Terra Bella Health and Wellness Suites: Missed Meals - TX
The resident, identified in inspection records only as CR #3, was admitted to the facility on April 29, 2026, around 2:00 p.m. By the time dinner was served that evening, between 5:00 and 5:30 p.m., no tray arrived for her. Dietary staff left for the night by 7:00 p.m. A nurse offered her a tuna sandwich, peaches with cottage cheese, and soup sometime during the second shift. She didn't want it.
The next morning, she didn't get breakfast either.
LVN F, the nurse who admitted CR #3, said she had brought the diet order form down to the kitchen before dinner was served on April 29. She said she checked on the resident during her final rounds that shift and CR #3 didn't mention not having eaten. LVN F didn't learn there was a problem until the morning of April 30, when the missing breakfast surfaced the missing dinner along with it.
She went to the kitchen that morning and reprinted the order. The kitchen said they never received the original form. It had, they told her, gotten misplaced.
CR #3 got breakfast that morning.
The Dietary Manager told inspectors the kitchen won't prepare a tray without the diet communication slip in hand, a practice she said she put in place herself to prevent residents from receiving the wrong diet type. She said her staff always make extra trays of each diet type at dinner in case they're needed. She said cold foods and snacks are available after hours for nursing staff to retrieve. She could not recall CR #3 or anything that happened involving a missed dinner tray.
The Assistant Director of Nursing said she did look into the complaint after CR #3's family raised concerns. She said she found that upon admission, CR #3 had told staff she wasn't hungry and had already eaten. She also found that the resident was offered food during the second shift and declined. But on the central question, why no tray arrived at dinner when LVN F said she had brought the order down, the ADON said it remained unclear.
The Administrator said she had no knowledge of the missed dinner on April 29. She recalled there being "a lot of issues" with CR #3 refusing things and with the facility trying to meet her needs and preferences. She said she tried to speak with a family member about their concerns but was cursed at. She also noted that the CNA who worked with CR #3 on the day she was admitted no longer worked at the facility.
The inspection, conducted May 23, 2026, was a complaint survey. Inspectors rated the violation at the lowest level of harm, minimal harm or potential for actual harm, and noted that only a few residents were affected.
What the record shows is a newly admitted resident, unfamiliar with the facility and its routines, who spent her first evening there without a meal and her first morning there without breakfast. A form disappeared. Nobody knew until the next day. The family was upset enough to file a complaint. The Administrator remembered the family being difficult. The Dietary Manager didn't remember the resident at all.
CR #3's name is not in the report. Neither is what she was admitted for, or whether going without food that first night and morning mattered to her recovery. The inspection record ends with the paperwork reprinted and the breakfast tray delivered, which is where the facility's account of the problem ends too.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Terra Bella Health and Wellness Suites from 2026-05-23 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: August 15, 2026 · Our methodology
Terra Bella Health and Wellness Suites in Houston, TX was cited for violations during a health inspection on May 23, 2026.
The resident, identified in inspection records only as CR #3, was admitted to the facility on April 29, 2026, around 2:00 p.m.
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.