Fallbrook Rehabilitation: Perineal Care Violation - TX
Fallbrook Rehabilitation and Care Center, located at 10851 Crescent Moon Dr in Houston, was cited during a complaint inspection completed September 8, 2025, for failing to provide proper perineal care to incontinent residents. The deficiency, tagged F0690, was classified as causing minimal harm or potential for actual harm, and affected a small number of residents.
The facility had its own undated policy on perineal care. The policy was unambiguous. It stated that the facility would provide perineal care to all incontinent residents to promote cleanliness and comfort and to prevent infection. For female residents specifically, the policy spelled out the technique: a staff member should separate the resident's labia with one hand and cleanse the perineum with the other, wiping from front to back.
Front to back. The direction matters. Wiping the wrong way carries bacteria toward the urethra, raising the risk of urinary tract infection in a population already made vulnerable by incontinence, limited mobility, and age. The policy existed because the risk is real and the correct technique is specific.
Inspectors found the facility had written that standard down and then failed to meet it.
The inspection was triggered by a complaint, not a routine survey. Someone contacted regulators. The resulting visit, completed in early September, produced this citation among the facility's documented deficiencies.
Fallbrook Rehabilitation and Care Center operates under provider number 455815. For information on the facility's plan to correct the deficiency, CMS directs the public to contact the nursing home or the Texas state survey agency directly.
What the record does not show is whether any resident developed an infection. The citation's harm level, minimal harm or potential for actual harm, reflects that inspectors could not confirm injury had occurred. What they could confirm was that the gap between the written policy and actual practice existed, and that it touched the most basic category of care: keeping a person clean.
Incontinent residents in nursing homes depend entirely on staff for hygiene. They cannot manage it themselves. When a facility puts a perineal care protocol in writing, it is acknowledging that dependency and committing to a standard. The standard at Fallbrook named infection prevention as a goal. The inspection found that goal was not being consistently met.
The facility's policy carried no date. Inspectors noted it as undated. Whether it was a longstanding protocol or a recently adopted one, the document existed at the time of the inspection and staff were expected to follow it.
A small number of residents were affected, according to the citation. The inspection report does not name them.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Fallbrook Rehabilitation and Care Center from 2025-09-08 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 25, 2026 · Our methodology
Fallbrook Rehabilitation and Care Center in Houston, TX was cited for violations during a health inspection on September 8, 2025.
The deficiency, tagged F0690, was classified as causing minimal harm or potential for actual harm, and affected a small number of residents.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.