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Nursing HomeMedicaid Investigative

Fallbrook Rehabilitation and Care Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

10851 Crescent Moon Dr., White Oak Bend · Houston, TX 77064202 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 115 Google reviews

5
4
3
2
1

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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 (24 vs median 8.0)
  • High staff turnover (77%)
  • High RN turnover (86%)

Bottom 25% in Texas · Below recommended RN staffing · Very high staff turnover · $173,479 in fines

Source: Medicare data

What this means for your family

While recent tours suggest a clean and well-managed facility under new leadership, the frequency of severe medical neglect reports—specifically regarding bedsores and medication errors—is alarming. If you choose this facility, you must implement a rigorous daily check-in routine to personally verify that call lights are being answered and medications are being administered.

Google Reviews

Google Reviews

115 reviews on Google
Families should exercise extreme caution, as recent reviews frequently report severe medical neglect, including untreated bedsores, sepsis, and failure to administer essential medications. While some recent visitors praise a new management team and a clean, renovated atmosphere, these positive experiences are overshadowed by serious allegations of understaffing and patient safety risks.

Quality Themes

Tap a score for details
Food2.0Staff3.0Clean4.0Activities8.0Meds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Recent building renovations and cleanliness
  • Welcoming atmosphere during tours
  • Engaging activity programs
  • Professionalism in the admissions/administrative team

Concerns

  • Severe medical neglect and wound care failures (mentioned by 3 reviewers)
  • Failure to administer medications on time (mentioned by 3 reviewers)
  • Unresponsive call lights and slow staff response (mentioned by 4 reviewers)
  • Inadequate hygiene and room cleanliness (mentioned by 3 reviewers)
  • Understaffing and lack of communication (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'18(4)'20(7)'22(29)'24(21)'26(5)

Distribution · 119 analyzed

5
64
4
6
3
2
2
3
1
44
10 reviews posted between May 28, 2024May 29, 2024 · 10 were 5-star

How They Respond to Reviews

53%response rate
Generic

The owner relies heavily on a small set of pre-written templates to respond to reviews. While they attempt to personalize some responses by including the reviewer's name, the core message remains a repetitive, copy-paste script.

Questions for Your Tour

  • 1We noticed the recent renovations and how clean the building looks; how do you ensure that this level of cleanliness is maintained in the resident rooms every day?
  • 2Can you walk us through your specific process for medication administration and how you track that it is given exactly on schedule?
  • 3How does the nursing team prioritize responding to call lights, especially during busy shift changes or overnight?
  • 4What is your protocol for managing wound care and ensuring that medical treatments are followed precisely as prescribed by doctors?
  • 5We've heard great things about your activity programs; could you tell us more about what a typical day of engagement looks like for the residents?
  • 6How do you ensure consistent and clear communication between the nursing staff and family members regarding a resident's daily health updates?

Personalized based on this facility's data


Key Review Excerpts

The new team at Fallbrook has brought a lot of vibrance and kindness to the residents there. The remodel is beautiful and the energy is great.

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

She was left in the same gown for a week without a proper bath, her room was never cleaned and call lights were ignored or dismissed without action.

Friend of a resident · 2025☆☆☆☆

I cannot speak highly enough of Tierra (Activity Director) at Fallbrook Rehabilitation and Care Center. From the moment we walked in, we were greeted with warmth and professionalism.

Visitor · 2024★★★★★
Source: 115 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.50hrs
66%
Registered nurses for medical care
Total Nursing
3.27hrs
80%
All nurses + aides combined
Staff Turnover
65%
Lower is better (< 30% = good)
RN Turnover
83%
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

Quality Measures

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

Medicare Rating
3/ 5
Better Than Avg

6

measures

Worse Than Avg

8

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility81.1%
Worse than Avg
Here
81.1%
US
93.4%
TX
96.9%
Harris
96.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility27.4%
Worse than Avg
Here
27.4%
US
19.5%
TX
18.4%
Harris
13.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
12.1%
TX
2.5%
Harris
0.9%

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

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility23.4%
Worse than Avg
Here
23.4%
US
14.4%
TX
16.1%
Harris
12.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility22.8%
Worse than Avg
Here
22.8%
US
15.3%
TX
14.9%
Harris
12.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility15.2%
Mixed vs Avgs
Here
15.2%
US
15.4%
TX
9.4%
Harris
8.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility62.9%
Worse than Avg
Here
62.9%
US
81.8%
TX
89.2%
Harris
87.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility63.8%
Worse than Avg
Here
63.8%
US
79.7%
TX
88.0%
Harris
86.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
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

26deficiencies
4penalties
Well above state avg (9.1)
33 complaint-triggered
$173,479 in fines

Families have filed numerous complaints triggering 31 deficiencies, indicating ongoing concerns about care quality. The facility has persistent issues with medication management, daily living assistance, and care planning that recur across multiple surveys and recent dates. While all deficiencies show correction dates, the pattern of repeated problems in core care areas, particularly medication services appearing in 2022, 2023, and 2025, suggests systemic challenges that warrant careful consideration during any visit.

Feb 27, 2026Complaint
2
0726Immediate jeopardy · PatternCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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.

Jan 14, 2026Complaint
3
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.

0689Potential for harm · 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.

0842Potential for harm · IsolatedCorrected

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.

Jan 5, 2026Complaint
1
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.

Nov 20, 2025Complaint
1
0761Potential for harm · PatternCorrected

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.

Oct 10, 2025Complaint
2
0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0580Potential for harm · IsolatedCorrected

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.

Sep 8, 2025Complaint
5
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.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0690Potential for harm · IsolatedCorrected

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.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Federal Penalties

Fine

Feb 27, 2026

$12,460

Payment Denial

Aug 16, 2025

24-day denial

Fine

Feb 11, 2024

$46,008

Fine

Jul 5, 2023

$127,471

Ownership & Operations

Who Operates This Facility

Owner / Operator

Frio Hospital District

Organization Type

for profit

Management Company

CRESCENT MOON DR HEATHCARE LLC

Administrator

RAY BAKER

Ownership & Management

Owners

Frio Hospital District

Owner · Organization

Key personnel

Ruff, MichaelOfficer / DirectorCrescent Moon Dr Consulting LLCManagerHiscox, KennethManagerMiller, WilliamManagerVakil, RupeshManager
Source: Medicare provider data

Contact

References & Resources

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.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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