Falcon Point Post Acute

23553 West Fernhurst Drive
Katy, TX, 77494
2813943900
CCN: 676195
3
Overall
4
Health
1
Staffing
3
Quality
ChainCROSS HEALTHCARE MANAGEMENT
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
WEST COKE COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTEREST100%
23553WFD, LLC5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
KTFW-TX LLC5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
MCGUIRE, WESLEYCORPORATE OFFICERNOT APPLICABLE
MARTIN, CHRISTOPHEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FALCON POINT OPCO LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ALI, NIDAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
RANKIN, DEREKOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (1)
DateTypeAmount
2024-05-19Fine$20K
Health Deficiencies (25)
2026-01-08 · Health
D
F921 · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2025-12-30 · Health
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
2025-01-10 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
E
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
F584 · Resident Rights Deficiencies
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.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2024-11-04 · Health
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
2024-05-19 · Health
C
F839 · Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
2023-11-17 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
D
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
2022-09-15 · Health
E
F921 · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
E
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.22
3.68
RN Hrs/Resident/Day
0.38
0.54
LPN Hrs/Resident/Day
1.08
0.81
CNA Hrs/Resident/Day
1.76
2.33
PT Hrs/Resident/Day
0.19
0.12
Data as of 2026-03-01