list is ranked based on each home's health inspection scores, also known as the "weighted all cycles score." Additionally, we provide the facility's 5-star overall rating for a more complete view of its performance. If a nursing home has been flagged by CMS for abuse, you'll see a special icon () next to its name.
The data is based on the dataset as of November 01, 2024.
Our Analysis
Best and Worst Nursing Homes in HOUSTON, TX
Here is our analysis of the Best Nursing Homes in HOUSTON and Worst Nursing Homes in HOUSTON so that you can make better decisions when choosing a nursing home. You should also use these lists after choosing a home to stay abreast of changes.
Ownership Details for Fallbrook Rehabilitation and Care Center
A list of all of the registered owners for Fallbrook Rehabilitation and Care Center. This includes direct and indirect owners and managers.
Noted Deficiencies for Fallbrook Rehabilitation and Care Center
A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.
Nursing Hours Analysis for Fallbrook Rehabilitation and Care Center
How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.
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