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Complaint Investigation

Fall Creek Rehabilitation And Healthcare Center

February 5, 2025 · Humble, TX · 14949 Mesa Dr
Citations 1
CMS Rating 1/5
Beds 126
Provider ID 676412
Healthcare Facility
Fall Creek Rehabilitation And Healthcare Center
Humble, TX  ·  View full profile →
Inspection Summary

Fall Creek Rehabilitation and Healthcare Center in Humble, TX — inspection on February 5, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF689
Immediate care plans are appropriate and meet their individual needs. No new concerns were identified. Completed Few comprehensive care plans who have had falls in the last 16 days, 6 residents with 8 falls where reviewed, to affected

The facility failed to implement preventive measures for CR#1's continuous falls, which resulted in severe injuries. On 1/11/2025 resident fell at 2:17pm with minor injuries and again 22 minutes later at 2:39pm resulting in serious injuries requiring hospitalization .

The resident was returned to the facility at 1/12/25 at 3:33am and at 7:37am resident transferred to hospital for another unwitnessed fall.

Immediate action:

1. 1/ 13/25 The facility administrator completed a self-report incident to HHSC due to unwitnessed fall with major injury.

676412

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 676412 B.

Wing 02/05/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Fall Creek Rehabilitation and Healthcare Center 14949 Mesa Dr Humble, TX 77396

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Humble, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Fall Creek Rehabilitation and Healthcare Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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