Fall Creek Rehabilitation and Healthcare Center

14949 Mesa DR
Humble, TX, 77396
2819024152
CCN: 676412
1
Overall
1
Health
1
Staffing
3
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
BULLPEN ONE, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST10%
EDAWS INVESTMENT GROUP, LP5% OR GREATER DIRECT OWNERSHIP INTEREST90%
BULLPEN FAMILY VENTURE, LP5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
REED, MICHAEL5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
REED, STACIE5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
THREADGILL, FORREST5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
THREADGILL, MORGAN5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
THREADGILL, SHARLYN5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
MARTEL, MICHAEL5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
COMPTON, JAMES5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
COMPTON, KRIS5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
CLEARLAKE HEALTHCARE REALTY, LLC5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
COMPTON3 HOLDINGS, LLC5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
MARTEL HEALTHCARE MANAGEMENT LLC5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
THE SMITHERS MANAGEMENT TRUST5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
COMPTON, CHARLES5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
THREADGILL, SHARLYNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SUTER, RACHELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (2)
DateTypeAmount
2025-04-13Fine$34K
2025-02-05Fine$15K
Health Deficiencies (19)
2025-07-08 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2025-05-30 · Health
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
2025-04-13 · Health
K
F691 · Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
K
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
E
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2025-02-05 · Health
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2024-03-13 · Health
K
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.
K
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
K
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-03-07 · Health
E
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2022-12-08 · Health
C
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
E
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
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.23
3.68
RN Hrs/Resident/Day
0.16
0.54
LPN Hrs/Resident/Day
1.17
0.81
CNA Hrs/Resident/Day
1.90
2.33
PT Hrs/Resident/Day
0.04
0.12
Data as of 2026-03-01