Nursing HomeMedicaid Investigative

Fall Creek Rehabilitation and Healthcare Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

14949 Mesa Dr, Humble, TX 77396|126 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

3.3/5

based on 132 Google reviews

(281) 902-4152 Directions Website

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6/ 10

high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Low overall rating (1/5 stars)
Low staffing rating (1/5 stars)
Above-median deficiencies (9 vs median 8.0)
High staff turnover (74%)
High RN turnover (60%)

Bottom 25% in Texas · Critically understaffed (RN) · Very high staff turnover · $48,555 in fines

Source: Medicare data

What this means for your family

This facility's physical therapy team is a standout strength for those recovering from surgery or injury. However, families must be extremely vigilant regarding hygiene and responsiveness, as multiple reviewers have documented instances of residents being left in soiled linens for hours and delayed medication delivery.

Google Reviews

132 reviews on Google

“Families considering Fall Creek Rehabilitation and Healthcare Center will find a facility that is frequently praised for its beautiful, clean environment and a highly skilled physical therapy team. However, there are serious, recurring allegations regarding patient neglect, specifically involving long periods of being left in soiled linens and delayed medication administration. While many long-term residents enjoy a warm atmosphere, the facility faces significant criticism regarding inconsistent staffing levels and responsiveness to call lights.”

Quality Themes

Tap a score for details

Strengths

Skilled and encouraging physical therapy team
Clean and attractive facility environment
Friendly and professional front desk staff
Compassionate long-term caregivers

Concerns

Neglect regarding hygiene and soiled linens (mentioned by 5 reviewers)
Delayed response to call lights and medication requests (mentioned by 4 reviewers)
Understaffing, particularly during night or weekend shifts (mentioned by 4 reviewers)
Loss or theft of resident belongings (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 132 analyzed

How They Respond to Reviews

93%response rate

Good

The owner provides personalized responses that frequently address specific details mentioned in the reviews, such as staff names or specific facility features. They maintain a professional and appreciative tone across both positive and negative feedback.

Questions for Your Tour

1We've heard wonderful things about your physical therapy team and the facility's cleanliness; how do you ensure that level of care remains consistent across all shifts, including weekends?
2What specific protocols are in place to ensure medication requests are handled promptly and that call lights are answered right away?
3How does the care team manage daily hygiene and linen changes to ensure every resident feels fresh and comfortable?
4Could you tell us more about the dining experience and how the menu is planned to ensure nutritious and enjoyable meals for the residents?
5In the event of a medical emergency during the night or over the weekend, what is the immediate process for getting the resident the care they need?
6What kind of daily activities or social programs do you have scheduled to keep residents engaged and connected with one another?

Personalized based on this facility's data

Key Review Excerpts

“The rehab crew led by Norma is talented and caring. I made quick progress here. I definitely recommend Fall Creek Rehab & Health Center.”

Rehab patient · 2026★★★★☆

“They groom her and dress her with such attention and dignity—truly as if they were caring for their own family me”

Long-term resident's family · 2025★☆☆☆☆

“My loved one was here for 30 days for skilled services they were very nice staff, care was extremely outstanding and family is top notch.”

Rehab patient's family · 2025★☆☆☆☆

Source: 132 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.11hrs

15%

Registered nurses for medical care

Total Nursing

3.18hrs

77%

All nurses + aides combined

Staff Turnover

72%

Lower is better (< 30% = good)

RN Turnover

60%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

3/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility6.1%

Better than Avg

Here

6.1%

19.5%

18.4%

Harris

14.0%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility2.7%

Better than Avg

Here

2.7%

15.4%

9.4%

Harris

8.9%

😔

Residents with depression symptoms

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

12.1%

2.5%

Harris

0.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better

This Facility23.6%

Worse than Avg

Here

23.6%

15.3%

14.9%

Harris

12.6%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility9.5%

Better than Avg

Here

9.5%

19.4%

14.2%

Harris

12.8%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility21.1%

Worse than Avg

Here

21.1%

14.4%

16.1%

Harris

12.3%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility93.5%

Better than Avg

Here

93.5%

79.7%

88.0%

Harris

86.3%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility95.5%

Better than Avg

Here

95.5%

81.8%

89.2%

Harris

86.5%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.7%

Better than Avg

Here

0.7%

1.6%

1.5%

Harris

1.2%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies

2penalties

Near state avg (9.1)

13 complaint-triggered

$48,555 in fines

This facility shows a concerning pattern with 13 complaint-triggered deficiencies, indicating families have repeatedly filed reports about care issues. The most recurring problems involve care planning, medication management, and resident rights violations, with some issues like care planning deficiencies appearing multiple times across different surveys from 2024-2025. While the facility has provided correction dates for all deficiencies, the high volume of recent complaints and repeat violations in critical care areas suggests ongoing quality concerns that warrant careful consideration.

Jul 8, 2025Complaint1 finding

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 30, 2025Routine5 findings

0929Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

May 30, 2025Complaint2 findings

0656Potential for harm · IsolatedCorrected

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Apr 13, 2025Complaint3 findings

0580Immediate jeopardy · PatternCorrected

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.

0691Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Feb 5, 2025Complaint2 findings

0656Immediate jeopardy · IsolatedCorrected

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.

0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Mar 13, 2024Complaint3 findings

0600Immediate jeopardy · PatternResolved (past non-compliance)

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.

0602Immediate jeopardy · PatternResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0761Immediate jeopardy · PatternResolved (past non-compliance)

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.

Federal Penalties

Fine

Apr 13, 2025

$33,683

Fine

Feb 5, 2025

$14,872

Ownership & Operations

Who Operates This Facility

Owner / Operator

Ltc of Fall Creek LLC

Organization Type

for profit

Management Company

LTC HOUSTON MANAGEMENT LLC

Administrator

JOSE AMADO

Ownership & Management

Owners

Bullpen One, LLC

Owner · Organization

10%

Edaws Investment Group, Lp

Owner · Organization

90%

Bullpen Family Venture, Lp

Owner (parent company) · Organization

Reed, Michael

Owner (parent company)

Reed, Stacie

Owner (parent company)

Threadgill, Forrest

Owner (parent company)

Threadgill, Morgan

Owner (parent company)

Threadgill, Sharlyn

Owner (parent company)

Smithers, Jeffrey

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Clearlake Healthcare Realty, LLC5% or Greater Mortgage InterestCompton3 Holdings, LLC5% or Greater Mortgage InterestMartel Healthcare Management LLC5% or Greater Mortgage InterestThe Smithers Management Trust5% or Greater Mortgage InterestCompton, Charles5% or Greater Mortgage Interest

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

(281) 902-4152

fallcreekrehab.com

sharlyn@msstx.us

14949 Mesa Dr

Humble, TX 77396

Get Directions View on Google Maps

References & Resources

Medicare Care Compare

Official Medicare quality ratings, inspections & staffing data

Google Maps

Photos, directions & neighborhood info

Google Reviews

132 reviews from families & visitors

Official Website

Visit fallcreekrehab.com

Medicare data downloads

Original nursing home datasets

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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